PMT16-03528 City of Menifee Permit No.: PMT1 6-03528
29714 HAUN RD. Type: Residential Addition
<_ACCIELJ-�> MENIFEE, CA 92586
MENIFEE Date Issued: 10/3112016
P E R M I T
Site Address: 29432 STARSHINE DR, MENIFEE, CA Parcel Number; 340-521-029
92584 Construction Cost: $5,100.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID ALUMAWOOD PATIO COVER VVITH 2 CEILING FANS 540 SO FT
Work:
Owner Contractor
SITH MOUNPHOXEY CLASSIC ALLIMAWOOD COVERS
29432 STARSHINE DR 39450 BONAIRE WAY
MENIFEE, CA 92584 MURRIETA, CA 92563
Applicant Phone:9516748533
DAVID ABEEL License Number: 986793
CLASSIC ALUMAWOOD COVERS
39450 BONAIRE WAY
MURRIETA, CA 92563
Fee Description Qtv Amount($)
Receptacle, Switch, Outlet&Fixture 2 121.00
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 6.05
$295.70
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 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 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_Pemit Ternplaterpt Page 1 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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 70(30)of Division 3 of the Business and ci 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:
LicenseClass 9-2-f LfinenseNo. E?6 7�,? By my signature below I acknowledge that,except for my personal residence
Expires -7 -( ) Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION 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
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 up on 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. www.leginfo.ca.gov/calaw.htm].
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 a 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 AA)-"&L)4-0 with all applicable city and county ordinances and state laws relatingto
buldi stuction.I authorize representatives ofthis city or county to
Policy#411 Expires ente,'2�conb."v.iden-fied property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less w Date 10 N-1
Pk0—PERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is Issued,
Ishallnotemplo 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 pnovislons of Section 3700 of the Labor
Code,I shall f hw h ose provisions. Will the applicant or future building occupant handle hazardous material or a
Ap. Date ID--? mixture containing a hazardous material equa I to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ciYes erNo
UNLAWFUL,AND SHALL SUBJECr AN 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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit far the construction or modification from South
IN SECrION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Qua lity Management District(SCAQM 0)?See perm itting checklist
forguidelines
CONSTRUCTION LENDING AGENCY a Yes 0-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) ci Yes c;,N-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 me rial r portin
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 6<5 0 No
Business and Professions Code).Any city or county that requires a permit to
construct,alter,improve,demolish or repair any structure,prior to its Date i!0
issuance,also requires the applicant forthe permitto filea signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractoes State EPA RENOVATION,REPAIR AND PAINTING IRRP)
License Law(Chapter 9(commencing With Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting[RRP)Rule requiries contractors
Business and Professions Code)or that he or she is exempt from licensure
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applim nt to a civil penalty of not more residence or childca re fticility,to be RAP-certifted firms and comply with
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
o 1,as owner of the properly,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( I 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-LFAD(5323).
Code;The Contractor's 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 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. ci No EPA Lead-Safe Certified Firm is required for this project bemuse:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,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 RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHE�K-APPLICATIGA'
"Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: DCOMMERCIAL E]RESIDENTIAL EIMULTI-FAMILY [JMOBILEHOME El POCIL/SPA F1 SIGN
SUBTYPE: E]ADDITION E]ALTERATION E]DEMOLITION [:]ELECTRICAL EIMECHANICAL
EINEWEI PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK kQ�A4A
PROJECTADDRESS,
ASSESSOR'S PARCEL NUMBER �!LtD 5Z I - p?_4q LOT TRACT 245
PROPERTY OWNER'S NAME O�L xc.�-�
1ADDRESS '2q2\-61 P
C-A 'A
PHONE U\U\ EMAIL
APPLICANTNAME
ADDRESS 2(,5�F52 ,3 LnzsA Cxee,�- Rn;N A mcv\� CA c�
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? [:IYES[INO
BUSINESS NAME � 0
ADDRESS ?)C)L-\�6r) Q)Qf�CLe VX�-L\ , \L�de�n
PHONE �5)) EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ � 'S\C)Q — �, SQ FT 15�-(O LSQFT
APPLICANTS SIGNATURE
DEPAWFFMENTDISTRIBUTI N
BUILDING PLANNING RRE I GREEN SM,P crry OF MEN%BUS1N9SS LICENSE NUMBER
D-3 sbc-1
INVOICE
I PAIDAMOUNT
AMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES I PAID AMOUNT I I OCASH OCHECK# OCREDITCARD VISAIMC
OWNER 13UILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
OWNER I: City of Menifee CONTRACTOR:
\Ao= ?'�%vek,j b)r' Building & Safety Dept. CLASSIC ALUMAWOOD COVERS
lVe 39450 BONAIRE WAY
"k CA IS 4 OCT 3 1 2016 MURRIETA, CA 92563
l,OkLA q-+C)q Received 951-674-8533 EL
CSLB#986793 0
UEDGER & TP tij
INSPECTION Rk': �.iHFD 0
LL
A v'�i
CITY OF MENIFIM
.2 As�a-,itpJALDIN6 ANDS.X;Wl---
PLAN APPROVAL WARMENT11 I
REVIEWED BY
4AITF
TE
*Approval Of these Plans shall not be construed to bea pemftfor,ori an
approval of,MY Violation of any Pfovisions of the federal,gate or cit�
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion,
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