PMT16-02696 City of Menifee Permit No.: PMT16-02696
29714 HALIN RD.
<ACCELJ�.' MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 08118/2016
P E R M I T
Site Address: 30301 SILICATE DR, MENIFEE, CA 92584 Parcel Number: 360-810-069
Construction Cost: $2,800.00
rxisting Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 9'x 32'SOLID ALLIMAWOOD PATIO COVER WITH 1 FAN,2 LIGHTS
Work:
Owner Contractor
ELAINE LANGENDORF CLASSIC ALLIMAWOOD COVERS
30301 SILICATE DRIVE 39450 BONAIRE WAY
MENIFEE,CA 92584 MURRIETA, CA 92563
Applicant Phone:9516748533
DAVID ABEEL License Number! 986793
CLASSIC ALUMAWOOD COVERS
39450 BONAIRE WAY
MURRIETA,CA 92563
Fee Description Qtv Amount($1
Receptacle, Switch, Outlet&Fixture 3 126.00
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 6.30
$300.95
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 cornmenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA BidgPermit Template.ript Page I 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).
Chapterg(commencing with section 7000)of Division 3 of the Business and a 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 —Z 4f Lialanse No. Y 9 b -2�3 By my signature below I acknowledge that,except for my personal residence
Expires -7 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 consentof 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.leginfo.ca.eoy/caIaw.htmI.
this permit Is Issued.
Policy If Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I a m the property
this permit Is Issued.My workees compensation insurance ca rrier 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
Carrier L)'&-A with all applicable city and county ordinances and state laws relating to
build.'Lng con ruction.I authorize representatives of this city or county to
Policy# A-2 QtC-7 3 2 7--Z�—Fxpbes ent4 the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-'hundred a�- L 6,� Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
a I certify that in the performance of the work for which this permit is issued,
I shall not emal any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the k r' "-m ens ti n provisions of Section 3700 of the Labor
Code,I shall I,n-e =Pply wiath'otho,e provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicany-6?� Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes �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 COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,I NTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY uYes oigo
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) oYes oNo
OWNER 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 He lith&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous mj:ateial�r orting.
_��din
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 6es M 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING JRRPJ
License Law(Chapter 9(commencing wiith 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 la cility to be RAP-certified fimu and comply with
an Applica nt for a permit subjects the applicant to a civil pena Ity 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
a 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 I I all of or( I portion of the work,and the structure is www.epa.gowrlead 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 Contractor's State License Law doesnot apply to an owner of a n 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:
sa le.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 sa le. ci No EPA Lea d-Safe Certified Firm is req ulred for this project because:
a 1,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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"Menifee
DATE__. J51 PERIMITIPLAN CHECK NUMBER PtAmk Uq LP
TYPE: EICOMMERCIAL oRrsiDENTIAL [:]MULTI-FAMILY [IMOBILEHOME F]POOL/SPA F-ISIGN
SUBTYPE: [-]ADDITION FJALTERATION [:]DEMOLITION gELECTRICAL FIMECHANICAL
[]NEW E]PULIMBING 0 RE-ROOF-NUMBER OF SQUARES-
DESCRIPTION OF WORK
C.)
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PROJEcTADDRESS
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ASSESSOR'S PARCEL NUMBER
LOT TRACT
PROPERTY OWNER'S NAME
-A XYAp-r� N6ceived
ADDRESS
PHONE (Cl
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APPLICANTNAME D4vio AUC- IFL,
ADDRESS Z \t, C_IEEF�le R,�- 4?1 LOV
PHONE EMAIL
CONTRACTOWS NAME OLA�ERBUILQE�R? []YESAO
BUSINESSNAME co\P�Y5
ADDRES ?�AlAvS QZYAc-j�ve Wa&A, , L-A 11 ff Ideta 12A 9��Sly 3
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER (:�b(S LICENSE CLASSIFICATION L/
VALUATION$ 2- 200- scxFT LSQFT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
utrAx rmENT DISTRIBUTION S IP LHY O�MtNfth 13USINLSS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN S
INVOICE
AMOUNT PjkIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISAIMC
PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# OCREDITCARD VISAIMC
OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZEDLETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6777
www.cityofmenifee.us Inspection Request Line 951-245-6213
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CITY OF MENiFEE DE MENT LLI
BUILDING AND SAFETY )EP+TM BuIldCin'gyg TSMaefen,17yteeDept.
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PLAN APPROVAL 30 AUG 1: 8 2016 LL
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REviEWED 13� DATE Received -
ew oans shall riot be construed to be a permlt f0f,or
*ApprMWOM cl4ftDGER & TRAC
app roval of,a"VWWon 01 11Y PrOVISIOns of the federal,SW'or"
regulations and odmances. This set of approved plans must bl,WWT 1,0 H P1 E Q U1 ED
ornpletion.
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