PMT17-02689 City of Menifee Permit No.: PMT17-02689
29714 HAUN RD. T Residential Addition
�A_CCEL/? MENIFEE, CA 92586 yam'
MENIFEE Date Issued:
OS/01I2017
PERMIT
Site Address: 28287 AVENIDA FRANCESCA, MENIFEE, Parcel Number: 336-320-006
CA 92585 Construction Cost: $2,200.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 10'x 14 AND Tx 18'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL
Work:
Owner Contractor
LEE BUCKINGHAM SUNSTATE LANDSCAPE INC
28287 AVENIDA FRANCESCA 9901 INDIANA AVE#102
MENIFEE, CA 92585 RIVERSIDE,CA 92503
Applicant Phone:9517977000
SCOTT ANGEL License Number: 945375
SUNSTATE LANDSCAPE INC
9901 INDIANA AVE#102
RIVERSIDE, CA 92503
Fee Description QQt Amount($1
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 carded 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.rpl 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 1 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 effect. the following reason:
L3 License Class Ga-7 License lo. 9% 3 S
By my signature below I acknowledge that,except for my personal residence
Expires k Signature in which 1 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 DEC ION 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 workers 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 �y�v,,,r.leeinfa.ca.eav/calaw.html.
this permit is issued.
Policy N Date
o I 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 o 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 owners 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# 7% r Expires 17—.7(—/7 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,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers con pe sation provisions of Section 3700 of the Labor
Code,I shall forth itl i ry�ith hose provisions. —7 Will the applicant or future building occupant handle hazardous material or
Applicant Date Z_3/—� / mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WA :FAILURE -O SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o No
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 modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes o No
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) ❑Yes o No
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the
California
Contractor hazardous s License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning
rdo
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hus material reporting.
oyes o 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(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.eoamov/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).
Cade;The Contractors 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:
o 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.
auiLbfNG & SAFETY . . . • a
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL OtESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION .?'ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ANEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES
� I
DESCRIPTION OF WORK / / i, 1 CL,,°d ity Ot Menite
J ept.
PROJECTADDRESS AvtF /i f " AIC 0 1
ASSESSOR'S PARCEL NUMBER 7jZU- 1610-CM e LOT TRACT S °(` u
OWNER NAME L Ec
ADDRESS Z Fr op_) Alf /119A �.
PHONE �f�- ('/L�� ry,3,s7 EMAIL
APPLICANT NAME Allf > Z,
D
ADDRESS ,rYb ✓4�7 -h('r- 21' ei 2 S-D3
PHONE l J_,`- _2a2 21&,c2 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? OYES :r,N0
BUSINESS NAME
ADDRESS /W r IA ,V
PHONE �j,s/ - ��L 7_7y,� q• EMAIL
CONTRACTOR'S STATE LIC NUMBER ( US 37S LICENSE CLASSIFICATION Go?
VALUATION$ Z 2/CV SQ�JFT L SQ F(T�
APPLICANT'S SIGNATURE_"/- Z�C/ DATE_ {J� �' I
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING"PLANNING ENGINEERING RRE GREEN - SMIP
INVOICE ' ^C
AMOUNT ' tx ./ PAIDAMOUNT rJ. OCASH O CHECK N OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK If 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
43525 Ridge Park Drive Suite 300,Temecula Ca.92590
951-698-4030 X 2150 Fax 951-698-4469 ♦ bobbie(@,slammamt.com
Setting the Higher Standard Since 1987
CASABLANCA VILLAS HOMEOWNERS ASSOCIATION
(951)672-7670
ON SITE HOURS MONDAY,TUESDAY, FRIDAY-10:00 A.M.TO 5:00 P.M.
City of Menlfee
Building & Safety Dept,
July 17, 2017
AUG 01 2017
Ms. Carline Buckingham
28287 Avenida Francesca Re: 28287 Avenida Francesca Received
Sun City, Ca 92585 l�
Dear Ms. Buckingham:
The Architectural Committee (ACC) has reviewed your Alumawood Wood Patio per submitted attached
renderings and application dated 7/1/2017. After review of your application at the 7/17/2017 meeting,the
ACC Committee is pleased to approve your application for the patio cover in your backyard.
Please proceed with the architectural plan you submitted and upon completion please fill out the attached
completion form and return it to the office.
If you have any questions, please do not hesitate to contact this office.
By direction of the Board of Directors &
The Casablanca Architectural Committee
Bobbie Happ CCAM®
Certified Community Association Manager