PMT16-03963 City of Menifee Permit No.: PMT16-03963
29714 HAUN RD.
'i;kCCEiLA_> MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 1210512016
P E R M I T
Site Address: 29636 COPPER RIDGE RD, MENIFEE, Parcel Number: 340-460-008
CA 92584 Construction Cost: $3,600.00
Existing Use: I &2 Family Residence Proposed Use:
Description of INSTALL 408 SO FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 2 FANS, 3 LIGHTS
Work:
Owner Contractor
JERRY&CINDY LOPEZ PATIO GUY ALUMAWOOD CONTRACTOR
29636 COPPER RIDGE RD 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRIETA. CA 92562
Applicant Phone:9513330056
LOIS MONTINI License Number:872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description ON Amount I$)
Receptacle, Switch,Outlet&Fixture 5 136.00
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 6.80
$311.45
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 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.
AABIdg—Permit Template.rpt 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 exam pt from licensure under the Contractor's State License Law for
Professions Code my license is in full force and effe . the following reason:
License Class Z Lice A'e8.9 By my signature below I acknowledge that,except for my personal residence
Expires 6,Zo-17 Signature atrh.'�_' in which I must have resided for at least one year prior to completion of
Improvements covered by this permit.I cannot lega Ily sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
u I hereby affirm under penalty of perjury one of the following decla rations: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 La bor Code,for the performa nce of work for which
this permit is issued. wwvv.leainfo.ca.gov/caIaw.htmI.
Policy# Date
PROPERTY OWNER OR AUTHORIZED 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 ci By my sIgnatu re 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
n umber 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 authorize representatives of this city or county to
Policy# Expi�res enter the above identified property for inspection purposes.
(This section need not to be completed Is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWN ER 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# 0 155144
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 fojtljw�b comply With thipse provisions. Will the applicant or future building occupant handle hazardous material or a
Applic-_ 5� Date mixture containing a hazardous material equal to or greater that the
amounts spec' Ld on the Hazardous Materials Information Guide?
J VIC'
WARNING:FAILURE TO SECURE WORKER!S COMPENSATION COVERAGE 15 a Yes it
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or futu re building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($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 District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY 0 Yes
I herebyaffirm that underthe penalty of perjurythere 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 bou school?
(Section 3097 Civil Code) ciYes
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 manglaijreporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes 0 i465�:
Business and Professions Code).Any city or county that requires a permit to t2bbd"Z_k� Date
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 Contmctoes State EPA RENOVATION,REPAIR AND PAINTING 1RRPJ
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(ARP)Rule requires contractors
Business and 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 alleged exemption.Any violation of Section 7031.5 by residence or childca re facility to be RRP-cert'iffed firms and comply with
an Applicant for a Perm it subjects the applfca nt to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
o 1,as owner of the propeft or my em ployee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do I )all of or I )portion of the work,and the structure is www.epa.Royllead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
Property provided that the improvements are not intended or offered for Certified Firm Name:
sale.if,however,the building or improvement Is sold Within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm Is required for this project because:
ci 1,as owner of the phaperty am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING SAFETY PERMIT/PLAN CMECK APPLICATION
717-
D AT PERMIT/PLAN CHECK NUMBER PHI(Ito- (D M
.TYPE: 0- COMMERCIAL rVRE51DENTIAL OMULTI-FAMILY 0MOBILEHOME QPOOLISPA �51QN
SUBIYPL: UAUUIIIUN UAL-ItHATION (JULMULITION JELELI-RiCAL OMECHANiCAL
&IVEW OPLUM13ING 0 RE-ROOF-NUMBER OF SQUARES—_
DESCRIPTION OF W;
lK L4,b 44L
X
�4 77 L) VE-7�
PROJECTADDRESS lg 9 42 3 42 (�_p fi�plx:;R' -P)I-)q E- /�z)
ASSESSOR'S PARCEL NUMBER 5 LfO - Lf(W -GO$ LOT I '-'? TRACT W-7 5'7
OWNERNAME -=�:z Cl-- /tl-)6
ADDRESS AQ //) :L
�a Di >ck cz:
PHONE qd 6) EMAIL
APPUCAPM NAME 41
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OD4nn 7�477-1 Q.WNER BUILDER? 0 YES PN-6—
BUSINE55 NAME - 7'-J4 T7 b
ADDRESS A-77-: OLAO,
I I A/ 9
PHONE -q--EMAIL Q&JflACC�0 )[Ar)-ojw� a
, W�
CONTRACTOR'S STATE LIC NUMBER d6 '7019 LICENSE CLASSIFICATION
VALUATION SQ FT L SO FT
APPLICAW'S SIGAIR TURE WZ j. DATE �7
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN S
INVOICE it I
Tj� PAIDAMOUNT
AMOUEN -45 1 1 OCASH OCHECK# OCREDITCARD VISAYMC
PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK N OCREDITCARD VIWMC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
A
Lj Q.Tb-
%14A
11!2�
7 RAG K
'PECTIONREO.UIRE' '
City of Menifoe
Mor SL) L )b Building & Safety Dept.
0 C 0 5 70%
F7:
e 0 0 v('3§1
L
JL
C—rL�Cra I e. I F-ANS L) q )4TS
J)' MENIFEE
7R�--16 t aj FLET"PAEM ENT
)Aef'KUVAL
ply
DAT
�hese plans 51�4;1 nf,!bP(cnstrued to be a permit fiwn
dpproWl�Ot,dry V;oIaticIn of any Pawkions of th�federal,state or city
,re000ations and ordinances. Thisset of approved plans must be kept on t
jobsite until compietion,
'D)PP 11D Ck 1;� P—b
Wft�M4+.D r--rAFZ Z) C—I*T 11 a W
14TI 0 SQY 4UMj4jC)D4 Cc4me�irr joi
-j tq LD#�C- Z- qlIq-ItD'dCA , ��'
gg I'd 3 LP - f� R ra.
'Owc
ft-) FN ra'1�1%cv, S U r e.+�