The URL can be used to link to this page

PMT16-04502 City of Menifee Permit No.: PMT16-04502 29714 HAUN RD. Type: Residential Addition <A—CCELA—> MENIFEE, CA 92586 MENIFEE Date Issued: 12/28/2016 P E R M I T Site Address: 25684 MOTTE CIR, MENIFEE, CA 92585 Parcel Number: 329-371-005 Construction Cost: $4,275.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 550 SQ FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL, 1 FAN Work: Owner Contractor BARNEYFRANK TODD'S PATIO COVERS 25684 MOTTE CIR 30905 GREENSBORO DR MENIFEE, CA 92585 TEMECULA, CA 92592 Applicant Phone:9516608665 TODD SKARIN License Number.834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description Piz Amount Receptacle, Switch, Outlet&Fixture 1 116.00 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 5.80 $290AS 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 builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Marilee.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 BIdgPermit—Ternplate.rpt Page I 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 c;I am exempt from licensure under the Contractor's State License Law for Professions Cc, n license is in full force and effect. the following reason: License Class My� License No. L( By my signature below I acknowledge that,except for my personal residence Expires3A bF;2 Signature in which I must have resided for at least one year prior to completion of '42 improvements covered by this permit.I cannot legally 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 ci 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. www,legiiifo.ca.gov/calaw.litmi. Policy# Date ci I have and will maintain workees 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 Carrier with all applicable city and county ordinances and state laws relating to building cc struct.on.I apthorize representatives of this city or county to tW Policy# Expires_ enter the=ve ild',n property for inspection purposes. (This section need not to be completed is the permit is for one-hundred i-K 1111&*—' Date ELZJ�4 4V dollars($100)or less %�PftftRTY OWNER OR AUTHORIZED AGENT y 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 workees compensation provisions of Section 3700 of the Labor Code,I shall If rth mpi with th visions. Will the applicant or future building occupant handle hazardous material or a co yZ ose pro Applic 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 ci Yes ! No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the 1 tended 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 for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES CoastAir uality Management District(SCAQMD)?See permitting checklist for guldell es CONSTRUCTION LENDING AGENCY c;Yes o o I hereby affirm that under the penalty of perjury there is a construction Will the p oposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bo d'ry of a school? 'u ' (Section 3097 Civil Code) 0 Yes -No OWNER BUILDER DECLARATIONS I have re. the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permittin checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)Indicated below by the California Health&Safety Code,SeSti'lion 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardou materia�Wl 4,,.7 Business and Professions Code).Any city or county that requires a permit to uYes o construct,alter,Improve,demolish or repair any structure,prior to its —I �� V/vc-/V—Cate issuance,also requires the applIcantforthe permitto file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPJ License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRPJ 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-certified firms and comply with an Applicant for a permit subjects th e applicant to a civil pena Ittv of not more 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 property,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( 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 1-800-424-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. ci No EPA Lead-Safe Certified Firm Is required for this project because: ci 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 RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: 0— COMMERCIAL b-/RESIDENTIAL OMULTI-FAMILY () MOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL CNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OFWO K a la tga 610 0 C1 OvLe 060, x /Z q;s% PROJECTADDRESS -25_60Y ASSESSOR'S PARCEL MBER ln� ID05 LOT TRACT OlIhIJ5' 0;)� OWNER NAME ADDRESS 7W2 PHONE -7/14 EMAIL APPLICANT NAME J��/ 1---) ADDRESS b6k-0 �j )� 6-1\— �4��j PHONE EMAIL (<-) 14,1 kan CONTRACTOR'S NAME OWNER U"R?—/0 YES VINO BUSINESS NAME 06 r, ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMU_R_ LICENSE CLASSIFICATION VALUATION$ LSQFT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF W16t"q NUMBER BUILDING PLANNING ENGiyEE,&4vG FIRE GREEN SMIP INVOICE I e540,LfS PAIDAMOUNT AMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC_ PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 No DLINUMBER NOTARIZED LET-TER 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 rn 71 rn cl�o -G�L-9- :- -- - - - - - - - CD > CD CD. Inc cc� 0 T 0 CD m CL 0 CD CD M-1 M!--. Im im IM 7_7- K Im 7 _T7, L m