PMT16-01783 City of Menifee Permit No.: PMT16-01783
29714 HAUN RD. Type: Residential Addition
�ACCELA4.. MENIFEE, CA 92586
MENIFEE Date Issued:
06109/2016
PERMIT
Site Address: 29070 AVENIDA DE LAS FLORES, Parcel Number: 341-142-015
MENIFEE, CA 92587 Construction Cost: $3,500.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 225 SQ FT SOLID ALUMAWOOD PATIO COVER WIELECTRICAL 2 FANS,2 POST LIGHTS
Work:
Owner Contractor
CAROL PEPPER WEST COAST WINDOWS AND HOME
29070 AVENIDA DE LAS FLORES IMPROVEMENT
MENIFEE, CA 92587 1151 POMONA ROAD SUITE P
Applicant Phone:9512726644
FLORA RUIZ License Number:464230
WEST COAST WINDOWS AND HOME IMPROVEMENT
1151 POMONA ROAD SUITE P
CORONA, CA 92882
Fee Description city Amount r$1
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_Permil_Template.rpt 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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractor's State License Law for
Professions Code a license is in full force and effect. ' L�^ the following reason:
4 L.License Class �1 License o _ By my signature below 1 acknowledge that,except for my personal residence
Expires 2 1 Signature in which l must have resided for at least one year prior to completion of
improvements covered bythis permit.I cannot legally sell a structure that 1
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirely by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that 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 is �v,,r�v,leeinfo.ca.eov/calaw.html.
issued.
Policy# A V\I C�. 5 0 1 I� I Date
PROPERTY OWNER OR AUTHORIZED AGENT
o 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 ❑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: t, I I - 0 application and the information I have provided is correct.I agree to comply
_ n ,.1..._1 ' with all applicable city and county ordinances and state laws relating to
Cartier ' /1]\\1A�titi�MWlvv,^(r�)—V �A1Ri1RLL..Aiiwnn `vvY��iJiN11 ---CCCVVV building construction.I authorize representatives of this city or county to
Policy g "I vV C IS 0 Expiresabove identified property for inspection purposes.
(This section need not to be completed is the perm�for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not employ 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,I shall forth ith amply with t ose provisions. � � will the applicant or future building occupant handle hazardous material or a
Applicant Dated mixture containing a hazardous material equal to or greater that the
LL `` amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURETO SECURE WORM( ' COMPENSATION COVERAGE IS o Yes o
UNLAWFUL,AND SHALLSUB)ECT AN EMPLOYER TO CRIMINAL PENALTIES Will me 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 Coas[Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid�t1i S
CONSTRUCTION LENDING AGENCY ❑Yes �j((Vo
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 bou�d7ty of a school?(Section 3097 Civil Code) ❑Yes ❑(It�\ff
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health al 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
❑Yes o No
Business and Professions Code).Any city County that requires a permit to L&ADate_(' 1
construct,alter,improve,demolish or repair
r any structure,signed its PROPERTY OWNER OR AUTHORIZE E T ` l
issuance,also requires the applicant for the permhto file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 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-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
o 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.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 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 for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
o 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.
Menifee
DATE p PERMIT/PLAN CHECK NUMBER P 1 b-1 O 07 p
TYPE: :%COMMERCIAL VESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 4-� (O C.0— MAQ
°t251)+
PROJECTADDRESS Ay
ASSESSOR'S PARCEL NUMBER 3�YI " I `FL—OIS LOT Itl TRACT 101 I,,
OWNER NAME J � �
ADDRESS IW
PHONE EMAIL
APPLICANT NAME V`\U 2
ADDRESS gIRL \�
PHONE 6) — ` A ,9 - TO EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME
ADDRESS ` 1 IS
PHONE �„�j ` — 05� ��U 1_\ EMAIL Q
CONTRACTOR'S STATE LIC NUMBER {, 111�1 Z JO yMLICE LASSI
�NSE CFICATION
VALUATION$ -'DU i OD SQ FT Cb ��L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT AMOUNT I � I 1 O CASH O YHECKtt O.CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO OIL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofrnenifee.us Inspection Request Line 951-246-6213
GB a.vr.
uv .
WEST COAST
WINDOWS
NOMEIMPROVEMENZ
pity of Menifee 1151 Pomona Rd. Suite P
SL ;,,ting & Safety Dept' Corona, CA 92882
't7N 0 9 20% Ph: (951) 272-6644
Fax; (951) 272-6649
June 7, 2016 received
City of Riverside
3900 Main Street
Riverside, CA
To whom it may concern:
This letter is to inform you that I (Joe Vernon) President of West Coast Windows and Home
Improvement authorize Flora Ruiz to pull city permits for our customer Carol Pepper located at
29070 Avenida De Las Flores in the city of Quail Valley.
If you ave any questions, you can call me at (951) 272-6644.
/Joeernon
West Coast Windows &
Home Improvement
CSLB#464230-B
C"'Y OF MENIFEE
BUILDING AND SAFETY -EPARTMENT
FLXI APPROVAL
iyo eniee
REVIEWED Building & Safety Dept.
DATE JUN 0 9.2016
Approval of these pl ns shall not'e construed to be ape for,or an
arproval of,any violatonof any provisions of the federal,lttoorcity Received
regulations and ordin ces. This set of approved plans m st 1le�pt on the
johsite until completi
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LEDGER & TRACK
REQUIR C' �
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