The URL can be used to link to this page

PMT18-03601 City of Menifee Permit No.: PMT18-03601 29714 HAUN RD./11 MENIFEE, CA 92586 Type: Residential Re-Roof MENIFEE MENIFEE Date Issued: 07/19/2018 PERMIT Site Address: 25585 SERPENS CT, MENIFEE, CA Parcel Number: 339-153-009 92586 Construction Cost: $10,540.00 Existing Use: Proposed Use: Description of REMOVE EXISTING 11LE ROOF, INSTALL NEW 309 FELT, REINSTALL EXISTING TILE ROOF Work: Owner Contractor RACHEL MONIKERS WEATHERTIGHT ROOFING INC 25585 SERPENS COURT P O BOX 5281 MENIFEE, CA 92586 HEMET, CA 92544 Applicant Phone: 9519290557 GUY SCHEMBRI License Number:643691 WEATHERTIGHT ROOFING INC P 0 BOX 5281 HEMET,CA 92544 Fee Description Qbl Amount($1 Building Permit Issuance 1 27.00 Inspections not specified 98 98.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 4.90 $130.90 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 building 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_eldg_Pennit 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 1 am under provisions of with a licensed contrector(s)pursuant to the Contractors5tate License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Iicensure under the Contractors5tate License Law for Professions Code and my license is in full force and effect, q the following reason: License Class ✓ / U/ceitse No. `J�/` By my signature below l acknowledge that,except for my personal residence Expires I �� Signature' •1'M/' !- In which lmust have resided for at least we 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.Ieginfio.ca.goy/caIaw.htMI.permit is Issued. Policy 4 Date ❑I have and will maintain workers cpmpensaton insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work For which a By my signature below 1 certify to each of the followng: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 B correct.I agree to comply Carrier tc with all applicable city and county ordinances and state laws relating to _ pp,rf// building construction.I authorize representatives of this city or county to Policy" WICYJ'59-2*!�! Expires G 1 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 cp,1 certify that in the performance of the work for which this permit is issued, N.yy_ I shall not emolov any persons In any manner so as to become subject to the CITY BUSINESS LICENSE" 1J;J 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,l shall forthwith comply with those rovisio Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant Date a / / amounts specified on the Hazardous Materials Information Guide? WAR :FAILUR O SECURE WORKER'S COMPENSATION COVERAGE IS a Yes ONO UNLAWFUL,AND SHALL SUBIECTAN 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 oyes -f a 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) D Yes sl No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that lam exempt from the CaliforniaContractors License Law for the reason(s)indicated below by the hazardous Health al Safety Code,Section 25505 and 25534 concerning hazardous material repaNng. checkmark(s)I have placed next to the applicable item(s)(Section 70323 oyes �No' ,o 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 -Thep 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 IRRPJ License Law(Chapter9(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 mare required practices.This includes rental property owners and property than($500), managers who do the paint-disturbing work themselves wthrough their 01,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.eoa.eov/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 csAn 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. O 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 71,f fj 9— PERMIT/PLAN CHECK NUMBER �j- TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONE//W�� O PLUMBING iXRE-ROOF-NUMBER OF SQUARES� DESCRIPTION OF WORK S 7 /< g-l- 1 os ` / �d— S m 'LDS 1�'�HR !� - c l PROJECTADDRESS ASSESSOR'S PARCEL NUMBER =�F LOT TRACT OWNERNAME ADDRESS 2$$ Sf' S -S !/ .�rqn C� e- �t ,#@Pifee PHONE �S�— 7S O —/�q EMAIL APPLICANT NAME �P�,'�ia/- Y� � C /B ADDRESS geg SZ Sf / /' l ! s PHONE 7 EMAIL CONTRACTOR'S NAME 4C ` _6,1 �j OWNER BUILDER? O YES AO BUSINESS NAME �P �� , ADDRESS e PHONE ®,j_5_7 EMAIL / ? CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ /D ,j rO SOFT L SO FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP k INVOICE !, PAID AMOUNT AMOUNT �,/ I ,otQ 1 OCASH OCHECKR vCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDRCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Nalln Rd. Menifee, CA 92586 951-672-6777 www.cityafinenifee.us Inspection Request Line 951-246-6213