Loading...
PMT16-01361 City of Menifee Permit No.: PMT16-01361 29714 HAUN RD. Type: Residential Addition �CCELA? MENIFEE, CA 92586 `"1-11s"`"'"' MENIFEE Date Issued: 0 412 912 01 6 PERMIT Site Address: 29487 CORTE VISTA LN,MENIFEE, CA Parcel Number: 340-571-016 92584 Construction Cost: $4,445.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 480 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,3 POSTLIGHTS Work: Owner Contractor JEFF CARRICO SOUTHERN CALIFORNIA PATIOS 29487 CORTE VISTA LN 1787 PAMONA DR#B MENIFEE, CA 92584 CORONA,CA 92880 Applicant Phone: 9098161288 SOPHIA KING License Number:948536 SOUTHERN CALIFORNIA PATIOS 1787 PAMONA DR#B CORONA, CA 92880 Fee Description 01t y Amount(SI 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 staled,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_81dg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I herebyaffirm under with a licensed contractor(s)pursuant to the Contractors State License Law). penalty of perjury that I am under provisions of Chapmr9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class Li se No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION J have built as an owner-builder if it has not been constructed in its entirety by NQ hereby affirm under penalty of perjury one of the following dedarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the labor Code,for the performance of work for which this permit is issued. ,,y,Nyv.leeinfo.ca.eov/calaw.html. l � —Policy# q ' /_ �j 1� Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: y,�1 O /` ��/t `/ `,t n�/� /' application and the information I have provided is correct.I agree to comply Carrier 1 V1K l Y f Ill IJL�i 1 l I1 1 I y 1 0. with all applicable city and county ordinances and state laws relating to ^ r��R building construction.l authorize representatives of this city or county to Policy# 1 Ll 119 Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, all not emolov any persons in any manner so as to became subject to the CITY BUSINESS LICENSE# workers compensation laws of Califo 'a,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject tot workers compens;tin pr visionsof5ection 3700ofthe Labor Code,I shall hwith comply wit rovisions. Will the applicant orfuture building occupant handle hazardous material or a ��Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:F URE TO SECURE W RKER'S MPENSATION COVERAGE IS ❑Yes (yqo UNLAWFUL,AND SHALL SUBJECT AN EMP YER 70 CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes Ir0 1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes tkQo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 am exemptfrom the permitting checklist.I unders[ nd my requirements underthe State of Contractors License Law for the reason(s)Indicated below by the California Health&Safe de,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 ha rdous material repo ng. Business and Professions Code).Any city or county that requiresa permitto DNo , Date construct,alter,improve,demolish or repair any structure,signets its PRO Tf NER OR THORIZED GENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA R NOVATION.REP IR AND PAINTING IRRPj License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.aov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. SAFETYBUILDING & . • APPLICATION `3`Menifee DATE 1 2� ��1 V 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 O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK U 00CAGAIDC PROJECTADDRESS 2�1 p ClX'�L V�v\V\ �Y� "r eCA ASSESSOR'S PARCEL NUMBER /�r'+/ r� LOT TRACT OWNER NAME Q, l U �I CID ADDRESS 2 q q I D( vbkv Ln �p ^ 'v` PHONE n2 - 2,92 • gj '- � �r'L� EMAIL APPLICANTNAME ADDRESS PHONE( 'g:�j I K - 315 EMAIL 0b CONTRACTOR'S NAME `C /' q� �/�� /� OWNER BUILDER? OYES ONO BUSINESS NAME I l C(A � 1 \) VL VM/ +Q �/� /�� ADDRESS/� 'E W VI U b 1 I CA � ��r-� PHONE ("10q) Y� -, L]S D rrEMAIL l 11 V o- CONTRACTOR'S STATE LIC NUMBER �� ')lIl'' LICENSE CLASSIFICATION VALUATION$ S S �[ LSQ FT I.APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE � /�5 PAID AMOUNT AMOUNT �•J I I I OCASH O CHECK# OCREOIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED DYES O NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-6777 www.cityofinenifee.us Inspection Request Line 951-245-6213 J'F- F F cva� 2'�L, CC� 2,'7i Li q)-1 Cow E Vts �N M-EN , L-A City of Menifee Doilding & Safety Dept. LEDGER & TRACK APR 2 9 2016 CITY OF MENIFEE " PFCTION REOUIRED Received BUILDING AND SAFETY DEPARTMENT PLAN APP REVIEWE BY '� F-DATE 'Approval of thes plans shall not be construed to be a permit for,Oran approval of,any vi lation of any provisions of the federal,state or city regulations and or linarces. This set of approved plans must be kept on the jobsite until comp)!tion, 3U F'T Sam C) REAL= pr-zt rrr n j Li `'E