PMT14-01963 I
I
City of Menifee Permit No.: PMT14-01963
29714 HAUN RD.
Type: Residential Addition
MENIFEE, CA 92586
s� rsam,�P MENIFEE Date Issued: 07/29/2014
1
PERMIT
3
Site Address: 29207 BAYBRIDGE CT, MENIFEE, CA Parcel Number: 333-472-002
92585 Construction Cost: $3,500.00 i
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 13'X 32'SOLID ALUMAWOOD PATIO COVER WITH 5 LIGHTS
Work:
Owner Contractor
ARTURO LARA KYLE KELLY
29207 BAY BRIDGE CT 35406 REDBERRY PALMS COURT
MENIFEE, CA 92585 LAKE ELSINORE, CA 92532
Applicant Phone: 9512960908
KYLE KELLY License Number: 948536
KYLE KELLY
35406 REDBERRY PALMS COURT
LAKE ELSINORE, CA 92532
Fee Description CRY Amount($)
Building Permit Issuance 1 27.00 -
GREEN FEE 1 1.00
S, IP RESID 71QL 1 1-QQ
$298.00
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_BIdg_Permlt_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code_aP6-n1y license is in ful rce an eff §k�,� Code:The Contractor's License Law does not apply to an owner of a property
License Cis s License=:N . ! who builds or improves thereon, and who contracts for the projects with a
Expire "� Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATIO D CLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence In
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued. built as an owner-building if It has not been constructed in its entirety by licensed
Policy# contracts ndnderstand that a copy of the applicable law, Section 7044 of the
❑ 1 have and will maintain workers' compensation insurance, as required by Business and Profeess Is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following W6 e'.http//www.IeQInfo.ca.gov/ca1aw.htmI.
permit is issued.My workers'compensation insurance carrier and policy number are: � :3 U
roperty Owner or Authorized Agen ate
Expires Policy#
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars ($100)or less) with all applicable city and county ordinances and state laws relating to building
_construction. I authorize representatives of this city or county to enter the above-
. ❑ I certify that in the performance of the work for which this permit is issued, I identified props or- s ectton purposes.
shall not employ any persons in any manner so as to become subject to the / �
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the bor"' property Owner or Authorized Agent Date
Code,I shall forthwith comply with FhffSe-provfsirrn ._.-
City Business License#
Date; /�- l Applicant;
WARNING: FAIL --'I' SECURE—WOIR-I' -__,HAZARDOUS MATERIAL DECLARATION
COMPENSATION C04E' - UNLAWFUL, AND SHALL��
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, []YES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES El NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending
INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL? -
or repair any structure, prior to its 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 License Law (Chapter 9 (commencing with HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or ❑YES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE
ffDOUS MOT 25505RIALf�E5533 G D 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation, will do ( ) all of or( ) porting of the work, and the structure is PlRbr!PEe TYuOWNER OR AUTHORIZED AGENT
not intended or offered for sale. (Section 7044, Business and Professions Code; .,
The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner- ------ -_.� M1
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF lylEl'0IFEE PLCKNo: TV
I oa
29714 Haun Road Date: o to,
Menifee, CA 92586 J III-1
Phone: (951)672-6777 Amount: Amount�A1/SOD
Fax:(951)679-3843 Ck#: Ck#: \ia/�
Building Combination Permit�rtz 5
I"7 — iL1Sf S To Be Completed By Applicant
Legal Description: O } Planning Case: F: L: I Rt: R:
Property Address: /t Assessor's Parcel Number. ��y -1 ;L-00-a
Projectlfenant Name: Unit#: T Floor#:
Name: P o e N Fax No.
Property gddresa' /
Owner Aa� �,x/` Unit Number Zip Cod L5�W
Email Address:
Name: �Q one No. Fax No.
Applicant Address: N� Unit Number Zip Code
Email Address: I/
Name: Phone No. Fax No.
Contractor Address: P /' Ci Stye Zipfxode 3
Contractor's city Business 1cense o. onVactor's City Stag o C lifomia License No. Classification: y
Number of Squares:
Square Footage
Description of Work: 9 2 Q�4,e_ S �/I f Cost of Work:$ oO
Applicant's Signatur 7 .J
-To136co -City StaffAnly
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan
❑ Geo TecWSoils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'V:x 11)
❑ Plumbing Plan ❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Single Line diagram for also.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition* Means/Methods
Work Type: Repair• Retrofit• Revision to Existing PemliP Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate If Indicate all Geo-tech.Haz.Zane
At Project Spdnklered YES or NO
Completion: Construction that apply: Coastal Zone
Type(s): C Of O NO Noise Zone
YESor
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commis! Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmadc Seismic Retrofit Special Case:Bldg.
Omcial A' roval
Expedite Project(!): Child Care I I City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist I City Planning civil Engineering I EPWM-Admin I Transportation Mgmt, Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
�-2 9a o 7 C�'
Cit of Menifee
Buildini & Safety Dept.
J L 2 5 2014
LEDGER & TRACK
INSPECTION REQUIRED Received
Sole
\1
07111 OF MENIFEE
PUILDING AND rAFETY DEPARTMENT
"LAiV APPf'•OV -L 117
REVff%1d1LD P� AILN ro
DATE
4C provai of these plain sl, not be construed to be a permit for,or an
approval of,any violation of awy provisions of the federal state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion, y
tE�