PMT18-03501 City of Menifee Permit No.: PMT18-03501
rF MENIFEE, CA 29714 HAUN RD. Type: Residential Addition
.i
MENIFEE MENIFEE Date Issued: 07/24/2018
PERMIT
Site Address: 27851 WILD SAGE, MENIFEE,CA 92585 Parcel Number: 336-370-047
Construction Cost: $2,800.00
Existing Use: 1 8 2 Family Residence Proposed Use:
Description of WIDEN 8'PATIO DOOR TO 12'
Work:
Owner Contractor
ALEX MEJIA SAN DIEGO BEST WINDOW COMPANY
27851 WILD SAGE 7394 TRADE STREET
MENIFEE, CA 92585 SAN DIEGO, CA 92121
Applicant Phone:8585302378
SAN DIEGO BEST WINDOW COMPANY License Number: 1011432
7394 TRADE STREET
SAN DIEGO, 92121
Phone:8585302378
Fee Description City Amount ISI
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
Additional Plan Review Building 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 6.45
$292.59
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 carded 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
LICENSED DECLARATION CITY OF MENIFEEproperty 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 ❑1 am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. !t the following reason:
License Class ,Jr��, , CI 746-6l Licen No. /e, Z 3Z
/ ! 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
WORKER'S COMPENSATION DECLARATI6 Improvements covered by this permit.l cannot legally sell a structure that)
❑I hereby affirm under penalty of perjury one of the following declarations:I have built as an owner-builder if it has not been constructed in Its entirety try
licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure following
declarations:
compensation,issued by the Director of Industrial Relations as provided for 7044 of the Business and Professions Code,is available upon request when
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is Issued. www leeinfo.ca eov/calavv html.
Policy#
Date
❑I have and will maintain worker's 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 owner's behalf.I have read this
number are: application and the information 1 have provided is correct,I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
y �f5/EfCpiresZ z building construction.I authorize representatives of this cityorcountyto
Polio # `7 8 2• entertheabove identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
❑Icertlfythat in the performance of the work for which this permit is issued, PROPERTY OWNER ORAUTHORIZED AGENT
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS UCENSE#
worker's compensat!W laws of California,and agree that if I should become
subject to the wow s c pens tion provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I shall fo amply ith 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 greaterthat the
WARNING:F LURE TO ECURE WORKER'S COMPENSATION COVERAGE IS Yesn�sNo ied on the Hazardous Materials Information Guide?
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quaf y Management District(SCAQMD)7 See permitting checklist
CONSTRUCTION LENDING AGENCY forguideli s
❑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 boun ry of a school?
(Section 3097 Civil Code) 0 Yes o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I
California Health nderstand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the ety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 haz us ma real p.rt(ng.
Business and Professions Code).Any city or county that requires a permit to es D r
construct,alter,improve,demolish or repair any structure,prior to its Z I Date l
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER O THORIZED AGENT
EPA RENOVATION REPAIR AND PAINTING(RRPI
that he or she 1s licensed pursuant to the provisions of the Contractors State
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500). required practices.This includes rental property owners and property
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.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 Contractor's State License Law does not apply to an owner of a
propertywho,through employees'or personal effort,builds or improves the D An EPA Lead-Safe Certified Renovator will be responsible for this project
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
completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.:
not built or Improved for the purpose of sale. o 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 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.
UILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: 7 // 1 Y PERMIT/PLAN CHECK NUMBER I �
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: 0 COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME. O POOL/SPA 0 SIGN
SUBTYPE: ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ONEW OPLUM13ING ORE-ROOF NUMBEROFSQUARES
DESCRIPTION OF WORK W10e v f1-7-ZO 00k,4— Td l2
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES ONO
44
PROJECTADDRESS 7 7 U5 (iU/60 S/-6- ZIP ( Z5
ASSESSOR'S PARCEL NUMBER -53CQ ' ;51D Oqo�T TRACT
OWNER NAME
ADDRESS
PHONE EMAIL p n
APPLICANT NAME
�y e2/Y//T 6,1U Cr<�
ADDRESS
PHONE ��11''516SC EMAIL
CONTRACTOR'S NAME s7D" 12ZqO WIIVM IAI OWNER BUILDER? OYESONO
BUSINESS NAME ��JJ p�
ADDRESS LO' MIKA AV&
PHONE `o 2 EMAIL �7
CONTRACTOR'S STATE LIC NUMBER { h L I J Z- LICENSE CLASSIFICATION 5 Gl /
VALUATION$ ' &O SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE �l /
OTY STAFF LISE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED Y: CITY OF fy1�NIFEE INESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE � 11�
INVOICE TOTAL G SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building &Safety Department 129714 Haun Rd., Mai{ O&1Q8}pi n (951)672-6777
www.cityofinenifee.us Building NO.
JUL 1 .3 2018 NI
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JUL 1 .3 2018