PMT18-02340 City of Menifee Permit No.: PMT18-02340
29714 HAUN RD.
�CCFUh MENIFEE, CA 92586 Type: Residential Addition
e..."''"`" " MENIFEE Date Issued: 05111/2018
PERMIT
Site Address: 28225 SPRING CREEK WAY,MENIFEE, Parcel Number: 333-601-013
CA 92585 Construction Cost $30,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of SOLID AND LATTICE ALUMAWOOD PATIO COVER,26 OUTLETS AND POST LIGHTS(HOA
Work: APPROVED).30 L FT UG GAS LINE
Owner Contractor
BRANDON PASTON
28225 SPRING CREEK WAY
MENIFEE, CA 92585
Applicant License Number:
BRANDON PASTON
28225 SPRING CREEK WAY
MENIFEE,CA 92585
Phone:6198695605
Fee Description Div Amount I$)
Receptacle, Switch, Outlet& Fixture 26 241.00
Plumbing Fixtures and Vents,fixtures 1 116.00
Building Permit Issuance 1 27.00
Deck/Patio, non-standard 1 133.00
GREEN FEE 1 2.00
SMIP RESIDENTIAL 1 4.00
General Plan Maintenance Fee-Building 1 6.66
General Plan Maintenance Fee-Electrical 1 12.05
$541.70
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_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).
Chapter9(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 force and effect. the following reason:
Ucense Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION 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 webslte:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. v.e ' o.c .0ov/ca w.html.
Policy If Date 5� It YajB
❑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 ;q 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 1 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 �ywcth i6ed property for inspection purposes.
(This
I(This section need not to be completed is the permit is for one hundred \ � Date S I �j 1�I e
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
D 1 certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons In any manner so as to become subject to'the CITY BUSINESS LICENSE 11
worker's 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant mixture containing a hazardous material equal to or greater that the
PP Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 'L oNo
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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management hDistrict constSCtionor odi permitting South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
AirlQua
CONSTRUCTION LENDING AGENCY ❑yes )1 No
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 boundary of a school?
(Section 3097 Civil Code) ❑Yes 'WNo
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAOMD
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
Wes D No\ 1
�ateria orjiag�
checkmark(s)I have placed next to the applicable item hazardous s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to Date Gill Zce 8
construct,after,improve,demolish or repair any structure,priorto 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IF RPI
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 far most work that disturbs paint in a pre•1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compenor sation
n for to be RR that distuified frrmai and comply with
thanApplicant 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
Jp 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 W 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-SDD-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a D 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. D No EPA Lead-Safe Certified Firm is required for this project because:
D 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 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: S 1 0 201 (a PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O.COMMERCIAL Y RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: VADDITION O ALTERATION O DEMOLITION XELECTRICAL O MECHANICAL
ONEW >CPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK hlEty `gjgGl``TA(L3J Pac)JeCT, r1..,7MA+.)= -D PATo 6 jeZ l�Ki
11EM7 SL,EG(�IGi�1t. 1=pr7�REFp �j �GEPfWU.L�i CSg6 L111� i'cR 1=jG� 13T � G:cAz13 G�R6�2
PROJECTADDRESS ZIP el Zs9t;'
ASSESSOR'S PARCEL NUMBER 333(o01013 LOT 1CFI TRACT 34Vac)
OWNER NAME lap.1AarL i
ADDRESS '1C3 22C7
PHONE t(olc)l SICO. Slocr�i EMAIL $PA�StX4d. pgG_rQ-1 & &MAIL. 60M
APPLICANT NAME SC—E tY -�E¢ ISAMt
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME 1 PI OWNER BUILDER? NYES O NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ 301 00o SQ FT L SQ FT `` '7*65
APPLICANT'S SIGNATURE DATE $
CITYSTAFF USE ONLY _
DEPARTMENT DISTRIBUTION ACCEPTED BY:i�r CITY OF MMEN` 'TIFEE/BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGIN ERING FIRE 1 1"V��t IV. Y
INVOICETOTAL GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 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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Location:
Barrington 1 Light Outdoor Post Light DBK Type:
39497 (Distressed Black) oty
Comments:
Ordering Information
Product ID 39497
Finish Distressed Black
Collection Barrington
Dimensions
Weight 7.89 LBS
Specifications
Material Aluminum film
Diffuser Description Clear Seedy Glass iiidw
Electrical
Dimmable Yes
Voltage 120V
Input Voltage Single(120)
Lead Wire Length 6.00"
Qualifications
Safety Rated Wet
Warranty www.kichler.com/warranty
Primary Lam_ping
Dimensions Light Source Incandescent
Height 17.85" Lamp Included Included
Width 9.00" #of BulbsILED Modules 1
Delivered Efficacy 68.671m/w
Socket Wire 6.00"
Socket Type E26 Medium
Lamp Type S21-EDISON
Dimming Yes
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