Loading...
PMT16-03187 City of Menifee Permit No.: PMT16-03187 29714 HAUN RD. Type: Residential Addition 'c;kCCELA—> MENIFEE, CA 92586 MENIFEE Date Issued: 09/2712016 P E R M I T Site Address: 25716 BUFFALO CIR, MENIFEE, CA Parcel Number: 358-502-016 92584 Construction Cost: $6,510.00 Existing Use: I &2 Family Residence Proposed Use; Description of INSTALL 16 x 46 SOLID ALUMAWOOD PATIO COVER NTH 2 FANS Work: Owner Contractor JOHNNESE SOUTHERN CALIFORNIA PATIOS 25716 BUFFALO CIRCLE 1787 PAMONA DR#B MENIFEE,CA 92584 CORONA,CA 92880 Applicant Phone:9098161288 SOPHIA KINEY License Number.948536 SOUTHERN CALIFORNIA PATIOS 1787 PAMONA DR#B CORONA,CA 92880 Fee Description Qtv Amount Receptacle. Switch, Outlet&Fixture 2 121.00 Building Permit Issuance 1 2700 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 6.05 $295.70 The issuanoe of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or tam preventing buillding 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.Bldg_Pe"it Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho builds orimproves thereon,and who contracts forthe 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). Chapter9(commencing With section 7000)of Division 3 of the Business and o I a in exempt from licensure under the Contractor's State License Law for Professions Code and cense is in full force and ff the following reason: T` , �,q� b License Class ,5 .��se 0. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATIO�Jy 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 .N 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 0411,of the Business and Pr Code,Is available upon request when compensation,issued by the Director of Industrial Relations as provided for \t R hm Is submi e7io by Section 3700 of the Labor Code,for the performance of work for which .),S.fnnhe following website., this permit is issued. Policy#_ I ROP JY tNER OR AU+HORIZED AGE_NT -Date u 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 ty 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 I!h5 ap icable citVand county ordinances and statelaws relatingto (�W%kt 211 tives of this city or county to Carrier_R_ Expire b a ing pn'struction.I authorize r s ma Policy# s a the a ove identifit d prope inspection purposes. (This section need not to be completed is the permit is for one-hundred 777 Date /I dollars($100)or less PROPE"," AUTHORI WED 51E� ji o I certify that in the performance of the work for which this permit is 115sueu, I I sh HaoteE! 0 any persons in any mannerso as to become subject to the CITYEI"IN SUCENI 8' at_ worker's comp 5 mn lawl.of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subjecttothew ker's compensation provisions of Section 3700 of the Labor it Code,I shall forth ithcomply ltythKse7prov�isions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant_ amounts specified on the Hazardous Materials Information Guide? WARNING:FAILU)E�O S�Uik WORKEWS COMPENSATION COVERAGE IS n Yes a No UNLAWFUL,AND SALL sbBiEcTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE H UNDRED THOUSAND DOLLARS($100,000),IN occupant req u ire 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 ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY o Yes a No I hereby affimn 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) Dyes 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 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 Dyes 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 IRRPJ 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 ficensure 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 ci 1,as owner of the property,or my employee with wages astheir 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.Roy/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions I-BOD-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a u 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. o No EPA Lead-Safe Certified Firm is required for this project because: o 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code!The Contractoes 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 ' Wen'fee DATE PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL PESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA C SIGN SUBTYPE: ODITION 0_ALTERATION 0 DEMOLITION 0 ELECTRICAL 0 MECHANICAL &NEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES— DESCRIPTION OF WORK 0\)�\o (A-0—r PROJECTADDRESS 0 t-) CAvw_I w16i_S=L ASSESSOR'S PARCEL NUMBER LOT JL0 TRACT OWNER NAME mrnn ( ADDRESS 9_'51 )kp C,[)rcu, kpr\\kC PHONE (OKI) Wo - /7_40 �p EMAIL Bull=g 08 Safety I)Opt, -\U4 SEP 2 7 -201 i APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUIL9ER? *S XNO BUSINESS NAME ADDRESS CU PHONE OCA) W) EMAIL YZJ��4 CONTRACTOR'S STATE LIC NUMBER .LICENSE CLASSIFICATION 60 VALUATION$ SO FT ? L SO FT DATE-n-F CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINL55 LICEN5E NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP rk—�] INVOICE PAID AMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC AMOUNT PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 Y�yl �t U U-�-(�o �17A) ul�) CL city of meniteo Building & Safety Dolot- SEP 2 7 2016 Received I ELL IFEIGE TRACK] INSPECTION REQUIRED MEMO CITY 0 BUILDIN DEPARTMENT PLAN APPROVAL REVIEWED BY.� DA *Approval of these plans shall not be construed to b"'74for,or an I approval of,any violation of any provisions of the federal,st;te or city -,-,,I,tions and ordinances. This set of approved plans must be kept on the