PMT15-00830 1
City of Menifee Permit No.: PMTIS-00830
`'� 29714 HAUN RD.
'5 iCCIEL-P MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 05/13/2016
PERMIT
Site Address: 29668 TIERRA SHORES LN, MENIFEE, Parcel Number: 340-470-012
CA 92584 Construction Cost: $14,000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of CONSTRUCT NEW DECK 51'X 11'
Work: NO ELECTRIC
Owner Contractor
JAMES MARKLE ,
29668 TIERRA SHORES LN
MENIFEE, CA 92584
Applicant License Number:
JAMES MARKLE
29668 TIERRA SHORES LN
MENIFEE, CA 92584
Phone: 8582205312
Fee Description QtV Amount
Building Permit Issuance 1 27.00
Additional Plan Review Building 148 148.37
SMIP RESIDENTIAL m� 1 2.00
$618.87
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
1 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 and 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 License No. 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 frort�licensure under the Contractors' fate License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following declarations: Ilowing reason: ,y � l�'V`L
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
❑ 1 have and will maintain workers' compensation insurance, as req uired 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 a e o log jng We site:htt ://www.4, info.ca. ov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are: s 5 /3 /,<
Carrier Pro prty wneror Authorized Agent D e
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
c struction.I authorize representatives of this city or county to enter the above-
0 I certify that in the performance of the work for which this permit is issued, id til�propertfopection purposes.
shall not emO_yloylov any persons in any manner so as to become subject to the (3 ��
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor roe ty Owner or Authorized Agent ate
Code,I shall forthwith comply with those provisions.
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., AYES 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 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 KNO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER BUILDER DECLARATIONS
GUIDE LINES
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 DYES 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, kLNO 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 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL,REPORTING.
compensation, will do ( )all of or( ) porting of the work, and the structure is PR ERTY OI) .ftL(yJJ//��CLAUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
i
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION I Jul]
Y`:t
+'Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: - COMMERCIAL %RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA a SIGN
SUBTYPE: '0 ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
0 NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK �U{�d W GI �U (e&Jr6. VWilSt.
PROJECTADDRESS 2_g41&d j4'M SYWfeS hAJ\1h&4jjP iA q2-9
ASSESSOR'S PARCEL NUMBER 7O OI p LOT 6LI— TRACT
OWNER NAME
ADDRESS Z %/`UTA Mores M 92-S,sV
PHONE brn 22o --5N2- ( EMAIL im yY1a rKie ,7000 6 o$W.6b>;j
APPLICANT IN1A/�ME JAB.^''eS `� (� / yy� /I �//
ADDRESS 2q(p W I 1 C* b i1� t-v /L LGA/j4.ee G1,Y -Y2-9,(
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? OYES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ lqI
d60 SO FT L SQ FT
APPLICANT'SSIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
�BUILDING PLANNING ENGINEERING FIRE GREEN Y4 SMIP
INVOICE �'O PAID AMOUNT
AMOUNT '�� (.%CASH '.`%CHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# C CREDITCARD VISA/MC
OWNER BUILDER VERIFIED C%YES NO DL NUMBER NOTARIZED LETTER 0 YES ':' NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
I
Menifee
I
PLANNING DATE ROUTED j
I
PERMIT NUMBER PROJECT NAME
I
ADDRESS APN
TRACT LOT(S)
APPLICANT NAME
PHONE EMAIL
COMMENTS
APPROVED BY DATE
19 ENGINEERING DATE ROUTED 5/4/2015 � 6 •I I •115
PERMIT NUMBER PMT15-00830 PROJECT NAME DECK-MARKLE RESIDENCE
ADDRESS 29668 TIERRA SHORES LN APN 340-470-012
TRACT 29837 LOTS 97
APPLICANT NAME JAMES MARKLE
PHONE 858-220-5312 EMAIL JIMMARKLE2006@YAHOO.COM
COMMENTS 2ND SUBMITTAL-PLEASE RETURN PLANS
APPROVED BY ®I ' I u DATE !
City of Menifee Building& Safety Department 29714 Houn Rd, Menifee, CA 92586 951-672-6777
www.cityofrnemfee.us Inspection Request Line
Gltr oe
iiAENIFQ
` V---1
.. , CITY OF MENIFEE
MEMO
DATE: May 8, 2015
TO: Building Department
FROM: Carlos Geronimo, Engineering
SUBJECT: PMT 15-00830 — 29668 Tierra Shores PC2
The City Engineering Department has reviewed the plans provided for this project and has
no additional comments:
Carlos E. Geronimo, PE
Associate Engineer
City of Menifee