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PMT16-01376 City of Menifee Permit No.: PMT16-01376 29714 HAUN RD. Type: Residential Addition �A-CCF-:O MENIFEE,CA 92586 MENIFEE Date Issued: 05/02/2016 PERMIT Site Address: 28394 SERENITY FALLS WAY, MENIFEE. Parcel Number: 333-581-002 CA 92585 Construction Cost: $3,000.00 Existing Use: 1 &2 Family Residence Proposed Use: - Description of INSTALL 450 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,3 LIGHTS, 1 Work: OUTLET Owner Contractor TODD&JAIME WEGFORTH CLASSIC ALUMAWOOD COVERS 28394 SERENITY FALLS WAY 39450 BONAIRE WAY MENIFEE, CA 92585 MURRIETA, CA 92563 Applicant Phone:9516748533 DAVID ABEEL License Number:986793 CLASSIC ALUMAWOOD COVERS 39450 BONAIRE WAY MURRIETA,CA 92563 Fee Description gty Amount f$1 Receptacle, Switch,Outlet&Fixture 6 141.00 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 $309.65 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.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contnactor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o 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 'Z Lic a No. 519 b-713 By my signature below I acknowledge that,except for my personal residence Expires 1r'r 1 Signature i 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 have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations: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 ,,y�yyv,leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: r'1 application and the information i have provided is correct.I agree to comply SL Carrier 4-F Y rV,M1..k with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Fir 3 N 102 Expires G -1 7 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 ❑I certify that in the performance of the work for which this permit is issued, O 2a�2,�� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# •/O ✓✓�� workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall f w' t co ly with those provisions. / Will the applicant or future building occupant handle hazardous material or a Applican Dates " mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes G-Ko UNLAWFUL,AND SHALL SUBIECIIAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),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 CON5TRUCHON LENDING AGENCY ❑Yes nNo I 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 cKo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQNID I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)Indicated below by the California Health&Safely Code,Section 25505 and 25534 concerning hazardou a[ rial re/porting. chsiness and I have placed next toy city applicable item(s)(section 7031.5 permit � 7 Business and Professions Code).Any city or county that requires a permit to v�` Data �-G- / "0 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT 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 RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP]Rule requires paint incontractors receiving compensation for most work that disturbs palm in more-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 properly,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.epa.eov/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 bemuse: ❑.1,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. �r {i BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL .kRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA %SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION OLECTRICA/L O MECHANICAL rNEW O PLUMBING ' p O RE-ROOF-NUMBER OF SQUARES /S'O DESCRIPTION OF WORK L J.k.: r 9 !" G _ L (-+�NS - 3 LII •k-�j Lot PROJECFADDRESS Z 8 3 2 Sew e,G.��� L/411 5 L j ASSESSOR'S PARCEL NUMBER ��7 `�Q VD/ LOT '4,7e ,TRACT ✓ W' OWNER NAME �O d Kv e W el ADDRESS 951MLA CAC1�Jyl PHON� 2L\ 322--J--3L- C EMAIL PLICANTNAME (.)IJ I d I+jR (- ADDRESS ?- ( QS`Z L_4 Z Y G I'CILLL P� M PHONE f' OS- 7TZ- ?3 EMAIL cowmCiOR'S NAME L,i,���,�.l• Cz�wrS OWNER BUILDER? O YES NO BUSINESS NAME t� ADDRESS ��45D u ��f W \l., R- PHONES\) CO3lA-jjrj35; +�EMMAIILL� ` � a C¢ti2V5eJ CONTRACTOR'S STATE LIC NUMBER ��tL/ /-l ✓ LICENSE CLASSIFICATION VALUATION$ SQSQFT YT© LSQFT / APPLICANT'S SIGNATURE L' DATE 3 -z - t D CITY STAFF USE ONLY DEPARTMENT DISTRIBU'RON CITY/OF��Mf%i�-F(E�( 151%�'E�$y��}IyT NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN ✓� ✓✓ (, 1X INVOICE bS PAID AMOUNT AMOUNT 0CASH 0CHECK# >CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 b w x1 CF, ; C_.off" Ad c r a to- To-Lk A J avn; e- 0 E6 Fo/4-k CC ZOAr, wov l F4IL5 W4Y 3FYs�ff £3cv�jre cr�Ry 1M pA)Wce Cc, Q LS.S of u�td. 1� e'- Y Zs P F IZonr i LEDGER & TR GK Building&fSakiy Dept. INSPECTION RE UIRED ell MAY 0 2 2016 3s" Received ^r F�iE'tiFEE ( n`_pARTMENT --Pi-AN APPROVAL KVIEWED BYE� PATE pf(` •°p�rovalofthesePnvhjll o&construedtobea permitfor,oran 6 dpyi Ndl of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the ��G LC i 'k r�(susf(e until completion. z 3 1_ 7 ' 9 lz � 30e [) FA>J fad is ( Q r Q v 30 � r 13AC1�