PMT15-03217 City of Menifee Permit No.: PMT15-03217
29714 HAUN RD.
<ACCELA, MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 1 011 6/2 01 5
PERMIT
Site Address: 25508 BETH DR, MENIFEE, CA 92584 Parcel Number: 358-231-007
Construction Cost: $1,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 19X13, 15X51-6 ALUMAWOOD PATIO COVER WITH 3 FANS
Work:
Owner Contractor
ROBERT DEPASQUALE M W BEST CONSTRUCTION
25508 BETH DRIVE 345 JUEL LANE
MENIFEE, CA 92584 HEMET, CA 92544
Applicant Phone:9519279534
MIKE BEST License Number:614364
M W BEST CONSTRUCTION
345 JUEL LANE
HEMET, CA 92544
Fee Description Ott Amount($1
Receptacle, Switch, Outlet& Fixture 3 126.00
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
$294.65
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_Bld9 Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law forth
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 i
Professions Code ap y rise is in full force and effect. C� /� which I must have resided for at least one year prior to completion r
License Class tic License No. elaz 3r0� improvements covered by this permit, I cannot legally sell a structure that I hav
Expires Signature built as an owner-building if it has not been constructed in its entirety by license
contractors. I understand that a copy of the applicable law, Section 7044 of th
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application i
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one the followingdeclarations: httoJ/www.leainfo.ca cov/calaw htmi.
I have and will maintain a certificate of consentt of sell foro
-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: 1 am the propert
❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read thi
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 compl
permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to buildin!
construction.I authorize representatives of this city or county to enter the above
Carrier identified pmpertLtQLtb9 inspection purposes.
Policy# Expires — oa-fo Date AQ /
Prope O rfer or Authorized Agent
(This section need not be completed if the permit is for
one-hundred dollars($100)or less) City Business License# 35 y
❑ I certify that in the performance of the work for.which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emolov 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 workers compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. DYES ❑NO
Applicant; r ��Date; /�b�f � 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 DYES ❑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 DYES ❑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) hazardous material reporting.
OWNER BUILDER DECLARATIONS DYES ❑NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the mason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code: EPA RENOVATION.REPAIR AND PAINTING Any city or county that requires a permit to construct, alter, improve, demolish, (RRPI
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:
www.epa.govAead or contact the National Lead Information Center at
❑ 1, as owner of the property, or my employees with wages as their sole 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 Finn 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 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 1 PERMIT/PLAN CHECK NUMBER U Z 11
TYPE: ❑COMMERCIAL ef`RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: [-]ADDITION []ALTERATION [-]DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[-]NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
PROIECTADDRESS
ASSESSOR'S PARCEL NUMBER 3GY- 2/�I -d0-1 LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS 6-S-0 A
PHONE g�s�3Zt�^ � 3 (,7 EMAIL Building & Safety Dept.
APPLICANTNAME OCT 16 2015
ADDRESS Reeeved
PHONE EMAIL
CONTRACTOR'S NAME Al/ e, OWNER BUILDER? ❑YES • NO
BUSINESS NAME /114 Lo nd
ADDRESS
PHONE 9S1 F2 7 9,5-39 EMAIL 11-I&J 6:9 CAP,P- Z01,
CONTRACTOR'S STATE LIC NUMBER 4e6 367 V LICENSE CLASSIFICATION -9"
VALUATION $ �� (moo SQ (��
FT /0-Z / L SQ FT CW-
APPLICANT'S SIGNATURE r " 1 -( DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LIC SE NUMBER /
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP (J 3 S L( L( / l0�/te
AMOUNT Z`i� LS PAID AMOUNT 2g1-1 '°r OCASH OCHECK# OCREDITCARD 5 MC J
PLAN CHECK FEES PAIDAMOUNT 2`1LI OCASH OCHECK# OCREDITCARD /MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6717
www.cityofinenifee.us Inspection Request line 951-246-6213
SS i
COUNTY OF RIVERSIDE
DEPARTMENT OF BUILDING AND SAFETY
City of Menifee
Building 8 Safety Dept.
SITE PLAN OCT 16 1015
PERMIT#-PM'TH5 !0%191%j Received
Provw mm Arrow REAR PROPERTY LINE
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284-199(Re%& %4)> m 4080"Qn.161 SC-et g 2nd Floor* Riverside a CA a 92502-1629
a � 0 =et*h : 951-955-1800 a Fax: 951-955-1806
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