PMT18-03250 City of Menifee Permit No.: PMT18-03260
29714 HAUN RD.
Type: Residential Alteration
`'r MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 06/28/2018
PERMIT
Site Address: 29538 PEBBLE CREEK CT, MENIFEE, CA Parcel Number: 333-550-038
92585 Construction Cost: $7.000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of REMOVE EXISTING TUB&SHOWER WALL, INSTALL NEW ACRYLIC SHOWER PAN&WALL KIT,
Work: NEW SHOWER VALVE, NEW TOILET, NEW CFM FAN/LIGHT FIXTURE, RECONNECT EXISTING
PLUMBING WITH NEW FAUCET IN LAUNDRY ROOM
Owner Contractor
RHONDA SOLEM TARANTO CONSTRUCTION INC
29538 PEBBLE CREEK COURT P O BOX 1857
MENIFEE, CA 92585 UPLAND, CA 91785
Applicant Phone: 9099313233
JOSEPH TARANTO License Number: 876297
TARANTO CONSTRUCTION INC
P O BOX 1857
UPLAND,CA 91785
Fee Description OOrt Amount 1E1
Receptacle,Switch,Outlet&Fixture 1 116.00
Plumbing Fixtures and Vents,fixtures 3 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 5.80
General Plan Maintenance Fee-Electrical 1 5.80
$271.60
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 Cade or of any other
ordinance of City of Menifee.Except as otherwise staled,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 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 ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and m license is in full force and effect. the following reason:
License Class License No. 2 c f By my signature below I acknowledge that,except for my personal residence
Expires o 1..� nature 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 COMPENSATI DEC ON 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 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,forthe performance of work forwhich www.leginfo.ca.gov/calaw.htmi.
this permit is issued.
Policy# Date
❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe performance of the work for which ❑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 I have provided is correct.I agree to comply
Carrier `J^a- - ti'`�T`r7'�'v'� `- with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# on/_or ore Expires 1,-Aee 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
❑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 CITY BUSINE55 LICENSE ll
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 ply with those provisi WIII the applicant or future building occupant handle hazardous material or a
Appl' Date I- (fi t-. mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING: LURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Ves ❑No
UN L,AND SHALLSUBIECT AN EMPLOYERTO 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 CODE,INTEREST,AND ATTORNEYS FEES forguidelines
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
I hereby affirm under penalty of perjury that 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 al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes ❑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 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 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 fora 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 orthrough 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.ep La��ov/lead/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 Renovatorwill 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 forthe purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑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
- rlL�s
DATE: & PERMIT/PLAN CHECK NUMBER
GRADING/PLANNING CASE NUMBER/ THER RELATED CASES
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION LTERATION O DEMOLITION O ELECTRICAL O, MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK a (t.liYi,wZC_ � - / ,SE1 e, 4- -�-A-��f'
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES C NO
PROJECT ADDRESS o�713 T e-b�' �'��' ��� ZIP 9 a :CW"enifee
ul ding Dept.
ASSESSOR'S PARCEL NUMBER 3�?j,�-� LOT TRACT
OWNER NAME �'`/ �n`�1 Sv �e Gu ��,,// JUN 2 8 2018
ADDRESS Y �3 /�,L6 d 4 �-ac/r (- l �(//GA IG-�
PHONE ��, ��1-- 3�G 9 EMAIL
APPLICANT NAME oS,Ep
ADDRESS G < V t2
PHONE (�d�J �1�� ��� � EMAIL
CONTRACTOR'S NAME 4-COWNER BUILDER? OYES O NO
BUSINESS NAME //,��J � � / �J
ADDRESS �_d /v1411 1/e f'� � !�-s L D t!t
PHONE ( 1C q2 ?/ '"30'-3__3 EMAIL
CONTRACTOR'S STATE LIC NUMBER `8 LICENSE CLASSIFICATION
VALUATION$ :F7 6 C2 O S p L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DIS BUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING EEBING FIRE
INVOICE TOTAL a GREEN SMIP x
OWNER BUILDER VERIFIED OYES 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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