PMT16-03052 City of Menifee Permit No.: PMT16-03052
29714 HAUN RD.
'(;kCCIEU� MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 09/1412016
P E R M I T
Site Address: 29072 MOJAVE CT, MENIFEE, CA 92585 Parcel Number: 333-423-005
Construction Cost: $6,850.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL COMBO LATTICE/SOLID ALUMAWOOD PATIO COVERS TOTAL 584 SQ FT WELECTRICAL
Work: I FAN 2 POSTILIGHTS
Owner Contractor
LUIS RIVERA TRADER DAN'S INC
29072 MOJAVE CT 840 S ROCHESTER AVE STE C
M ENIFEE, CA 92585 ONTARIO, CA 91761
Applicant Phone:9093900555
DON DAUGHENBAUGH License Number:517575
TRADER DAN'S INC
840 S ROCHESTER AVE STE C
ONTARIO,CA 91761
Fee Description ON Amount
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-Eiectrical 1 6.30
$300.96
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 BidgPe"It—Template.rpt 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 contmctor(s)pursuant to the Contrewt(ITS State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractor's State License Law for
Professions Code Wy license is in full force and effect. the following reason:
License Class— Ucense No. _-5-1-7 5-73 By my signature below I acknowledge that,except formy personal residence
Expires!![ftQ 3— Signature in which I must have resided for at least one year priorto completion of
F� �_ Improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATIO have built as an owner-builder If it has not been constructed In its entirety by
c;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.leginfo.m.goy/calaw.htmi.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
[1.3,frave and will maintain workees compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which u 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; application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# )Vxpire, (IL111 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
/I 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 th a CITY BUSINESS LICENSE#
workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workees compensation provisions of Section 3700 of the Labor
Code,I shall h,Saim4alywith those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date_6� I Ll il/6 amounts sp cified on the Hazardous Materials Information Guide?
WARNING.FAILURETO SECUREWORKER'S COMPENSATION COVERAGE Is 0 Yes 7N,
UNLAWFUL,AND SHALL SUBJEC17 AN EMPLOYERTO 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 octupant 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,INTEREST,AND ATrORNEY5 FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes /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 bou dary of a school?
(Section 3097 Civil Code) a Yes l?No
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 H alth&Safety Code Section 25505 and 25534 concerning
contractoes License Law for the reason(s)Indicated below by the haze, at
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 'Yes
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 OWNEReft-rUttliliftff-ED 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 Contmctoes State IEPA 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 com pensation for m ost 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 Perm it subjects th a applicant to a civil penalty of not more required practices.This includes renta I 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( )all of or( I portion of the work,and the structure is www.eva.gov/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7W,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's 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. a No EPA Lead-Safe Certified Firm is required for this project bemuse:
o 1,as owner of the property a m exclusively contracting with licensed
contractors to construct the project(Section 7044,Business a nd 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 PERMIT/PLAN CHECK APPLICATION
-A,tMenifee
DATE o) jjq ) ) L PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL !�?<ESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA OSIGN
SUBTYPE: 0 ADDITION 0 ALTERATION 0 DEMOLITION � ELECTRICAL 0 MECHANICAL
"EW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 'y /Ll
L 't 12
13
PROJECTADDRESS M077 017,0 1'e-A ve, C
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME
ADDRESS qO 77 VO(J)al V6 C F 17- 5'W-5-
PHONE _70 - (7, 3'1- 1-50L EMAIL
APPLICANTNAME Y)O/,.,'
ADDRESS
PHONE 0 EMAIL
CONTRACTOR'S NAME OWNERBUILDER? OYESONO
BUSINESS NAME
ADDRESS 'Z 40 -5 , F64�54�,w A-V-.Z- 1)e C avii-fWa LL fvl%
PHONE OL -�/)�75 S� EMAIL
CONTRACTOR'S STATE LIC NUMBER 5-175-75— LICENSE CLASSIFICATION 13
VALUATION $ � �5_0 — r-IGLET 5-9L/ LSQFT
APPLICANT'S SIGNATURE DATE y 6
DEPARTMENT DISTRIBUTION CITY OF�%EE BUS 5 LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAIDAMOUNT
AMOUNT 1 1 1 OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES P,IDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
[OWNER BUILDER VER11 IED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building &Sofety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.LIS Inspection Request Line 951-246-6213
09/0612016 13:10 STAPLES 0144 PAGE 02
00*
HE
RITAGE IAKE-
MASTER ASsocUTION
August 29,2016
LUIS CANCIO RIVERA
29072 MOJAVE CT
MENIFEE CA 92595
RE:Architectural Modification Conditionally Approved
Dear Mr. Rivera'.
We are pleased to inform You that your submitted plans were Conditionally Approved on August 75,
2016 by the Design Review Committee.
Please ensure that you cOmpl�with the conditions noted an Exhibit A of your Horne improvement
packet (enclosed).
Also, please keep the following matters in mind; n aesthetics and compliance with the
(1)The committee approves plans and specifications based o ign or structural Integrity.Zoning and
community guidelines.They do not review for engineering des
building permits are the responsibility of the homeowner. structed or being constructed,to
(2)The committee has the right to inspect Improvements,con
determine that such improvements have been or are being built in compliance with the plans and
specifications approved.
(3) Upon completion of work, please submit your Notice of Completion Form (see attached) along
with photographs of the completed improvements within 6_months of receipt of this letter.
Thank you for your patience and cooperation. if you have any questions, please refer to your
dential-com.
community Policies or contact me at 951-246-7678 or at iris.afablegpfsresi�
Sincerely,
iris Afable
Sr.onsite Property Administrator
�*Mr.iDLdTIAL
27600 Herittk9e LaRe Dr.
Menhe CA 92585
(951)246-7578 Fax(9511)246-7651
09/06/2016 13:10 STAPLES 0144 PAGE 03
BMT,&GE LAIM YIAS`ffA ASSOCUT10N
ARCMIECTUIZAL REWEW C0Mxn-jMF-
2-1600 TEERITAG9 LAKE)DOVE
MMIFEF,CA-92585
August 18,2016
Iris Afable
Heritage LaYa Master Association
27600 Heritage Lake Drive
Menifev�CA 92585
Rivers-Architertural Approval Application
gMLY
grd-Patio Cover
29072 Mojave Court
Menifee,CA 92585
Dearlris�
err
reviewed the abov fereDeed Architectural Application,Based.on this review,I am
As per your request,I have Laie
recommending the ComInittee approve the Application based on the Heritage Design Guidelims with the
following conditions'
In accordance-with Heritage Lake,Design Guidelines' projects Involving Rear Yard Structures.
M.-patio Cover,y
I. Page 12,Paragraph nolosum and Other
e Ajurnawood comprised of three C3)areas.A,# 1,14'wido x 91
A� Rear yard patio cover shall b Of cover.Area#2,241 vvi&x IT-6"deep Y 9'
tD IN�16n deep x 9'higb with a flat open Wtire rO x S'deep x W high with 2 flat Open lattice
high with a flat solid roof cover.Area 4 3,W wide
roof cover.
B. patio cover colors shall be-
Ar�as# I and 0 3-"Adobe'
Am#2_Ceiling1roof pans-"Desert Sand
columnsibeams(trim-"Adobe�'
r or trim colors.
cover r
'01ors shall match or be r
Patio _ompstlblo with Midence plast,
sions to the proposed irnprovowents shall be submitted to and
2.- Any additional imProvements.or revi
approved by ft Association FriottO construction.
ce with the standards of tile Developmelkt'kegula6ORS
'Mis submission has bew reviewed as to cOnforman conformity to those standards and it was'lot
covering this property.My review was for purpoW of cheoMng
,acy of the proposed improvements,My review of any plans o1c desip is not a
review of the technical adequ fety or conformance with any building codes or other governmental
review*om the standpoint of structural&V representatives thereof shall
itertmal Review Committee or the members or designated . sions
requireAneDt$.The Arch s or, 'Ury which might arise frOul the negligence or errors or OMIS
not be,liable to any Pars0A for damage 'nJ
of the preparer of this submission.
If you have any questions regardi.,,g The above itams,please do not hesitate to contact mO-
Sinmely, IA3RRI1819
Russell P.
on Behalf ofthe Architectural Review Committee
RpR-pd
OWNER LIM-5 P1 uv'D�
ADDRESS 2--lo-? 2- koi�ou-p , (2*-
CITY q�jA,34L==e Z"Z�2L!SPHONE -71gb)?-39::�Cy
LOT NO. TRACT APN
CONTRACTOR LED GER & TRACK
ROOMS N' COVERS PROP,,0-R0wd*U1RED S`3L4
840 S ROCHESTER AVE#C �)ZT
ONTARIO, CA 91761 w, y 14,(0" )� I d - 1,(1 HiLL
LIC. B-517575 60q E",
909-390-0555
WORKCOMP
ICW GROUP
WSA5000386-07
EXP6/14/2017
City of Menifee
Building & Safety Dept. 267�9 4
Nclb&-� wl c
SEP 14 2016
"Heceivel-A 5%1k
sc�
CITY OF IVIQIRLU�
BUILDING AND
PLAN APPROVA
REVIEWED=;
*Approvaidthes( ssh'i;
fany4lationcl
regulations and or finatir,
jobsite until comp hw-
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