PMT18-02715 City of Menifee Permit No.: PMT18-02715
1 �, 29714 HAUN RD.
� MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 0 610 5/20 1 8
PERMIT
Site Address: 29610 CARMEL RD,MENIFEE,CA 92586 Parcel Number: 338-062-020
Construction Cost: $2,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 45 L FT U/G GAS LINE FROM METER TO KITCHEN
Work:
Owner Contractor
MAYOLI ALVAREZ ALL COUNTY ENVIRONMENTAL&RESTORATION
29610 CARMEL ROAD INC
MENIFEE,CA 92586 1081 N SHEPARD STREET#H
Applicant Phone:7149171400
RAY GARCIA License Number.812277
ALL COUNTY ENVIRONMENTAL&RESTORATION INC
1081 N SHEPARD STREET#H
ANAHEIM,CA 92806
Fee Description ,Qtv Amount($1
Plumbing Fixtures and Vents,fixtures 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 5.80
$149.80
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 bullds 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 a I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class ' en a No. ��a2�� B m signature below I acknowledge that,except for m y y g g p y personal residence
Expires & L o gots Signatur in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATI N 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 on 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 www.leginfo.ca.gov/calaw.html.
this permit is issued. p
Policy k_ _/ 0�VD 6,5 Q f S� Date
M-6� PROPERTY OWNER OR AUTHORIZED AGENT
,e and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below 1 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 A'J �Qrc.,U, with all applicable city and county ordinances and state laws relating to
m7r7j u`' /` �S building construction.I authorize representatives of this city or county to
Polity M Liz 7 `/.�j �• Expires ( Zf`C enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date
dollar ($100)orless PROPERTY OWNER OR AUTHORIZED AGENT
dollar
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 q
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the orker's compensation provisions of Section 3700 of the Labor
Code,I s hairfortiwipg6moly with those provisions. r� �y Will the applicant or future building occupant handle hazardous material or a
Applican Date 6 J 0 mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:F 1. RE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes ❑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 District(SCAOMD)?See permitting checklist. _.
IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑No
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) a Yes a No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 oYes a No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTYOWNER 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 Contractor's 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 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
D 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.eoa.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 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 Frm 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:
a 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 RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: 6 s _0/S PERMIT/PLAN CHECK NUMBER -
PLANNING CASE NUMBER
TYPE: ()COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITIONS�O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW ePLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK A/"%) 6-1" LCnlC- F-ytpaL Mt ,rt ry
PROJECT ADDRESS �4Co/6 e^AM L-G �i .tl�:lry/ (,A ZIP �� � nif t
ASSESSOR'S PARCEL NUMBER 7•j�—(�aL'C�(9 LOT TRACT
OWNERNAME AAYar� ' AIAfA"-e— J
p /�
ADDRESS v2Q 6 j n (,9'}ae+u�'— " SIIAI Cr &A �C-4-PRpcebied
PHONE qs7,- 3 _(r 3q6 EMAIL
APPLICANT NAME � CwI! A�— Ai L— �W pW lr 6JVj"JJA�N J7Jj_AL ?' IC��L�a
ADDRESS OS/ � ' S1K �ANAa" ' 96 ho I+t-1M Lsta6
PHONE 71 1J Q
` ! r I/• NO EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME A'L& U UAI i'/ &N1/IA�o,LrJvt l ill £ S'�' Y�LM)
ADDRESS IVEt • .Slrb0jJj*�" ST. SfiE Nf►f"Ig0U 4 (o
PHONE Q 2 EMAIL (L MLA eLL( Ccu��y , u
CONTRACTOR'S STATE LIC NUMBER �/ �7 LICENSE CLASSIFICATION Q h-SiS
VALUATION$ ;?-,—LO •0-& SQ FT L SQ FT ,a
APPLICANT'S SIGNATURE / DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: .// CITY OF MENIFEE 8U5INESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL , GREEN I SMIP )f
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.cityofinenifee.us 0
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PROPERTY LINE n
City of Menifee
Building Dept.
JUN 05 2018
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EXISTING DWELLING
GAS METER 6 8 _
CITY OF MENIFEE
BI JILDING AND SAFETY DI PARTMENT
Pi AN APPROVAL
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REVIEWED BY U
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'Ap 3roval of these plans shall not beconstud to be a permit for,or an
app val of,any violation of any provisions of the federal,state or city
regoatloqs@p�2rf4�P �1( set ofappm ed plans must be kept on the
SIDE W I—If site untlicompe n.
Property Address: 29610 Carmel Rd., Sun City, CA 92586
Homeowner: Mayoli Alvarez