PMT14-02763 City of Menifee Permit No.: PMT14-02763
29714 HAUN RD. Type: Residential Addition
MENIFEE, CA 92586
MENIFEE Date Issued: 10/16/2014
PERMIT
Site Address: 28802 ALMONDWOOD CT, MENIFEE, CA Parcel Number: 333-680-070
92584 Construction Cost: $4,800.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID ALUMAWOOD PATIO COVER WITH 2 FANS&2 POST LIGHTS
Work:
Owner Contractor
CANDACE McDONALD SIGNATURE PATIO'S
28802 ALMONDWOOD COURT 7199 ALTALOMA WAY
MENIFEE, CA 92584 RIVERSIDE, CA 92503
Applicant Phone: 9517856829
YOLANDA CONTI License Number: 875445
SIGNATURE PATIO'S
7199 ALTALOMA WAY
RIVERSIDE, CA 92503
Phone: 7144690153
Fee Description r3yt Amount f$1
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
P E$IDENTI�{ 0
$293.00
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 othemise 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_Dldg_Permit_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 Cgde anVy license is it u�forceffect. Code:The Contractor's License Law does not apply to an owner of a property
License Class IJJ License I� .�¢..., who builds or improves thereon, and who contracts for the projects with a
Expires Signature ` licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ 1 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# contractors. I understand that a copy of the applicable law, Section 7044 of the
❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,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 Web site:httc'//www,leginfo.ca.gov/calaw,html.
permit is issued.My workers'compensation insurance carrier and policy number are:
ropeKy caner or Authorized Agent Date
Carrier
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-
certify that y the performance any
the work for which this permit is issued, Ida if d frog party for the inspectionpurposes.
thozirkers'
ll not emnlov any persons in any manner so as to become subject to the �)
compensation laws of California, and agree that if I should become v
subject to the workers'compensation provisions of Section 3700 of the Labor Pr p y Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
P City Business License#
Date; : 'Applicant;
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS 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, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
- 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
-- FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address El 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 reasons)indicated below by the checkmark(s)I have placed OYES 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, ONO 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 I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or AYES 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, SECAZARDOUS IONMAT 255L51�PORTING D 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sale
compensation, will do( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER 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 X
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-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCKNo: Permit No:
City of Menifee
29714 Haun Road Building & Safety Dept. Date: Date.
Menifee, CA 92586 O
Phone: (951)672-6777 OCT 16 20M Amount: Amount: ae�
Fax:(951)679-3843 Ck#: Ck#: 6
Received
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Ad essp `O0 Assessor's Parcel Number D b Vu U✓lW 1 �I
Project/Tenant NA j A (\ ,�J ptf Unit#: Floor#:
Name: C,61v451 /v` WIdJC' I„ ` or 0.2 _ Fax No.
Property Address: b S /
Owner 8 O� � Unit Number d -
b
Email Address:
Name:U o LA A P7 je No. C— ' .3 F No.
C
Applicant Address]'
10 jAkA �� Unit Number Zip Cede� 50
Email Address: �O��i(nC�CO{/l �O ( v (Q AA
3,. p
Name: O Al)D f on No. _0/[J Fa`�/NJ( � 0
Contractor Address: 'C n - Cit fle St 2:1 Zipfrr5o
omractor, It s LI ense o. C ntrac s.Ci[ Sja o(C lifa�ia Lic e o. Classification: I
Number of Squares: ..�
Square Footage
Description of Work: 1 .A 1 A,(l �y a Cost of Work:
Applicant's Signature (fib_=
v _fir Date: 1 0— I
-- To.Be Completed By City Staff Only
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 TechlSoils Report(on call only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ElStructural Calculations
❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Intlicale New ConstNction Alteration' Addition' Means/Methods
El Work Type: RepaiP Retrofit* Revision to Existing Permit' Required? YES ND
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
V of N
Bldg.Code Occupancy Group Indicate Indicate if Indicate all 71echaz.Zone
At Project Spdnklered YES or NOCompletion: Construction that apply: e
Type(s): CofO YES or NO Required? storic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch. Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Ipeaai case:Bldg
Official A roval
Expedite Project(s): Child Care City Project Green Building Landmarki IAffordable Housing
For Staff Use Only
Building/Safely Permit Specialist City Planning I Civil Engineering EPWM-Admen I Transportation Mgmt, I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Signature Patios City of Menifee
LEDGER & TRACK (951) 785-6829 Building $ Safety Dept.
INSPECTION REDUIRE['LOT PLAN / PATIO COVERS OCT 16 2014
NAME: /l�� f,.n/�i�o /7 �/i����� PHONE C /
/J_
ADDRESS: na l/� X/J�GY ZIP CODE:
NEAREST MAJOR CROSS STREETS: ° q
"n
y 'T7
50 '
71 f 0
l �I
��TY-CrF-MEEIVTFEE----�- - i
3#LIILDING AND SAFETY DEPARTMENT
PLAN APPROVAL i
5o '
REVIEWED BY-
DATE
'Approval of these plans shall not be construed to be a permit for,Oran
approval of,any violation of any provisions of the federal,state or city
_ —regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.