The URL can be used to link to this page

PMT16-03708 City of Menifee Permit No.� PMT16-03708 29714 HAUN RD. Type: Residential Addition <�kccr=LA—> MENIFEE,CA92586 MENIFEE Date Issued: 11/17/2016 P E R M I T Site Address: 27828 WINTER BRANCH CT, MENIFEE, Parcel Number: 340-300-045 CA 92584 Construction Cost: $2,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 408 SF SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor TONY&LESLIE LOPICCOLO PRO INSTALLATION 27828 WINTER BRANCH COURT 43043 CAMINO CARUNA MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone:7142348652 TOM MOORE License Number:895950 PRO INSTALLATION 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description QtV Amount($1 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 $296.70 The issuance of this permit shall not prevent the building official from thereafter requiring the conection of errors in the plans and specifications or from preventing bulliding 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 issuanoe,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA.BIcIg_PenmifTenipIate.rpt Page I of I 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 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 mason: License Class 'V o-s License No. By my signature below I acknowledge that,except for my personal residence Expires 51 Signature4 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 WORKER'S COMPENSATION DECLARATION'/V 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 forworker's 7D44 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 this permit is issued. www.leginfo.ca.govicalaw.litmi. Policy# Date .'�hhave 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 ci 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 with all applicable city and county ordinances and statelaws relating to Carrier building construction.I authorize representatives of this city or county to Policy#A 1�14-nZ-5S'—' Expir� r� enter the above identified property for inspection purposes. (This section need notto be completed Is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT a I certify that in the performance of the work for which this permit is issued, I shall 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 forthwifth comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture conta"g,rig a hazardous material equal to or greater that the Applicant Date amounts spi5ified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS nYes dNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVI L FINES UP TO ONE HUNDRED THOUSAND 13OLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management Distdct(SCACIM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guide 19-19' CONSTRUCTION LENDING AGENCY ti YeseT3 No I hereby affirm that under the penalty of perjury there Is a construction Will the propps d building or modified facility be within 1000 feet of the bou lending agency for the performance of the work which this permit is issued Outer of.school? (Section 3097 Civil Code) .Yes;7;0, 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 Hea th&Safety Code,Section 21550S and 25534 corice in.,Lg Contractor's License Law for the reason(s)indicated below by the hazard721erial rting. cbeckmark(s)I have placed next to the applicable item(s)(Section 7031.5 ayes No Business and Professions Code).Any city or county that requires a permit to. I 774--'� construct,alter,improve,demolish or repair any structurej prior to its PROPERTY dWNER56K AUTHORIZED AGENI 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 IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business a nd Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the a Ileged exemption.Any violation of Section 7031.5 by residence or childca re facility to be RRP-certified firms and com ply with an 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 o 1,as owner of the property,or my employee with wages as their 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.goy/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 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 sa le. c No EPA Lead-Safe Certified Firm is required for this project because: u 1,as owner of the property a in 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 Rip Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION I .1""Menifee �Z,. Ad DATE b PERM IT/PLAN CHECK NUMBER f7MtI2 TYPE: 0 COMMERCIAL XRESIDENTIAL 0MULTI-FAMILY OMOBILEHOME 0 POOL/SPA 0 SIGN SUBTYPE: CADDITION CALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-N UMBER OF SQUARES DESCRIPTION OF WORK -A�jVlA/A0_Aj()C)T_TwT_/0 & ()Jv- 0 -FCLX6 _Y _OZ�OaF� PROJECTADDRESS Z � gZZ WIV\4� 6 Oy�,IC�1� ASSESSOR'S PARCEL NUMBER SL40 - 7;M '4n!�S_ LOT TRACT C ly M-9-00-0— OWNER NA�E � (N) \� C LA�- I(L:�� C) C-C 0 c) Buildiing 08!safety Dept. ADDRESS �A/VL( PHONE 6 �7Z- 71,5�1 Z77 EMAIL Received APPLICANT NAME VVa�4C ADDRESS Y( 6 t (2 PHONE 11 \),� JAI 517 EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES/QNO BUSINESS NAME ADDRESS q36 q 3 PHONC2Lq) "Z3`4-96SZ_ EMAIL CONTRACTOR'S STATE LIC NUMBER S� 57 .CLI LICENSE CLASSIFICATION d VALUATION$ Z,560 SQ FT 46 '� L SQ FT APPLICANT'S SIGNATURE —DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTIUN My OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP INVOICE PAIDAMOUNT OCASH OCHECKN 0 CREDIT CARD VISA/MC I j:Pqt5--10 AMOUNT PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofimenifee.us Inspection Request Line 951-246-6213