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PMT18-02091 City of Menifee Permit No.: PMT18-02091 29714 HAUN RD. Type: Residential Addition Z/Ar MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 06/04/2018 PERMIT Site Address: 28716 CAPANO BAY CT, MENIFEE, CA Parcel Number: 388-031-012 92584 Construction Cost: $49,014.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 1800 SF STEEL DETACHED ACCESSORY STRUCTURE, NO ELECTRICAL, NO PLUMBING Work: Owner Contractor JAMES CLARKE INTERSTATE STEEL STRUCTURES INC 28716 CAPANO BAY COURT 385 W. ESPLANADE AVE MENIFEE,CA 92584 SAN JACINTO,CA 92583 Applicant Phone:8886542435 JAMES CLARKE License Number: 1032276 28715 CAPANO BAY COURT MENIFEE,CA 92584 Phone:9515666462 Fee Description ,Qtv Amount tEl Building Permit Issuance 1 27.00 Inspections not specified 129 129.07 Additional Plan Review Building 105 105.00 GREEN FEE 1 2.00 SMIP RESIDENTIAL 1 7.00 New Construction Permit Fee 1 225.46 General Plan Maintenance Fee-New 1 11.27 Construction $606.80 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 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_Bidg_Permit_Template.rpt Page 1 of 1 CITY OF MEN EE LICENSED DECLARATION roperty 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 contractors)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 License No. By my signature below 1 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 infO.ca. ov alaw.html. c/ Policy 4 ��— Date ❑I have and will maintain worker's compensation insurance,as required by PROP RTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carder 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 Policy 4 Expires enter the aaabqve� n�ti ed property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PRWR115Y OWNER OR AUTHORIZED AGENT O I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N worker's 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 Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ayes ❑No UNLAWFUL,AND SHALL SUB1ECr 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 Air Quality Management District(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,.AND ATTORNEYS FEES for guidelines - - —� CONSTRUCTION LENDING AGENCY Oyes ONO I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10D0 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 �4YNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health al Safety Code,Section 25505 and Contractor's License Law for the reason(s)indicated below by the 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7032.5 Business and Professions Code).Any city or county that requires a permit to OYes o No Date construct,alter,improve,demolish or repair any structure,prior to its issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AG ENT that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP1 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.S 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 sale 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.aov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-8D0-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovatorwill 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: A as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cqde: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 • PERMIT/PLAN CHECK APPLICATION MENIFEE New.Better.Best. DATE / j PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL *RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: *ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Q GQ A r PROJECTADDRESS S czvaoO C-r 7Z5,,� ASSESSOR'S PARCEL NUMBER I��'a Z LOT 7 TRACT 27 7 710 OWNER NAME 5LT/ncls `Or Ke CRY of Menifee ADDRESS 2 1 .( 177pr fyrn Bull t PHONE CJJ �b - y6 Z EMAIL ^ Oiu APPLICANT NAME CI a" Received ADDRESS _�CpIc C35 PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES E)NO BUSINESS NAME ADDRESS '3 " San In4c q7543 PHONE NS( EMAIL r/ CONTRACTOR'S STATE/LIC NUMBER f 0�7_2-7(o LICENSE CLASSIFICATION VALUATION$# 6 Zo. �( SO FT $Q D L SO FT II APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN a� SMIP INVOICE PAID AMOUNT AMOUNT O CASH O CHECK R O CREDIT CARD VISA/MC -76 PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Dept 29714 Haun Road I Menifee,CA 92586 951-672-6777 OGPII� %caw t-ITY(WIMMEE L REVIEVir MAY 2 2 2018 DATE 'Approval of these pie,�sfis( erm; itfororan ti RIP�7—ciiv This set a ap-ro.eci p�ins !0 ZL( g CL. F--- Y&O(')- x2o IRV L- E219 C9 -10 D 177-FT �06 lCO e qcf�,,Sl- In,