PMT17-02564 City of Menifee Permit No.: PMT17-02564
29714 HAUN RD. Type: Residential Addition
<�kCCEL/? MENIFEE, CA92586
MENIFEE Date Issued:
07/24/2017
PERMIT
Site Address: 30191 MUIRLANDS DR, MENIFEE, CA Parcel Number: 364-370-060
92584 Construction Cost: $3,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12 X 21 DURALUM PATIO COVER WITH SOLID COVER AND ELECTRICAL-1 FAN AND 6
Work: LIGHTS.
Owner Contractor
BRANDON&HEIDI NESPER
30191 MUIRLANDS DRIVE
MENIFEE, CA 92584
Applicant License Number:
BRANDON&HEIDI NESPER
30191 MUIRLANDS DRIVE
MENIFEE,CA 92584
Phone: 9519738442
Fee Description r3,ty Amount f$1
Receptacle, Switch, Outlet& Fixture 7 146.00
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 7.30
$321.95
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 License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature 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 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 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 I
I this appli tion is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which H„w le to o.ca. ovcalaw.html.
this permit is issued. �/Lt,
Policy# II Date �' t.' l� 177
❑I have and will maintain workers compensation insurance,as required by PR O THORTLED 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 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.I authorize representatives of this city or county to
Policy# Expires entert a above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred ,� �- Date
-RQ '��
dollars($100)or less PRO Q-- '�NEft R AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued,
I shall not emslov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become fHAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 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 XNo
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(5100,000),IN occupant requires 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 -- - - --- - -- ----- ----for guide
CONSTRUCTION LENDING AGENCY ❑Yes 214o
I hereby affirm that under the penalty of perjury there is a construction I 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 oNo
I 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 Code,Section 25505 and 25534 conceming
Contractor's License Law for the reason(s)indicated below by the hazardous aterial r orting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 l Dyes ❑
Business and Professions Code).Any city repair
that requires a permit to Date
construct,alter,improve,demolish or repair any structure,signets its PROPERTY OWNER HORIZED AGENT
issuance,also requires the applicant for the permit to fllea signed statement
that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 add exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant fo�JJ y�l licant to a civil penalty of not more
jj� cr ��� required practices.This includes rental property owners and property
than($500). Safetyp managers who do the paint-disturbing work themselves or through their
❑1,as owner of the,,,ryf�i7afs rt o[my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do�`}a1YoP8rgorlon of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
inot intended or offered for sale. e n 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Con s State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who, h or ersonal effort,builds or improves the
property provided that the im rnis are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement Is sold within one year of
Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
Ib(I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement
& SAFETY PERMIT/PLAN CHECK APPLICATION
OMenifee
DATE L PERMIT/PLAN CHECK NUMBER� T �� -O2V;(c L�
TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDI ION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING FIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK uv a
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PROJECTADDRESS (�-
ASSESSOR'S PARCEL NUMBER Jl9`I '-3-n-(DLna LOT l to TRACT
PROPERTY OWNER'S NAME (�p�d
ADDRESS M�.l. S
PHONE C{cj -q-}.� -$�l-( � EMAIL eS I
APPLICANT NAME e Z
ADDRESS O
PHONE EMAIL 2- 'I1 (-0 rAS n .
CONTRACTOR'S NAME OWNER BUILDER? VYESEINO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ ��C � SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 7 SMIP
INVOICE !� a~' PAIDAMOUNT O O
AMOUNT 32 CASH CHECK# OCREDIT CARD VISAIMC
PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK 9 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Meni ee, CA 92586 951-672-6777
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'Moval f these plans shall not be c nstrued tab a pe tt for,or an
diproval o any violation of any provis ns of the fe ,state o P
egtlltions nd ordinances. This set of pproved pla 'must pt on a
jobs unti_ completion.
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MMY PROMM City of Menifee
Building & Safety Dept.
JUL 2 4 2017
2$4-199 (Re1r.OG/ZQ09}
Received