PMT16-00312 City of Menifee Permit No.: PMT16-00312
29714 HAUN RD.
'5A_CCELA? MENIFEE,CA 9258E Type: Residential Addition
MENIFEE Date Issued: 0 2105/2 01 6
PERMIT
Site Address: 28622 BRIDGE WATER LN, MENIFEE, Parcel Number: 364-134-002
CA 92584 Construction Cost: $3,100.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 240 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 LIGHT
Work:
Owner Contractor
DEBORAH O'SHEA M W BEST CONSTRUCTION
28622 BRIDGE WATER LANE 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 OQt( Amount 151
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
General Plan Maintenance Fee-Electrical 1 5.80
$290.45
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_eldg_Permk_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'Slate License Law for thr
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=v lice se is in full force and effect. ♦♦♦♦♦♦ which' I must have resided for at least one year prior to completion o
License Class License No.��(``O improvements covered by this permit, I cannot legally sell a structure that I have
Expires Signature lold built as an owner-building if it has not been constructed in its entirety by licenser
contractors. 1 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 it
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the following declarations: hlto:/Mnvw.leginfo.ra.aov/ralaw.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# ❑ By my Signature below, I certify to each of the following: I 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 compll
permit is issued.Myworkers'compensation Insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
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 or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
V-I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. OYES i$NO
Applicant;� te; 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 OYES ro NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, WiII the posed 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 OYES NkNO
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 ❑YES❑YES tpwu���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 items)(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 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:
❑ 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 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 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 .2 75- /(p PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION XELECTRICAL O MECHANICAL
NEW 0 PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK - X _21( (,(
PROJECTADDRESS JC> L-Z
(d4 Llk^
ASSESSOR'S PARCEL NUMBER 3 -13�.E-�7E:S� LOT _ TRACT P-1kCr�,L)_A
OWNER NAME F✓B
ADDRESS pZ i2-Z `� t�C9IFi�-c1Lq%TG(� Ci� (> tT'��
PHONE 2t��i -c.'S`��- ylO�/�o EMAIL
APPLICANT NAME
ADDRESS
PHONE �.r EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ES YVO
BUSINESS NAME r/ J �I1Z GT U�,,r�
ADDRESS 3�f.S- V ACC-7+, G-14 � GAIT- 1
PHONE G/Sl �j17 -7 Suzy EMAIL 7 ✓ CCl e �C/CSQ1� //e
CONTRACTOR'S STATE LIC NUMBER (DG5��3(p C// LICENSE CLASSIFICATION
VALUATIONS y� I�U , 690 SO,FT off-Z7(&? L SQ FT
APPLICANT'S SIGNATURE �� DATE
DEPARTMENT DISTRIBUTION 00 CITu7F�yQ4MIFGE ESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 1 SMIP '(/J��✓��
INVOICE „„ PAID AMOUNT O O
AMOUNT �V' O CASH CHECK# CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6 7 7 7
www.cityofinenifee.us Inspection Request Line 951-246-6213
PLOT/SITE PLAN N
REAR PROPERTY LINE
^i'v of Menifee
rpmg & safety Dept. t f
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0� 016 � LEDGER L71�ER & TRACK
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} .JILDIN AND SAFETYFMENT V _
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DATE
vitroval of these plans shall not be construed to be a permi for,or an
iroval of,any violation of any provisions of the federal,stal or city '",��j4'q
.ulations and ordinances. This set of approved plans must a kept�n�tb±o
osite until completion. Q
FRONT PROPERTY LINE
Property Owners Name ��in R� o
Property Address F36 2•z-- `6Rf IJ, e�[4TEP-, L-Nr c