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