PMT17-00988 City of Menifee Permit No.: PMT17-00988
29714 HAUN RD.
S ccr=L/_> MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 04104/2 01 7
PERMIT
Site Address: 26664 OPALESCENT DR, MENIFEE, CA Parcel Number: 360-81D 025
92584 Construction Cost: $4,300.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'x 36 SOLID ALUMAWOOD PATIO COVER WITH 2 FANS
Work:
Owner Contractor
JOSIE PASCO ALOHA CONSTRUCTION AND DEVELOPMENT
26664 OPALESCENT DRIVE 25324 CALLE DE TRES AMIGOS
MENIFEE, CA 92584 MURRIETA, CA 92563
Applicant Phone:9513003124
CHRIS COURIE License Number.868606
ALOHA CONSTRUCTION AND DEVELOPMENT
25324 CALLE DE TRES AMIGOS
MURRIETA, CA 92563
Fee Description QQt Amount 151
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 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 slated,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 Tempiate.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 D I am exempt from Iicensure under the Contractor's State License Law for
Professions Code a ndrn2 license is in full f/[ce and effect the following reason:
License Cla i iknse No. By my signature below I acknowledge that,except for my personal residence
Expires ignature in which I must have resided for at least one year priorto completion of
improvements covered bythis permit.I cannot legallysell a structurethat I
WORKER'S COMPENSATION DECLARATION 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 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 www.leginfo.ca.gov/calaw.htmi.permit is issued.
Policy R 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 a 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 If 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
ertify that in the performance of the work for which this permit is issued,
1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9
Workers cLrt
aws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject toomp at nprovisions of5ectioCode,I m i the a provisions. Will the applicant or future building occupant handle hazardous material ora
Appli nt Date mixture containinga hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WAR NI G:FAILURE 70 SECURE WORKER'S COMPENSATION COVERAGE IS o 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 UPTO 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(SCAOMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY Oyes ONO
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 o No
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
Contractor hazardous s License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning
rdo
hus 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,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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 Iicensure 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 fora 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
❑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.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 Contractors State License Law does not apply to an owner of a u 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:
0 1,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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
r�2�11�E
Amok
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL WRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOIfSPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEWJ O PLUMBING O RE-RO -N O U�MBEERROFSQUAREESS
DESCRIPTION OF WORK LU 40 /V 7� 0 n 3 IQx�
PROIECTADDRESS SCAT !/+`" men See Ca 92, Y
�1�+ Menif -
ASSESSOR'S PARCEL NUMBER — LOT p��,J TRACT opt.
OWNER NAME 17
ADDRESS Z6 6 6 V O // APo2
PHONE EMAIL Received
APPLICANT NAME
ADDRESS pC r ) Q 2 7
PHONE j- 02. EMAIL FhLu (p C07 qtptad Ca-�
CONTRACTOR'S NAME Ie, OWNER BUILDER? YES ONO
BUSINESS NAME
ADDRESS /N!�/I68. O L T �S
PHONE q,5/' `"��S 04/9S EMAIL t L S Com
CONTRACTOR'S STATE LIC NUMBER R/-S/-/\ LICENSE CLASSIFICATION
VALUATION$ S C� SQ FT
APPLICANT'S SIGNATUR DATE
DEPARTMENT DISTRIBUTION CITY aF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAIDAMOUNT
AMOUNT or G.J'�V OCASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. IVlenifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request line 951-245-6213
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INSPECTION REQUIRED CIYy of menifeo
Building & Safety Dopt.
All 0 1 2017
Received
CITY OF MENIFEE
BUILDING AND SA ETY DEPARTMENT
(PLAN APPROVAL
REVIEWED BY
DATE
"Approval of these plans shall n t 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. Thi set of approved plans must be kept on the
jobsite until completion.
VC
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