PMT17-00720 City of Menifee Permit No.: PMT17-00720
29714 HAUN RD.
<ACCEUh MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 03/09/2017
PERMIT
Site Address: 29831 MARITIME WAY,MENIFEE,CA Parcel Number: 333-582-020
92585 Construction Cost: $1,900.00
Existing use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 17 x 18'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
LLOYD JONES DAVIS BROTHERS PATIO COVERS
29831 MARITIME WAY 41309 THORNTON AVE
MENIFEE, CA 92585 HEMET, CA 92544
Applicant Phone: 9515268191
JERRY DAVIS License Number:977816
DAVIS BROTHERS PATIO COVERS
41309 THORNTON AVE
HEMET,CA 92544
Fee Description Qtv Amount 151
Receptacle, Switch,Outlet&Fixture 1 116.00
Building Permit Issuance 1 27.00
DecklPatio, 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
$290.45
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 builiding 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_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that 1 am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensum under the Contractors State License Law for
Professions Co,�/d'77e and my license is in full force and effect, the following reason:
License Class Ob License No. 6 By my signature below I acknowledge that,except for my personal residence
Expires _ b-/ 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 H 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 workers 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 ,r,,,h„rz,leeinfo.ca.¢ov(calaw.html.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑I have and will maintain workers compensation insurance,as required by
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: 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# 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($300)or less PROPERTY OWNER OR AUTHORIZED AGENT
certify that in the performance of the work for which this permit is issued,
I shall not emolov 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 workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with provisions. Will the applicant or future building occupant handle hazardous material or a
Qom/ ( � mixture containing a hazardous material equal to or greater that the
Applicant i o l GL�_ _ Date _/ ' amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
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
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAOMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY o Yes ❑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) ❑Yes ❑No
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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,priorto 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI
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)orthat he orshe 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($500). managers who do the paint-disturbing work themselves or through their
D 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 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of 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 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 to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
J
BUILDING
' ♦ SAFETY PERMIT/PLAN
• 1 APPLICATION
Menifee
DATE - PERMIT/PLAN CHECK NUMBER - -100
TYPE: O COMMERCIAL :: RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ONEW OPLUMBING ORE-ROOF-NU/MBEROFSQUARES
DESCRIPTION OF WORK !X
PROJECT ADDRESS
ASSESSOR'S PARCEL NUMBER 333- 1- _ LOT TRACT
OWNER NAME
ADDRESS gI
PHONE EMAIL Building & Safety Dept.
APPLICANT NAME MAR 0 9 2017
ADDRESS Received
PHONE EMAIL
CONTRACTOR'S NAME 4 co U e-,r ✓ S OWNER BUILDER? O YES `O NO
BUSINESS NAME f) ; TV,t^ 'pa Cwe
ADDRESS Z113 0 //
PHONE( J_O '8/q t' EMAIL
CONTRACTOR'S STATE
LIC NUMBER 7 -77 a ] LICENSE CLASSIFICATION VO
VALUATION$._/{� / G(,0 SQ FT �. / 6 L SQ FT
APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 1�
INVOICE PAID AMOUNT �+ v, r, O
AMOUNT O, S CASH CHECK# CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of iVienifee Building 8,Safety Do.portment 29714 Huun Rd. Alenifee. CA 92535 951-672-6777
wwiv.ci[Vofinenifee.Us Inspection Request Line 951-.716-6213
29831 Maritime Way
Menifee,CA City of Menitee
12'x 18'Solid Alumawood LEDGER CRACK Building& Safety Dept.
Rough Electrical
1#Ceiling fan INSPECTION REQUIRED MAR 0 9 2017
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CITY OF MENIFEE
BUILDING AND SAFETY DEPAWMENT
I PLAN APPROVAL
REVIEWED BY
DATE
"Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.