The URL can be used to link to this page

PMT16-01599 City of Menifee Permit No.: PMT16-01599 29714 HAUN RD. <ACCEL/h� MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 0512 0/2 0 1 6 PERMIT Site Address: 25776 BUFFALO CIR, MENIFEE,CA Parcel Number: 358-502-021 92584 Construction Cost: $4,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 640 SQ FT SOLID ALUMAWOOD PATIO COVER W/FOOTINGS AND ELECTRICAL 3 FANS, Work: 4 POSTLIGHTS Owner Contractor BEN DIEDERICH ANGEL'S PATIO COVERS&AWNINGS 25776 BUFFALO CIR 225 SPARKLER LANE MENIFEE,CA 92584 PERRIS,CA 92571 Applicant Phone: 9514431659 YVETTE GONZALEZ License Number:900657 ANGEL'S PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA92571 Fee Description Cry Amount IS) Receptacle, Switch, Outlet&Fixture 7 146.00 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 7.30 $321.95 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 underwhich 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_eldg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and 0I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect the following reason: License ClClaw /me 03` License Jo. 91,6k By my signature below l 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 legallysell 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 this permit i��ll/JL y,,,rrw,leeinfo.ca.eov/calaw.html. its issued. � Policy if �• UJ /�� 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 0 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: , I , application and the information I have provided is correct.I agree to comply Carrier T � ! with all applicable city and county ordinances and state laws relating to /+ building construction.I authorize representatives of this city or county to Policy it W( `�� Zires_hL Jp 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, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g 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,Ishall fort ithc mply with those visions. Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant ate amounts sp ed on the Hazardous Materials Information Guide? WARNING:FAI E TO SECURE WORKER' PENSATION COVERAGE 15 0 yes 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($10D,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 forguidel CONSTRUCTION LENDING AGENCY ❑Yes ciNo 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 boypddry of a school? (Section 3097 Civil Code) o Yes A 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 perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazjlbdou aterial reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 0 es !o Business and Professions Code).Any city or county that requires a permit to Date 20-2a/� construct,alter,improve,demolish or repair any structure,prior to its PERTY O E OR AUTHORI 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 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 contractors Business and Professions Code)or that he or she is exempt from Iicensure 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($500). managers who do the paint-disturbing work themselves or through their 0I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractols State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement Is sold within one yearof Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. 0 No EPA Lead-Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not.comply with EPA RRP rule please fill out the RRP Acknowledgement BUILDING & SAFETY . • APPLICATION A Menifee DATE �Q PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL 46RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ANEW /O PLUM/B�ING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS 71o ^' � ASSESSOR'S PARCEL NUMBER �9- / t,17�1 LOT TRACT OWNER NAME 7 /° ADDRESS J PHONE o EMAIL APPLICANT NAME ADDRESS PHONE ��/ 62C/�� EMAIL CONTRACTOR'S NAME 40 2 AINNEP BUILDER? OYES ONO BUSINESS NAME ^ �/� /Q T r ADDRESS PHONE Lj'j—�'��j]� �7 EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION OC- VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION r•/f CITY 0 M NIF E B I ICENSE NUMBER BUILDING PLANNING ENGINEERING FIFE GREEN I SMIP INVOICE ^^]]�� Gl Cj PAIDAMOUNT AMOUNT �v1• OCASH CCHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER C% 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 EDGER & TRACK iNSPE 1 3 ins -?awv -5i7-C a II II Ic'X Food-+nJ size ly' I�cch`o Size as q 31'x,3i4 x3i' ly`X35' City of Menifee uilding & Safety Dept. �iAY. 2 0 2010 Ct t��ref1 :� ic h - 01✓OiV2d o7J�77rodi/�'�a�U ��i"G/P 0,49) .75 its V CITY OF I3UILDIA AN . SAFETY DEPARTMENT PLAN APPROVAL REVIEWED BY � 456 D,I TE A