PMT18-01379 City of Menifee Permit No.: PMT18-01379
29714 HAUN RD.
�!-�CCELA7 MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 03/2712018
PERMIT
Site Address: 29309 PINELEAF ST, MENIFEE, CA Parcel Number: 333-491-018
92584 Construction Cost: $2,800.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 16 X 19 SOLID ATTACHED ALUMAWOOD PATIO COVER W/0UT ELECTRICAL
Work:
Owner Contractor
RYAN&JEWEL HUIZINGA SUNSTATE LANDSCAPE INC
29309 PINELEAF STREET 9901 INDIANA AVE#102
MENIFEE; CA 92584 RIVERSIDE, CA 92503
Applicant Phone:9517977000
SUNSTATE LANDSCAPE INC License Number:945375
9901 INDIANA AVE#102
RIVERSIDE, CA 92503
Fee Description CityAmount IS)
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
$168.65
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
I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractors)pursuant to the ContranonState License taw).
Chapter9(commencing with section 7000)of Division 3 of the Business and a l am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full farce and effect the following reason:
License Class_13 G-a-7 License lo. �L. 3 S
By my signature below I acknowledge that,except for my personal residence
Expires I 30—/k Signature in which I musthaverelided for at least one year pcinrto completion of
WORKER'S COMPENSATION DEC ION improvements covered by this permit l cannot legallysell a structure that
have built as an owner-builder if It has not been constmded In its entirety by
a 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 Cade,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 cwnv.leelnfa.m.eov/calaw.htmi.
this permit is issued.
Polity R Date
D 1 have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work forwhich ci By my signature below l certify to each of the following:I am the property
this permit is issued.My workers compensation insurance mrrier 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
Carrier E05TZ1:4-—7 NH%.b gg- with all applicable city and county ordinances and state laws relating to
y� building construction.I authorize representatives of this city or county to
Policy tolI-Ii-1 el17 WS 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
a I certify that in the performance of the work for which this permit is Issued,
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's an pe lotion pro visions of Section 3700 of the Labor
Code,I shall forth it� th hose provisions. Will the applicant or future building occupant handle hatardaus material or
A licant Dale �2-3/—/� mixture containing a hazardous material equal to or greater that the
pp amounts specified on the Hazardous Materials Information Guide?
WARN :FAILURE7O SECUREWORKER'S COMPENSATION COVERAGE IS oYes ONo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture 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 Dyes ONO
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within IDOD 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 ONO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury thatlam exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 oYes a No
Business and Professions Code).Any city or county that requires a permit to Date
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 Contactors State EPA RENOVATION.REPAIR AND PAINTING IRRPi
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contactors
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 palm-disturbing work themselvesorthrough their
O1,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( Iall of or( )portion of the work,and the structure is www.epa.eav/lead or contact the National Lead Information Center at
not intended proffered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does notapply to an owner of a DAn EPA Lead-Safe Certified Renovator will he responsible forthis 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 requlred for this project bemuse:
D 1,as owner of the property am exclusively contracting with licensed
contactors to construct the project(Section 7044,Business and Professions
Code:The Contactoes 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
•
Menifee
DATE Z Y PERMIT/PLAN CHECK NUMBER g 'a
TYPE: O COMMERCIAL & RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOLJSPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ,O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK W / F Sol' Al-1414ilhl Ti 0
he e ecl--t-i nvi
PROJECTADDRESS "'
ASSESSOR'S PARCEL NUMBER all 4q 1 '01 LOT TRACT
p,(/ SG OWNER NAME / J = [. `L ` Building Dept.
ADDRESS Z f - -
PHONE �sl l fa;j 9 EMAIL //��QQ p
APPLICANT NAME j-- ecely�
ADDRESS AV,' -&n
PHONE q�j/- 717_ 76u2 EMAIL
CONTRACTOR'S NAME S- ` OWNER BUILDER? OYES /NO
BUSINESS NAME Ki 'X7 ii
ADDRESS /;
PHONE 241 EMAIL
CONTRACTOR'S STATE LIC NUMBER Sys'3�,� LICENSE CLASSIFICATION
VALUATION$ L SQ FT
APPLICANT'S SIGNATURE % " / /]' DATE
Ile-
DEPARTMENT DISTRIBUTION I CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLAN ING ENGINEERING FIRE GREEN ( $MIP
INVOICE /l f IDAMOUNT
AMOUNT I K 0 CASH 0 CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH OCHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Mel Buid,4&Safety Deportment 29714 Hal Rd. Menifee, CA 92586951-672-6777
a.vw.cicyo meni/a .!rs Inspeca:,r, neyuesr Line 951-2=6-6213