PMT16-02668 City of Menifee Permit No.: PMT16-02668
_ 29714 HAUN RD. T Residential Addition
�/-�CCELA— MENIFEE, CA 92586 y��
MENIFEE Date Issued: 0 811 612 01 6
PERMIT
Site Address: 30544 BUCKBOARD LN, MENIFEE, CA Parcel Number: 358450-007
92584 Construction Cost: $4.450.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 26'x 13' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
JEFF CHENAULT SOUTHERN CALIFORNIA PATIOS
30544 BUCKBOARD LANE 1787 PAMONA DR#B
MENIFEE, CA 92584 CORONA,CA 92880
Applicant Phone:9098161288
SOPHIA KING License Number: 948536
SOUTHERN CALIFORNIA PATIOS
1787 PAMONA DR#B
CORONA,CA 92880
Fee Description Dot Amount ISl
Receptacle,Switch, Outlet&Fixture 1 116.00
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 5.80
$290.45
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_BIdg_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 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 D I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect
�k _ (�� the following reason:
License Class LJc"'e[rse No. I—I V S "" y my gnature below I acknowledge that,except for my personal residence
Expires Signature 1\ �` n ich 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
he eby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
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 bythe 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 ofwork forwhich wwvv.leainfo.ca.Rov/caiaw.html.
this permit is issued.
Policy# lb GO e1 Date
I PROPERTY OWNER OR AUTHORIZED AGENT
have a will maintain workers compensation insurance,as required by
KI-700 of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the following:I am the property
Is 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: p V� ap�callon and the information I have provided is correct.I agree to comply
Carrier 711/� Yl �1 L( ( n all applicable city and county ordinances and state laws relating to
ildin construction.I au o i presentatives of this cityjorumtytoPolicy# G �2tp24 Expires a to ab identi e p e for inspection purpos s1 I
(This section need not to be completed is the permit is for one-hundred 111 Date
rdolla ($100)arless PR P Fi NER ORA O 12ED AGENT
~ ify that in the performance of the work for which this permit is issued,
otem In any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
s comp n tion laws of California a ee that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the
rZrs compensation#fr sions f5ecdon 37 of the bor
Code,Ishall fort itt compywith os`e rovisi s. Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to or greater that the
Applicant ( - Date am nts specified on the Hazardous Materials Information Guide?
WARNING:FAILUR T SE URE WORKE ' COMPENSATION COVERAGE IS /es XNo
UNLAWFUL,ANDS ALL SUBJECTAN EM OYER TO CRIMINAL PENALTIES fl eintended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN cupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR oast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines
CONSTRUCTION LENDING AGENCY o Yes ❑No
1 hereby affirm that under the penalty of perjury there is a construction Will he proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued t boundary of a school?
(Section 3097 Civil Code) s No
OWNER BUILDER DECLARATIONS 1• ve read the Hazardous Material In rm tion Guide and the SCAQMD
I permitting checklist.I understand m equi ments under the State of
hereby affirm under penalty of perjury I am exempt from the
California ea h&Safety Code,Se n 255 5 and 25534 cem.ing
Contractors License Law for the reason(s)indicated below by the hazardous ial reportin .
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes D N
Business and Professions Code).Any city or county that requires a permit to Da
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY O R A OR2E
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 RENOVAT O R A AND PAINTI G 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($500). managers who do the paint-disturbing work themselves or through their
o 1,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.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions .1-800-424-LEAD(5373).
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:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",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 & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE Siw PERMIT/PLAN CHECK NUMBER —Q
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING CO RE-ROOF-NUMBER OF SQUARES
-
DESCRIPTION OF WORK U 0 1 f t/vV -
PROJECTADDRESS &c I -o Y
ASSESSOR'S PARCEL NUMBER , / L, !o •W I LOT TRACT
OWNER NAME lM.� nifee
ADDRESS ding/ V ., ¢� lt� Buil & Safety Dept.
PHONE l �.92 \r Y� p �/� EMAIL AUG 16 2016
APPLICANT NAME -��,�7
ADDRESS o t CPT
PHONE EMAIL
CONTRACTOR'S NAMEY.2)jOWNER BUILDER? O YES NO
BUSINESS NAMEr� .m ^� l
ADDRESSl��Y�/1G�
PHONE `��vt V"I Q�� '�� b o EMAIL S
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ SQ FT r L SQ FCT�
APPLICANT'S SIGNATURE DATE
CIrYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP I 1
PAIDAMOUNT
AMOUNT ,L O� u5
C CASH C LHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT CCASH OCHECK# OCREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES C NO DLNUMBER 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 951-245-6213
LSD �-
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City of Menifee W
Building & Safety De t. U
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AUG 16 2016 U
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16L ° -
Received
LEDGER & TRACK
INSPECTION REQUIRED j� �572 —
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CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
r l �►ta�1t0 ��
REVIEWED BY -m— •0i6- DATE
*Approval of these plans shall not be construed to be a permit for,or an I
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. Inisset o
jobsite until completion.