The URL can be used to link to this page

PMT16-02305 City of Menifee Permit No.: PMT16-02305 _ 29714 HAUN RD. Type: Residential Addition �ACCELA-? MENIFEE, CA92586 MENIFEE Date Issued: 07/22/2016 PERMIT Site Address: 25867 BETH DR,MENIFEE,CA 92584 Parcel Number: 358-232-015 Construction Cost: $18,000.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 1088 SF SOLID ALUMAWOOD PATIO COVER WITH 5 FANS, 5 SWITCHES,4 GFI OUTLETS Work: Owner Contractor BENNIE NOBELL JAMIE AVILA LANDSCAPE 25867 BETH DRIVE 27171 WICKERD RD MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone:9517575964 JAIME AVILA License Number: 838428 JAMIE AVILA LANDSCAPE 27171 WICKERD RD MENIFEE, CA 92584 Fee Description 9t`[ Amount ISI Receptacle,Switch,Outlet&Fixture 14 181.00 Building Permit Issuance 1 27.00 Deck/Patio,non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 9.05 $360.70 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. AA_Bldg_Pernit_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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o 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 I 3Z License No. 3 By my signature below 1 acknowledge that,except for my Personal residence Expires Signature in which lmust 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 DECIA Irl 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 application Is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which www.IeAinfo.ca.gov/calaw.html.permit is issued. Policy# Date I have and will maintain worker's 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: ,L( o application and the information 1 have provided is correct.I agree to comply Carrier (Li. I 'P 1 /,t IM�y h ZA •F/!1 20(7 with all applicable city and county ordinances and state laws relating to -f building Construction.l authorize representatives of this city or county to Policy# n -��Y- Expires enter the above identified property for inspection purposes. r (This section need not to be completed is the permit i for one-h ndred Date dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers com s ti no of Section 3700 of the Labor Code,I shallfo twit mp tl those previsions. 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? WARN G:FAIL ECURE WORKER'S COMPENSATION VERA EIS Dyes ONO UJVG1 , D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ODICTIOTION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY O Yes O No 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) ❑Yes ONO OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT 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 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 7032.5 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 ownersand property than($500). managers who do the paint-disturbing work themselves or through their ❑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( I 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 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 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. BUILDING & SAFETYPERMIT/.PERMIT/PLAN CHECK APPLICATION 4 � Menifee DATE PERMIT/PLAN CHECK NUMBER - TYPE: O COMMERCIAL O RESIDENTIAL 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 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK f L14' L(Qt J I PROIECTADDRESS •2 ,�) Q ASSESSOR'S PARCEL NUMBER 'jam- '�'3'��-�C� LOTC�AA TRACT OWNER NAME ing Build & Safety Dept. Building & Safety Dept. ADDRESS '2_s9 JUL 2 2 2016 JUL 19 2016 PHONE �Q� �L�,..- (O EMAIL APPLICANT NAME ADDRESS PHONE EMAIL r CONTRACTOR'S NAME G« l,(,( OWNER BUILDER? OYESKNO a BUSINESS NAME CE ADDRESS / r ,/� PHONE �C,/ �� EMAIL �� y �ip�• CONTRACTOR'S STATE LIC NUMBER %rQ LICENSE CLASSIFICATION _ VALUATION$ �,�(��c SO.FT / — L SQ FT APPLICANT'S SIGNATURE DATE C DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 3 INVOICE PAID AMOUNT AMOUNT ,, 1 0CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# ON CREDIT CARD VISA/MC OWNER BUILDERVERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofTIenifee.us Inspection Request Line 951-246-6213 i EL ON U w city of U enifee �. But ding & Safety Dept ILL 2 2016 O Cf�9Ved exi5 : -2 u E: .:; a canLete = ❑❑DUUU It ------------- CQ sti L .... _ ..,.. c� • Gov@r, CITY OF MEly F E BUILDING�AD SAFETY DEPARTMENT 0 o PLAN APPIRW. L 11 REVIEWED DATE - / *Approval of these; inp I rued to be a permit for,or an approval of,any viol ion ` p ision of the federal,state or city regulations and ordi anc is of a proved plans must be kept on the obsit le on. L t