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PMT18-01980 City of Menifee Permit No.: PMT18-01980 A 29714 HAUN RD. Type: Residential Addition MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 0910612018 PERMIT Site Address: 30178 OLD MILL RD, MENIFEE,CA Parcel Number: 92584 Construction Cost: $2,400.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of SIDE YARD COMBO WALL TR 36485A KINGSTON Work: 6'X 80 L FT, 2 PILASTERS LOT 77 "APPROVED REVISIONS 9/6/18" Owner Contractor MERITAGE HOMES MERITAGE HOMES OF CALIFORNIA INC 5 PETERS CANYON STE#310 1671 EAST MONTE VISTA AVE#214 IRVINE, CA 92606 VACAVILLE, CA 95688 Applicant Phone:7073592034 ALEX SEIZEW License Number:755679 MERITAGE HOMES OF CALIFORNIA INC 1671 EAST MONTE VISTA AVE#214 VACAVILLE,CA 95688 Fee Description Qtv Amount 151 Building Permit Issuance 1 27.00 Wall/Fence, non-standard 1 133.00 Additional Plan Review Building 129 129.07 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $297.72 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 building 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 under which 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_Bldg_Permit_Templatespt 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 D I am exempt from licensure under the Contractor's State License Law for Professions Cade and m icense is in full force and effect. - -7 the following reason: License Class ' ense No. S / By my signature below I acknowledge that,except for my personal residence Expires /`'OVA()()Signature Q vll 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 workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for his application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which w.l info.ca ovcalaw.ht I. this permit is issued. 'r 4 /- Policyq Date L! P PERTY OWNER OR AUTHORIZEd AGENT o I have and will maintain workers compensation insurance,as required by 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 on the property owners behalf.I have read this number are: /�/� application and the information I have provided is correct.I agree to comply Carrier ) �� T tiiS CD with all applicable city and county ordinances and state laws relating to �t inkling nstruction.I authorize representatives of this city or county to Policy#14/ a rr�Z�jSc{Jj°/])SEzpuL+s U r e ter th have iden'led property for inspection purposes. // (This section need not to be completed is the permit is for one-hundred Dal- dollars($100)or less P bPERTY OWN R O AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, Cj7c�� I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE k 7� workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall`forthWth co ply with tho4e ovisions. Will the applicant or future building occupant handle hazardous material or a ` r,' / L n /�� �p]f �/r -' / mixture containin a hazardous material equal to or greater that the Applicant i '-Ir1 111 ;V 4t�L"In Date amounts sped d on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 0t1 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 UP TO 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 Alr Quali Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin CONSTRUCTION LENDING AGENCY ❑Yes D o I hereby affirm that under the penalty of perjury there is a construction Will the propo d building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bound of a school? (Section 3097 Civil Code) ❑Yes D o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the ardo material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 DY s No Business and Professions Code).Any city or county that requires a permit to A A K Date construct,alter,improve,demolish or repair any structure,prior to its p PERTY O NER 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 IVA RENOVATION,REPAIR AND PAINTING(RRPJ 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 o 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( )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). Cade;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. o No EPA Lead-Safe Certified Firm is required for this project because: o 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 o er of a � � If your project does not comply with EPA RRP rule please fill out the RRP Hle+(-6 Acknowledgement.