PMT16-02182 City of Menifee Permit No.: PMT16-02182
29714 HAUN RD.
'�ACCELA-. MENIFEE,CA 92586 Type: Residential Alteration
MENIFEE Date Issued: 0 810 212 01 6
PERMIT
Site Address: 25880 BALTRUSTROL DR, MENIFEE, CA Parcel Number: 339-122-024
92586 Construction Cost: $250.00
Existing use: 1 &2 Family Residence Proposed use:
Description of CONVERT EXISTING LENAI INTO HABITABLE SPACE,210 SF
Work:
Owner Contractor
JOHN MONDAY ,
45773 SHASTA LANE
TEMECULA, CA 92592
Applicant License Number:
JOHN MONDAY
45773 SHASTA LANE
TEMECULA,CA 92592
Phone: 9512196763
Fee Description ON Amount($
Receptacle, Switch, Outlet&Fixture 8 151.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 74 74.18
GREEN FEE 1 1.00
General Plan Maintenance Fee-Electrical 1 7.55
$260.73
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
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 licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class License No. By my signature below I 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 legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by
o 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 workers 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this appliation is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.Rov/alaw.htmL
this permit is issued.
Policy N Date
❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o 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 an the property owners behalf.I have read this
numberare: application and the information I have provided Is correct.1 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# Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred 'Q h ) m ��qy Date'-'/ —2 ZU' lD
dollars($100)or less PROPERTY OWNER OR AUTHORI ED 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 k
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. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 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 KNo
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($100,000),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 o Yes ANO
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) o Yes WNo
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 underthe State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the haza lous�aterial reporti
checkmark(s)I have placed next to the applicable items)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Date V 2' T
construct,alter,improve,demolish or repair any structure,prior to its p ERTYOWNER OR THOR12E0
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(RRPJ
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 astheir 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.epa.s:ov/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 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 year of Finn 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 bemuse:
01,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.
i
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
"Menifee
DATE 7 PERMIT/PLAN CHECK NUMBER Q
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION LeALTERATION O DEMOLITION QICLECTRICAL y/MIECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK CH AL (z- KYj-T �'S i 'fp //J��y/l5
PROJECTADDRESS oC,7 (J�(j ,+s �L ��Q/S f2o L Dl�?,
ASSESSOR'S PARCEL NUMBER _3� I Z Z d Z,`"1 LOT 3 3 Z TRACT -z 5 SZ
OWNER NAME �'O (N /N'l b�V�j� T �j
ADDRESS �'Sl77j v1G(�jl—�� Gh / e�ecv )c, t ( Z� .--
PHONE (P 7 0 3 EMAIL W �*JQ7' .C('jl1
APPLICANT NAME Building & Safety Dept.
ADDRESS JUL 12 2016
PHONE EMAIL
h 4.1
CONTRACTOR'S NAME -110 14AN Ma/L'.4i4 OWNER BUILDER? VES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ SO FT LSO FT
APPLICANT'S SIGNATURE
DATE
FFUSEONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING Ip?EN-GINEERI FIRE GREEN SKIP
INVOICE pgID AMOUNT
AMOUNT OCASH OCHECK# OCREDITCARD VISNMC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 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
NI<'
CORRECTIONS
1 st Review
NAME: John Monday
PLAN CHECK No: PMT16-02182
ADDRESS: 25880 Baltrustrol
DESCRIPTION: As-Built Lanai
DATE: 7/30/16
Vi. Designer wet signature required on all sheets. (Business&Professions Code 5802).
A. Provide location of main service panel, size and location of proposed overhead/underground conductors. CEC 110.3
✓3. Indicate on Plans Wall Insulation per Sect. 150(c)
w/a. Walls shall be insulated between framing members with insulation having an installed thermal resistance of
not less than R-13 in 2x4 inch framing,or the U-factor shall not exceed U-0.102 that results from installing
R-13 in a 2x4 inch wood framed assembly; and
EXCEPTION to Section 150.0(c)l: Existing walls already insulated to an installed thermal resistance of R-11
or greater.
b. Walls shall be insulated between framing members with insulation having an installed thermal resistance of
not less than R-19 in framing of 2x6 inch or greater,or the U-factor shall not exceed the U-0.074 that results
from installing R-19 in a 2x6 inch or greater wood framed assembly.
✓4. Ceilings and rafter roofs shall be insulated between wood-framing members with insulation resulting in an installed
thermal resistance of R-30 or greater for the insulation alone.Attic access doors shall have permanently attached
insulation using adhesive or mechanical fasteners.The attic access shall be gasketed to prevent air leakage. Sect.150(a)
✓5. Indicate on Plans switch locations or pull cord for ceiling fans on/off.
✓ 6. Indicate Overall Dimensions on Lanai sht 3.
7. Plans may be corrected at the counter and Approved.
Craig Carlson
Senior Inspector
City of Menifee
951-672-6777 ext. 119
r
„ � p{fice COPY
City of Menitee Building & Safety Dept.
JUL 12 2016
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CITY 0146 E
' I BUILDING AND S FETY DEPARTMENT
PLAN APPROVA
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All construction shall comply]adop]ts
j� REVIEWED BY DATE
2013 California Residential Code,the 2012 IRC, 2012 UMC, 2 •Approval of these plans sha not be construed to be a permit for,or an
provisions of the federal,state or city
and the 2011 NEC. approval of,any violation of ny
regulations and ordinances, his set of approved plans must be kept on the
jobsite until completion.
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