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PMT18-01497 City of Menifee Permit No.: PMT18-01497 .yam 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential New MENIFEE MENIFEE Date Issued: 0711112018 PERMIT Site Address: 33060 BUCKWHEAT RD, MENIFEE, CA Parcel Number: 384-050-005 92584 Construction Cost: $204.702.30 Existing Use: Proposed Use: 1 &2 Family Residence Description of NEW ADU 1798 SO FT WITH MECHANICAL, ELECTRICAL&PLUMBING IN ADDITION TO EXISTING Work: HOME. Owner Contractor STEVE SCHEIDEMANTLE 33050 BUCKWHEAT ROAD MENIFEE, CA 92584 Applicant License Number. STEVE SCHEIDEMANTLE 33050 BUCKWHEAT ROAD MENIFEE,CA 92584 Phone:9092220774 Fee Description gty Amount ISl Residential Sprinkler 1 614.00 Services, Switchboards, Control Centers&Panels 1 116.00 Receptacle, Switch,Outlet&Fixture 122 721.00 Administrative Fee 147 147.00 Plumbing Fixtures and Vents,fixtures 12 161.00 Gas System 1 116.00 Plan Check Fee 308 307.50 Plan Check Fee 308 307.50 Residential Water Heater 1 83.00 Sewer 1 150.00 Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units Non-SFR 1 183.00 Building Permit Issuance 1 27.00 Additional Plan Review Building 678 678.41 GREEN FEE 1 7.00 SMIP RESIDENTIAL 1 21.00 New Construction Permit Fee 1 941.63 General Plan Maintenance Fee-Mechanical 1 16.60 General Plan Maintenance Fee-Plumbing 1 25.50 General Plan Maintenance Fee-Electrical 1 41.85 General Plan Maintenance Fee-New 1 47.08 Construction $4,861.07 AA_Bldg_Peonit_Template.rpt Page 1 of 2 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 Contractoes State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires 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 I WORKER'S COMPENSATION DECLARATION have 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 worker's 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 le inf .ca. ov/calaw.html. Policy JJ to C� ❑I have and will maintain workers compensation insurance,as required by PERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,forthe 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's 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 Polity 0 Expires enter the aabove identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred �y� — -Date dollars($100)or less PRTPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work forwhich this permit is Issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building. AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?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 workwhich 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 under the State of hereby affirm under penalty of perjury that I am exempt from the California Contractor's License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning rdo hazzardo checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. aYes�o N Business and Professions Cade).Any city or county that requires a permit to e construct,alter,improve,demolish or repair any structure,prior to its P R6RIRTY OWNER OR AUTHORIZED AGENT Issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION;REPAIR AND PAINTING IRRPI 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 orthrough their ❑I,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( I all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a o 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 for this 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 Contractors 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: ( 3 a r PERMIT/PLAN CHECK NUMBER I9— 1401 _� PLANNING CASE NUMBER -ao (.' 3 -J j TYPE: O COMMERCIAL '-'RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION 0 ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL 44NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK A GG,C SS tmj ip W Gnu r PROJECTADDRESS 33 D (o0 YJU L M w"vJ_ -ems /Zo ZIP S<j ASSESSOR'S PARCEL NUMBER 3 sy- eord -pdS'LOT TRACT OWNER NAME S`T L V S S ADDRESS 33 nG 13 s ieo PHONE qO ZZZ- 0`7 '7y EMAIL GAeo- h r , - � . APPLICANT NAME -6'r L I/ -5 j .sue,,, ADDRESS 3 3 p ct C.2 w r.4r PHONE QO L - O 77 EMAIL w.r 9 C 2raj>7 ,r o _ CONTRACTOR'S NAME S`r[vur S r1 YJ LS ,� OWNER BUILDER? AtYES 0 NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 4I i99m , Otlo .cO SOFT _ /_716 LSQFT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT 0I5TRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL I C�l� 3 � ' GREEN ,�� SMIP OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us ENIF