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PMT18-03455 City of Menifee Permit No.: PMT18-03455 29714 HAUN RD. 11" Type: Residential Electrical 11'/ MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 07/12/2018 PERMIT Site Address: 29196 BRIDALVEIL LN, MENIFEE, CA Parcel Number: 339-441-010 92584 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of KITCHEN ELECTRICAL,6 LED CAN LIGHTS,4 CABINET LIGHTS,4 OUTLETS,3 SWITCHES Work: Owner Contractor STEVE&JOANN DOUSENARD PROPERTY BUILDERS CONCEPTS& 29196 BRIDALVEIL LANE MAINTENANCE INC MENIFEE, CA 92586 1030 N MOUNTAIN AVE#326 Applicant Phone: 9094820180 ALEX BERNARDINI License Number:967277 PROPERTY BUILDERS CONCEPTS&MAINTENANCE INC 1030 N MOUNTAIN AVE#326 ONTARIO, CA 91762 Fee Description Oyt Amount IS) Receptacle, Switch,Outlet&Fixture 17 196.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Electrical 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 Cade 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_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 Iicensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class fS License No. 57e By my signature below I acknowledge that,except for my personal residence Expires < < , Signature T �� �— 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 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 Cade,for the performance of work for which www.leainfo.ca.aov/calaw.html. this permit is issued. Policy q 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 ❑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 owners behalf.I have read this number are:n application and the information I have provided is correct.I agree to comply Carrier /,e c4Al"rG�� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy p GS f S'OI Z OL Q Expires / J. enter the above identified property for inspection purposes. (This section need notto be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certlfythat 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 BU51NESS UCENSE 8 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 forthwit ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date /Z- (� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑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(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 Contractors Ucense Law for the reason(s)indicated below by the California Health al S Code,Section 25505 and 25534 concerning por checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. oyes ❑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 applicantforthe permitto 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 Iicensure 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 workthemselves or through their ❑1,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 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: ❑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. r— SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION i... •s4 � Meniiee DATE: 1170 11 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL •RESIDENTIAL C MULTI-FAMILY O MOBILE HOME C POOL/SPA "SIGN SUBTYPE: 0 ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL C MECHANICAL C NEW C PLUMBING r, RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Kitchen update h 3 PROJECrADDRESS 29196 Bridalveil Ln. Menifee ZIP 92584-7�paf Menif eg ASSESSOR'S PARCEL NUMBER 339-441-010 LOT 29 TRACT 28886 UI mg pep OWNER NAME JUL 12 2018 ADDRESS Steve & Joann Dousenard PHONE 951-746-0746 EMAIL info@pbuildersinc.com APPLICANT NAME Contractor-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 NAME Alessandro Bernardini OWNER BUILDER? OYES --NC; 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$ I v_iCAJ SQ FT L SQ FT APPLICANT'S SIGNATURE TE /Z- i C17-Y STAFF W ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: 1 10, CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE SMIP X GREEN I PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED C YES C NO DRIVERS LICENSE# NOTARIZED LETTER C YES _ NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us C 3 "f-274 9 i I 15n N I i © 624 x 2a DP BU 59" +� �— 11-ot br. —v" J,,, ws.w" m rn =g r lI a r er I m < City of Menfte o Building Dept. m = o -4 0 '� JUL 12 2018 ' m N y Received .1. in 18-2iDLO .. ., I tV m G m O I63a" v S t m 5 63 M to CITY Q wlt up add ogp8 to bottom fl sh toe i BUILDING AND SAFETY DEPARTMENT jm � PLAN APPROVAL m REVIEWED BY�IU& D � DATE k'-27 — arro of 9 tllly ad a unit for >n f ny ' of of 4afeo dnpptov¢r Jobsite until com Al11.d imensions size designations This is an original dcsi n end must givn arc subJmt to venriication on 8 Designed:4/1212018 job s".and adJustmem to fit'ob not be released or copied unless J a It Plinled:4/1o2018 mnditions. pP cable fee hes been Paidpr Job order placed. TB 2 Douesna_rdJaann All Drawing q: 1 Scalc:0 318"m 1•