PMT16-02306 City of Menifee Permit No.: PMT16-02306
_ 29714 HAUN RD. Type: Residential Addition
'ACCEL/_> MENIFEE, CA 92586
MENIFEE Date Issued:
07/19I2016
PERMIT
Site Address: 30309 SILICATE DR,MENIFEE,CA 92584 Parcel Number: 360-810-068
Construction Cost: $3,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL ALUMAWOOD PATIO COVER 408 SQFT-NO ELECTRICAL
Work:
Owner Contractor
JIMMIE&KATHLEEN DULIN
30309 SILICATE DR
MENIFEE,CA 92584
Applicant License Number.
JIMMIE&KATHLEEN DULIN
30309 SILICATE DR
MENIFEE,CA 92584
Phone: 9092347952
Fee Description (QJtt Amount(SI
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
$168.65
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 carded 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 ME IFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that 1 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 ❑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 l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
D 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 www.le info.ca. ov calaw. tml.
this permit is issued. 1 1` Z
Policy# Alm, Date I t I
o I have and will maintain worker's compensation insurance,as required by PROPS TY OWNER OR 4117HORIZED AGENT
section 3700 of the tabor Code,for the performance of the work forwhich ❑By my signature below I certify to each of the following:)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: application and the information I have provided is correct.I agree to comply
Cartier with all applicable city and county ordinances and state laws relating to
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 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#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's 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 o Yes o 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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF LABOR[ODE,OR CODE,TON,INTEREST,AND DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
TORNEYS FEES for guidelines
IN SECTION 3706 OF THE LAB
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) in Yes in No
10WNER 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
Contractor's 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 oyes o 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 OWN ER 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 Contractor's 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 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($S00). managers who do the paint-disturbing work themselves or through their
as owner of the property,or my 5mployee 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.epa.eov/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of 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 bemuse:
in I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.
& SAFETY rERM IT/PLAN CHECK APPLICATION
py.
I
Menifee
DATE I� I PERMIT/PLAN CHECK NUMBER a SO
TYPE: 0 COMMERCIAL ' RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O-SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
NEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Q4iD - UC✓ m L,i
PROJECTADDRESS 13b9 &IICQ.TG r..,, a g25b`4 ��yy �a
ASSESSOR'S PARCEL NUMBER 3cf0 - (JIO Ote13 LOT #�9g TRACT y'I "I
OWNERNAME j1unj q ,^,Q,II--,teyj n Ij
ADDRESS �J)noq ( IAoa4 Dr.
PHONE bog) 93q-�9sa EMAIL It,llh*
APPLICANT NAME+,, eY1 Vrl
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME f e P? et'S OWNER BUILDER? 0 YES ONO
BUSINESS NAME JamEajjrQad S4-
ADDRESS bn&,
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ 3 7 0 SO FT `qb B _C�f L SQ FT
APPLICANT'S SIGNATURE DATE I
r`JI., -
DEPARTMENT DISTRIBUTION 1 CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREL EN SLIP
INVOICE aIr 6 .� PAID AMOUNT ��
AMOUNT �Y U O CASH O CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O 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
- .._. kwfa+y l6+
— C' of Meni}�e
Building 8,Safet Dept. .
JUL 19 MIS
CC
EMI I --t:( J i 0.
i � t. �l I
j ten U
1 �3blnclrx 1 n �jo ri�t)'_� cTiCt nrr _ j�J : ''✓y/w _�
U.
i I IL
I O
1� II
i 5r:
S
& TRACK
A REQUIRED
r
QJ
�7'
F MENIFEE
L%CA.4 `WID SAFE-PI DEPARTMENT
1APPROVAL
� � �
--� lIEWED BY A'n, T_
DATE
� -r-
t ro ns shall not be construed to ix a permit for,or an
rovifany vi ation of any provisions ofthefkew,stane or city
ulations and ordinances. This set of approved pla is must be kept on the
.,usite until completion.
(1�
:3
/i
r
09/08/2015 05:43 0000000000000 races mini
- - ORDER DM FAX 961--13&-035
5T3D�3'•SIIRT� �-'�7
Products
_ � a suM shop Hours 7:00 AM to 3_DD PN{
Oarorra�craSs�a -
ORDER FORM
DFJ. \/'e�7 �JnS r ,06f#jkw �ltct \ DUEDAE��
i.ER t—
CONTACT PHONE NUbfZM
_ f 7 [�naU xeia_ttc_1L_
COVER- 3V -OR ` LAT77CE OR f3.J+F PhN OR 1RP PP.D3C�tOli _ .
CDVERtt 3V OR 1RTfla OR FLATPAN OR IRP PRDlECT1O>t`
t anatit He7�T
COVER;_- 3Y OR LkTTlCE OF -PL.AT PA74 OR aaP PPoIEC stow '••••-"-'t` Heiotr.
L IE LOAD
wtND SPEED
GAUGEOF PANS GAUGE OF Pam_ :DR kS PER ICC DR aV�tNGS
tCIR9e One) MAPLEWOOD Dp,¢Tth'DOD b�CtiWOD'7
COLDRS:. V,rti[TE SANDALWOOD RD_�Rrt'OOD .
PPhrFBI - - .SIENNAWDDII -
A sxt�ieD FREE-MNDING M[D - AL
}�,oafLE HOME CDut�it1AL
- t :rr {anew rxc-one) 2' x2"
21- SpAClNG
Lla,-mCE
PMhUTEATRIM+Kf't: O OR PC) • 2' X6en'
Ydfrri TARS WgSDUT TAIL
ST`_'f-C OF CUT. SCfiLCDP
CORBS MUER SHV
MUhhEER OFPD53 OR -k5 PER]CC DRAlA9NGS
COLUMNS: FIDERGU- S OR ALUMINUM
SEE '� "lam-�
r�Pp Y!:$ OF. NO, -FAN rrAM Q1"
SIDE PLA7 : YF3 OP. No _
moNTLor rS OR No I
CO1d181NkTiDN: LATTIt�/SOLIA Yi35 OR NO
HANGER
(OU0,UP P7Jlff SE4LANT5 TIl
t .
rn-4 r CLA- on Sa e �9AfES I
LGGK t"Ti W cL A Yt i
os
(3eAw1
jq !R 0,
P]@2FE AcDviGE DGiYttvieur5lr:rh a.z seDa-ta:E Sfi�of Papa
�, � � `O
�n � �
�r
���
o �,
� �
�-
_—
� �—
J
� � I
W �
\\^
W
� `�
i v-
����
v
r
r.
p W
L OW
^, 0
On
i2
:\
r> fD
110
00
Lrl
_ u 1• ,� j._• ..._Y
' `1 � J '�I�a � .r r .� . � � �,r• ' �� 'tea@7 Cf
l �
1 • 1 I..