PMT17-02542 City of Menifee Permit No.: PMT17-02542
29714 HAUN RD.
�CCEL/� MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 07/20/2017
PERMIT
Site Address: 29617 ASHTON CIR, MENIFEE, CA 92584 Parcel Number: 364-380-050
Construction Cost: $4,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 15'x 39'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS
Work:
Owner Contractor
CHERYL&DAVE WOOLCOCK TODD'S PATIO COVERS
29617 ASHTON CIRCLE 30905 GREENSBORO DR -
MENIFEE,CA 92584 TEMECULA, CA 92592
Applicant Phone:9516608665
TODD SKARIN License Number: 834251
TODD'S PATIO COVERS
30905 GREENSBORO DR
TEMECULA,CA 92592
Fee Description Qy Amount($)
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
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 effe t. the following reason:
License Class (' Lice ae lo. By my signature below I acknowledge that,except for my personal residence
Expires Signatur 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
a 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 fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which www.IeRinfo.ca.9ov/caIaw.htmI.permit is issued.
Policy q Date
D I have and will maintain worker's compensa don insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which '9By 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 polity 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 with all applicable city and county ordinances and state laws relating to
building construction.LauthorIze representatives of this city or county to
Policy If Expires ente h 6 iden ied property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred - ' Date
dollars($100)or less ER R OW AUTHORIZED AGENT
")e,l certify that in the performance of the work for which this permit is issued,
I shall notemoloV any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall fo tIr h y with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applic W Date kD mixture containing a hazardous material equal to or greater that the
amount specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the ntended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupa require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Ai Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidi lines
CONSTRUCTION LENDING AGENCY ❑Yes i No
I hereby affirm that under the penalty of perjury there is a construction Will the imposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer b ndary of a school?
(Section 3097 Civil Code) a Yes No
OWNER BUILDER DECLARATIONS I have re d the Hazardous Material Information Guide and the SCAQMD
permittin checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the
Contractor's License Law for the reason(s)indicated below by the hazaCalifornia eat, &Safety Code ion 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 rives ou mate
Business and Professions Code).Any city or county that requires a permit to DYes O ��
construct,alter,improve,demolish or repair any structure,prior to its Date
PROPE R R THORIZED 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 MRP)
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 7032.5 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
D 1,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.aov/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. o No EPA Lead-Safe Certified Firm is required for this project because:
a 1,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 RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE :/ ze / PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL []RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL CItyof Men fee
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
fey Dept.
DESCRIPTIIOON�OF WORRfK / / 9 ' Lv L� l�l 017
W / 6 0- 0
PROJECTADDRESS 1/( '�_ ecei ed
ASSESSOR'S PARCEL NUMBER T TRACT
PROPERTY OWNER'S NAME
ADDRESS q6, l zt
PHONE EMAIL
APPLICANT NAME (( /
ADDRESS
PHONE (f Ip MAIL ./
CONTRACTOR'S NAME Q / CY /I OWNER BUILDER? -]YES 0
BUSINESS NAME - b
ADDRESS v
PHONE r I E IL l(
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ Q SO,FT /�,�- L SO,FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN .� SMIP
INVOICE PO PAIDAMOUNT
AMOUNT pC-1�' �O O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES ' PAID AMOUNT 0CASH OCHECK# C)CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0-YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-6 72-6 777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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