PMT18-02481 City of Menifee Permit No.: PMT18-02481
29714 HAUN RD. Type: Residential Alteration
<ACCELi. MENIFEE, CA 92585
"--'t'A.- MENIFEE Date Issued:
05/21I2018
PERMIT
Site Address: 27060 MONK ST, MENIFEE, CA 92586 Parcel Number: 335-303-016
Construction Cost: $18,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of KITCHEN REMODEL 100 SQ FT, NEW SINK&FAUCET, 7 AFCl/GFCI OUTLETS,5 OUTLETS,4
Work: SWITCHES, 1 20AMP CIRCUIT, 1 LED LIGHT FIXTURE OVER SINK, RELOCATE OTR HOOD
DUCTWORK
Owner Contractor
JEAN EWALT TARANTO CONSTRUCTION INC
27060 MONK ST P O BOX 1857
MENIFEE,CA 92586 UPLAND,CA 91785
Applicant Phone: 9099313233
JOSEPH P TARANTO License Number.876297
TARANTO CONSTRUCTION INC
P O BOX 1857
UPLAND,CA 91785
Fee Description City Amount I$1
Receptacle, Switch, Outlet& Fixture 18 201.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 10.05
$239.06
The issuance of this permit shall not prevent the building official from thereafter requidng the correction of errors in the plans and
specifications or from preventing builiding operations being carded 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_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 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 o 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 fallowing reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires ` S' in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATI DECLARA 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
o 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 fallowing websile:
by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.Roy/calaw.html.permit is issued.
Policy# Date
plla, and will maintain worker's compensation insurance,as required by PROPERTY 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 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_ O�hbl-� N k?w,11.�.- with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy a to-O\P k o \ Expires i, pe-- enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emnlov 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 c m ly with those provisions. Will the applicant or future building oaupant handle hazardous material or a
Date mixture containing a hazardous material equal to or greater that the
amounts spe y'Red on the Hazardous Materials Information Guide?
.WARNING:.F LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS DYE o2
'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 District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CO DE,INTEREST,AND ATTORNEYS FEES forguide.l.in.�es!
CONSTRUCTION LENDING AGENCY DYes CL
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 30D0 feet of the
lending agency for the performance of the work which this permit is issued outer bounds fa school?
(Section 3097 Civil Code) o Yes o
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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's I haveLaw for the reasons)licable it belowbythe hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7033.5 oyes Clo �
Business and Professions Code).Any city or county that requires a permit to Da[e 1�-C
construct,alter,improve,demolish or repair any structure,prior to its pROPE 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 RENOVATION REPAIR AND PAINTING IRRPJ
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 he 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
❑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 1-800324-LEAD(5323).
Cade,The Contractor's State License Law does not apply to an owner of a n/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 7D44,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.
Jo<-e.� h 1 10-4- �-
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: f' Zv%p PERMIT/PLAN CHECK NUMBER g' C)O-t 81
PLANNING CASE NUMBER
TYPE:. O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 9I /ao
r2C 7
PROJECTADDRESS �Glds9�,., s9 �i�i ZIP
ASSESSOR'S PARCEL NUMBER 9J'-jGj-J2V?2=Q J\p LOT �1� TRACT a-I a
/ z-
OWNERNAME 2- �`-rt/a
��77 l
ADDRESS O` 70 6 0 v�lC �� k
PHONE ��(� �,�j p y�-(o d EMAIL
APPLICANT NAME p agil/`�tp
ADDRESS 11'/Q
PHONE O r l EMAIL 1.0�[
CONTRACTOR'S NAME .p •U ^.z,.<Z/u�tl OWNER BUILDER? O YES O NO
//
BUSINESS NAME 7^ G CCI xvC'YZD�cI �"�
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATES LIC NUMBER 7� Z g �;4 LICENSE CLASSIFICATION /
VALUATION$ la l 8 pd SO FT /0 L SO FT
APPLICANT'S SIGNATURE �-
Jkrr�;
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOFME�NIF�EE�Bf/�SINESS LICENSE MBB/ER
BUILDING PLANNING ENGINEERING FIRE YY�jJ\ p�i p
INVOICETOTAL a3 . OS GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES i% NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777
www.cityofmenifee.us
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