PMT15-02848 i
City of Menifee Permit No.: PMT16-02848
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 09/15/2015
PERMIT
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Site Address: 29280 CORAL ISLAND CT, MENIFEE, CA Parcel Number: 333-481-016 ,
92585 Construction Cost: $4,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 10.6'x 14' LATTICE& 19'x 12' LATTICE ALUMAWOOD PATIO COVER
Work:
Owner Contractor
BRYCE KISER PATIO GUY ALUMAWOOD CONTRACTOR
29280 CORAL ISLAND COURT 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92585 MURRI ETA, CA 92562
Applicant Phone: 9513330056
LOIS MONTINI License Number: 872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description City Amount
B SS
Deck/Patio, non-standard 1 133.00
OOMMMMMMMEMMMMMMMMUM
SMIP RESIDENTIAL 1 1.00
$168.65
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications orfrom preventing building 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 underwhich no work is commenced within six
months after issuance,orwhere the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bidg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the
hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9 (commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Code and rn ense is in full force and c which I must have resided for at least one year prior to completion of
License Class License improvements covered by this permit, I cannot legally sell a structure that I have
Expires Signature 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application Is
submitted or at the following Web site:
will
❑ hereby affiwill under penalty of perjury one the following declarations: http://www leginfo ca gov/calaw html.I have and maintain a certificate of consentt of self-insure for workers' '
compensation, issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
❑ I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is Issued.My workers'compensation insurance carrier and policy number are: with all plicable city and county ordinances and state laws relating to building
' g constr n.I authorize representatives of this city or county to enter the above-
Carrier l� v i'e ro rl fort eJasp 'on p rposes.
Policy
# L. Expires /.""� "f %j ) -_ ��-Date ?
ro rty Owner or Authorized Agent
(This section need not be completed if the permit is for
one-hundred dollars($100)or less) City Business License#
❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not employ any persons in any manner so as to become subject to the - Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a haze ous material equal to or greater that the
subject to th ork,t s'compensation provisions of Section 3700 of the Labor amounts sped a Hazardous Materials Information Guide?
Code,-I shall 0 h ith corn ly with those provisions. r ❑YES ❑N
TY Applic nt' - 0/ e3- )` Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑ NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building o modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a scjioQl -
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES -
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist. I under land my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health& ode,Section 25505 and 25534 concerning
3097 Civil Code) hazardo s ma er'r8(reporting. -
OWNER BUILDER DECLARATIONS ❑ S 0 ( /� i
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 'C �— --DateqV4 /?
License Law for the reasons)indicated below by the checkmark(s)I have placed PROPS TY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION REPAIR AND PAINTING(RRP)
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensors and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than ($500).) employees. For more information about EPA's Renovation Program visit:
❑ 1, as owner of the property, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at
compensation, will do(. ) all of or 1-800-424-LEAD(5323).
( ) porting of the work, and the structure is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however, Certified Firm Name:
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). Firm Certification No.:
1-1
❑ I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project (Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
i & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE / 0 - / S PERMIT/PLAN CHECK NUMBER enD
TYPE: 0 COMMERCIAL RESIDENTIAL C' MULTI-FAMILY C; MOBILE HOME 0 POOL/SPA O SIGN
SUBTYPE: 0 ADDITION ()ALTERATION C' DEMOLITION £' ELECTRICAL :' MECHANICAL
C fgEEW :% PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK )2 'I V ) L. 1
tr C- t C-7R 1 C_
PROJECTADDRESS Z) C, laL T .
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME -' -4-4 -' k,S'
ADDRESS j�. �,1� CT• City of Menifee
PHONE Ab (D - 21-1 - 3a4L EMAIL
APPLICANT NAME
ADDRESS n4 Received
PHONE e I- . it EMAIL
CONTRACTOR'S NAME Ab /+M TEg OWNER BUILDER? 0 YES 6•I
BUSINESS NAME & V
ADDRESS Z%b - E
PHONE 9,17_ 3 3 S . EMAIL WjQ D C
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ L4 b b b SQ FT IQ L SO FT (� /
APPLICANT'S SIGNATURE / DATE Z "!D - `Z'S
kjTY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT �w
AMOUNT Ilr7 . 1p5 0CASH 0 CHECK 0 OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH CCHCCK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER G YES 0 NO
City of Menifee Building& Safety Deportment 29714 Houn Rd, Menefee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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Building & Safety Dept.
L,AT`1� SEP 15 2015
Received
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BUI ANDSAFETY DE�PQ TENT
REVIEWED BY
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3 D*Approval of these plans shall not be construed to be a permit t(V
approval of,any violation of any provisions of the federal,state or cty
regulations and ordinances. This set of approved plans must be kept on t
jobsite until completion.
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