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PMT18-02862 City of Menifee Permit No.: PMT18-02862 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Alteration MENIFEE MENIFEE Date Issued: 0611212018 PERMIT Site Address: 29968 KILLINGTON DR, MENIFEE, CA Parcel Number: 338-283-004 92586 Construction Cost: $5,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of REPLACE EXISTING TUB/SHOWER WITH NEW TUB/SHOWER WITH NEW SHOWER VALVE AND Work: NEW SWITCH WITH NEW EXHAUST FAN IN GUEST BATHROOM, REPLACE EXISTING TUB/SHOWER WITH NEW SHOWER AND NEW VALVE,TILE WALLS, NEW SWITCH AND NEW EXHAUST FAN IN MASTER BATHROOM, UPDATE EXISTING OUTLET AND SWITCHES TO NEW GFI IN BOTH BATHROOMS Owner Contractor BRODY SCHRAM PROPERTY BUILDERS CONCEPTS& 29958 KILLINGTON DRIVE MAINTENANCE INC MENIFEE, CA 92586 1030 N MOUNTAIN AVE#326 Applicant Phone:9094820180 ALEX BERARDINI License Number.967277 PROPERTY BUILDERS CONCEPTS&MAINTENANCE INC 1030 N MOUNTAIN AVE#326 ONTARIO, CA 91762 Fee Description City Amount($1 Receptacle, Switch, Outlet& Fixture 2 121.00 Building Permit Issuance 1 27.00 Inspections not specked 121 121.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 6.05 General Plan Maintenance Fee-Electrical 1 6.05 $282.10 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 contractols)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 Contractors State License Law for Professions Cade and my license is in full force and effect. the following reason: License Class !'� License No. S F Q 2- By my signature below I acknowledge that,except for my personal residence Expires 1/ ;;J / 1 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 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 workers 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 �vuv�,leeinfo.ca.eov/calaw.html. this permit is issued. Policy$1 Date inI 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 owners behalf.I have read this number are: �" application and the information 1 have provided is correct.I agree to comply Carrier /Xe'ic� F.cvr 1'v3 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 LS f 5012 rw 4 Expires /�?✓�L a I C 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 cerllfy 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 If 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 those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant_ Bele - 2 r mixture containing a hazardous material equal to or greater that the t amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 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 ADDLFION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE 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) ❑yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Contractors License Law for the reason hazzardou s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning hazardous checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 hs material reporting. Business and Professions Code).Any city or county that requires a permit to oyes ❑No Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY 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 EPA RENOVATION,REPAIR AND PAINTING(RAP) 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 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-SOG-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a o 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. ❑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 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 DATE: 05/29/18 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL • RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECII�dWAMenifee O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES BUllding Dept. DESCRIPTION OF WORK BATHROOM UPDATE PROJECTADDRESS 29958 KILLINGTON DR ZIP 9 oceive ASSESSOR'S PARCEL NUMBER 338-283-004 LOT 4 TRACT 22209-1 OWNER NAME BRODY SCHRAM ADDRESS 29958 KILLINGTON DR MENIFEE, CA 92532 PHONE 951-446-9162 EMAIL N/A APPLICANT NAME GENERAL CONTRACTOR-SEE BELOW ADDRESS PHONE EMAIL N/A CONTRACTOR'S NAME ALEX BERARDINI OWNER BUILDER? O YES O NO BUSINESS NAME PROPERTY BUILDERS CONCEPTS&MAINTENANCE, INC. ADDRESS 1030 N MOUNTAIN AVE STE 326 ONTARIO, CA 91762 PHONE 909-482-0180 EMAIL INFO@PBUILDERSINC.COM CONTRACTOR'S STATE LIC NUMBER 967277 LICENSE CLASSIFICATION B VALUATION$ SQ FT L SO,FT ncifn cea APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE Pb PERMIT FEE a SMIP >e GREEN I� PLAN CHECK FEE INVOICETOTAL a 10 OWNER BUILDER VERIFIED 0 YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO 11111111"16,9f M.enifee Building&Safety Department 29714 Houn Rd. Menifee, CA 925E695*1-672x6777' "w www.cityofmenifee.us ',Ity of Menifee Building Dept. JUN 12 2018 Y 1188 R ecewved ��-- 69'," ' I 94a" C Nm''u .C-4 TOIL.STD N 0 co N00 U) NI- O G 85"' i 1188" BRODY SCHRAM CITY OF MENIFEE GUEST BATH BUILDING AND SAFETY DE 29958 KILLINGTON DR PLAN APPROVAL MENIFEE CA 92586 REVIEWED BY, 'Approval of these plans shall notbeeooft approval of,any violation oloy pmvfa w of regulations and ordinances. Thissdolsppros jobsite until completion. All dimensions size designations This is an original design and must Dcsigncd: 5/28 1018 given are,object to verification on not be relcaaed or copied unless Printed:5411i201 g lob site and adjustment to litiol, 20^O applicable fie has been paid or job conditions. `L1. order placed. PSI TR SCHRAM All D ,vim,8 I C,nh-•n t/a11— v - City of Mlenifee Building Dept, JUN 11 20% Recp. vpnn 891211 5012 rt 26 611 12m /�--65.�n 2.V— 1 _ 1v TOILS DT —� N ��UYVG� 00 00 LO � N 0) N 28 /�---56 3 rt I 31 ,tt 4 a 89 22" ARTMcI, — BRODY SCHRAM MASTER BATH 29958 KILLINGTON DR MENIFEE CA 92586 _ I, DATE �e a OW .for,or an der i,site or city ;;sans must be kept on Um All dimensions sivi designations This is an original design and must Designed:3/28/20111 given are subject to verification on not be released or copied unless Printed:529/2018 job Site and adjustment to lit job 2(�20 applicabic fcc has been paid or job conditions. 1 order placed. PSI TB SCHRAM IAII DraWlae d. I Sca1e:0 1/2" 1'