PMT16-01066 City of Menifee Permit No.: PMT16-01066
29714 HAUN RD.
�CCELh� MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued:
04/07/2016
PERMIT
Site Address: 30449 GALLUP CT, MENIFEE, CA 92584 Parcel Number: 358-490-051
Construction Cost: $6,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 480 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS, 3 SETS OF
Work: RECESS LIGHTS
Owner Contractor
JOHN SANCHEZ PSLQ INC
30449 GALLUP CT 28910 RANCHO CALIFORNIA RD
MENIFEE, CA 92584 #206
Applicant Phone:9517954260
LOIS MONTINI License Number:919885
PSLQ INC
28910 RANCHO CALIFORNIA RD
#206
TEMECULA, CA 92590
Fee Description City Amount($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 1.00
General Plan Maintenance Fee-Building 1 6.65
General Plan Maintenance Fee-Electrical 1 6.80
$311.45
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_Bldg_Permk_Template.rpt Page t of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contraclois'Stale 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 license is in full force and eff n (), which I must have resided for at least one year prior to completion of
License Class Lice s 0. improvements covered by this permit,I cannot legally sell a structure that I have
Expires — — ignature r built as an owner-building if it has not been constructed in its entirety by licensed
i confactors. 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:
ElI hereby affirm under penalty of perjury one the following declarations: httpJ/www.leginfo.ca.aov/plaw.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 orAuthodzed Agent
Policy# ❑ By my Signature below, I certify,to each of the following: I am the property
❑ 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 this
section 370D 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 number are: with all applicable city and county ordinances and slate laws relating to building
construction.I authorize representatives of this city or county to enter the above-
Carder // identified property for the inspection purposes.
Policy# W,G110 601 Expires / '/ Date
L� Property Owner orAuthorized Agent
(This section need not be completteedgf the permit is for City Business License# ��0�
one-hundred doliars($100)or less)
❑ 1 certify that in the performance of the work for which this permit is issued,1 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 azardous material equal to or greater that the
subject to the coore'compensation provisions of Section 3700 of the Labor amounts spec'I on the Hazardous Materials Information Guide?
Code,I shall o w h comply with those provisions. / DYES
0460
Applic t; ete; l--�G p 4� Will the intended use of the building by the applicant or future building
occupant require a ppirmi.t for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quali anagement District(SCAQMD)?See permitfing checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL forguideli
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 ilmng or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES bNO
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 unde tend my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health_4,9afely Cade,Section 25505 and 25534 concerning
3097 Civil Code) hazardous diabfial reporting.
OWNER BUILDER DECLARATIONS DY
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 ORAU MRIZEDAGENT
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(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 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
❑ 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 �r
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 Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed El 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
Iirvneod nnnfr Hn 4e1 fn fhe Rnnfnrfnre 58afn I ironco I au,1 If vnnr nrnionf dnae nnf ..with FDA ROD min nine..fill nut fhe DOD
,�� 7[�i� ,erY'6cx m#p•CF t5 1 F���S .`'F tK`� 03; E Y'•t nil F 44 4. ✓ "cam .
DATE PERMIT/PLAN CHECK NUMBER O�
TYPE: ❑COMMERCIAL gIESIDENTIAL ❑MULTI-FAMILY Q MOBILE HOME ❑POOUSPA ❑SIGN
SUBTYPE: ❑AD ITION ❑ALTERATION ❑DEMOLITION E�?C-CTRICAL El MECHANICAL
JEW []PLUMB ING-❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
se_ J ins sefs re ce S S u
PROJECTADDRESS Q) �� mimleac,
ASSESSOR'S PARCEL NUMBERQ� O ✓' LOT �'D TRACT
PROPERTY OWNER'S NAME
ADDRESS � �►
PHONE � 11 - (j 4(y- ` J,XY ` EMAIL
APPLICANT NAME TI / Tpyy� (
ADDRESS o D'J W V L-1 (fP ` �"�/�1Vv v
PHONE _` �Ql� EjM�AIL G @ �� ZX3� �u l
CONTRACTOR'S NAME 'L,1 I T�JLJC0 OWNER BUILDER? ❑YES❑NO
BUSINESS NAME //�� p / I
ADDRESS �( LJ 1 1 'I/�-w -'�TtCA
PHONE qS� I q' bJ 1 r t.) /yEMAIL
CONTRACTOR'S STATE LIIC((NUMBER 15 / ( LICENSE CLASSIFICATION
VALUATION$ IS(nJIJ SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
r
DEPARTMENT DISTRIBUTION 60 CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE 2�• PAIDAMOUNT
AMOUNT J,1 •�� GCASH OCHECK 77 OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH 0CHECKq OCREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O No DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityoftenifee.us Inspection Request Line 951-246-6213
John Sanchez
Plot plan 30449 Gallop Ct.
Not to Scale Menifee, Ca. 92584
951-746-7352
480 total sq.ft. Alumawood Solid Patio Covers. Attached to the house and to
existing concrete slab. set at 9' High (2)fans and (3) set of recess lights
city of Menifee
Di-iioinp &: Safety Dept.
pPK 0 7 201b
eeeiVOd
LEDGER & TRACK 25'
INSPECTION REQUIRED
40'
12l
%ITY OF MENIFEE
BUILDING AND J (fEPARTMENT
PLAN APPROVAL
�y�, �fl�1l(o �
REVIEWED BY - l�
DATE
'Approval of these plans shall no be construed to be a permit for,or an
Driveid al of,any violation of any ovisions of the federal,state or city r
regu ations and ordinances. This et of approved plans must be kept on the
jobsite until completion.
Sidewalk
Gallop Ct.