PMT18-01211 City of Menifee Permit No.: PMT18-01211
29714 HAUN RD. Type: Residential Addition
'J\CCEL/> MENIFEE,CA 92586 YP
" --- MENIFEE Date Issued: 03/16/2018
PERMIT
Site Address: 31814 MAPSTON CT, MENIFEE, CA Parcel Number: 360-592-025
92584 Construction Cost: $6,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 636 SQ FT SOLID ALUMAWOOD PATIO COVER WITH ELECTRICAL-9 LIGHTS, 3 FANS
Work:
Owner Contractor
MARIA PEREZ SO CALIFORNIA BUILDERS INC
31814 MAPSTON COURT 1332 E BROCKTON AVENUE
MENIFEE, CA 92584 REDLANDS,CA 92374
Applicant Phone: 9512554192
ANTONIO RODRIGUEZ License Number:971891
SO CALIFORNIA BUILDERS INC
1332 E BROCKTON AVENUE
REDLANDS, CA 92374
Phone:9512554192
Fee Description gty Amount f$1
Receptacle, Switch, Outlet& Fixture 12 171.00
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 8.55
$348.20
The issuance of this permit shall not prevent the building official from thereafter requidng 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_Pennit 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).
Chapter-9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full fo`f a and effect. p the following reason:
License Class Ucen\FNo. I T (V L 1 By my signature below I acknowledge that,except for my personal residence
Expires Signature in which 1 must have resided for at least one year prior to completion of
( l 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 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 370O of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.gov/calaw.html.
Policy# (l/ Date
❑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 ❑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 al� 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
a I certify that in the performance of the work for which this permit is issued,
shall not emolov any persons in any manner so as to become subject to the `' CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become ,.tp,AZARDOUS MATERIAL DECLARATION
subject 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 Date amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes 4 No
UNLAWFUL,AND SHALL SUBJECTAN 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)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY o Yes a,No
I 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) ❑Yes .o No
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
Contractor's License Law for the reason(s)Indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous mater reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 mYes ❑No
Business and Professions Code).Any city or county that requires a permit to / Date 'I��
construct,alter,improve,demolish or repairany structure,priorto its -PROPERTY OWNER THORREO 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:REPAI 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
than
Applicant for a Perini[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 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.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOO-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will he 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:
01,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.
� t MENIFEE
i'431
DATE: p (V PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES
�DESCRIPTION OF WORK ami Pk- -2
vi JTIO OuG SF '
6- Rvc-c-e�S ;. 14 3- CP,-,�� zrt v _3-c00^� ���j�ti`�,kS
PROJECTADDRESS Nos-ro L'T ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME 40-JFr_- '��
ADDRESS 3}1 (?,I L P�PS C
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PHONE /( ci, � EMAIL
APPLICANT NAME IN
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ADDRESS (( Z( tQ W LOW
PHONE 10 1 -�/7 f2 3 y EMAIL A a-( 0/3
CONTRACTOR'S NAME � RC.�n OWNER BUILDER? O YES AD
BUSINESS NAME 7 � . `yt�c�0/�r-- (k'�67P--S
ADDRESS C3 3 (�-7 / �Iwq c 1'� 1`1O 2F-P7 LC�{-w pJ S
PHONE S i Ci� '7, /2 EMAIL � _ `cc
Gy L. irz5 50CAL ' '( r vv-. Cot"
CONTRACTOR'S STATE LIC NUMBER ���I� C ( LICENSE CLASSIFICATION
VALUATION$ O r SLl FT 6 3 re, L SO FT
APPLICANT'S SIGNATURE DATE
CiTYS — -
DEPARTMENTDISTRIBUTION CCEPTED BY: CITYOF t�ENIFVBUSINESS ICENS NUMBE
BUILDING PLANNING GINEERING FIRE
INVOICETOTAL �, GREEN SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES C` NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777
www.cityofinenifee.us City of Menifee
Building Dept.
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MAR 16 2018
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