PMT16-03374 City of Menifee PermitNo.: . PMT16-03374
29714 HAUN RD. Type: Residential Addition
<A_CCELX_> MENIFEE, CA 92586
MENIFEE Date Issued: 10/1312016
P E R M I T
SiteAddress: 30675 SPRING DEEP TERRACE, Parcel Number: 364-141-001
MENIFEE, CA 92584 Construction Cost: $1,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 2 SOLID ALUMAWOOD PATIO COVERS,220 SF TOTAL, NO ELECTRICAL
Work:
Owner Contractor
JAMES& DEBRA DOWER SUN-TECH BUILDER
30675 SPRING DEEP TERRACE 23905 CLINTON KEITH RD 114#137
MENIFEE,CA 92584 WILDOMAR, CA 92595
Applicant Phone:9516961146
KEVIN BURKHARDT License Number.612037
SUN-TECH BUILDER
23905 CLINTON KEITH RD 114#137
WILDOMAR,CA 92595
Fee Description P!Y Amount
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
$168.65
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 building 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 commenmd 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_Permit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves 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(commencingwith section 71100)of Division 3 of the Business and a I am exempt from licensure under the Contractor's State License Law for
Professions Code ag m:rose is in full force and effect. the following reason:
License Class -7 Signature License No (,1-?-0--�7 By my signature below I acknowledge that,except for my personal residence
Expires in which I must have resided for at least one year pirlorto completion of
improvements covered bythis permit.I cannot legallysell 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 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
this permit is Issued. vvvvw.Ieainfo.ca.goy/caIavv.htmI.
Policy# Date
a I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which NB-y 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 auth I e r9preselatives of Ih city or county to
or"
Policy# Expires enter thejjb,DVe?ntifii I Prop, for! e onpurposes,
(This section need not to be completed is the permit is for one,hundred _ M'01;w Date
dollars($100)or less OWNER OR AU1
�certify that in the performance of the work for which this permit is issued,
11,t all not employ any persons in any manner so as to become 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 shall forthwith ly those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified an the Hazardous Materials information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Q Yes No
UNILAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES t
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000 Will the Intended use of the building by the applicant orfuture building
I,IN occupant require a permit for the constnuction 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 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 boundary of a school?
(Section 3097 Civil Code) Dyes 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 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 '�qa� u No
Businessand Professions Code).Any city or countVthat requires a permitto Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR Ablftiditfft—D 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,REPAI R AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting RRP)Rule requires contractors
Busirims and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
a nd 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
n 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPXs Renovation Program visit;
compensation,will do( )all of or( )portion of the work,and the structure Is www.epa.gov/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 Contractor's State License Law does not applyto an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employeee 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 �\No EPA Lead-Safe Certified Firm is required for this project because:
not built or improved for the purpose of sale.
o 1,as owner of the property am exclusively contracting with licensed L
contractors to construct the project(Section 7044,Business and Professions lValr7
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
-,.'Men;fee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: COMERCIAL XRESIDENTIAL C, MULTI-FAMILY C, MOBILE HOME OPOOL/SPA OSIGN
SUBTYPE: /,)ADDITION OALTERATION 'UDEIVIOLITION " ELECTRICAL OMECHANICAL
0 NEW C -NUMBER OF SQUARES
C, Q PLUMBING, , RE-ROOF Ir
DESCRIPTION OF WORK ALomwom Woob cov&�/�
PROJECTADDRESS S010 );�5 spgldb
ASSESSOR'S PARCEL NUMBER36� q /- 001-6 LOT // q TRACT
OWNER NAME
ADDRESS 6 7 ?jR ,J G RAA G-4�- 16 U t
PHI'974%r Builfling & Sa?ety fJG
N EMAIL' A/I-A
APPLICANT NAME OCT 13 2016
ADDRESS Reoeived
PHONE EMAIL
CONTRACTOR'S NAME 'SuAJ-72-�4 13uuZEA� OWNER BUILDER? -YES JNO
BUSINESS NAME 1�6v)Al &ROARF�7 ',-1 V
ADDRESS Z3�0�; CLlArrC). I-rI4 JA) a0g& CA qo�
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
L SO FT
VALUATION $ SO FF 120
APPLICANT'S SIGNATURE 2�- 917
BATE -7 FIL
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP I -
INVOICE 1LQ&. (0PS PAIDAMOUNT C CASH 0 CHECK# 01 CREDIT CARD VISA/MC
AMOUNT I lwel,;.Los I
PLAN CHECK FEES I PAID AMOUNT I I C' CASH "'CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
Plans Acceptable for city Of Menifee 3t >-
permit issuance Building &gaiety Del , jL
OCT 13 2016 0
OCT 13 2016
Received LLJ
City of Menifee Planning Department
By: LL
LL
LEDGER & TRACK 0
Site Plan INSPECTION REQUIRED
U-M
llie�
Lot(119)Tpoei
C3U.1"01-q
Note:no natural drainage
nai inittion shah be hatilatened
ok
a
Spring Deep Terrace
'ifi— Jnoemboalto—ir
20675Sfliniii
CITY OF MENIFEE SPLIN,
AMP;
orpoi
BUILDING AND SAFETY �" E—
ineopi
PLAUAPPROVAL . ...... .... . ai
I., led penatint of Lot oo,ntrage
REVIEWED BY. and pfroart of reonaining open space. T NO. A
*Approval of these plans shall not be construed to be a permit"orME NO, �Z(P -S-
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances, This set of approved plans must be k it on the
jobsite until completion, 9ATE (,(Ae'-L