PMT16-03611 City of Menifee Permit No.: PMT16-03611
29714 HAUN RD.
<ACCr=LA> MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 11/04/2016
P E R M I T
Site Address: 25668 BUFFALO CIR. MENIFEE, CA Parcel Number: 358-502-012
92584 Construction Cost; $7,474.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 747 SO FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 2 FANS 2 RECESSED
Work: LIGHTS
Owner Contmctor
PHIL DENNIS CLASSIC ALUMAWOOD COVERS
25668 BUFFALO CIR 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 92663
Fee Description QtY Amount
Receptacle. Switch, Outlet&Fixture 4 131.00
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 6.55
$306.20
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of ermrs in the plans and
specifications or from 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_Pemit Templaterpt 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 7000)of Division 3 of the Business and a I am exempt from licensure under the Contrsctoes State License Law for
Professions Code and my license is in full fame and effect. the following reason;
License Class -Z 4 en NO. �-8�7 By my signature below I acknowledge that,except for my personal residence
Expires Signatureglp in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKEWS COMPENSATION DECLARATION have built as an owner-builder if it has not been constmcted 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 websfte:
by Section 3700 of the Labor Code,for the performance of work for which www.1eginfo.ca.gciv/caIaw.htmI.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHOR17ED AGENT
o 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 o 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 ownees behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
carrier 1V01,(rVhiW building construction.I authorize representatives of this city or county to
Poih:Y# Ai0LPc7,3Z:7_J5_ —Expires 7- 1 -? property for inspection purposes.
(This section need not to be completed is the permit is for onehundred Date I Pt— 1(0
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
u 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# 0
workeescompensation lawsof California,and agreethatif[should become HAZARDOUS MATERIAL DECLARATION
subject to'th workees compensat, provisions of Section 3700 of the Labor
Code,I shall rthwith compl with those provisions. Will the applicantor future building occupant handle hazardous material ora
Applic I Date G mixture containinga hazardous material equal to or greater that the
IZZ:7— amounts specified onthe Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS 0 Yes 0190
UNLAWFUL,AND SHALL SUBJ ECT AN EMPLOYER TO CRIMINAL PENALTI ES 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 occupant require a permit for the construction or modificirtion 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 forguldelines
CONSTRUCTION LENDING AGENCY a Yes EJ�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) a Yes �Nci
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 Ulcense Law for the reason(s)indicated below by the hazardous ma @I re 0 1.ng.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �Yes o No
Business and Professions Code).Any city or county that requires a permit to 6�_ Date((— L(- /
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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(RRP)
Ulcense 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 compensation far most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 703 1.5 by residen ce or childca re facility to be RRP-cerrified firms and comply with
a n Applicant for a permit subjects the applicant to a civil pena Ity 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 as their sole employees.For more information about EPA!s Renovation Progra m visit:
compensation,will do I I all of or I I 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 1-900-424-LEAD(5323).
Code,The Contractoes State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible forthis project
property who,through employeee or personal effort,builds or improves the
property provided thatthe 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 Contractor's State Umnse 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.
L
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
.�.Wenjfee
A d,�Mbw k
DATE 1(- ((- 1 PERMIT/PLAN CHECK NUN P,
TYPE: OCOMMERCIAL 15RESIDENTIAL [:]MULTI-FAMILY Ej MOBILE HOME F-1 POOL/SPA EISIGN
SUBTYPE: F]ADDITION []ALTERATION E]DEMOUTION []ELECTRICAL [-]MECHANICAL
[-]NEW EIPLUMBING EIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK
,�
c-AC4'�\j� F4W5 , Z_
PROJECTADDRESS (\A 9,�LVS"d
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS
PHONE 6;(0:)- rT b1\-j- EMAIL
APPLICANT NAME _S
)&,j'\A A�
ADDRESS 2_L.�16a!;S
PHONE EMAIL
CONTRACTOR'SNAME _&Lk-DOne N_ovQ��bbn� OWNE&BUILDER? OYES�gNo
BUSINESSNAME C��, �O �\\j ML\A�,\,)N)C\
ADDRESS �G)Lke
po
PHONE(_ EMAIL
CONTRACTOR'S STATE LIC NUMBER 490(0ioll LICENSE CLASSIFICATION 40
VALUATIONI$ �7q-lq — C SO,FT L SO FT
APPLICANTS SIGNATURE /112-1 �
— DATE
DEPARTMENT DISTRIBUTION C I TY�06F 6E FNE E�U, E NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOIC
AMOU� PAID AMOUNT 0 CASH 0 CHECK# OCREDITCARD VISAIMC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISAtMC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER 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: CONTRACTOR:
CLASSIC ALUMAWOOD COVERS
39450 BONAIRE WAY
MURRIETA, CA 92563
951-674-8533
CSLB#986793
T-C OF
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B ILDING AND SAFETY DEPARTMENT
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REVIEWED BY—_r SPECTION REQU17R'E-\[,A
ATE
*AT oroval f h 'e i"D---be cpstrued!to be a permit for,or an
0 'he "an""" ,
-1 oval of,any vic iation olf any r city
ilations and ard ",Toh T�N Weral,state o
inances. This e ii —, ,
'Ica 6emans
�e until completion. City of menifet
uIlding & Safety Dept.
NOV 0 § 2016
Received
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