The URL can be used to link to this page

PMT15-03751 City of Menifee Permit No.: PMT15-03751 29714 HAUN RD. Type: Residential Addition 't�KCCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 12104/2015 PERMIT Site Address: 29956 PEPPERCORN CIR,MENIFEE, CA Parcel Number: 333-690-015 92584 Construction Cost: $3,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 420 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS Work: Owner Contractor CESAR MURRUJO T F MEADOR CONSTRUCTION 29956 PEPPERCORN CIR PO BOX 713 MENIFEE,CA 92584 WILDOMAR,CA 92595 Applicant Phone:9518376180 TOM MEADOR License Number. 639087 T F MEADOR CONSTRUCTION PO BOX 713 WILDOMAR, CA 92595 Fee Description Qtv Amount ISI Receptacle, Switch, Outlet&Fixture 2 121.00 Building Permit Issuance 1 27.00 Deck/Patto, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $289.65 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 Pennit_Template.rpt Page 1 of 1 rby City Of Menifee TION ❑ Iam exempt from Iicensure under the Contractors'Stale License Law forth following reason: that I am licensed under rovisions of penalty car perjury P 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 and my license is in full force and effect. which I must have resided for at least one year prior to completion < License Class 13 License No. (93 03 Improvements covered by this permit, I cannot legally sell a structure that I hav built as an owner-building if it has not been constructed in Its entirety by license Expires3t3 s Signature contractors. I understand that a copy of the applicable law, Section 7D44 of th WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application i submitted or at the fallowing Web site: ❑ 1 hereby affirm under penalty of perjury one of the fallowing declarations: �.//www leoinfo ca aov/platy html. I have and will maintain a certificate of consent 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# [3 By my Signature below, I certify to each of the following: I am the proped ❑ 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 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 buildin construction.I authorize representatives of this city or county to enter the above Carrier identified property for the inspection purposes. Policy# Expires Date Property Owner orAuthorized Agent (This section need not be completed if the permit is for City Business License# SdY� one-hundred dollars($100)or less) HAZARDOUS MATERIAL DECLARATION I certify that in the performance of the work for which this permit is issued,I all 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 Califomia,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 `1comply 'th those provisions. ! OYES YNO Applicant; 4- O Date; /2�3�1� 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 pemritting checklis COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli s SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES kNO 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 L INO 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 Califomia Health&Safety Code,Section 505 and 25534 concerning 3097 Civil Code) hazardous material reppr1i . OWNER BUILDER DECLARATIONS , YES ❑N I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 1_ 3 5 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(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 Iicensure 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($500).) employees.For more information about EPA's Renovation Program visit www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800424-LEAD(5323). compensation,will do( )all of or( ) porting of the work,and the structure is not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale.If,however, Certified Firm Name: the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of pmving that It was not built or improved for the Firm Certification No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044. Business and Professions ' Code:The Contractor's License Law does not apply to an owner of a property 40 who builds or Improves thereon, and who contracts for the projects with a licensed contrector(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRR� Acknowledgement. IT/PLAN& SAFETY PERM APPLICATION •r Meniree Ad�Nk�- DATE PERMIT/PLAN CHECK NUMBERFfm-UY"l TYPE: O COMME�,RCIAL )(RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: K ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION O--FWORK r l,�� a Iz?c35 tv,-ivwv � Ra-wo (rl i+v Z •'la//th$ PROJECTADDRESS �� `��22t�'� -re orr\ �.IreIe r"{et«ye� e/ p ASSESSOR'S PARCEL NUMBER 7j,�;rnJ" �( D'6 LOT A5 TRACT p OWNER NAME Ce.Sur /" IJCV % Q ADDRESS D.a.Ct 5(o Pe e2cJrA cirdc j�,UW-x- CA q259q PHONE qvq,-2 31- 82 861 EMAIL APPLICANT NAME CJP'j ecL ' '� II II n ADDRESS C) Box (..li PHONE 961 - 93) -e i 8d ff EMAIL CONTRACTOR'S NAME --T— Cia,r' c6P-3t OWNER BUILDER? O YES NO BUSINESS NAME ,fit W-C I ADDRESS O �^ �Y /3 b1 PHONE q 51 — b 3 7 & $G EMAIL CONTRACTOR'S STATE LIC NUMBER 87 LICENSE CLASSIFICATION 3 po VALUATION$ 3-sue SO FT y2-0 L SQ FT APPLICANT'S SIGNATURE DATE CrrYSTAFF USE ONLY J. DEPARTMENT DISTRIBUTION CITY OF ENIfE�Btl E LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN f SMIP ' �_//1 Jf INVOICE I AMOUNT PAID O AMOUNT •� OCASH CHECKM OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO OIL 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 City of Men!ieDePt. Building & SawNt 36 Rece vjed to 11 V..7 R , r i 'Y OF MENIFd :1 , AND SAFETY DEPART AEiVT r fC�Ufd[IOni wild UOLndtb.::. ••!!;,. '"! ' !' �" �� • jobsite until completion. Gas Iv` urruJC� ,e � �� Os w 2 82g9 �aa 5(S�, Qcprr(o(,V,- cz �� CA 9 2 5 6�