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PMT17-01801 City of Menifee Permit No.: PMT17-01801 29714 HAUN RD. Type: Residential Addition �A—CCELA7 MENIFEE,CA 92586 MENIFEE Date Issued: 06/0712017 PERMIT Site Address: 27363 STONEHURST DR, MENIFEE, CA Parcel Number: 333-420-014 92585 Construction Cost: $2,900.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL ALUMAWOOD PATIO COVER-286 SQ. FT.-11 X 26,WITH ELECTRICAL- 1 FAN, 1 Work: OUTLET Owner Contractor GILBERT ROBLES CONTRACTORS INC 27363 STONEHURST DRIVE 4010 CERVEZA CIRCLE MENIFEE, CA 92585 CORONA, CA 92881 Applicant Phone:7144488163 JOSE ROBLES License Number:914397 ROBLES CONTRACTORS INC 4010 CERVEZA CIRCLE CORONA,CA 92881 Fee Description QtV Amount I$) 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 $295.70 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 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 cantractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and m license is in full force and effect. 7 the following reason: License Class License No. L—q 3 By my signature below 1 acknowledge that,except for my personal residence Expires 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 w„ww.leeinfo.ca.gov/calaw.htmi. this permit is issued. Policy# Date PROPERLY OWNER OR AUTHORIZED AGENT �I have and will maintain worker's compensaton Insurance,as required by section 3700 of the Labor Code,for the performance ofthe work for which ❑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: X application and the Information I have provided is correct.I agree to comply pltns-. with all applicable city and county ordinances and state laws relating to Carrier -r"�fi� F O building construction,l authorize representatives of this city or county to Policy# Z4. )-.3& Z O Expires f _ �U _�O 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 ❑i 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 ITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthhwwj_th-ce�mpT�h thos isions. jj Will the applicant or future building occupant handle hazardous material or a Applicant �!/ Date W 7 �� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes KNo 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(SCAQ�ID)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY ❑Yes KNo 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) o Yes VQNo 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 j 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 material reporting. checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 Sexes ❑No/ G_ /� Business and Professions Code).Any city or county that requires a permit to e Date ,/ construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OW R 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 ofthe 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 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 ❑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 ❑An EPA Lead-Safe Certified Renovator will 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.: mpletion,the Owner-Builder will have the burden of proving that it was uilt or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because: ner of the property am exclusively contracting with licensed to construct the project(Section 7044,Business and Professions nVactors State License Law does not apply to an owner of a Ifyour project does not comply with EPA REP rule please fill out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 7 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL !PRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBIN/G� O RE-ROOF-NUMBER,O,FSQUARES G DESCRIPTION OF WORK X/(/lrnqj _t�,Zf pf']C,,,l% PROJECTADDRESS J S �I ' ASSESSOR'S PARCEL NUMBER � ✓3.420-bl LOT 14 TRACT OWNER NAME G f I ADDRESS Z 7 S S l -ppp PHONE J �e0 1p / -�3J�3�.-. /1 EMAIL B.}� APPLICANT NAME -Y`a V ADDRESS 13 1/ -S CU PHONE 5- / ZIS y EMAIL CONTRACTOR'S NAME j O:�P— OWNER BUILDER? O YES NO BUSINESSNAME ADDRESS L40 [`/ CQq�'/V`P PHONE �� `G `-� t, sq(/ EMAIL CONTRACTOR'S STATE LICC�NUMBER /� / LICENSE CLASSIFICATION VALUATION$ l C7d SO FT L SO FT/ / / APPLICANT'S SIGNATURE / /%5 DATE Cv' (/' 4 ni DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN O SMIP INVOICE o 1D PAIDAMOUNT C AMOUNT • CASH OCHECK# CCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO V 0f ��,,"iy pep City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 9258f8L��T www.cltyofinenifee.us Inspection RegUestLine 951-246-6213 ®I !ZQt1 1UN ,Fte,oeoved L -7 3 v S, -+o 1i � - kur- s+ O 0 CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT FLAN APPROVAL 0 REVIEWED BY V GL E ar�� cow',-- U. *Approval of these plan shall not be construed to be a permit for,or an V„ approval of,any violatio i of any provisions of the federal,state or city 0 regulations and ordina es. This set of approved plans must be kept on the jobsite until completion yak 3&A- — back , back- � 0 Robles Contractors Inc. License# 914397 October 3,2013 This letter is to inform you,that Wilberto Bravo has my authorization to pull City Building Permits for Robles Contractors Inc. Q 0 U Thank You, W ` U r l0 to-5-13LL Melissa Robles LL Secretary/Director O County Riverside —o —20 W tatyPublk Ilyappeare�— 2 's e" \� who proved totneonthe-bas(sofsatisfactoryevidettce lobe the perstirowhose namely)' argsubscribedtothewithinInstrumerd Mild Kkroviedged to me thatbas/sheffi*executed the same inW tw/t*kauthorized capacity,and that byNfter/tVr stgrtaturefsybn the instrument the personK,or the entity upon behalfof Which the personacted,executed the lnstrumef 1 certify under PENALTY OF PMURY under the laws of the state of Ca%mia that the foregoingparagraphis true mWcorrect. P B.PAREKH Commission# 1960169 1 WITNESS my handmWoffkWsW. a NotaryPu6lic-California z Riverside County > >.. . _ Sigaatus e 9 ,� 1/ 1_ Z My Comm.Expires Dec 9.2015+ 4010 Cerveza Cir. Corona CA 92881 (714)448-8163 Cell (951)898-8803 Fax