PMT18-00881 City of Menifee Permit No.: PMT18-00881
29714 HAUN RD. Type: Residential Addition
�ACCELA>. MENIFEE, CA 92586
MENIFEE Date Issued:
02/28/2018
PERMIT
Site Address: 31467 EASTRIDGE AVE, MENIFEE, CA Parcel Number: 372-393-006
92584 Construction Cost: $4,000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL SOLID 12'X 30'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,3 LIGHTS
Work:
Owner Contractor
LOGAN&MARLENE SMITH T F MEADOR CONSTRUCTION
31467 EASTRIDGE AVE PO BOX 713
MENIFEE, CA 92584 WILDOMAR,CA 92595
Applicant Phone:9518376180
TOM MEADOR License Number:639087
T F MEADOR CONSTRUCTION
PO BOX 713
WILDOMAR, CA 92595
Fee Description QQt rr Amount
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 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.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)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:
License Class L Uce se No. �3 $7 B m signature below 1 acknowledge that,except for m
'l y y g g p y personal residence
Expires H 3 U Signature /' in which I must have resided for at least one year priorto completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that 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 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
this permit is issued. ,r,,ww,leefnfo.ca.eov/calaw.html.
Policy# Date
61 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 o 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: r/' application and the information I have provided is correct.I agree to comply
Carrier With with all applicable city and county ordinances and state laws relating to
,r I� JO/`O/ G building construction.I authorize representatives of this city or county to
Policy#ef (if 3.r.3` —tf l9 Expires O enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred s
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, `0
Ishellnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forth th co p (yh thu�seprelvisions. Will the applipntar future building occupant handle hazardous material era
Applicant_ /—�" Date /0 /C7 117
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 �f 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($500,000),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 Distdct(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for astgold Air
1Qus
CONSTRUCTION LENDING AGENCY oYes lines
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 boary of a school?
(Section 3097 Civil Code) o Yes Efle
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
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 IFzardous mat I repoj{I
Business and Professions Cade).Any city or county that requires a permit to es o No �O /�J
construct,alter,improve,demolish or repair any structure,prior to its - Date! / /
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI
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 apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compeor nsation
atinfre or most
to work
that disturbified firms and comply with
than
Applicant fora permit subjects the applicant toacivil 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
01,as owner of the property,or my employee with wages as their sale 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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a DAn 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. D No EPA Lead-Safe Certified Firm is required for this project because:
o 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 rill out the RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICk,ii�
DATE: Z/ZS PERMIT/PLAN CHECK NUMBER O
TYPE: O COMMERCIAL X RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN
SUBTYPE: Jd ADDITION O ALTERATION C DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK r.5'+q I I `Y Z X 30 4(vm,,At/rn
Pa-tr0 Co.12r- Lis Z 1 qrs 3 is
PROJECTADDRESS 31�(cP7 �� 19e. �e- ZIP
ASSESSOR'S PARCEL NUMBER � j'Cblp LOT � TRACT
OWNER NAME )_G 0.r. 6A I2Y� SMrt
ADDRESS Sot.wt
PHONE 760-63 7-61-51 EMAIL
APPLICANT NAME `0 V',
ADDRESS po 3a-f
PHONE qSI -93 7 -(p( $O EMAIL
CONTRACTOR'S NAME 't'F Mlffe Awe coVS5fi OWNER BUILDER? O YES NO
BUSINESS NAME
ADDRESS
PHONE p EMAIL
CONTRACTOR'S STATE LIC NUM§ER 6:3 / 6 8 / LICENSE CLASSIFICATION
VALUATION $ #"7alav^ SQ FT 310� L SQ FT
APPLICANT'S SIGNATURE DATE 2- .28 g
CITYSTAFf USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
ACCEPTED B
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE t L}s SMIP ��' GREEN ' �+
r
CHECK FEE INVOICETOTALBUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
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C.te�
LEDGER &x TRACK of Menifee
guild Building Dept
1aPECTI�lN REQUIRES" New sond
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BULL ING AND SAFETY DEPARTMENT ,
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PLA APPROVAL � , lJ
REV11E-WEDBY DATE /out
P �^
� it for,or an �1V
'Api% al of these pla �e coeajrpJWbU I..
of ari violation of an v orovisions of the_federal,state or city 5
rs,,a ,:: :iC ordinances. This set of approved plans must he kept on the 0
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