Loading...
PMT16-01379 City of Menifee Permit No.: PMT16-01379 29714 HAUN RD. Type: Residential Addition �!-1CCF1A? MENIFEE, CA 92586 MENIFEE Date Issued: 05102/2016 PERMIT Site Address: 26361 FLAXLEAF DR, MENIFEE,CA Parcel Number: 360-630-010 92584 Construction Cost: $5,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 480 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,2 POSTLIGHTS Work: Owner Contractor ALEIDA HERNANDEZ PSLQ INC 26361 FLAXLEAF DR 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 gty Amount(S) Receptacle, Switch, Outlet&Fixture 4 131.00 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 6.55 $306.20 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_Templale.rpl Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State 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 (j. which I must have resided for at least one year prior to completion of License Class Uce o. ZS Improvements covered by this permit, I cannot legally sell a structure that I have Expires - se- ignature r built as an owner-building if it has not been contacted in its entirety by licensed contractors. 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 for workers;the following declarations htto://www.leeinfo.ca.eov/calaw.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 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 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 comply permit is issued.My workers'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 �y y� / r identified property for the inspection purposes. Policy# W0110/)DA0I Expires / (? '/ �7 Date C, Property Owner or Aulhoriz/e�dyAg�ent�(This section need not be compl3ehl f the permit is for Ci Business License# (J!.,.J✓q03 ty one-hundred dollars($100)or less) ❑ 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 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 wcyR rs'compensation provisions of Section 3700 of the Labor amounts spec' ad on the Hazardous Materials Information Guide? Code,I shall o comply fth those provisions. / •/�7 I/- DYES 111 0 Applic It e[e- -�L / /ICJ Will the intended use of the building by the applicant or future building occupant require a germit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' CoastAir Quali anagement District(SCAQMD)7 See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli 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 it id g r 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 b NO 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 uncle land my requirements under the State of agency for the performance of the work which this permit is issued(Section California Health - Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous anal reporting. OWNER BUILDER DECLARATIONS ❑Y -- I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 62// License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER ORALI IORIZED 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 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 anyApplicanl 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 ❑ I, 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 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 properly, provided that the improvements are not intended or offered for sale.If,however, Certified Finn 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 purpose of sale). Certification No ❑ I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Finn 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 Lawl. If vour Droiect does not comply with EPA RRP rule please fill rnm the RRP fK 3: z5e e: -g s L AM _ _ iMter €i!v`w DATE PERMIT/PLAN CHECK NUMBER pmvy TYPE: ❑COMMERCIAL SIDENTIAL ❑MULTI-FAMILY ❑MOBILE HDME- OPOOL15PA [-]'SIGN SUBTYPE: ❑ADDITION [-]ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING'-❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK L C ) PROJECTADDRESS ASSESSOR'S PARCEL NUMBER (01 J0 ,p LOT _ TRACT D PROPERTY OWNER'S NAME ADDRESS E�fr� La PHONE 27 EMAIL _ APPLICANTNAME(( (� ' f1 cl ADDRESS G�F�5 v �r-�yl�JD (y-'�� (��(y � }� PHONE lP 4 V- I3 7CCCC EMAIL CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑NO BUSINESS NAME �} �f^( ADDRESS O ' ,,(, ' ✓`-�' ` - PHONE '� �"� � ILJI/ / 0-5 EMAIL CONTRACTOR'S STATE LIC NUMBER �C LICENSE CLASSIFICATION VALUATION$ Q Z) SQ FT g� L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE AMOUNT PAIDAMOUNT OCASH OCHECK# OCREDITCARD VLWMC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request line 951-246-5213 Aleida Hernandez Plot plan 26361 Flaxleaf Dr. Not to Scale Menifee, Ca. 92584 323-533-9227 12'x 40' 480' sq. ft. Solid top Alumawood Patio Cover set at 9' high . Attached to the house and to the existing concrete slab. Colors to be: Latte Trim with Desert Sand Ceiling (2) Ceiling Fans And (2) lights City of Menifee LEDGER & .,� ��ACK Building R Safety Dept. INSPECTION REQUIRED MAY 0 2 2016 INSPECTION'�A L, Received 36' 4V 1 ° V CIT OF MENIFEE S P!J! DING AND SAFETY DEPARTMENT PL',N APPROVAL Noag IEWED BY' D TE � '4p[u valof these plans sh. " ,.::,.iedtobea permit for,oran appfo I of,any violation or;,of the federal,state or city regula "`" �y UV eway jobsite until completion. ri Sidewalk Flaxleaf Dr.