PMT18-01021 City of Menifee Permit No.. PMT18-01021
29714 HAUN RD.
�C:C:ElA7. MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 0 310 712 01 8
PERMIT
Site Address: 29532 GLENNEYRE WAY, MENIFEE, CA Parcel Number: 364-380-005
92584 Construction Cost: $4,790.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'x 40'SOLID ALUMAWOOD PATIO COVER WITH 3 FANS, 1 GFI OUTLET
Work:
Owner Contractor
RICHELLE WARES PSLQ INC
29532 GLENNEYRE WAY 18890 SEATON AVE
MENIFEE, CA 92584 #206
Applicant Phone:9517954260
JOSH HERRICK License Number:919885
PSLQ INC DBA GREENBEE
18890 SEATON AVE
PERRIS, CA 92570
Fee Description -city Amount ISI
Receptacle, Switch,Outlet&Fixture 4 131.00
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 6.55
$306.20
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 Pern"a_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 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 M license is in full force and effem the following reason:
License Class_ License No. 9 1�//tL1 By my signature below l acknowledge that,except formy personal residence
Expires Signature _ in which l must have resided for at least one year pdorto completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION 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 ropy 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 fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
o I have and will maintain workers compensaUon insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which 0 By my signature below I certify to each of the fallowing: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
C�e 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# U5o30a 5a 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
o I certify that In the performance of the work for which this permit is issued, ^�C r I n
Ishallnotemalov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# (2 540Z
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwit mpiy with those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILUR TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes 9<0
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
IN SECTION ON TO
THE OF COST
LABOR
CODE,INTERTION DAMADATTOGES AS ROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY oYes allo'
I hereby affirm that underthe penalty of perjurythere 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
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 conceming
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material re a t.ng.
Business and Professions Code).Any city or county that requires a permit to off£ D No
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 OWN R 6R hUtROgIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 Iicensure 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 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.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 c 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
T /� Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
j
DATE: PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O COMMERCIAL '.,.RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION M ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 1r-,i I 4ww Li c•av M 3 n �x
PROJECTADDRESS a `Cj36_ GWnn Qycf �An,�-2¢ ZIP
ASSESSOR'S PARCEL NUMBER 319L1- 2 -ejr)G LOT TRACT
OWNERNAME . pQ
Menifee
ADDRESS q ZS cf Building Dept.
PHONE (j "I- 9�, . �aq, I EMAIL
APPLICANT NAME `/
ADDRESS Receive
PHONE � EMAIL
CONTRACTOR'S NAME rQ an 9FIF OWNER.BUILDER? O YES¢(NO
BUSINESS NAME
ADDRESS t O r� + • , . Sa,P T l� a Z
PHONE 9 Cj 1�w - ,�M C)T5I,- EMAIL {7
CONTRACTOR'S STATE LING NUMBER I I LICENSE CLASSIFICATION (j
VALUATION$ ' rqd •' SQFT LJ�jO LSQFT Q
i
APPLICANT'S SIGNATURE DATE
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: I CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL I -50 .-ab GREEN `— SMIP 1 —
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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40' ; � SINGLE FAMILY
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RESIDENCE z
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15, --_ -- Existing J
GARAGE Drivewaymoo
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3Ca TY OF MENIFEE
B LDING AND SAFETY DEPARTME
PL N APPROVAL
REVI W City of Menifee
Building Dept.
DATE
MAR 0 7 2018
'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 M
regulations and ordinances. This set of approved plans must be kept on the x d
jobsile until completion,
PROPOSED 480sgft Alumawood solid "Newport" Owner: RICHELLE CAZARES
patio cover, attached to wall, with 5 posts to slab.
Electrical: 3 fans. 1 Address: 29532 GLENNEYRE
Materials: 100%ALUMAWOOD MENIFEE, CA 92584
Color: DESERT SAND ceiling, SPANISH BROWN trim
GreenBee Construction
End Design: SCALLOP SITEPLAN Josh Herrick 1951-376-9084