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PMT18-04513 City of Menifee Permit No.: PMT18-04513 29714 HAUN RD. Type: Residential Re-Roof MENIFEE,CA 92586 yp MENIFEE MENIFEE Date Issued: 09/17/2018 PERMIT Site Address: 29344 CARMEL RD, MENIFEE, CA 92586 Parcel Number: 338-071-007 Construction Cost: $10,890.00 Existing Use: Proposed Use: Description of REMOVE EXISTING ROOF, INSTALL 30#FELT AND NEW OWENS CORNING COOL ROOF IN Work: SUMMERWOOD CRRC#0890-0025 Owner Contractor SANDRA&FRANK ALLRED SUDDUTH CONSTRUCTION INC 29344 CARMEL RD 1010 N BATAVIA ST STE F MENIFEE, CA 92586 ORANGE, CA 92867 Applicant Phone:7146333619 DOUG CARTER License Number:847279 SUDDUTH CONSTRUCTION INC 1010 N BATAVIA ST STE F ORANGE, CA 92867 Fee Description QQt Amount 1E) 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 othenvise 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_8ld(_Permft Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who coronets for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed cantractor(s)pursuant to the Contractors State Ucense Lawl. Chapter!)(commencing with section 70001 of Division 3 of the Business and a 1 am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. p the following reason: License Class el 4fC35 Upoinse No. 0141 By my signature below l acknowledge that,except furmy personal residence Expires 9^30/C— Signature — \ in which l must have resided for at least one year prlorta completion of 0 WORKER'S[OMPENSA71ON DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirely 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 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 Cade,for the performance of work for which this permit is issued. sysnv.leeinfo.ca.eav/calasv.html. Policy 0 Date PROPERTY OWNER OR AUTHORIZED AGENT Viand Will maintain worker's compensation insurance,as required by 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 follasving:I am the property this permit is issued.My worker's compensation fnsurznce carrier and policy owner or authorized to act an the property owner's behalf.I have read this number are: ` application and the information 1 have provided is count.I agree to comply Carrier -57/'-a / < �"�%15 with all applicable city and county ordinances and stalelacrs relating to building construction.I authorize representatives of thascity,or county to Pulicyll 5D7'739`0— Expires .3 � enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars(S10D)or less PROPERTY OWNER OR AUTHORIZED AGENT a 1 cerllfy that in the performance or the work for which this permit is issued, may' ••1� Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE a Worker's compensation lam Of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,Ishall,,��artthhwithcam(pI'y�th ihn.oprovisions. Will the applicant or future building occupant handle hazardous material or Applicant Pam /—^"� - -� Date ��y� mixture containing a hazardous materialequal toorgmaterthat the amounts speed on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS aYes a.Na UNLAWFUL,AND SHALLSUBIECT 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 madifiation from South ADDITION TO THECOST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District[SCAQMDI?See permitting checklist IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY aYes atra — I hereby affirm that under the penal tyof perjury there is a construction Will the proposed building cur madiried facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outerb0undary ofa school? (Section 3097 Civil Cade) Oyes c i46' OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMO I hereby affirm under penally of perjury that l am exempt from the permitting checklist.l understand my requirements under the State of California Health&Safety Cade,Section 25505 and Z5534 concerning Contractor's License Law for the reason(s)indicated below by the li=a dou aterial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es its No Business and Professions Code).Any city or county that requires a permit to c,� Date.� '�`7"'/:G construct,alter,improve,demolish or repair any structure,Prior to its PROPERTYI5WNER 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 Contractor's State EPA RENOVATION.REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 700D)of Division 3 of the The EPA Renovation,Repair and Painting IRRP)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-1973 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be ltRP-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 ownersand property than(5500). managers who do the paint-disturbing work themselves orthrough their al,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( )allofor( )portion at the work,and the structure is wway.eoa.eov/lead or contact the National Lead Information Centerat not intended or offered forsale.(Section 7044,Business and Professions 1-SOD-424-LEAD(5323). Cade;The Contractor's Stale License Law does not apply to an owner of 0An 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 Farm Name: sale.If,however,the building or improvement is said 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: D 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 Stage License Law does not apply to an owner of If your project does not comply with EPA RRP rule please rill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: ^ I7—/ PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY C MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: C ADDITION C ALTERATION O DEMOLITION O ELECTRICAL_O MECHANICAL C NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES �(G DESCRIPTION OF WORK ��/JDI/ea e)Ci %/- .P-Cm'� Jltr5%�R1ZO �eL%Awb owe s cm % PROJECTADDRESS �n/" 7jy/�j/ eW AeA1,M ZIP Z ASSESSOR'S PARCEL NUMBER v///// LOT TRACT 22 OWNER NAME ,5.� jc,.s�� & '# < 1-1k ADDRESS / -e-L PHONE EMAIL APPLICANT NAME ( / !!�41 ADDRESS 01,0 v / " S/� PHONE 7��/� /E? �s '��/S EMAIL CONTRACTOR'S NAME ' OWNER BUILDER? O YES O' O BUSINESS NAME !/ ADDRESS PHONE ������ -e�`j// EMAIL CONTRACTOR'S STATE LICC NUMBER 9G/ _72 2c2 LICENSE CLASSIFICATION y� C VALUATION$ AOi �e SO FT © L SQ FT �/— APPLICANT'S SIGNATURE DATE CITYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY' CITY OF MENIFEE BUbINt5Q.LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE Ej14 INVOICE TOTAL ��(D. GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE It NOTARIZED LETTER 0 YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 www.cityofmenifee.us NI z n mm �1-1 �}�^ D an � .Z1 U1 ' m m 3 m p n e m n (/J m z Oo`vE o A �, c o n o ' n � n a v a aa 7o mm - N m n p N m < �. 2 ° P V T m ^n 3 a, x 3 '°" ?' 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