Loading...
PMT17-02517 City of Menifee Permit No.: PMT17-02517 29714 HAUN RD. Type: Residential Addition �A-CCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 07/19f2017 PERMIT Site Address: 29326 WINDING BROOK DR,MENIFEE, Parcel Number: 340-230-026 CA 92584 Construction Cost: $7,600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 14'X 42'ALUMAWOOD PATIO COVER W/ELECTRICAL 3 FANS,3 LIGHTS, 1 Work: SWITCH, 1 OUTLET Owner Contractor BOB SHILTS SOCAL HOME IMPROVEMENT 29236 WINDING BROOK DR 16331 LAKESHORE DR#G161 LAKE ELSINORE,CA 92530 Applicant Phone:9512364282 BOB SHILTS License Number: 930540 SOCAL HOME IMPROVEMENT 15331 LAKESHORE DR#G1,61 LAKE ELSINORE,CA 92530 Fee Description Qtv Amount(SI Receptacle,Switch, Outlet&Fixture 8 151.00 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 7.55 $327.20 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 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class V License No. II J�U�yU By my signature below l acknowledge that,except for my personal residence Expires Q 30 If Signature y L in which l 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 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 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.IeRinfo.ca.Rov/caI;w.html.permit is issued. Policy# Date Y 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 polity owner or authorized to act on the property owners behalf.I have read this number are: ty' I application and the information I have provided is correct.I agree to comply Carrier . "I a'jtyVn with all applicable city and county ordinances and state laws relating to Sz to S 6(� F i n building construction.I authorize representatives of this city or county to Policy# Expires S 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, ��rc.�vf� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 0 +5/ I 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 c tnpl with those provisions. 1 c Will the applicant or future building occupant handle hazardous material or a Applicant �� Date �r 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 "Po 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 madification 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 0 Yes 9,No 1 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 Ir0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporti checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Gyps 0 No /( Business and Professions Code).Any city or county that requires a permit to Date I f-7 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORAUTHORIZED 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)orthat 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 o 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.sov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-024-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: ❑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 Uceme 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 `- .:5 ,.,�.k., Menifee DATE 7/19// PERMIT/PLAN CHECK NUMBER 11' O 5I TYPE: []COMMERCIAL VRESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA []SIGN SUBTYPE: []ADDITION []ALTERATION []DEMOLITION []ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBIING f❑RE-ROOF-NUMBEROFSQUARES DESCRIPTION OF WORK 14 K 2 low iAj^'l a .0 pPr 3 Pa, L- I, �c RI Sw; III .,+le PROJECTADDRESSW1,441 6Tuo IL ul. 29 3 z (o O- ASSESSOR'S PARCEL NUMBER 340 Z3 00 26 LOT 6 TRACT `��AZ p PROPERTY OWNER'S NAME 13 0L SL.I T ADDRESS 292 1n 1, oD �t. PHONE 'Ki - 249— 53M EMAIL APPLICANTNAMIE (� �' U2;I@ ADDRESS -1 O 2 e 0.f' A rp- ✓c C.�. a (, P-I S Z [ l PHONE 9U- TEMAIL CONTRACTOR'S NAME sv�c1 40O e r UC^+('n, p OWNERBUILDER7 ❑YES®NO BUSINESS NAME //b G,Srrt ADDRESS 6331 LG ort /• t0o PHONE 1-goo— Z21 - 56Lf S EMAIL CONTRACTOR'S STATE LIC NUMBER 130 Sy 0 LICENSE CLASSIFICATION VALUATION$ ?SCDO SQ FT L SQ FT APPLICANT'S SIGNATURE DATE -?Mr/0 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION I CITY OF MENIFEE BUSINESS ENSE NUMBER I BUILDING PLANNING ENGINEERING FIRE GREEN ` SMIP INVOICE ✓ .a PAIDAMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNL I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER O YES O NO City of A4enifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92536 951-672-6777 Tvv,,w.cityofinewfee.us Inspection Request Line 951-246-6213 Lie. * 93o54® 16331 Lakeshore Dr. #161 Lake Elsinore, CA 92530 1-800-221-5645 b SoC al F Fome Improvement It, Proposed: IyxyZ 501'*c a 4 P p npv4^uM IS'f1i'o Cover 6 tin• i.• ti'�5 I $Ui 10 Ile City of Menffeo r Building & Safety Dept. u� Sri n3 JUL 19 2017iL � Received 0 CITY OF MENIFEE L!J U!IDING AND SAFE EPARTMENT U 1 APPROVAL LL LL, REV!EDNED BY ` q1(7 DATE Apuer:ai of t se plans shall not a constr ed to be a permit for;or an dpprovdi ot,aqtviola I t i9nofahypiovisions f the federal,state or city regulations and ordinances. This At of app ved plans4nust be kept on the obsite until co W Al Sy' N tIOfiLAIK _ WY�'i1Y.v4 (yn�ayL OR. FRONT SCALE: �',ZD Name Phone 951- z99 . 5384 Address a9 �,� W�., 1:�t 3ruoY- br. City �le�; ee J State CA Zip 92 5-Sy APN 3q 02j Oo z 6 Tract 2 S139 Lot 6 House 'Z(44 $ Lot 60W Proposed SS% $ Coverage Ss c/o &AQA(rf K'a 4.