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PMT15-03339 City of Menifee Permit No.: PMT15-03339 29714 HAUN RD. �ACCELA. MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 1012812015 PERMIT Site Address: 29114 HAWKESBURY CT,MENIFEE,CA Parcel Number: 333-443-002 92585 Construction Cost: $21,088.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 24'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN,4 POST LIGHTS Work: Owner Contractor KEVIN LAMB TRADER DAN'S INC 29114 HAWKESBURY COURT 840 S ROCHESTER AVE STE C MENIFEE,CA 92585 ONTARIO,CA 91761 Applicant Phone:9093900555 DON DAUGHENBAUGH License Number:517575 TRADER DAN'S INC DBA ROOMS N COVERS 840 S ROCHESTER AVE STE C ONTARIO,CA 91761 Fee Description Pht Amount I$1 Receptacle, Switch, Outlet& Fixture 5 136.00 Building Permit Issuance 1 27.00 Deck/Patio,non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee- Building 1 6.65 $306.65 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 City Of Menifee LICENSED DECLARATION ❑ 1 am exempt from ficensure under the Contractors'State License Law for 0 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 Professions Code and my license Is in full force and effect. which I must have resided for at least one year prior to completion License Class Licgps N `}J improvements covered by this permit, I cannot legally sell a structure that I hai Explres 6 16 Signature built as an owner-building if it has not been constructed in its entirety by licensr contractors. I understand that a copy of the applicable law, Section 7044 of tf WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one the following declarations: hftp:/Awm.(eginfo.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 7Policy [I By my Signature below, I certify to each of the following: I am the proper 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 th 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 comp permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to buildir construction.I authorize representatives of this city or county to enter the above Carrier .r L W identified property for the inspection purposes. Policy# 0 Expires �(/!y � Dale Property Owner or Authorized Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) ty 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 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 forth amply with those provisions. DYES ❑NO Applicant Date; �D f Z ff/��7 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 checklis 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 oute 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 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: Any city or county that requires a permit to construct,alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING fRRP) 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.govAead or contact the National Lead Information Center at ❑ I, 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 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 purpose of sale). Firm Certification No.: ❑ 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 Acknnwlednempnt BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION " ""Menifee DATE DATE 1 Z g 15- PERMIT/PLAN CHECK NUMBER �j- TYPE: O COMMERCIAL 4-4ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O/ADD ITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL W EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 14" XZ(1 3dlltol �` ` nd �e/IT(S' GOI.•2.L2 C1,,e44- t +OqP41 er5 Cityf Menifee PROJECTADDRESS Tip /)�/ 144 wke5&,1' C Building & Safety Dept. ASSESSOR'S PARCEL NUMBER 3-j3-LAkA3-m',j LOT TRACT OCT 2 8 2015 OWNER NAME Kev' -) L7MlJ ADDRESS 7- 4II L/ jTnW�('(/,�G,�UV` C � Reeeiveoi PHONE q5 1- 3)7- - 13 71 EMAIL APPLICANT NAMEO cnnlot .D= z",bnu ,( ADDRESS ^p L10 f -ac�uy}�p/' ✓CWC p✓✓7✓ -PC,) PHONE RG y ` 3'Z✓"d�4 S EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES 0$10- BUSINESS NAME of o,. S �f/ Ca c.cip- S ADDRESS 'b) 3: Ocke-j A1'Y'Z 0-447-✓1"/-cc) L-'la_ PHONE ci- � '7 v�b S — EMAIL CONTRACTOR'S STATE LIC NUMBER V 75 5- LICENSE CLASSIFICATION VALUATION $ GI r7 SQ FT Z,�� L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN '- SMIP INVOICE C PAIDAMOUNT I O AMOUNT b u•LP5 O .lV-7 CASH O CHECK k O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 vlic..,g gf afety Dept. enie �-jERITAGE j.AKE MASTER ASSOCIATION OCT 2 g �015 Tuesday, October 12, 2015 f�?eceivcd Kevin Lamb 29114 Hawkesbury Court Menifee, CA 92585 RE: Architectural Modification Conditionally Approved Dear Kevin Lamb: We are pleased to inform you that your plans were Conditionally Approved on October 12,2015. Please ensure that you comply with the conditions noted on Exhibit A(also transcribed on the Letter of Transmittal) of your Home Improvement Packet(enclosed). Also,please keep the following matters in mind: (1) The Committee approves plans and specifications based on aesthetics and compliance with the community guidelines. They do not review for engineering design or structural integrity. Zoning and building permits are the responsibility of the homeowner. (2) The Committee has the right to inspect improvements, constructed or being constructed,to determine that such improvements have been or are being built in compliance with the plans and specifications approved. (3) You will have six months to install the proposed improvements. When the approved work has been completed,please submit photos of the completed work and the enclosed Notice of Completion form ,rl to our on-site office. �I Thank you for your patience and cooperation. If you have any questions,please refer to your (� Community Policies or contact me at 951-246-7678 or at Josephine.Messer@fsresidential.com. Sincerely, Josephine Messer Property Administrator 000 FirstService RESIDENTIAL 27600 Heritage Lake Dr. Menifee CA 92585 (951)246-7678 Fax(951)246-7651 OWNEReV,l� ADDRESS 2'q!/y Howl, es bur c�- ity of Menifee CITY- ZIP qZ $S PHONE LOT NO. TRACT APN OCT 2 8 2015 CONTRACTOR Received ROOMS N' COVERS PROPOSED ADDITION(S) z 8 840 S ROCHESTER AVE#C ONTARIO, CA 91761 ix Z S�//Id ��L/��/✓oo� LIC. B-517575 909-390-0555 WORK COMP ICW GROUP 5i-IY/fS WSA5000386-07 �— EXP6/14/2016 LJ +: 3, uas IeoR ' 1�t� 5 �' 2Ki C�af cLgz � fi'o Z zy IZI 5 Lei rnb S' cn m m p �,eSl dtKc-e_ n m -� rn a x z � m � rr, p• �O 17 W � D a C-' o a m o p m � D z ^ C7 v 5. L° YTI ail Z/ � v ,� ao9 K D mSTREET mOFFICE COPY