PMT15-02961 City of Menifee Permit No.: PMT16-02961
29714 HAUN RD.
CCEL1 MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 09/24/2015
PERMIT
SlteAddress: 29468 GLENHURST CIR, MENIFEE, CA Parcel Number: 364-310-036
92584 Construction Cost: $3,300.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 10'x 38' SOLID ALUMAWOOD PATIO COVER WITH 2 FANS, 2 LIGHTS
Work:
Owner Contractor
TRAVIS LEACH PATIO GUY ALUMAWOOD CONTRACTOR
29468 GLENHURST CIRCLE 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 95133k056
LOIS MONTINI License Number:872839
PATIO GUY ALUMAWOOD CONTRACTOR _
41197 GOLDEN GATE CIR STE 108
MURRI ETA, CA 92562
Fee Description OQrt Amount
8 s
Building Permit Issuance 1 27.00
to -s �3r0
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 6.65
$299.65
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
I
} City Of Menifee
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-LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the
gv ':der penalty or perjury that)am licensed under provisions of
;;Chapter 9(commenting with section7000)of Division 3 of the Business and By my signature below I acknowledge'that, except for my personal residence in.
Professions Code and m license Is in full force and t wh
License Cla s Licen ich I must have. resided for at least one year prior to :completion of
improvements covered by this permit, I cannot legally sell a structure that I have
Expires gnature bwlt as an owner-building If it has not been constructed in Its entirety by licensed
contractors. 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:
Elhereby affirm under penalty perjury one the following declarations: http://www leginfo ca cov/calaw html.
I have and will 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: 4thpplicable city and county ordinances and stale laws relating to building
on. authorize representatives of this city or counCarrier (/'� o erl coon purposes. r
Policy# Expires "'/ ate
Property Owner or Authonz gent
(This section need not be completed if the permit Is for City Business License#
one-hundred dollars($100)or less) y
ElI 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 hazardous material equal to or greater that the
subject to the _rkers'compensation provisions of Section 3700 of the Labor amounts specifi e Hazardous Materials Information Guide?
Cade, shall f rt with comply. ith those provisions. ❑YES
FINO
Applica t; ✓ L 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 Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES ❑ NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES EYES ❑ NO__„_r-
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 understand-my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health&Saf de,Section 25505 and 25534 concerning
3097 Civil Code) hazardou ate eportin
OWNER BUILDER DECLARATIONS 11 W/�1,
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
Date_ / _ __"�
License Law for the reasons)indicated below by the checkmark(s)I have placed PROPE 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 licensure 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:
❑ I, 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 1-800-424-LEAD (5323).
p ( ) all of or ( ) porting of the work, and the structure is
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Slate 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.:
❑ I, as owner of the property an exclusively contracting with licensed El 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.
• & SAFETY PERMIT/PLAN CHECK APPLICATION
A&P, Menifee
DATE q - a a, - !S PERMIT/PLAN CHECK NUMBER to
TYPE: L%COMMERCIAL :YIFESIDENTIAL C; MULTI-FAMILY O MOBILE HOME O POOL/SPA SIGN
SUBTYPE: O�ADDITION O ALTERATION O DEMOLITION <�CTRICAL O MECHANICAL
, EW O PLUMBING Ci RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK L,,11
i 7 t
PROJECTADDRESS �. V C, 1--,E ARIMILk
ASSESSOR'S PARCELNUMBBE9 �3(PtA- w- D3(oLOT TRACT
OWNER NAME `^PrV rn R J4 H
ADDRESS C4lac-61—z — Mow Ipc-
VILY
PHONE q SI - 33 - q �qg EMAIL Building & Safety Dept.
APPLICANT NAME ^ SEP 2 4 2015
ADDRESS
Received
PHONE EMAIL
1?�5 EMAIL
CONTRACTOR'S NAME Alb /+rn OWNER BUILDER? C7 YES +�
BUSINESS NAME Poe
ADDRESS phb E EjquRP,, J w j
PHONE qs/_ 333 - bDS � EMAIL q ,y�Q ij L
CONTRACTOR'S STATE LIC NUMBER <39 a8 LICENSE CLASSIFICATION
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 1 SMIP
INVOICE PAID AMOUNT [[��
AMOUNT ' L -1 C.%CASH %CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH !.>CHECK •'..%CREDITCARD VISA/MC
OWNER BUILDER VERIFIED C>YES (.i NO DL NUMBER NOTARIZED LETTER O YES C NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.Lis Inspection Request Line 951-246-6213
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FAA
J�I3hUSN !�1�01t1N 1 A�� City of Menifee
Building & Safety Dept,
SEP 2 4. 2015
Received
IL LEDGER & I AO
4-,VSPECTIQN REQUI Eb S ' it
r i -
AWL-RING AND SA FED?EPARTMENT f�
REVIEWED BY a S
DA
isqtApproval ofthese plansshall not be construed to bea permitf or ap
approval of,any violation of any provisions of the federal,statevq
regulations and ordinances. This set of approved plans must be kept on t
jobsite until completion.
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