PMT18-02244 City of Menifee Permit No.: PMT18-02244
29714 HAUN RD.
' A- =11- � MENIFEE, CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 0 510 7/2 01 8
i
PERMIT
Site Address: 30123 WESTLAKE DR, MENIFEE, CA Parcel Number: 364-021-002
92584 Construction Cost: $500.00
Existing Use: Proposed Use:
Description of DEMO EXISTING 152 SO FT 2 STORY PORCH
Work:
Owner Contractor
DAVID MILLER ARLONG CONSTRUCTION
30123 WESTLAKE DR 39913 CALICIA CT
MENIFEE,CA 92584 MURRIETA, CA 92562
Applicant Phone:4152724818
ADAM LONG License Number: 1034467
ARLONG CONSTRUCTION
39913 CALICIA CT
MURRIETA, CA 92562
Fee Description Qtv Amount t$1
Building Permit Issuance 1 27.00
Demolition Permit 1 140.00
GREEN FEE 1 1.00
$168.00
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_Bldg_Pennit_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 1 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 Code and my license is in full force and effect. the following reason:
License Class '&R-LkLCT-- �j License No. /63y4/(o7
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
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
D 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 s,,,,,nv.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
D 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 D 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
Policy# Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
certify that in the performance of the work for which this permit is issued,
shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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 i' ✓gi-1, � 7 Oate 201� 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 D Yes +4'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 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 Districtconstruction
or modee ification
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airlines
Qua
CONSTRUCTION LENDING AGENCY DYes vrYNo
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) D Yes %TNo
OWNER 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
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 2.5534 concerning
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to `-- D N'9+
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTA Z. AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRPI 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-B00-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a D 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.
D 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 RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE:05/07/2018 PERMIT/PLAN CHECK NUMBER (�—O
TYPE: O COMMERCIAL PRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITION OALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK existing balcony
1r;ssol
PROJECTADDRESS 30123 Westlake Dr ZIP 92584
ASSESSOR'S PARCEL NUMBER Parcel 1 TRACT22127-1
OWNER NAME Dave Miller
ADDRESS 30123 Westlake Dr, Menifee, CA 92584
PHONE 619-438-1870 EMAIL arlongconstruction@gamil.com
APPLICANT NAME Adam Long
ADDRESS 39913 Calicia Ct, Murrieta, CA 92562
PHONE 415-272-4818 EMAIL arlongconstruction@gamil.com
CONTRACTOR'S NAME Adam Long OWNER BUILDER? O YES NO
BUSINESS NAME ARLong Construction
ADDRESS 39913 Calicia Ct, Murrieta, CA 92562
PHONE 415-272-4818 EMAIL arlongconstruction@gmail.com
CONTRACTOR'S STATE LIC NUMBER 1034467 LICENSE CLASSIFICATION General B
*UA ON$ �8 o� SQ 340
VALU L SQ FT
APPLICANT'S SIGNATURE DATE 05/07/2018
CID'STAFF USE ONLY _
DEPARTMENT DISTRIBUTION ,.�7�_ CITY OF MENIFEE BUSINESS LICENSE NUMBER
ACCEPTED BY:�
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE I SMIP GREEnOYES
PLAN CHECK FEE INVOICE TOTAL I� &V
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED
City of Menifee Building&Safety Department 29714 HOUn Rd. Menifee, CA 92586 951-672-6777
www.cityofineni fee.us
*+••ems City of Menifee
Building Dept.
MAY 0 7 2018
Received
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PLUS PERMITS&CASES
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226380 18 PILASTERS—LOTS 19-33 WALLY M-2 WALL 180 360 FINAL
226381 PERIMETER WALL 6X455 WALLY M-2 WALL 2730 5460 FINAL
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321379 2 STORY PORCH(152 SF)&PORTABLE SPA W/ELECTRIC PRCH490 PR V-N 152 1960 FINAL
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*DISCLAIMER
Maps,permit information and data are to be used for reference purposes only.Map features are approximate,and are not nqjUarly,accurate to
surveying or engineering standards.The County of Riverside makes no warranty or guarantee as to the content(the source JES&IIpird party),
accuracy,timeliness,or completeness of any of the data provided,and assumes no legal responsibility for the information co on this map.
use of this product with respect to accuracy and precision shall be the sole responsibility of the user.
W �
ity CMD
of Mlenifee
Building Dept.
MAY 0 7 2018 LLM
Received
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