PMT17-02531 City of Menifee Permit No.: PMT17-02631
29714 HAUN RD. Type: Residential Addition
<A-CCEL/> MENIFEE, CA 92586
MENIFEE Date Issued:
07/19/2017
PERMIT
Site Address: 26246 BRANDYWINE DR, MENIFEE, CA Parcel Number: 335-142-017
92586 Construction Cost: $6,000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 19'X 29 SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL
Work:
Owner Contractor
ROBERT WELLS CALIFORNIA SHOWCASE CONSTRUCTION INC
26246 BRANDYWINE DR 1507 MARLBOROUGH AVENUE
MENIFEE, CA 92586 RIVERSIDE,CA 92507
Applicant Phone:9516820208
ANGELA GOODMAN License Number: 912352
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
Fee Description ON Amount t51
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
$168.65
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_61dg Pemnit_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 Contractors State License Law for
Professions Code and my license is in full force and a ect the following reason:
License Class f-C ense No. By my signature below I acknowledge that,except for my personal residence
Expires 1 j Signatu in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legallysell 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 workers 7044 of the Business and Professions Cade,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 v,leeinfo.ca.¢ov/nlaw.html.
this permit is issued.
Policy# Date
YJ,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 '�kBy 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
numberrare: p—T application and the information I have provided is correct.I agree to comply
Carrier) 'f 1 1 �. with all applicable city and county ordinances and state laws relating to
•rA (F '7 + 0bg1dring nstructhin.I authorize representatives of this city or county to
Policy# C102--1�G..1 Expires 1Q t (-7h a ove ientified property for inspection purposes. —/(This section need not to be completed is the permit is for one-hundred Date 11dollars($100)or lessRTY OWNER OR AUTHORIZED AGENT
a I certify that in the performance of the work for which this permit is issued, Q a�1
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subjectt orkers comp nation provisions of Section 3700 of the Labor
Code,Is all h 'th cc - ith t ,se provisions. I Will the applicant or future building occupant handle hazardous material or a
Applican Date 2 _it mixture containing a hazardous material equal to or greater that the
amounts¢p�aFied on the Hazardous Materials Informadon Guide?
L R TO WARNING:FAIE SECURE WORKER'S COMPENSATION COVERAGE IS a Yes It
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building bythe applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($10D,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 forguide in s
CONSTRUCTION LENDING AGENCY D Yes 49
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) Dyes AO
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
California Health&Safety//C�o Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazer u ateriaLrepoq[ip .
checkmark(s)I have placed next to the applicable items)(Section 7031.5n
Business and Professions Code).Any city or county that requires a permit to '! Date 1
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OW R OR AUT RIZED AGENT
issuance,also requires the appliant for the permit to file a signed statement
that he or she Is licensed pursuant to the provision 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
❑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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-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. a No EPA Lead-Safe Certified Firm is required for this project bemuse:
❑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
? Menifee
DATE PERMIT/PLAN CHECK NUMBER -TP ✓
TYPE: ❑COMMERCIAL 11RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: 1 ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL [-]MECHANICAL
[-]NEW ❑PLUMBING ❑RE-ROOF-NU,M/BEROFSQUARES
DESCRIPTION OF WORK ((`� �� CUV C'.✓ 16i / X 2- / 3CJ07
soki C) - e -( rc 1
PROJECTADDRESS (024U ( � olole
ASSESSOR'S PARCEL NUMBER ' 'L-�-a�Ol 7 LOT TRACT /7
PROPERTY OWNER'S NAME n -J-
ADDRESS 2(Q ZL( " �j c, ••
PHONE G '6I -(0-j - q(Q '7 r EMAIL/1
APPLICANT NAME AMC0�
ADDRESS L�7
PHONE 09 So-T-7-73 f EM L CUZ.. (OL `2Q(,&kSwo ' c6)"
Ilan (�
CONTRACTOR'S NAME ( Il f � I �� G fiOWNERBUILDER? ❑YESAO
BUSINESS NAME Ct.l AfnaI�/ I^' ( T�& Y
ADDRESS G1CD0 Itt `CLI' t W L A n ( _
PHONE J 1 -(o 92. -QZp8 4ffflCC EMAIL O- C D -( Vt VJ C C , Cb)n
CONTRACTOR'S STATE LIC NUMBER 1 ' Z S G 2 LICENSE CLASSIFICATION I�
VALUATION$ h A SQFT 3F56 LSQFT
APPLICANT'S SIGNATURE VV.O'— DATE
i •
DEPARTMENT DISTRIBUTION / CITY OF ME FEE U�IN E$q LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN �`� SMIP
INVOICE f /j PAIDAMOUNT
AMOUNT � ,4 I I OCASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
\y 1507 Marlborough Ave.
Riverside, CA 92507
64�&Aa� PROPERTY PLOT PLAN Office (951)682-0208
Showcase Construction Fax(951) 686-2769
�
Custom � WaL.er: 06& 7—s
measure date: _
Z6, 244 � E lot size:_ /Q,'f54
MEN house size: 1006
I
rL garage size: (op
P/C size: 10
lot coverage•
nEA214
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LEDGER
GER IRAC Building & Safety Dep .
s�f a' SPECTION REOUIRED JUL 19 2017
< za' Received
PROP. SOu tv a
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BUl DING A V.J
PLA APPROVAL
REV EWER BY
ATEl
'4ppro al of these plans ehali no;be construed to e a permit for,or an 1
approv, I of,any violation of any provisions of the fE deal,state or city
regulati ins and ordinances. This set of approved pi ins must be kept on the
jobsite until completion. FRS