PMT15-03279 City of Menifee Permit No.: PMT15-03279
29714 HAUN RD.
�CCEL/� MENIFEE, CA 92586 Type: Residential Addition
r�smo-x MENIFEE Date Issued: 10/22/2015
PERMIT
Site Address: 29107 LIGHT SAILS CT, MENIFEE, CA Parcel Number: 333-360-029
92585 Construction Cost: $4,150.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'x 39 SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,2 LIGHTS
Work:
Owner Contractor
MARIA OPLIDA PSLQ INC
29107 LIGHT SAILS COURT 28910 RANCHO CALIFORNIA RD
MENIFEE,CA 92585 #206
Applicant Phone:9517954260
LOIS MONTINI License Number. 919885
PSLQ INC DBA GREENBEE
28910 RANCHO CALIFORNIA RD
#206
TEMECULA,CA 92590
Fee Description Oft Amount t8)
Receptacle, Switch,Outlet&Fixture 4 131.00
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
$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 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 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_Pernit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the
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 in
Professions Code and rAy license is in full force and effe� �j 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 7 •1) 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:
❑ I hereby affirm under penalty of perjury one the following declarations: http:/Aw .leginfo.m.gov/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
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
De" 1cy 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 numberare: with all Iicable city and county ordinances and state laws relating to building
cant to n.1 authorize representatives of this city or county to enter the above-
carrier � m/D 17-Y pr99eyt�for the do purposes.
Pptipy# �G/ aDb�>. a "7 / '�6o / �/�'� to d 1S
Property Owner orAuthorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
❑ 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'corn nation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to th w rkers'compensation provisions of Section 3700 of the Labor amounts spec d on the Hazardous Materials Information Guide?
Code,I sli hwith compl 'th those provisions. J DYES Ia'F10
Ap ica D _C9)_;t "�� Will the intended use of the building by the applicant or future building
occupant require a pe ' or the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Qualit nagement District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guid in
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 buildi dified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a s
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES 046
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAOMO
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understan yrequirements 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) hazardous rralert porting.
OWNER BUILDER DECLARATIONS ❑YES ❑
NT
I hereby affirm under penally 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 AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code: EPA RENOVATION.REPAIR AND PAINTING fRRPI
Any city or county that requires a permit to construct, alter, improve, demolish,
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:
www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-8W424-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 Contractors 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 Finn 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
,:jenin-ee,
DATE O 'ZZ - t .5-- PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL El MECHANICAL
ANEW ❑PLUMBIING (❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ^� �A1_Iv 2C/
PROJECTADDRESS 2 IkD—? L Yl� Sa Vs LI -
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME sr.
� \ Building & Safety Dept.
ADDRESS Z9 �,., 1• Yl¢' C— • OCT 21 2015
PHONE q�J1� (pC{ � •�jSZ�.O EMAIL Received
APPLICANT NAME w,s
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME j j . OWNER BUILDER? ❑YES,J�;AIO
BUSINESS NAME Z5(5
ADDRESS
PHONE C'1Y1 —7911 toC, EMAIL
CONTRACTOR'S STATE LIC NUMBER lq Qg 5 LICENSE CLASSIFICATION
VALUATION $ ` 45(r, L SQ FF
APPLICANT'S SIGNATURE DATE I ZZ — g
CITYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION CITY OF MEN[FEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE
AMOUNT PAID AMOUNT
C CASH �+CHECKR OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O' NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-245-5213
Maria Oplida
Plot plan 29107 Light Sails Ct.
Not to Scale Menifee, Ca. 92585
951-691-3526
456 sq.ft. Solid Alumawood Patio Cover. Attached to the house and to the
existing Concrete. (2) post lights and (2) ceiling Fans
LEDGER & TRACK City of Menifee W
INSPECTION REQUIRED Building & Safety Dep .V
15' OCT 2 2 2015 1 -
Received
38'
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