PMT17-02581 City of Menifee Permit No.: PMT17-02581
29714 HAUN RD. Type: Residential Addition -
'dkCCBL/? MENIFEE, CA 92586
MENIFEE Date Issued:
07/25/2017
PERMIT
Site Address: 27333 FAMILY CIR, MENIFEE, CA 92586 Parcel Number: 335A63-023
Construction Cost: $3,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 10'x 29'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
OGHWA LADNER LESLIE J MISKELLY-PROFESSIONAL HOME
27333 FAMILY CIRCLE SERVICES
MENIFEE,CA 92586 31917 CALABAZA COURT
Applicant Phone:95176430B4
LESLIE MISKELLY License Number: 917444
LESLIE J MISKELLY-PROFESSIONAL HOME SERVICES
31917 CALABAZA COURT
MURRIETA, CA 92563
Fee Description OQt Amount($)
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 5.80
$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_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 f 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 the following reason:
License Class R. License N . By my signature below 1 acknowledge that,except for my personal residence
Expires 0(i'30—I Signatureopl� 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 I 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 oft a following eclarations: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 Code,is available upon request when
compensation,issued by the Director of Industrigl Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Cade,for the performance of work for which wwwleidnfo.ca.eav/calaw.html.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑I have and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which o By my signature below l 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 an the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy ft Expires 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
certify that in the performance of the work for which this permit is issued,
1 shall not employ any persons In any manner so as to become subject to the CITY BUSINESS LICENSE ff
workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the work s compensation provisions of Section 3700 of the Labor
Code,Ishall fo 1h1: � with those provisions. 6"' � Will the applicant or future building occupant handle hazardous material or
2�_ mixture containing a hazardous material equal to or greater that the
Applicant Date , amounts specified on the Hazardous Materials Information Guide?
WARNING: AILU CeORKIR'S COMPENSATION COVERAGE ISoYes DNo
UNLAWFU , SHALLSN EMPLOYER TOCRIMINALPENALTIESWill the intended use of the building by the applicant or future building
AND CIVILINESUPTOONRED 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 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes oNo ,
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) D Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
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 reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes D No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to 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(RRP)
License Law(Chapter9(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
o 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.zov/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 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:
❑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 RAP
Acknowledgement
SAFETYBUILDING & . IT/PLANAPPLICATION
DATE 7/25/2017 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL X RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: (XADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Solid Alumawood Patio Cover
290 Square feet with 1 Ceiling Fan
PROJECTADDRESS e3C
v Family��Ciirccle, Sun City, CA Q
ASSESSOR'S PARCEL NUMBER 33 -qt n 'VO'J LOT TRACT
OWNER NAME Ms. Oghwa Ladner
ADDRESS 27555 Family Circle, Sun City, CA City Of M
eniffin
PHONE (951) 282-8767 EMAIL BulluI19 & Safety Dept.
APPLICANT NAME Same as Contractor JUL 2
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME Leslie Miskelly OWNER BUILDER? OYES X NO
BUSINESS NAME Leslie J. Miskell - Professional Home Services
ADDRESS 31917 Calabaza Court, Murrieta, CA, 92563
PHONE (951) 764 - 3084 EMAIL Usa92592@yahoo.com
CONTRACTOR'S STATE LIC NUMBER 917444 LICENSE CLASSIFICATION B
VALUATION$ 3000 FT 290 L SC,FT
APPLICANT'S SIGNATURE DATE 7/25/2017
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT O •— 0CASH 0 CHECK 0 OCREDITCMD NSA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
2RifrF, Ft lln $ 5 L� (iJ� ..._... i_ , .f. 9", 1 a _ CJ-O-Jii .
D:..i'!�. Ci' C_` 1.. it i.� -b'_ )%•
Y..d�tii--?.?.iii(;?i -Ja i'i•'i°; .> LiLP=i=-_=��..:3��__
Plot Plan for Ms. O Ladner
27A Family Circle
Sun City, CA
City..EDGER & TRACK Building &fSafeMenty Dept.
r t t
JUL 2 5 2011
CITY OF KWk6tback
BUILDING AND SAFETY DEPARTMENT.
PLAN APPROVAL
Sid Setback REVIEWED BY Side Setbc ck
DATE
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state Or city
.xid,ec hilsate{,ay➢rP���Qlangustbe kept or,the $ '
regula JC 1 J LJ V V C t f
jobsite until comple ion.
Proposed Solid umawoo over
10' Projection x 29' Width (�J
1 ceiling fan
10' �
290 Square Feet
29'
v0
Rear Setback