PMT18-02673 City of Menifee Permit No.: PMT18-02673
29714 HAUN RD.
.�' MENIFEE,CA 92586 Type: Residential Re-Roof
MENIFEE MENIFEE Date Issued: 0 6/0112 01 8
PERMIT
Site Address: 27295 PINEHURST, MENIFEE, CA 92586 Parcel Number: 3369-131-004
Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of T/O REROOF WITH COOL ROOF SHINGLES CRRC#089-0012
Work:
Owner Contractor
BRENT SELLSTROM
7937 CALLE SAN FELIPE
CARLSBAD, CA 92009
Applicant License Number:
BRENT SELLSTROM
7937 CALLE SAN FELIPE
CARLSBAD,CA 92009
Fee Description ON Amount f$1
Building Permit Issuance 1 27.00
Inspections not specified 196 196.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 9.80
$233.80
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 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 7G00)of Division 3 of the Business and ❑I am exempt from Ilcensure 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 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. 92 Ie info. ov calaw.html. /
Policy 4 Date
❑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 workers 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 R Expires 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 emolov any persons in any manner so as to become subject to the CRY BUSINESS LICENSE 0
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 forthwith comply with these 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 s ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ciYes Jo
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 applicant
tutor future from South
_ ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR _ Coast Air Quality Management District(SCAQMD)?See permitting checklist- -
IN SECTION 370fiOF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes I No
I hereby affirm that under the penalty of perjury there is a construction Will the 1proposed 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) ❑Yes le
a
OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 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 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous ma arF I reporting.
ts
Business and Professions Code).Any city or county that requires a permit to oYes
( Date t 2
construct,alter,improve,demolish or repair any structure,prior to to
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OW VER OR AUTHORIZED AGENT
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 Ilcensure 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($5G0). 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 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑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 Rim 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. D 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 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
do
DATE: l PERMIT/PLAN CHECK NUMBER _
PLANNING CASE NUMBER
TYPE: O COMMERCIAL XRESIDENTIAL 0 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 `ft RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK v0 , P06PS
U G(2
PROJECT �JCj �I�e rt�- - ZIP
ASSESSOR'S PARCEL NUMBER �jC� - I �fLOT TRACT
OWNER NAME �e � I yt~
ADDRESS CQ �e ` 0. ( :
PHONE EMAIL °t -`C.L,, c d yt_„
APPLICANT NAME (�,/'�� 1 K,
ADDRESS
C (�C�� F' qpeCc,- Loa cl zC 'f
PHONE'f/'( n EMAIL
CONTRACTOR'S NAME OWNER BUILOW.Of NeYVee:)NO
Dul"ng Dept
BUSINESS NAME
N 0 1 2018
ADDRESS
PHONE EMAIL Rece(Vea
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
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VALUATION$ � � 1 FT L SO FTr- CdP
APPLICANT'S SIGNATURE ATE vl ) �)
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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RealQuest.com ® - Report Page 1 of 1
Property Detail Report
For Property Located At :
27295 PINEHURST RD, SUN CITY, CA 92586-3229 RealQuest
ty.of t4en*e
Owner Information Building Dept
Owner Name: GRECO SANDRA/SELLSTROM BRENT 6 KATHERINE
Mailing Address: 27295 PINEHURST RD,SUN CITY CA 92586-3229 C007 311N 01
Vesting Codes: SW 11 JT
Location Information
Legal Description: LOT 169 MB 0441005 TR 2403
County: RIVERSIDE,CA APN; 336-131-004
Census Tract/Block: 427.1111 Alternate APN: 336.131-004
Township-Range-Sect: Subdivision:
Legal Book/Page: Map Reference: I
Legal Lot: 169 Tract#: 2403
Legal Block: School District: PERRIS UN
Market Area: 228 School District Name: PERRIS UN
Neighbor Code: Munierownship: CITY OF MENIFEE
Owner Transfer Information
Recording/Sale Date: I Deed Type:
Sale Price: 1st Mtg Document#:
Document#:
Last Market Sale Information
Recording/Sale Date: 04/1612018103128/2018 1st Mtg AmountlType: $181,8001 CONV
Sale Price: $202,000 1st Mtg Int.Rate/Type: I
Sale Type: FULL 1 st Mtg Document#: 116052
Document#: 146051 2nd Mtg Amount(Type: /d/�yF.t�
Deed Type: GRANT DEED 2nd Mtg Int.RalelType: I �j� ,
Transfer Document#: Price Per SgFt: $213.76
New Construction: Multi/Split Sale: O
Title Company: FIDELITY NAIL TITLE IE
Lender: UNITED WHOLESALE MTG
Seller Name: SEVERIN GRETCHEN A
Prior Sale Information a
Prior Rec/Sale Date: 05/23119971 Prior Lender: UNITED NAT'L MTG
Prior Sale Price: $43,500 Prior 1st Mtg AmttType: $33,0001 CONY
Prior Doc Number: 182606 Prior 1st Mtg Rate/Type: /FIXED RATE LOAN
Prior Deed Type: GRANT DEED
Property Characteristics
Gross Area: 945 Parking Type: CARPORT Construction:
Living Area: 945 Garage Area: Heal Type: CENTRAL
Tot Adl Area: 945 Garage Capacity: Extedorwall:
Above Grade: Parking Spaces: Porch Type:
Total Rooms: Basement Area: Patio Type:
Bedrooms: 2 Finish Bsmnl Area: Pool:
Bath(F/H): 11 Basement Type: Air Cond: CENTRAL
Year Built/Eff: 1964/ Roof Type: Style:
Fireplace: Y1 Foundation: Quality:
#of Stories: 1 Roof Material: COMPOSITION Condition:
SHINGLE
Other Improvements: YES Building Permit
Site Information
Zoning: R-1 Acres: 0.15 County Use: SINGLE FAM RESID(R01)
Lot Area: 6,634 Lot Width/Depth: x State Use: Rot
Land Use: SFR Res/Comm Units: I Water Type: TYPE UNKNOWN
Site Influence: Sewer Type: TYPE UNKNOWN
Tax Information
Total Value: $60,318 Assessed Year: 2017 Property Tax: $658.68
Land Value: $35,070 Improved%: 42% Tax Area: 026020
Improvement Value: $25,248 Tax Year. 2017 Tax Exemption:
Total Taxable Value: $63,318
http://pro.realquest.com/isp/report j sp?&client=&action=confirm&type=getreport&recordno... 6/1/2018