Loading...
PMT18-03518 City of Menifee Permit No.: PMT18-03518 1*1*40 29714 HAUN RD. Type: Residential Plumbing MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 07/16/2018 PERMIT Site Address: 30165 NIGHT PASSAGE PL, MENIFEE, Parcel Number: 358-501-006 CA 92586 Construction Cost: $1,000.00 Existing Use: Proposed Use: Description of INSTALL U/G ELEC LINE AND 220A POWER SUPPLY FOR ABOVE GROUND SPA, U/G GAS LINE Work: FOR FIRE PIT, U/G GAS&U/G ELEC LINE FOR FUTURE BBQ AND FUTURE POOL EQUIPMENT Owner Contractor COLE YOUNG A CUT ABOVE CONSTRUCTION POOLS& 30165 NIGHT PASSAGE PLACE LANDSCAPE INC MENIFEE, CA 92586 26025 NEWPORT ROAD#A533 Applicant Phone: 9512447754 CHRIS YOUNG License Number:672202 A CUT ABOVE CONSTRUCTION POOLS&LANDSCAPE INC 26025 NEWPORT ROAD#A533 MENIFEE, CA 92584 Fee Description City Amount(S) Receptacle, Switch, Outlet& Fixture 1 116.00 Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 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 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 1 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 7(100)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is In full force and effect. the following reason: License Class — 5� pseF -"Zy Z' By my signature below l acknowledge that,except for my personal residence Expires ZJ Signature J In which l must have resided forat least one year prior to completion of WORKER'S COMPENSATION DECLARATION 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 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 www.Ieginfo.ca.gcy/caIaw.huni.permit is issued. Policy g Date o 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 o 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 polity owner or authorized to act on the property owners behalf.I have read this numberare: r application and the information I have provided is correct.I agree to comply Carrier ( 1L -ri with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Po11cyll Expires enter the above identified property for inspection purposes. (This section need not to be completed is the perms is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o 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 BUSINESS LICENSE workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers5ompensation provisions aF Section 3700 of the Labor Cade,(shall forthwit,ro prywitht evisioniof Will the applicant or Future building occupant handle hazardous material or Applicant I ate 2 1 6 mixture containing a hazardous material equal to or greater that the amountUpecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE KER'S MPENSATION COVERAGE IS o Yes No UNLAWFUL,AND SHALL SUBIE PLOYER 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 applicant modification from South IN SECTION ON TO 06 OF LABOR CODE,INTERTION,DAMAGESASPRNEYS FEES FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,ANO ATTORNEYS FEES farguidelines CONSTRUCTION LENDING AGENCY crYes �{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 00 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.1 understand my requirements under the State of California Health&Safety Cade,Section 25505 and 25534 concerning Contractors License law for the reason(s)indicated below by the hazardous m lair repo ' g. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Byes _ 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 PROPE NER OR A NT 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 REP RAN PAINTI G RRP License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repa lilting(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-certlfred 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 or through their D 1,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.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 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.II,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-guilder will have the burden of proving that it was 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 Cade: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 G�VrC,!E? , /ou'.,1 6 - A at],(' Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER 1 —� GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL QWESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SP C N . fee SUBTYPE: O ADDITION O ALTERATION O DEMOLITION KELECTRICAL O MECHAIBORding Dept. , NEW A PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK FAI, Self Received - OCCUPANCY GROUP CONSTRUCTION TYPEn SPRINKLERS O YES YNO PROJECT ADDRESS J�--1 V5� &Jq I(jO� Imo % V ZIP ASSESSOR'S PARCEL NUMBER � E01-( n V LOT TRACT OWNER NAME ADDRESS / ( �Q 4l y ( l�.�s � l-. IIq.� PHONE (O EMAIL APPLICANT NAME CGI S v�b ADDRESS PHONE , EMAIL CONTRACTOR'S NAME (i(� �VvL OWNER BUILDER? OYES yr NO BUSINESS NAM.EE n /1 ADDRESS PHONE 9I0-Z`�y` ( (�y EMAIL CONTRACTOR'S STATE LIC NUMBER (q�r'zU LICENSE CLASSIFICATION C' VALUATION$ OOD S T LSQFT �— APPLICANT'S SIGNATURE DATE 7 /'" CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEP DIBY: 116 ,^ CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE �l/\ INVOICE TOTAL k. 0 GREEN SMIP 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.cit)(ofmenifee.us NIF