Loading...
PMT14-03096 City of Menifee Permit No.: PMT14-03096 29714 HAUN RD. Type: Residential Addition OW6ML A? MENIFEE, CA 92586 MENIFEE Date Issued: 11/20/2014 PERMIT Site Address: 28394 TUPELO RD, MENIFEE, CA 92584 Parcel Number: 372-490-008 Construction Cost: $5,130.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 2-163 FT LATTICE& 1-SOLID 204 SO FT ALUMAWOOD PATIO COVERS WITH Work: ELECTRICAL, 1 FAN 4 LIGHTS Owner Contractor WAYNEEWING THE SHADEMAKERS 28394 TUPELO RD 2625 VINE ST MENIFEE, CA 92584 NORCO, CA 92860 Applicant Phone: 9512800040 TIM A MORAN License Number: 881600 THE SHADEMAKERS 2625 VINE ST NORCO, CA 92860 Fee Description Guy Amount f$1 Building Permit Issuance 1 27.00 x i GREEN FEE 1 1.00 $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 building operations being carried on thereunderwhen in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise staled,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_Templatespt 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 ar�d my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property �License Class c 'M` I License No %t who builds or improves thereon, and who contracts for the projects with a Expires '40 Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam 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. Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the tI 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:htti),//www.leoinfo.ce.ciov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier G�[JN \"tE 5-T C,�,TL Property Owner or Authorized Agent Date Expires '�- '�� ' t � Policy# Off"\"3`i--1Noa Name of Agent ❑ By my Signature below, I certify to each of the following: I am the property 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 stale laws relating to building construction.I authodze representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I identified prop rty for the in action purposes. shall not emolov any persons in any manner so as to become subject to the workers'compensation laws of California, and agree that if I should become "Olt- subject to the workers'compensation provisions of Section 3700 of the Labor Property wner or Authorized Agent Date Code,I shall forthwith comply with those provisi s.! 35 ��: ° City Business License# yj �7 Date; \�-2a '�� 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 ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL - LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO 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 ❑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 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($500).) CODE, SECOUS IONMAT 25505RIAL ffE5533PN�f GD 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work, and the structure is PROPERTY WNER QR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; �—� The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CCITT OF M ENIFE E PLCK No: P 29714 Haun Road Date: Date: Menifee, CA 92586 Phone: (951)672-6777 Amount: Amou t: 1 gdp Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit cq� I SI To Be Completed By Applicant Legal Descl n:` O o V 6 Planning Case: F: IL: Rt R: Property Address: Assessor's Parcel Number. ,4010 -609 Projectrrenant Name: Unit M Floor#: tJ�C, - t13U' Name: Phone No. g % 3 Fax No. Property `\�Z. Address: Unit Number ZipCode Owner Q-6 Z Email Address: Name: Phone No. Fax No. Applicant Address: Unit Number Zip Code Email Address: Name: Phone No. Fax No. E IsC6 S >t• 1 -ooy\ Contractor Address: C' St to Zip Code Was tJ6 S` o o A z wU ontrac�tor s City ly uostness Contractor's City State of California License No. Classification:�f �3 1 c- \O Number of Squares: y4 Square Footage Description of Work: r ' t Cost of Work:$ Applicant's Signature Date: 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 oFdocuments which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑El Foundation Plan ❑ Cross Section ❑ Plumbing Plan Structural Calculations ❑ Single Line diagram for slec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' MeanslMethods Work Type: Repair" - Retrofit' Revision to Existing Permit' 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 YES or NO Indicate all Geo-tech.HTz-Zone At Project Construction Sprinklered that apply: Coastal Zone PPy Completion: Type(s): C Of O Noise Zone Required? YES or NO Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. I Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special case:wag. OmcialA royal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist City Planning I Civd Engineering I EPWM-Admin Transporlation Mqlmt—, l Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY r LEDG & TRACK INSPECTIO REQUIRED Gt Menifee Sul & Safety Dept - -� - - - y- _ hR��ived cvz)A - `125B - A 2- CITY OF MENIFEE BUILDING AND SAFETY DEPARTMEN PLAN APPROVAL REVIEWED B DAT roval of these pl ns shall not be construed to be a permit for,or an roved plans must be kept on the approval of,any viol ion of any provisions of the federal,state or city regulations and ordi ances. lhls set of app jobsite until completion. 1