PMT15-03191 City of Menifee Permit No.: PMT15-03191
29714 HAUN RD. Type: Residential Addition
<A-CCEL/> MENIFEE, CA 92586
MENIFEE Date Issued: 10/14/2015
PERMIT
Site Address: 30152 BOWSPRIT WAY, MENIFEE, CA Parcel Number: 364-240-060
92584 Construction Cost: $2,100.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 240 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 FAN
Work:
Owner Contractor
CHRIS SALAS PSLQ INC
30152 BOWSPRIT WAY 28910 RANCHO CALIFORNIA RD
MENIFEE,CA 92584 #206
Applicant Phone:9517954260
LUIS BENTIVENGO License Number.919885
PSLQ INC
28910 RANCHO CALIFORNIA RD
#206
TEMECULA, CA 92590
Fee Description Qyt Amount lEl
Receptacle, Switch, Outlet&Fixture 1 116.00
Building Permit Issuance 1 27.00
Deck/Patio, non-standard 1 133.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Building 1 6.65
$284.65
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_Pennit_Templale.rpl Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for tht
I 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 it
Professions Code and m cense is in full force and eff o which I must have resided for at least one year prior to completion o
License Class _License. o �I�D C 1 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 licenser
contractors. I understand that a copy of the applicable law, Section 7044 of tht
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application it
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one the following declarations: hitp://www.leainfo.ca.aov/calaw.htmi.
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
Poll # �--E-By my Signature below, I certify to each of the following: I am the properll
❑ 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 WE
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 oomph
permit Is issued.Mx workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildinf
<' constructio the��.ze representatives of this city or county to enter the above
Carrier /� /� r identified rope I orlY a iin peanon purposes.
tfo Policy# f ' Expires 7—
Date �"� i�
Property Own or horized Agent
(This section need not be completed if the permit is for O r E>
one-hundred dollars($100)or less) City Business License# S 3
I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
hall 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 Calffomia, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts s cified on the Hazardous Materials Information Guide?
Code,I shall to mply with those provisions. ❑YESO
Applicant; Date; / 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: [LURE 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 DYES ZNO
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 ❑YE ❑NO
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&Safety Code Section 25505 and 25534 concerning
3097 Civil Code) ryL�ardous material repo
Al
rtin .
OWNER BUILDER DECLARATIONS AYES ❑NO ��
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AU ED 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 firths 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
❑ m employees orwffh wa es as their sole www.epa.gov/lead or contact the National Lead Information Center at
I, as owner of the
property, Y 9 1-800-424-LEAD(5323).
compensation,will do( )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 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 Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Finn 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
Acknnwiedpement_
[ice
DATE rJ PERMIT/PLAN CHECK NUMBER 1• \T r5- O ��_1 1
TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA El
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [-]ELECTRICAL []MECHANICAL
❑NEW ❑PLUM1BING ❑RE-ROOF-NUMBER OF SQUARES
Q * . T DESCRIPTION OF WORK Lid, kwa Vito CNk akw
m c�^ ` r ' l �/� (',, /gyp a
PROIECTADDRE55 1 ags rI r W {� Ien4c GN ME
ASSESSOR'S PARCEL NUMBER LOT 10A TRACT
PROPERTY OWNER'S NAME
ADDRESS 1
PHONE -714 -3q-1- 3939 EMAIL
APPLICANT NAMEL �I
ADDRESS I I O �� O /^ /1 I p`�(p'�L>�/ U
PHONE qb'- 1LL t 13-7 EMAIL
CONTRACTOR'S NAME U l OWNER BUILDER? ❑YES❑NO
BUSINESS NAME 'jam 'nYd
ADDRESS
F� �/� I I rack 1 l/1 U
PHONE q�Ii Gt I & too / E/yMAIL
CONTRACTOR'S STATE LII/C�NUUMBER g[ ( �/� LICENSE CLASSIFICATION
W VALUATION$ 1 SO FT a L40 L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 100
INVOICE /\ PAIDAMOUNT
AMOU I i OCASH OCHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT O CASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-5213
Plot plan Chris Salas
30152 Bowsprit Way
Not to Scale Menifee, Ca. 92584
714-397-3839
240 sq. ft.Solid Alumawood Patio Cover. Attached to the house (1) Fan
City of Menifee
Building & Safety Dept.
OCT 14 2015 260
L E00ER ERAG4 Received
�NSPECT10� REQUIRED
39' 20' 2II'
12'
Solid
q!"11- SAFETY DEPARTMENT
s
Lk(
I� l�
DATE Q
or these pans shall not be construed to be a per nino,�pgay
apuruvai of,any violation of any provisions of the federal,sate or city
regulations and ordinances. This set of approved plans mills t be kept on the
jobsite until completion.
Sidewalk
Bowspirit Way