PMT16-01920 City of Menifee Permit No.: PMT16-01920
_ 29714 HAUN RD. Type: Residential Addition
"CA_CCEL/? MENIFEE, CA 92586
`,ASA" MENIFEE Date Issued: 06/20/2016
PERMIT
Site Address: 29104 MOJAVE CT,MENIFEE, CA 92585 Parcel Number: 333-423-003
Construction Cost: $3,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 308 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,2 LIGHTS, 2
Work: OUTLETS
Owner Contractor
ALLEN PIRES PSLQ INC
29104 MOJAVE CT 28910 RANCHO CALIFORNIA RD
MENIFEE, CA 92585 #206
Applicant Phone:9517954260
LOIS MONTINI License Number:919885
PSLQ INC
28910 RANCHO CALIFORNIA RD
#206
TEMECULA, CA 92590
Fee Description 01t rr Amount($I
Receptacle, Switch, Outlet&Fixture 6 141.00
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 7.05
$316.70
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.
M_Bldg_Pennit Template.rpt 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 n which I must have resided for at least one year prior to completion of
License Class Lice s J 0. `1 improvements covered by this permit,I cannot legally sell a structure that I have
Expires _ ignature built as an owner-building I it has not been constructed 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:
will❑ I hereby under penalty of perjury one the following declarations: hfto://www.leainfo.m.aov/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 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 Ts 147,# identified property for the inspection purposes.
Policy# WC110 N)N I Expires / (p ^/ Date
Property Owner or Authorized Agent �[ �{
(This section need npt be compl ted4f the permit is for City Business License# ��TO✓
one-hundred dollars($100)or less)
❑ 1 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 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 the coo W compensafion provisions of Section 3700 of the Labor amounts spec r on the Hazardous Materials Information Guide?
Code,Z'sohall o h comply ith those provisionss.. ❑YES
Applic ete-[l'-lF / 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 Quail anagement District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidefi
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 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES bNO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm that under the penalty of perjury there Is a construction lending pennifffng checklist.I unde tend my requirements under the State of
agency for the performance of the work which this permit is issued (Section Califomia Health Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous tfiatLfffial reporting.
OWNER BUILDER DECLARATIONS ❑Y ❑
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's - Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER ORAU AbR1ZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct, after,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 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:
❑ I, as owner of the ro www.epa.gov/lead or contact the National Lead Information Center at
p pe rty, or my employees with wages as their sole 1-80D-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 Contractors 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 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 Certification No.:
purpose of sale).
❑ 1, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Cerfified 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 Law). If your project does not comply with EPA RRP rule please fill out the RRP
DATE PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL FIRESIDE-- ❑ OBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING'-❑RE-ROOF-NUMBER OF SQUARES
$ 1 [�l0 alue1oc
DESCRIPTION OF WORK � ^, e Q �
'� 2� L
PROJECTADDRESS qi Me�J,lav ' DO�yJ�,1LOT 3Q% TRACT
ASSESSOR'S PARCEL NUMBER
'f y� 1 ,�
A 11
PROPERTY OWNER'S NAME All V/wn/
ADDRESS
PHONE/' U7l�r — EMAIL
APPLICANT NAACME (�
ADDRESS (1 11 V D Wt r f r `vv v
PHONE EMAIL
OWNERS ER? ❑YES❑NO
CONTRACTOR'S NAME
BUSINESS.NAME (`,� - Toil N
ADDRESS -I O 11 � 1
GC �-1� r& � EMAIL
PHONE U 7 LICENSE CLASSIFICATION
7
CONTRACTOR'S STATE LIC NUMBER �1
SQFT LSQFT
VALUATION$ —
DATE
APPLICANT'S SIGNATURE -
t a - CITY OF MENIFEE BUSINESS LICENSE NUMBER
DEPARTMENT DISTRIBUTION SMIP
BUILDING PLANNING ENGINEERING FIRE GREEN
INVOICE O CASH J CHECK'
AMOUNT YJ CREDIT CARD VISA/MC
31l ...�� PAID AMOUNT
PLAN CHECK FEES
PAID AMOUNT w CASH CHECK Y. vCREDIT CARD VISNMC
LOWNER:B�U�iLDF=RVEFIrIEC YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menij ee Building&Safety Department 29714 Houn Rd. Menijee, CA 92586 951-672-6777
www.cityojmenijee.us Inspection Request Line 951-246-6213
Allen Pires
Plot plan 29104 Mojave Ct.
Not to Scale Menifee, Ca. 92585
- - - 619-840-3225
308 sq. ft of Alumawood Solid Patio Cover. Attached to the house and to
the concrete slab. Set at 9' high (2) ceiling Fan (2) lights on post and (2) outlets
LEDGER & TRACK
NSPECTION REQUIRED
City of Menifee
Building R Safety Dept.
JUN 0 2016
t_ ❑ ❑ ❑ ❑ 6'
1
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(I�
_Y OF MENIFEE v_
LDI !r3 *ma s,40EV PEPART1111 O
—,0 PPROWd
1
/IE ED Zb DATE
Val of t esP0hy,pA*1ot be construed to be a permitfororan
it of,an f violation of any provisions of the fedem,state or city
!ions an ordinances. This set of approved plans r lust be kept on the
,ntil co npletion.
Sidewalk
Mojave Ct.