PMT17-00001 City of Menifee Permit No.: PMT17-00001
29714 HAUN RD.
�!-�CCEL/77-> MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 01/0312017
PERMIT
8Re Address: 29662 NORTHSHORE ST,MENIFEE, CA Parcel Number: 340-490-045
92584 Construction Cost: $4,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 2 SOLID ALUMAWOOD PATIO COVERS,272 SF AND 190 SF,WITH 3 FANS,7 LIGHTS
Work:
Owner Contractor
CHRISTOPHER MILLER CLASSIC ALUMAWOOD COVERS
29662 NORTHSHORE STREET 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 fEl
Receptacle, Switch, Outlet&Fixture 10 161.00
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 8.05
$337.70
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.
AA_Bldg_Permk_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 contractors)pursuant to the Contractors State License Law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class f7 'L`( Licel s r y8 6 f3 By my signature below I acknowledge that,except for my personal residence
Expires F—(7 Signature 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
have built as an owner-builder if it has not been constructed in its entirety by
❑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 WWW.Ieginfo.ca.gov/calaw.litml.permit is issued.
Policy# Date
❑I have and will maintain workers compensation insurance,as required by
PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: a.e�1 application and the information I have provided is correct.I agree to comply
Carrier A)0A& Nv-+i with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#41J il°6 7 3 27p. _ Expires 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 OWNER OR AUTHORIZED AGENT
o 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#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the pikers compensation provisions of Section 3700 of the Labor
Code,I shall f hu' t comp). with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applica Date mixture containing a hazardous material equal to orgreater thatthe
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 6No
UNLAWFUL,AND SHALL SUBJECT 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 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 ❑Yes Ao
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) ❑Yes ot4o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous materi reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 i
Dyes ❑N� 7 —n
Business and Professions Code).Any city or county that requires a permit to � , Date
construct,alter,Improve,demolish or repair anystructure,priorto its PROPER WNER OR AUTHORIZEDAGENT
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPJ
License 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 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 childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($S00). managers who do the paint-disturbing work themselves or through their
❑I,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.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovatorwill be responsible forthis 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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply town owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
& SAFETY PERMIT/PLAN CHECK APPLICATION
:t::
Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL WRESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [-]SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION [:]DEMOLITION ®ELECTRICAL []MECHANICAL
NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK A t-V T?1 A A0904 PAWS - -7 L J k*:.s
PROJECTADDRESS 6 Z 0 K'J`M,sc-�•�I�)� s
ASSESSOR'S PARCEL NUMBER 2-;Lb -Uq0- LOT TRACT
PROPERTY OWNER'S NAME C` 1/-j 9(S1 [ j Q� ,�,/ -
ADDRESS Z 6.6 Z- A- D ✓"f R s 5LCALi S( q•1. phi J�` P
Cit of Menifee
PHONE gs - 6sz - 9 8 S 10 EMAIL UI Ing H tyD pt.
APPLICANT NAME P.4-U ( ,q U L v_ L- n/ JAN O 3 201
ADDRESS Z 6 B Z.i L✓V-Z CAjC
PHONE ftd� - �,3L - F.7� nJ EMAIL t
CONTRACTOR'S NAME U,ft9/ C OWNER BUILDER? ❑YES O
BUSINESS NAME C L.d-SS lG L�.�.�.. wQp� �o J .q/�5
ADDRESS ,3 s -M Naa 0,J. d`e
PHONE 9.5-/- �O -J L(` PS-2-? EMAIL
CONTRACTOR'S STATE LIC NUMBER S196 7 2.3 LICENSE CLASSIFICATION D-Z
VALUATION$ 6W 0 SQ FT 4/6 Z L SQ FT
APPLICANT'S SIGNATURE OAI
CITYSTAFFUSEONLY
DEPARTMEM DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN $MIP
INVOICE ^ PAID AMOUNT
AMOUNT � � J� a OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEE$ PAIDAMOUNT O CASH O CHECK# OCREDITCARD VISIVMC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
OWNER: L,-.I A r -.4 l
CONTRACTOR:
? � Nor ;;�o-y�'� e- CLASSIC ALUMAWOOD COVERS
39450 BONAIRE WAY
��j- f` � ^ bj MUP,RIET.A, CA 92563
951-674-BS33
P
CSLB#986793
7PLAN
NiFEE
ND SAFETY DEPARTMENTLEDGER TRACK
OVAL ty of Menifoe
INSPECTION REQUI i tg & Safety Dept.
REVIEWED BY. t I�T7 . JAN o 3 zoir
' DATE
Received
'Approva of these plans shall not be construed to tie a pandt ior,or an
I� approval ,any violation of any provisions of the federal,do or city h
p regulatio sand ordinances. This set of approved pima must be kept on the I
u jobsite u �il completion. "So 1
u4"� e
rILJ.te«✓ovd
II a9
u 'ti FAN T-Arj
�i pp
�f� 6
a 7 a saFy �
-3 rates 1
`7 �dit�P
9
., ®
`9
190 So I---/ `.'