Loading...
PMT18-03923 City of Menifee Permit No.: PMT18-03923 29714 HAUN RD. Type: Residential Re-Roof MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 08/08/2018 PERMIT Site Address: 27247 EL RANCHO DR, MENIFEE, CA Parcel Number: 336-113-001 92586 Construction Cost: $10,000.00 Existing Use: Proposed Use: Description of TEAR OFF EXISTING ROOF,ADD 30#FELT, REPLACE ROOFING W/LANDMARK COOL ROOF IN Work: RESAWN SHAKE, CRRC#0668-0118 Owner Contractor DAN CARPENTER DONNOR ENTERPRISES INC 27247 EL RANCHO DR 20221 PEAR CIRCLE MENIFEE, CA 92586 PERRIS, CA 92570 Applicant Phone:9519433344 RON HEARTZ License Number: 800984 DONNOR ENTERPRISES INC 20221 PEAR CIRCLE PERRIS, CA 92570 Fee Description MY 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 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_Perma_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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and O I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. n the following reason: q License Class C e 07 l License No. !�C O By my signature below 1 acknowledge that,except for my personal residence Expires D I fJ Signature in which l must have resided for at 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 copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 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 this permit is issued. www.leeinfo.ca.eov/calaw.html. Polity g Date o 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 D By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance artier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policya 7' Ex ire�s r entertheahove identified property for inspection purposes. (This section need not to be completed is the permit is for ane-I undred Date dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, I shall notemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE K worker's compensation laws of Califomla,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor CodeApple ashall forthwith tom wi chase provisions. mill xture applcontaining nt or ingah urehazardous bus mortal equal l to or greater ousthat material or Applicant Date mixture containing a hazardous material equal to or greater that the amounts kiecified on the Hazardous Materials Information Guide. WARNING: RKER'S COMPENSATION COVERAGE I o Yes D No UNLAW LA HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the in ended use of the building by the applicant or future building AND CIVIL FI Up TO ONE HONORED THOUSAND DOLLARS($100,000),IN occupant equire a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air uality Management District(SCAQMD)7 See permitting checklist IN SECTION 37060FTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidel nes CONSTRUCTION LENDING AGENCY ❑Yes No I hereby affirm that under the penalty of perjury there is a construction Will the roposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outerb ndaryofa5chool7 (Section 3097 Civil Code) o Yes No OWNER BUILDER DECLARATIONS I have r ad 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 Contractor's License Law for the reason(s)indicated below by the Cazard Health al Safety Code,Se - OS and 25534 concerning hazardo s material repo chsiness and I have placed next to the applicable item(s)(Section permit oyes o 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 PROPERTYOMC501AUTHORIZED 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 Contractor's State EPA RENOVATIO ,REPAIR AND PAINTING(RRPI 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 7032.5 by residence or childcare facility to be RAP-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 work themselves or through their ol,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 I )all of or I )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-BOD-424-LEAD(5323). Code,The Contractor's 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: 01,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade: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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: - l PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL W RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION CI ELECTRICAL O MECHANICAL O NEW O PLUMBING 9 RE-ROOF NUMBER OF SQUARES 'z t+' DESCRIPTION OF WORK -P c"w A= t7rc S n ?o w i 3 e - l _- l vt►� r_ PROJECTADDRESS 2 -1 2.'f '� Ls'C. w�Clto ZIP ASSESSOR'S PARCEL NUMBER _530 - "-3'Qd1 LOT I0 TRACT Lh OWNERNAME P4Q ifAa f_ d-q,rr" ADDRESS 2 �Z /Z yl,wtp PHONE 9� ., 'f71.,-.�j2.m � EMAIL APPLICANT NAME (2e ti1 ADDRESS !L fe 41 -yt PHONE EMAIL CONTRACTOR'S NAME p � -fZ OWNER BUILDER? 0 YES G NO BUSINESS NAME a c .r2 so = L2 ADDRESS 2m 2-Z( Amf�V % �s2n PHONE OLs!? -77IZ—gnF a. ( EMAIL CONTRACTOR'S STATE LIC NUMBER gO V y LICENSE CLASSIFICATION 3 VALUATION$ l0 mm0 SO FT z(� L SQ FT Z� APPLICANT'S SIGNATURE DATE OTYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF M�F�U�INE�$LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 3 S INVOICE TOTAL ` ,�(� GREEN ^ SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE tl NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us MIENIFEC 5 °, 5 * z n own Li > •y n0 ;u0 o Ill ,>y 3 J = O c o m 3 O d d N ❑ (q m 9_S F—.0. M_ 9 6 Z —.Z_ '�{.+��-O ^ o >• 0 3 �, < 5 d 0 o m m m u, n G D i Z r m2 --1MO ^ °, m n m m o. a N O. '^ _ rD a .di S ulDi a F O p N a w, C N T ° N -i Z 1 3 e'e O n r a n .a=-i fD m s m OO on o n n n Jm _' n" moo '»-t° oU3cJo w'u=n •omom w mOm00O. <omm mmm o g _. 3 yn n Q d 3 °m x v D K y aO -i mw — oN o LJ1 Oz-ni y=NN nZ3 J J O m 0 m a S : F m o ^ o F.T p = h (n c� m » .^. 'o Q vmi F o m a. n a o. w a C A n ❑ 1 m m . a d a p ^ n = n c m o J n o O y m �n o N A 'n' s -°„ m ° fn A ° r i t S S J O J .di N m n T o n z v ° o w m N 3 » F rt m m C j 3 O O N N O T J N O _• O < �° N o w o 3 c m d a+ O 0 °—' ». m p n m O1 y n m °1 d^ m ti m 3 S m m �- 0`• o o oCDm on m o > < dvm am ND N O a m 0 2 m '0m O =w(� .� O M 0 m p, p 00 n m °o D p: °. c m y ^ n c 3 m do 0 IW 00 m = y 1w D r = ry J J y p, J r j� n » J F ^ O o m O1 m m m o m C Z o a A d x ^ m 3 T m m 0 0 0 3 m C N m d: o - m S °� w d 3 3 ❑ m = J o 3 o a ^ d A S v m m m J m H c• 11 m 0 3 mpg ° S J n D n z o o n d \ M 3 3 ^ O IN v n i N <J 2 m m 3 3 3 f v v g v v z c -i ti T 'o 'o t 'O ^m v ,dam, D o s 3 3 3 o o p1 a L in c c c o m m o Erm m m d A z m L -` = z N 7J A •• �^ -i o y d » d .O m y z 0 T IT /�V1 ' y o A a .. ? ' y G is m o 'o C ff 3 n ° T w , . 3 m w a m o o z d y •— J , M •J• -A O c 2, D m J F ° s a 3 a ° n o m a '� A 0 o' m m y m v m a m 3' d ?' 3 -n = m J m z z s a ^. a ME OM on a Z = a N N S o OCV O .-1 3 ° N G W H J 3 Gmi ry A T n c m n a n N rt a v p 3 m N c n 3 U J y m A 9 d <v � 0 v c N ° o J d M m T n o a mJ Na o m ^ _ 3 d o ° ^ d m d a ry n z mO w m m ° n n S N m m Q o m S c .^. c ° 7 2 6 V J O O �^ N O m ° O < ry J d N u Z = A O m d c J a o- °- n V ry Oo ❑ F' A a T K m 9 N d O D N w w v J O v� a o o y w o .z A o A n F v. n ^ A d C w O — N Q R d m o h 1D o m ^ 0 a J 3 ry d V T 1 0° a 3 �•\ T C V Of T` p Q N N N J p n N v a a T d j a d ) O d D _d j N d W Q a D n 1p n Z T m m m D O Im 3 3 9 ^ m v A d 3 a 77 ,2 c cI m n m O J D c N O o ^ �e • m � 11 b