PMT18-02186 City of Menifee Permit No.: PMT18-02186
29714 HAUN RD.
<A-CCELA+ ' MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued:
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PERMIT
Site Address: 24757 SPRINGBROOK WAY,MENIFEE, Parcel Number: 341-240-005
CA 92584 Construction Cost: $6,000.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL SOLID ALUMWOOD 11 X 43 PATIO COVER.2 FANS AND 1 OUTLET
Work:
Owner Contractor
ERIC PHEPPS PATIO GUY ALUMAWOOD CONTRACTOR
24757 SPRINGBROOK WAY 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9513330056
PATIO GUY ALUMAWOOD CONTRACTOR License Number: 872839
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Phone: 9513330056
Fee Description QQtrr Amount f81
Receptacle,Switch, Outlet&Fixture 3 126.00
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 6.30
$300.96
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 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_Permd_Templetespi Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I herebyaffirm 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 o I am exempt from licensure under the Contractor's State License Law for
Professions Code;I
my license is in full force and effec\�]/J ^ the following reason:
License Class /_J Uce se S.�/'yOs 1 l/aJ By my signature below l acknowledge that,except for my personal residence
Expires A; / signature t Y td i •l� in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION Improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed 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 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 websile:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leeinlo.w.gov/calaw.himl.
Policy ll Date
o l 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 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 owners bebalf.I have read this
numberare: 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
--fi�rr'' � building construction.l authorize representatives of this city or county to
PolityN 7�/w� ?� Expires L4 ` 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, O ^g f)I
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,1 shall fiaftlhtwll h complywith Ih sp a provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant4 , /lid--96•-A/ Date mixture containing a hazardous material equal to or greater that the
amounts spe 'aEd on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGEIS ayes I o
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($10D,00D),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(SCAQMDI?See permitting checklist
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgutdelines
CONSTRUCTION LENDING AGENCY aYes aM.
I hereby affirm that under the penalty of perjury there is a construction WIII 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 .school?
(Section 3097 Civil Code) o Yes a No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythatlam ezemptfromthe permitting checklist.l 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 mat a reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes o� e art_ /j
Business and Professions Code).Any city or county that requires a permit to / `(,�/71,[ 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting IRRP)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.Anyviola0on 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
❑1,as owner of the property,or my employee with wages as their sale employees.For mare information about EPA's Renovation Program visit:
compensation,will do( )allofor( )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 Contractors State License Law does not apply to an owner of a oAn 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 far 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 forthis project bemuse:
o 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 taw does not apply to an owner of a If your project does not comply with EPA RRP role please till out the RRP
Acknowledgement
P Alfir(® (au
BUILL)IN(a & SAFETY PERMIT/PLAN CHECK APPLICATION
!y�U^Tic
DATE — —/6 PERMIT/PLAN CHECK NUMBER `e
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: CAD ITION O ALTERATION O DEMOLITION 0-ELECTRICAL O MECHANICAL
EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK / 43 D L LU/rI.4 U>a CtDi477,D
C�OV C--R - c1aSr6l-
PROJECTADDRESS A 7 ()4� fY�
ASSESSOR'S PARCEL NUMBER 541 ' �:NU 'b GMT LOT TRACT
OWNERNAME �L^ j C g70S
ADDRESS y QQ nJ
PHONE 96 /' 96R- 9/ 4 5 EMAIL
APPLICANT NAME
ADDRESS
PHONE _�, 4-/ 6 EMAIL
CONTRACTOR'S NAME —5 OWNER BUILDER? O YES O-N'IS
BUSINESS NAME
ADDRESS `"I -11
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER g 7 a w 3 9 LICENSE CLASSIFICATION
VALUATION$ SO FT 3 L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING UNNING ENGINEERING FIRE GREEN I•� SMIP I
INVOIC IFAIDAMOUNT
AID AMOUNT
AMOUNT � 0CASH 0 CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES 0CASH 0CHECK If OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
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W City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 9258695139g 677pt-
www.cityofinenifee.us Inspection Request Line 951-246-6213 MAY 0 4 2018
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