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
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city of meniteo
Building & Safety Dolot-
SEP 2 7 2016
Received
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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