Loading...
PMT18-05295 City of Menifee Permit No.: PMT18-05295 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Alteration MENIFEE MENIFEE Date Issued: 11/08/2018 PERMIT Site Address: 29099 CELESTIAL DR, MENIFEE, CA Parcel Number: 340-352-022 92584 Construction Cost: $0.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of FIRE DAMAGE REPAIR TO INCLUDE REMOVAL AND REPLACEMENT OF INSULATION AND Work: DRYWALL, RECEPTACLES, LIGHTS,SWITCHES,WINDOWS,AND FLOORING.VERIFY INSTALLATION OF SMOKE AND CARBON MONOXIDE DETECTORS. INSPECTIONS REQUIRED: FRAME/INSULATION, DRYWALL, FINAL. Owner Contractor BRENDA TURNBULL PO BOX 238 SAN LUIS REY, CA 92068 Applicant License Number: BRENDA TURNBULL PO BOX 238 SAN LUIS REY, CA 92068 Phone: 7604390469 Fee Description Qt r Amount($) Building Permit Issuance 1 27.00 Inspections not specified 458 457.80 Inspections not specified 129 129.07 $613.87 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 contra Is for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors S to License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from lice sure under the Contractor's Stateicense Law for Professions Code and my license is in full force and effect. the following reason: co License Class License No. By my signature below I acknowledge that,except for my 1 E rsonal residence Expires Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell i structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructec in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the appli le 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 upor 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.le info. ov calaw.html. Policy# "Al Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following: Arn the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behali have read this number are: application and the information I have provided is correct.I 3gree to comply with all applicable city and county ordinances and state la relating to Carrier building construction.I authorize representatives of this cii V or county to Policy# Expires enter the abovR-identifled property for inspection purpose;, (This section need not to be completed is the permit is for one-hundred � Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazai dous material or a mixture containing a hazardous material equal to or great rthat the Applicant Date amounts specified on the Hazardous Materials InformatioGuide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or fu A re building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modifica i n from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(5CAQMD)?See pei r lining checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within IC OD 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 ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and t e SCAQMD permitting checklist.I understand my requirements under a State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 oncerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to oY�13 j/ 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requir contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint i n 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 more required practices.This includes rental property owners ar c property than($500). managers who do the paint-disturbing work themselves or through their o 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.epa.gov/lead or contact the National Lead Informati ri 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 ❑An EPA Lead-Safe Certified Renovator will be responsibl or 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 prof because: ❑1,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 fi I out the RRP Acknowledgement.