PMT16-02908 City of Menifee Permit No.: PMT16-02908
29714 HALIN RD. Type: Residential Addition
-5A_CCELA_> MENIFEE, CA 92586
MENIFEE Date Issued: 09/0112016
P E R M I T
Site Address: 30346 SILICATE DR, MENIFEE, CA 92584 Parcel Number: 360-810-058
Construction Cost: $4,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 14'X 35'SOLID ALLIMAWOOD PATIO COVER NTH 2 FANS,3 POST LIGHTS
Work:
Owner Contractor
MARVIN&FLORENCE VVIGGINS CLASSIC ALUMAWOOD COVERS
30346 SILICATE DRIVE 39450 BONAIRE WAY
MENIFEE, CA 92584 MURRIETA,CA 92563
Applicant Phone:9516748533
DAVID ABEEL License Number:986793
CLASSIC ALLIMAWOOD COVERS
39450 BONAIRE WAY
MURRIETA,CA 92563
Fee Description Amount 1$)
Receptacle, Switch,Outlet&Fixture 5 136.00
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 6.80
$311AS
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of effors 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.
AkBldg_PerrnitTernplate.rpt Page 1 of 1
CITY OF IVIENIFEE
LICENSED DECLARATION propertywho builds or improves thereon,andwhocontracts forthe projects
with a licensed contractor(s)pursuanttothe ContractorsState License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(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�q LicenseNo. By my signature below I acknowledge that,except for my personal residence
Expires Slamitureew-14-1� 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
ci 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
compensaflon,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.legmfo.ca.gov/caIavv.htmI.
this permit is issued.
Date
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
a 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 ci 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 ownees behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier �V 0 building construction.I authorize representatives of this city or county to
Poiicv# A/i w 1-3?--x.3X Expires ent th bove identified property for inspection purpaseS6
(This section need not to be com pleted is the permit Is for one-hund red Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
ci 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 becom e 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 h Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to orgreater thatthe
Applica;:M�=Date amounts specified on the Hazardous Materials Information Guide?
AARNING-FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS uYes elNo
UNLAWFUL,AND SHALL SUBJECTAN 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 TH E LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY n Yes "a
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) 0 Yes Qt(o
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 Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)Indicated below by the hazardous mat I I ting6
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 alres ri No
Business and Professions Code).Any city or county that requires a permit to �oa "MrepoF .— —Date t
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 RENO ON,REPAIR AND PA INTING 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 a Ileged exemption.Any violation of Section 7031:5 by residence or childcare facility to be RAP-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
ci 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPAs Renovation Program visit:
compensation,will do I I all of or I I portion of the work,and the structure is www.epa.goy/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 Contractorrs State License Law does not apply to an owner of a a 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 a re 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 bu rden of proving that it was ci No EPA Lead-Safe Certified Firm Is required for this project because:
not built or improved for the purpose of sale.
ri 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",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 PERMIT/PLAN CHECK NUMBER
TYPE: [I COMMERCIAL El RESIDENTIAL [-]MULTI-FAMILY [:1 MOBILE HOME F]PCIOL/SPA [-]SIGN
SUBTYPE: [-]ADDITION F]ALTERATION []DEMOLITION []ELECTRICAL EIMECHANICAL
MNEW []PLUMBING [-]RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK -1 5u\u\ IFOM--051
2? oxt vk8a?:2
PROJEcTADDRESS .3r,)5LAIo
ASSESSOR'S PARCEL NUMBER LOT TRACT Dept
PROPERTY OWNEIVS NAME SEP 01 9noz
ADDRESS
PHONE( EMAIL 11tic;LRI'Ved
APPLICANT NAME
ADDRESS 7- 6 92 C"4FA
PHONE 90 g - ?_?4 EMAIL
CONTRAcrOR'S NAME OWNEREILMILDER? LIYESK�O
BUSINESSNAME
ADDRESS
PHONE 15'\b�- (o-fq- IA5 3 EMAIL
CONTRACTOR'S STATE LIC NUMBER qL?)(,Q�7�q3. LICENSE CLASSIFICATION p ,eq
VALUATION$ y-ro,D , SQ.FT L( LSQFT
�AP�LJNVSSIGNATURE_-<�-ktl� DATE
CITY STAFF USE ONLY M
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
1 0
NV 'ICE PAID AMOUNT
AMOUNT F 0 * 0 C43H 0 CHECK# OCREDITCARD VISAIMC
It '5 JPAIDAMOUNT
L
PLAN CHECK F� 0 CASH 0 CHECK# OCREDITCARD VISAINIC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
OVMER-
C
��vyv:� CONTRACrOR.-
CLASSIC ALUMMU0011)COVERS
.1 fe
MUMETA, CA 2553
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0
LEDGER & TRACK Bull City Ot Menifee
FINS' PECTION REQUIRED ding & 809ty Dept.
7 SEP 01 2016
3 1
Received
7— —
k;-�'-�7 CITY OF MENIFEE
BUILDING AND SAFETY D
EPART-MENT
PLAN APPROVAL
REVIEWED BY
WEAL doD
DATE
*Approval of thft Ons shall not be
'on'tn*d to be a Peft for,or an
a0gal of,arty*Iation o f any provisions of the kdv#,st*or city
replations and ordinances. This set of aPProved 0ans Inust be kept on the
11obsite until completion,
'ran
FQ n