PMT16-01447 City of Menifee Permit No.: PMT16-01447
29714 HAUN RD. Type: Residential Addition
�ACCELX_ MENIFEE, CA 92586
MENIFEE Date Issued:
05109/2016
PERMIT
Site Address: 28101 LITTLE LAKE CT, MENIFEE, CA Parcel Number: 333-382-003
92585 Construction Cost: $2,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 7'x 19.5'SOLID ALUMAWOOD PATIO COVER WITH 2 GFI OUTLETS, 1 SWITCH
Work:
Owner Contractor
CHRISTOPHER KEITH PATIOS&MORE
28101 LITTLE LAKE COURT 32897 MONTE DRIVE
MENIFEE, CA 92585 TEMECULA,CA 92592
Applicant Phone:9519722000
ROBERT ALVES License Number: 1001577
PATIOS&MORE
32897 MONTE DRIVE
TEMECULA, CA 92592
Fee Description -Q-tz Amount($1
Receptacle, Switch, Outlet&Fixture 3 126.00
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 6.30
$300.95
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.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjurythat I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure underthe Contractor's State License Lawfor
Professions Code and my license is in full force and effect. the following reason:
License Class C 61 -n-3 License No.I o61.-7-/ By my signature below I acknowledge that,except for my personal residence
Expires* Signatu in which l must have resided for at least one year priorto completion of
improvements covered by this permit,)cannot legaliysell a structure that 1
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
D 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 wwwle¢info.ca.eav/calaw.html.
this permit is issued.
Policy p Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑1 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:)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: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy g 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
Lr<l certify that in the performance of the work for which this permit is issued,
1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE ff
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 forthwith comply with those provisions. c Will the applicant or future building occupant handle hazardous material or a
Applica�_/o �� DateO 9- /� 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 D Yes R No
UNLAWFUL,AND SHALL SUBJECT AN 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($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 oYes aQNo
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) D Yes {J No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat 1 am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes 2No
Business and Professions Code).Any city or county that requires a permit to 12±4 - Date j-
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWN ER 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 Contactors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contactors
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-certffied 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
D 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.Rov/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 Contactors State License Law does not apply to an owner of a D 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 forthe purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contacting with licensed
contactors to construct the project(Section 7044,Business and Professions
Code:The Contactors 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.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE i -/ L PERMIT/PLAN CHECK NUMBER - 7
TYPE: O COMMERCIAL kRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES 11 OItY Of Menifee
a tY Dept.
pt.
DESCRIPTION OF WORK 7� 19'(. AIIWJV4vr cc1 fo!- Lt PC-4i0. cv�
/ �iw ti MAY 09 2016
PROJECTADDRESS Sf0I eg
//Jr4Ve 166�/.(c� ov,4 !J' 2n,
ASSESSOR'S PARCEL NUMBER ;05J 1 �r� [ � LOT _ TRACT JV1O�J
OWNER NAME l v k S ke 14-6
ADDRESS 2elVl / r �)c- I4IfG O�,14 Ca; AFe e4 112-5-6ts-
PHONE joy- $39 —/G 8 8 EMAIL
APPLICANT NAME IZpb lr-E Mor-S
ADDRESS $ /Lt "' +e r'�Lir .K 1C. C 'd
PHONE 9c�/ - .972 ,-;2•v o V EMAIL p (✓f o.v�
CONTRACTOR'S NAME La24,4 &,PeS OWNER BUILDER? O YES C,-VO
BUSINESS NAME Re,-PO, eq [ AA }
ADDRESS -:? 2 99 eM-e4t J Cd 4;
PHONE fF,f-/, �72 • '� o �� EMAIL c-t•� t,/ C✓
CONTRACTOR'S STATE LIC NUMBER /#O/:�77 LICENSE CLASSIFICATION p
VALUATION$��7 p •D SQ FT 13 to L SQ FT
APPLICANT'S SIGNATL15E; � 49� DATE
CITYS'rAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT /LM
AMOUNT ..://v�ai/ 0CASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 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
GGt�rs l�z; �� y n-
� t -W 41. -LEDGER-&TRACK O
INSPECTION REQUIRED 0-
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ty
Juillig &r oet'y_19L• ._._—
MAY 0 9 2016
S , celved
5
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT ..-
PLAN APPR_ OVAL -
REVIEWED BY -�
ATE - -
*Approvaf of tbese plans shall not be construed to e a permit for,or and
approval of,any violation of any provisions of the f deral,state or city O
r� Iatip and ordinances.This set of-approved p nsmustbe kept on the
Ir0.SIte"u,51 cympletion.
S�' to l A f"t✓n=d
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