PMT17-01978 City of Menifee Permit No.: PMT17-01978
29714 HAUN RD. Type: Residential Addition
�cCELA7 MENIFEE,CA 92586
MENIFEE Date Issued: 06/19/2017
PERMIT
Site Address: 29856 AVENIDA DE FIESTA, MENIFEE, Parcel Number: 336-250-001
CA 92586 Construction Cost: $6,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'X 20'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL, 1 FAN
Work:
Owner Contractor
SUZANNE MCKNIGHT CALIFORNIA SHOWCASE CONSTRUCTION INC
29856 AVENIDA DE FIESTA 1507 MARLBOROUGH AVENUE
MENIFEE,CA 92586 RIVERSIDE, CA 92507
Applicant ' Phone:9516820208
JENNIFER MUNOZ License Number.912352
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
Fee Description DQt Amount fSl
Receptacle, Switch, Outlet&Fixture 1 116.00
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 6.80
$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
I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effeft the following reason:
License Class a License No. a\93tia By my signature below l acknowledge that,except for my personal residence
Expires k6 j'ZM /1-1- Signature 7l PX\Y\Cr_r' YV%t in n Z. 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 1
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 forworkers 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.eov/calaw.htmL
this permit is issued.
Policy g Date
90 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: application and the Information I have provided is correct.I agree to comply
( rv. ��rr x(.�n P Gc.vtcJ. with all applicable city and county ordinances and state laws relating to
Carrier
—�crc�a dc6a�-` 6 building construction.l authorize representatives of this city or county to
Policy q Ct 0aah Q Expires 1 \ /"F- 11-k- 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
❑1 certify that in the performance of the work for which this permit is issued, R"'1iJ_G,6t�
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g ps✓OO
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,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicanf��nnn:Cr.✓ Vlnt�n�Z Date CD�t Lt �I� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes tLNo
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 forguidelines
CONSTRUCTION LENDING AGENCY o Yes pi No
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 "o
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 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 #yes o No
Business and Professions Code).Any city or county that requires a permit to =B ,C�er v,—.u.^' Date 6PAi -/r'_
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)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
n 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.eua.eoy/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a D 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:
❑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.
BUILDING & SAFETY PERMIT/.LA APPLICATION
a
Menifee
DATE j 1 -7 PERMIT/PLAN CHECK NUMBER
TYPE: COMMERCIAL IRESIDENTIAL MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: MADDITION ❑ALTERATION ❑DEMOLITION MELECfRICAL ❑MECHANICAL
❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Propased piwyaumod12ccRo 'u vela
ra'x 20' of LO Fftkj JC-6� (,.
PROJECTADDRESS q ) e. De F(tj k
ASSESSOR'S PARCEL NUMBER -3e>0 - `00I LOT I TRACE
PROPERTY OWNER'S NAME (S(,�ZC�.(�(1 C L f
ADDRESS �'1 1 '3U LOT V l 'C ,SS I -
PHONE g C6 1 - LQ CQ D ^ S 6 0 :3 EMAIL
APPLICANTNAME �, .,/ (v\kka0Z
ADDRESS p�
PHONE q(�q ' Sl�� —173� EMAIL Q�cQ.Is.GI)WC- . ;
CONTRACTOR'S NAME �IrI(IL.#�1 V(Y1C'9 OWNERBUILDER? ❑YES NO
BUSINESSNAME - 1� �'tc��UICCc.S�. .,1 (q C f I,W
ADDRESS 15 b bo r i-'5 ` IZI nJ__ /9 2- 0� ,`
PHONE EMAIL C. e.t. OCl.( 1 VVCCI S-Q •U"
CONTRACTOR'S STATE LIC NUMBER G Z 52 LICENSE CLASSIFICATION , `�
VALUATION$ � o c c SQ FT pl L,-I�� L SQ FT � 1�-1'-1 J
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUJLNESS LICENSE NUMBER
BUILDING PLANNING ENCINEEWNG FIRE GREEN ! SMIP j✓���CQ�I
INVOICE Vn' PAID AMOUNT
AMOUNT L O O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH OCHECK# 0CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
F,)L A A � 1507 Marlborough Ave.
T` Riverside. CA 92507
cShoiwca�sc�cioPROPERTY PLOT PLAN Office (951) 686-2769Fax (951) 686-2769nstruction
Customer: zVel6 4wr measure date:_ �a=g-17
Z985L 4f V6 PIESIA lot size: 7�(0S" -
AijEnl[FEES CA 92SB6 house size: /385
garage -
P/C size: 2 1 D
lot coverage: 27•`1—�—
LEDGER � �Rac�INSPECTION REQUIRED FeoAvrk
City of Menifee
Building & Safety Dept.
35i§:
JUN 19 201,i >"
a
CITY C F MENIFEE
Received O
BUILD NG AND SP FETY DEP4MWENT W
PLAN APPROVAL a U
LL
``,A�
REVIE ED BY (P ILL
O
D s z.
"Approval i f these plans shall not. construed ro be a permit for,or an
approval of any violation of any p vjsions of the federal,stated ,
too
regulations and ordinances. This s thf approved plans must be kept on the
jobsite unti completion,
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PROP soua ALA".
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