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PMT18-04262 City of Menifee Permit No.: PMT18-04262 y 29714 HAUN RD. Ar MENIFEE, CA 9258E Type: Residential Addition IVIENIFEE MENIFEE Date Issued: 0 812 812 01 8 PERMIT Site Address: 30428 CHERRY OPAL LN,MENIFEE,CA Parcel Number: 360-830-041 92584 Construction Cost: $360.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL NEW GAS LINE 23 L FT FOR BBQ Work: Owner Contractor RONNIE BUSH ESTRADINS LANDSCAPING 30428 CHERRY OPAL LN 145 NORTH SCOVELL AVENUE MENIFEE, CA 92584 SAN JACINTO,CA 92583 Applicant Phone:9515914737 NELSON ESTRADA License Number. 1012450 ESTRADA'S LANDSCAPING 145 NORTH SCOVELL AVENUE SAN JACINTO, CA 92583 Fee Description oty Amount lSl 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 $149.80 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 Code or of any other ordinance of City of Menifee.Except as otherwise slated,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_Bidg_Permk Template.rpt Page 1 of 1 Neltwv) do- CITY OF MENIFEE le�a5 Lar'�'SCO�"9 LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that l 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 licensure under the Contractors State License Law for Professions Code and my license is in full farce and effect the following reason: License Clazs lc—1-El. License No. I 0 J 2 0A7) By my signature below l acknowledge that,except for my personal residence Expires(1�,_"ii O Signature Lazq WIn 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 Iegallysell 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 fallowing website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leginfaw.eov/calaw.html. Policy M Dates P J- 1st _ ❑l have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 37OG 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 wrier and policy owner or authorized to act on the property owners behalf I have read this numberare: ��`` application and the information I have provided is correct.I agree to comply Carrier OY. 1 V ✓i(^ with all applicable city and county ordinances and state laws relating to (� building construction.l authorize representatives of this city or county to PolicytlN))� Tpires 0 - 6— enter the above Identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT ❑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 K worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to thew ers compensotlon provisions of Section 3700 of the Labor Code,I s I orthwith cc ly with those provisions. Will the applicant or future building occupant handle hazardous material or a r 1 j�3 mixture containing a hazardous material equal to or greater that the APpli nt NJY1 pTl Date 21 amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes D 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($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY - o Yes o No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 2S534 concerning checkmark(s)I have placed next to the applicable item hazardous material reporting.$)(Section 7031.5 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 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 IRRPI 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 Ina pre-1978 and the casts for the alleged exemption.cisthapplicant nviolation toci of Section of not by residence or childcare facility to be RRP-certified firms and comply with than Applicant fora permit subjects the applicant toacivil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more Information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7D44,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of oAn EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not Intended or offered for Certified Firm Name: sale.If,however,the building or Improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. a No EPA Lead Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION RA MgNIFEE DATE: -- �_, ( PERMIT/PLAN CHECK NUMBER 0LQ GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: ()ADDITION O ALTERATION ()DEMOLITION O ELECTRICAL O MECHANICCOY Of Menifee O NEW ()PLUMBING ORE-ROOF NUMBER OF SQUARES Building Dept. DESCRIPTION OF WORK L CG.v 1.11" 2 2018 OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS 0 YES PROJECT ADDRESS `�C) �`,-CL� h C'V-V`! n/ a Ln ZIP ASSESSOR'S PARCEL NUMBER 3LPO-$�,�•Q- DLAJ LOT TRACT OWNER NAME eon o 1..L ADDRESS Pn i('ee pcsgLz PHONE EMAIL APPLICANT NAME T o- L n �Ln-p I !l.el ADDRESS (L C O L 0.U rl C I,n Y O PHONE 5 () 5�I ( - t-! �l 3 I`l EMAIL _5 i' S Gt 1(1 encinCc J MAIL fa.� CONTRACTOR'S NAME Ne 15p./') CC A OWNER BUILDER? oYESONO BUSINESS NAME L4va.6c6Ct Cu `n ADDRESS (. o UG IU C IS r-) a LC C !1 0 /S PHONE �/'�f_ `7 q (_ Li ^� '� �] EMAIL CONTRACTOR'S STATE LIC NUMBER I C) I j Lq 5C) LICENSE CLASSIFICATION - VALUATION$ p SQ FT L SQ FT ;2 q I p APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY 1� DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL ` q-So I GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE N NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cit yofm en ifee.us NI Pvipt—rly Linn Building Dept. r:.!!G 2 8 2018 "Deceived O('n e P ,Pe _3�� rn;�;PoLY r^g �Iew G > r--ov r3 Fjonnl [3LLbh 3©\4 `t 8 C'rN e rr °PAY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL REVIEWED BY DATE I 'Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city rec-:!:'.oos and ordinances. This set of approved plans must be kept on the jobsit�until completion.