PMT16-01572 City of Menifee Permit No.: PMT16-01572
_ 29714 HAUN RD.
"! CCELA>. MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 05/1912 01 6
PERMIT
Site Address: 29972 SEA BREEZE WAY,MENIFEE, CA Parcel Number: 340-500-053
92584 Construction Cost: $4,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 407 SF SOLID ALUMAWOOD PATIO COVER WITH 1 FAN AND 3 LIGHTS
Work:
Owner Contractor
RUDY GARZA PSLQ INC
29972 SEA BREEZE WAY 28910 RANCHO CALIFORNIA RD
MENIFEE, CA 92584 #206
Applicant Phone:9517954260
LOIS MONTINI License Number:919885
PSLQ INC DBA GREENBEE
28910 RANCHO CALIFORNIA RD
#206
TEMECULA, CA 92590
Fee Description city Amount f81
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 carded 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 ❑ 1 am exempt from licensure under the Contractors'State License Law for the
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 9 (� which I must have resided for at least one year prior to completion of
License Class Lice sr[�/No. 7 jj improvements covered by this permit,I cannot legally sell a structure that I have
Expires —1. — tgnature \ r built as an owner-building if it has not been constructed in its entirety by licensed
i 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:
❑ I hereby affirm under penalty of perjury one the following declarations: htto://www.lecinfo.m.cov/calaw.html.
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 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 owners 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 cored. 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 m `� / identified property for the inspection purposes.
Policy# W01/D1}TI20Z)/ Expires f / (� '/ Date
Ll Property Owner or Authorized Agent
(This section need not be compl 3d4f the permit is for City Business License# 1,/�J�ig03
one-hundred dollars($100)or less) ty
❑ I certify that in the performance of the work for which this permit is issued,I 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 coo rs'compensation provisions of Section 3700 of the Labor amounts spec r on the Hazardous Materials Information Guide?
Code,I shall o w h comply it those provisions. / DYES 01 O
Applica t; ete--. -^L Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air QuaWPIenagement District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidef
riGsr
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES ❑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 100D feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES tTNO
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 tand my requirements under the State of
agency for the performance of the work which this permit is issued(Section California He_allh a}ly Code,Section 25505 and 25534 conceming
3097 Civil Code) hazardous nal reporting.
OWNER BUILDER DECLARATIONS ❑Y
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's Dale
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AU bRIZED 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 firms and comply with
she is exempt from Iicensure 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.gov/lead or contact the National Lead Information Center at
❑ 1, as owner of the property, or my employees with wages as their sole 1-800424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is � -Q_„
not intended or offered for sale.(Section 7044,Business and Professions Code; 1�r—
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 purpose of sale). Firm Certification No.:
❑ I, as owner of the property an exclusively contracting with licensed 0 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
DATE PERMIT/PLAN CHECK NUMBER 0'1
TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION [—]ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑N��EW// ❑PLUMBING❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK -707 S iT. Q
_ �J 1 /�
PROJECTADDRESS ^��'
ASSESSOR'S PARCEL NUMBER 3L.40 '600 n( � a
_ LOT Lp a TRAM b
City Of Menifee
PROPERTY OWNER'S NAME ,rZAi bull
ADDRESS
PHONE / U O:J D o� ` EMAIL '
APPLICANT NAME ' 1 j Received
q 0 1� (" fM l CnuNq c�
ADDRESS (a� I O1�fy.. "� EMAIL l
PHONE 1V - ` � l
CONTRACTOR'S NAME 1 't�l I OWNER BUILDER? []YES O
BUSINESS NAME (� 11 J
ADDRESS -( QCA
PHONE /EMAIL
CONTRACTOR'S STATE LIC NUMBER { L f LICENSE CLASSIFICATION
VALUATION$ S FT L SO.FT /
DATE ( F,
APPLICANT'S SIGNATURE _
CITY OF MENIFEE BUSINESS LICENSE NUMBER
DEPARTMENT DISTRIBUTION BUILDING PLANNING ENGINEERING FIRE GREEN l SMIP 1_
INVOICE PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
AMOUNT190
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED DYES O NO DL NUMBER
NOTARIZED LETTER G YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92596 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Rudy Garza LEDGER & TRACK
Pl==plan 29972 Seabreeze Wa�NPECTIQN REQUIRED
No Menifee, Ca. 92584
714-883-8224
407 sq. ft. Solid Top Alumawood Patio Cover
set at 9' high . Attached to the house and to the existing concrete slab.
(1) ceiling fan (3) lights on post
rO
City of Menlfee U
Building & Safety Dept. LLI
MAY 19 2016 0
LL
30' Received LL
O
a—_ V ►
� 24'
❑ ❑ 4 71
6'
1 f'
existing deck
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
N@ag@ , S�\°1�1V �
REVIEWED BY J�l�� PATE
*Approval of these plans shall not be construed to be a permit for,Oran
approval 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
Driveway
Sidewalk
Seabreeze Way