The URL can be used to link to this page

PMT19-00119 City of Menifee Permit No: PMT19-00119 29714 HAUN RD. I MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued. 01/10/2019 PERMIT Site Address: 26577 VERDANT CIR, MENIFEE, CA Parcel Number: 360-020-055 92584 $500.00 Construction Cost: Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 17 L FT OF 3/4" ELECTRICAL CONDUIT WITH GFI OUTLET, INSTALL 65 L FT OF 3/4"GAS Work: LINE FOR FIRE PIT AND FUTURE BBQ Owner Contractor SHELLY OVERTON ESTRADA'S LANDSCAPING 26577 VERDANT CIRCLE 145 NORTH SCOVELL AVENUE MENIFEE, CA 92584 SAN JACINTO, CA 92583 Applicant Phone: 9515914737 NELSON ESTRADA License Number: 1012450 ESTRADA'S LANDSCAPING 145 NORTH SCOVELL AVENUE SAN JACINTO, CA 92583 Fee Description (sty Amount 1$t Receptacle, Switch, Outlet&Future 1 116.00 Building Permit Issuance 1 2700 Inspections not specified 116 116.00 GREEN FEE 1 1.00 General Plan Maintenance Fee -Building 1 5,80 General Plan Maintenance Fee-Electrical 1 5.80 $271.60 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 �A elan CITY OFMENIFEE �' a`J ;,%43 LICENSED DECLARATION property who builds or improves thereon,and who contracts 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 State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class L2, !71 License No. Z r By my signature below I acknowledge that,except for my personal residence Expires 03_'�i..�_�O Signature /! _ 1 � in which I 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 ❑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 ofself-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. v_�v:+.ieRinlo.ca.t ovlcalaw.htmi. Policy# 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 o By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier 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 �( r with all a y y Carrier 0.� .i � V ./�� pplicablt?city and count ord Ina ttces and state laws relating to �t building construction.I authorize representatives of this city or county to Policy# pires 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 neL 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�w �rker_s compensation provisions of Section 3700 of the Labor Code,I s alfForthwith co ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Appif nt r Date " _ mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ci 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($500,000),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 ❑Yes ❑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 Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 2S505 and 2S534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to ciYes ❑No construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions ofthe 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 requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint e a contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be work thatRRP-certifiedistfirms and comply with than Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($5f]D}. p p y managers who do the paint-disturbing work themselves or through their o 1,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.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 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. 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 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: Q _ PERMIT/PLAN CHECK NUMBER GRADING/ PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: : ,!COMMERCIAL RESIDENTIAL 0 MULTI-FAMILY MOBILE HOME C:+ POOL/SPA SIGN SUBTYPE: ':::%ADDITION :: ALTERATION DEMOLITION C:7 ELECTRICAL : MECHANICAL NEW PLUMBING RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK " _ ,AC. C CC L C C, OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS `'YES r) NO PROJECTADDRESS U r r �l ZIP 4ity of Menife ASSESSOR'S PARCEL NUMBER 3�•�,�• (' ) LOT TRACT OWNER NAME ADDRESS L� lCA Recoved PHONE EMAIL � APPLICANT NAME r r Ct I f1 ADDRESS S 11) rr C 1 Gl[)(f S 0.n CLC_[ n � L7 C• PHONE ! sr� 5 �1� (-�� EMAIL C11, tsY� l� �0/, Gill, CONTRACTOR'S NAME 0 r G` OWNER BUILDER? YES Ja NO BUSINESS NAME CA- �� .�Rrl ADDRESS �Aj £ C p e Z U C{ PHONES]- `�]- 2 �_ �-� �`�_ EMAIL rCL GtnaAceQ� CDr✓1 CONTRACTOR'S STATE LIC NUMBER 0 L1 5 b LICENSE CLASSIFICATION VALUATION$ D 6 E SQ FT L SQ FT r fl APPLICANT'S SIGNATURE p DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN 1_ SMIP x OWNER BUILDER VERIFIED °YES () NO DRIVERS LICENSE# NOTARIZED LETTER r: YES 0 NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us �rat�