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PMT18-00863 City of Menifee Permit No.: PMT18-00863 29714 HAUN RD. SnCCELA'? MENIFEE,CA 92586 Type: Residential Alteration `°" 1-4$' MENIFEE Date Issued: 03127/2018 PERMIT Site Address: 29100 PRESTWICK RD, MENIFEE,CA Parcel Number: 338-024-001 92586 Construction Cost: $2,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of ENCLOSE EXISTING 10'x 20'CARPORT WITH STUDS AND SIDING, INSTALL 8'x 7'ROLL-UP Work: GARAGE DOOR Owner Contractor JOHN DUNCAN ALLSTAR DEVELOPMENT 29100 PRESTWICK ROAD 39431 VIA MONTERO MENIFEE,CA 92586 MURRIETA,CA 92563 Applicant Phone:9517573228 JOSH KESTER License Number: 964502 39431 VIA MONTERO MURRIETA, CA 92563 Fee Description gyt Amount Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 Additional Plan Review Building 129 129.07 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 $287.14 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction underwhich no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA Sldg_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class U se No By my signature below I acknowledge that,except for my personal residence Expires -'3 -1 `Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that 1 WORKER'S COMPENSATION DECLA ION built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.html. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to th orl�er's compensation pro�visi �of Section 3700 of the Lobar Code,lsha f hw�ihco pl with a Provisions, �r Will the applicant or future building occupant handle hazardous material or Applicant Date 7� t�4 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNI :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALLSUBIECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN r o ion occupant require a permit for the construct modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC ion or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES -for guidelines— — -- --- - - CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the hazardous California Health al Safetysting- Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. oyes ❑No Business and Professions Cade).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their in 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required forthis project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE:?, PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL J RESIDENTIAL C MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION QXALTERATION O DEMOLITION O ELECTRICAL 0 MECHANICAL O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK iEK3 4 M cc, a X 7 a fu nk PROIECTADDRESS 1LLI 100 jN P,A)�Ik_ N S.A (,sty ZIP ASSESSOR'S PARCEL NUMBER :3ft -03)LJI,. Q'�L LOT TRACT Building Dept. OWNER NAME ,.:S FEB 2 7 2018 ADDRESS / 0 (; (�'i o PHONE 951 -�,�3 ' o EMAIL ��Jl/lC�.✓l R (.S "� ,' I V APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME h1� OWNER BUILDER? OYES PNO BUSINESS NAMEn A1 ww� T ADDRESSC, �"( 3 rh, L l l PHONE l��- �57�3 g EMAIL (,',.,�.SlU(._ (-e-'5q��( 1LCV14q „LD CONTRACTOR'S STATE LIC NUMBER q6 q5�� "",� LICENSE CLASSIFICATION 1�1 VALUATION$ � SQ FT �QC/ L SO FT APPLICANT'S SIGNATURE — - DATE CITY STAFF USE ONLY _ DEPARTMENT DISTRIBUTION ACCEPTED BY: L CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE O GREEN SMIP L ECKFEE INVOICETOTALLDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us City of Menifee Building Dept. FEB 2 7 2018 d LU \ L7 a �� 9- 61�ud6 o-vlj 0 J,'_.: 'iG AND SAFETY DEPARTMENT Au_ woR+F- -ro C-OMt LVLi y " ' 9Wt4E 2c51to $utl..Dtw� Cc�P� 6- FEB 2 8 201 i ! DATE rvz these plansshaII not be construed tobea permit for,oran + L aay violation of any provisions of the federal,state or city in ordinances. This set of approved plans must bekeplonMe ,npietion.