PMT17-02954 City of Menifee Permit No.: PMT17-02954
29714 HAUN RD. T Residential Addition
<ACCEL/� MENIFEE,CA 92586 Type:
MENIFEE Date Issued:
08/2112017
PERMIT
Site Address: 27969 CRYSTAL SPRINGS DR, Parcel Number: 340-310-010
MENIFEE, CA 92584 Construction Cost: $3,000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL SOLID 9'X 40'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS
Work:
Owner Contractor
BRENDA KERR LESLIE J MISKELLY-PROFESSIONAL HOME
27969 CRYSTAL SPRINGS DR SERVICES
MENIFEE, CA 92564 31917 CALABAZA COURT
Applicant Phone: 9517643084
LESLIE MISKELLY License Number:917444
LESLIE J MISKELLY-PROFESSIONAL HOME SERVICES
31917 CALABAZA COURT
MURRIETA, CA 92563
Fee Description Qtv Amount(EI
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 bulliding 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 o 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:
r s
License Class % License No. Q%C1Lt(4LL. By my signature below I acknowledge that,except for my personal residence
Expires-(a-SO-118 Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that i
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 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 www.leeinfo.ca.eov/calaw.htmi.
this permit is issued.
Policy If Date
o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which D By 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 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 enter the above identified property for inspection purposes.
(This section need not to be completed Is the permit is for one-hundred
ollars I'll"or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
foertify that In the performance of the work for which this permit is issued,
hall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
Vorkees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
ubject 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
mixture containing a hazardous material equal to or greater that the
Applicant �451_11e. MsSK Date S i'1-\1. amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORK NSATION COVERAGE 15 o Yes 1N0
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($300,000),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 forguidellnes
CONSTRUCTION LENDING AGENCY o Yes 40
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) Oyu To
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 afety Code,Section 25505 and 2SS34 concerning
Contractor's License Law for the o the p indicated below by the hazardous ma i re ti g.
checkmark(s)I have placed next to the applicable Item(sJ(Section 7031.5 r1
Business and Professions Code).Any city or county that requires a permit to Dyes r Date s 'I-f' I `_
construct,alter,improve,demolish or repair any structure,prior to its pROPE O AU RIZED 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 EN TION RE I AND PAINTING RRP
Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovatio ,Ke air and Painting(RRPJ Rule requires contractors
Business and Professions Code)or that he orshe is exempt from licensor receiving compens for most work that disturbs paint in apre-197B
and the basis for the alleged exemption.Any violation of5ection 7031-5 by residence orchiidcare facility to be RRP-certified firmsand comply with
an Applicant far a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property ownersand 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.epa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ciAn 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:
ci 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 role please rill out the RRP
Acknowledgement.
BUILDING • PERMIT/PLAN
DATE 7/25/2017 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL X RESIDENTIAL O MULTI-FAMILY (" MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: ;(ADDITION 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
360 Square feet with 2 ceiling fans
PROJECTADDRESS 27969 Crystal Springs Dr., Menifee, CA, 92584
[C/ASSESSOR'S PARCEL NUMBER ," - 5I) - CX0LOT 1)*O,L TRACT A 5A7(0
OWNER NAME Ms. Brenda Kerr
ADDRESS 27969 Crystal Springs Dr., Menifee, CA, 92584
PHONE (951) 672-9109 EMAIL
APPLICANT NAME Same as Contractor
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME Leslie Miskelly OWNER BUILDER? O YES 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 SO FT 360 L SQ FT
APPLICANT'S SIGNATURE DATE 7/25/2017
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN / SMIP
INVOICE /�
AMOUNT 7 0 PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK N Ci CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
Plot Plan for Ms. B. Kerr
27969 Crystal Springs Dr.
Menifee, CA, 92584
Front setback City of Menitee
3uilding & Safety Dept.
TY OF MENIFEE AUG 2 1 2017
LEDGERRr� ING AND 5p��y MEN$ide Setb ck
Sid Setback lhkOPECTION REQUP`AN ApPROVAI.- ffa
RE`J!FWFD R Sh 0
Existing Dwelling DATE
9' A oval of these plans shall n ,he construed to be a permit for,or an
approval of,any violation of any provisions of the federal,stat or city
regulations and ordinances. This set of approved plans must kepi on the
jobsite until completion. ��.�►
:I
ropose -Solid umawoo over V
9'Projection x 40'Width V
360 Square Feet 9'
2 Ceiling Fans 7
40' t..
12'
Rear Setback