PMT17-01813 City of Menifee Permit No.: PMT17-01813
29714 HAUN RD.
-'XCCELA MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 06/08/2017
PERMIT
Site Address: 27071 RED ROCK CT, MENIFEE,CA Parcel Number: 3334112-023
92585 Construction Cost: $3,950.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 12'x 35'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS
Work:
Owner Contractor
CHRIS STENARD PSLQ INC
27071 RED ROCK COURT 28910 RANCHO CALIFORNIA RD
MENIFEE,CA 92585 #206
Applicant Phone: 9517954260
JOSH HERRICK License Number: 919885
PSLQ INC DBA GREENBEE
28910 RANCHO CALIFORNIA RD
#206
TEMECULA, CA 92590
Fee Description Qtv Amount lEl
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 an 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 0I am exempt from licensure underthe Contractor's State License Law for
Professions Code andZy license is in full force and effect. the following reason:
License Class Licenseh By my signature below l acknowledge that,except for my personal residence
in which I must have resided for at least one year prior to completion of
Expires -1 —�� Signature
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATIO77T have built as an owner-builder if It has not been constructed in its entirety by
a 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.leeinfo.ca.gov/calaw.html.
this permit is issued.
Policy#
Date
Frfiave and will maintain worker's 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 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 CN C- with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# N 5Q 3 0 25 7- Expires 14-15< 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, /)�r L �L
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# \�q,)�73"Ln
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's ompens 'on provisions of Section 3700 of the Labor
Code,I shall fort) imply with those rovi ' Will the applicant or future building occupant handle hazardous material or
-16- l mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAIL RE O SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes ci�r.
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($100,00131,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 forguidelines
CONSTRUCTION LENDING AGENCY 0Yes VyKo
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 bound of a school?
(Section 3097 Civil Code) a Yes se1ro
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
Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
bazar us material r ortin .
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es 0 No // 1�
Business and Professions Code).Any city or county that requires a permit to Date ?�I h•L-T
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY OWIE 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING JRRPI
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
01,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 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. 0 No EPA Lead-Safe Certified Firm Is required for this project because:
0 I,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 RAP
Acknowledgement.
Z
u
'BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE (j PERMIT/PLAN CHECK NUMBER -01%'b
TYPE: O COMMERCIAL ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O� ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
9YIVEW OP1LUMiBING ORE-ROOF-NUMBER OF SQUARES 1
DESCRIPTION OF WORK 6-A `I UrAkul Lin cpv V-4
S
PROJECTADDRESS A 7 O 4 1 C 01 "'10K. %
ASSESSOR'S PARCEL NUMBER ,3-41a- 3 LOT TRACT
h
OWNER NAME t 15 S4-P rA
ADDRESS 54 m4e
PHONE �.')I'ao�l- �5a� EMAIL
APPLICANT NAME p \C
ADDRESS
PHONE �51-36-9gg�l EMAIL
CONTRACTOR'S NAME OlLQ�'l OWNER BUILDER? O YES P�NO
BUSINESS NAME /�
ADDRESS A -N 6 C LIJ, 9,N .J PmpG v) , 9 a 9 a
PHONE 951-311-kov EMAIL
CONTRACTOR'S STATE LIC NUMBER 919 ns LICENSE CLASSIFICATION (�
VALUATION$ 3 I O pp SO FT '/AO L SQ FT / 5
APPLICANT'S SIGNATURE DATE 6I SII
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEEI1RIING FIRE GREEN SMIPINVOICE I
AMOUNT 5• �V PAIDAMOUNT
O CASH O CHECK q O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER C YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menif e, CA 92586 951-672-6777
www.cityofinenifee.Lis Inspection Request Line 951-246-6213
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