PMT17-03207 City of Menifee Permit No.: PMT17-03207
29714 HAUN RD. T Residential Addition
�XCCELA> MENIFEE, CA92586 y�
MENIFEE Date Issued: 09/12/2017
PERMIT
site Address: 28740 RAINTREE DR, MENIFEE, CA Parcel Number: 340-210-008
92584 Construction Cost: $3,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 8'x 28'SOLID ALUMAWOOD PATIO COVER 1 FAN,2 LIGHTS, 1 OUTLET, 1 SWITCH
Work:
Owner Contractor
CINDY MARKSBERRY CLASSIC ALUMAWOOD COVERS
28740 RAINTREE DRIVE 39450 BONAIRE WAY
MENIFEE,CA 92584 MURRIETA, CA 92563
Applicant Phone:9516748533
DAVID ABEEL License Number: 986793
CLASSIC ALUMAWOOD COVERS
39450 BONAIRE WAY
MURRIETA, CA 92563
Fee Description OIt Amount(EI
Receptacle, Switch, Outlet&Fixture 5 136.00
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 6.80
$311.45
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 staled,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 01 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 `2 Li ens No. /8 6 Z S? By my signature below I acknowledge that,except for my personal residence
n
Expires Signature C 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
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 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 following website:
by Section 3700 of the Labor Code,for the performance of work for which www.Ieginfo.ca.gov/caIaw.htmI.permit is issued.
Policy It Date
a 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 ❑By my signature below I certify to each of the followirW.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 coned.I agree to comply
Carrier N 0�(,V 0 with all applicable city and county ordinances and state laws relating to
1 building construction.I authorize representatives of this city or county to
Policy p/..tJ LU C es/107 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
01 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 R
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subjecttothe rker'scompensation provisions of Section 3700of the Labor
Code,I shall fo w h c ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
6 ` /�-(7 mixture containing a hazardous material equal to or greater that the
Applican Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes Eatlo
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(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY 0 Yes EYNo
hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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) o Yes _"O
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
i hereby affirm under penalty of perjurythat I am exempt from the permitting checklist I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below 6y the California att &Safety Code,Section 25505 and 25534 concerning
m
hazardous mat all r parting.
checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 mYes 0 No
Business and Professions Code).Any city or county that requires a permit to Date - / D-/7
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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPJ
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($500). managers who do the paint-disturbing work themselves or through their
a 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a 0 An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not Intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING APPLICATION
DATE Z — 7 PERMIT/PLAN CHECK NUMBER C MT _ 7J
TYPE: [I COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME EIPOOL/SPA [:]SIGN
SUBTYPE: ADDITION ❑ALTERATION ❑DEMOLITION EJELECTRICAL ❑MECHANICAL
WNEW [-]PLUMBING ❑RE-/IROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK LL1 QWooD iT.a - / L CY14 - AV LjFY
,Su'r
PROJECT ADDRESS 267'f0 RAI/Ajt-k '(_ n( Q,vr�r�¢, 09001l
ASSESSOR'S PARCEL NUMBER Z7!jQ CE •�$ LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS Z 0 4 t.r/ TILE - �►'(e , �.e
Y Of lWe-nitef,
PHONE 865-- 9(0 - 6 0 4 EMAIL Building & Safety Dept,
APPLICANT NAME 1] U I E7L SEP '
ADDRESS L ZS LA-2 C(.L -QC
PHONE &9-73z - 7?(p EMAIL"" ii
CONTRACTOR'S NAME JD,ll e (fov-q �Ch 0^,q OWNER BUILDER? ❑YESSNO
BUSINESS NAME C L S(C WO9.0 J C*-
ADDRESS 391IS-0 0,Us,ee 60,¢
PHONE l L.5 . p 7 L - BS •33 EMAIL
CONTRACTOR'S STATE LIC NUMBER p_Lg b 7 9 3 LICENSE CLASSIFICATION Z
VALUATION$ 3 6 00, ' SSQsFT Z Z i! L SQ/F�T
APPLICANT'S SIGNATURE �( I DATE
d
DEPARTME*CHECK
ION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDINGENGINEERING FIRE GREEN - SMIP 1
INVOICEr
AMOUNT J PAIDAMOUNT p�
3\1•�.�! O CASH 0 CHECK p O CREDIT CARD VISA/MC
PLAES 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
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-245-6213
LEDGER & TRACK
INSPECTION REQUIRED
Owner: M4 r Contractor:
Classic Aiumawood Covers
2- 87cfo K4/N r96e 39450 Bonaire Way
Murrieta Ca. 92563
'j e-lu, a 9516748S3 Lic4 986793
City of Menifea
88S_7/0 Q ! 0 Building S Safety Dept.
O (o SEP 12 201'
Received
CITY OF MENIFEE
BUILDING AND SAFETY EPARTMENT
PLAN APPROVAL 30
REVIEW D BY
DATE
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any vjolation of any provisions of the federal,state or dty
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
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