PMT18-02412 City of Menifee Permit No.: PMT18-02412
29714 HAUN RD. Type: Residential Addition
rACC€LXr MENIFEE. CA 92586
...... """'" MENIFEE Date Issued:
05117/2018
PERMIT
Site Address: 29833 TWIN LAKES RD, MENIFEE, CA Parcel Number: 333-591-020
92585 Construction Cost: $5,850.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 16'X2V-5"AND 13'X17'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS, 1 HANGING
Work: LIGHT,3 OUTLETS
Owner Contractor
NGOZI, OKOLO PRO INSTALLATION
43043 CAMINO CARUNA
TEMECULA, CA 92592
Applicant Phone:7142348652
PRO INSTALLATION License Number:895950
43043 CAMINO CARUNA
TEMECULA, CA 92592
Fee Description Oft Amount I$1
Receptacle,Switch,Outlet&Fixture 6 141.00
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 7.05
$316.70
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 carded on thereunder when in violalion 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 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 Iicensure under the Contractor's State License Law for
Professions Code and my license is In full force and effect. the
the following reason:
License Class!l Licens 9 7.>/� By my signature below I acknowledge that,except for my personal residence
Expires �Z of9 Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DEC TION 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 website:
by Section 3700 of the Labor Code,for the performance of work for which ,,,��v�v,leain(a.ca.eov/calaw.html.
this permit is issued.
Policy 4 Date
o i have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor fade,for the performance of the work for which ❑By my signature below 1 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 behalf.I have read this
number are: application and the information 1 have provided is correct.I agree to comply
Carrier O h 1' with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 60WC.$tf(a577 Expires -7 70/ enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o i 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 g
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 fo it am with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date .��7 mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARN10 G:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes a No
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 District(SCAQMD)?Sea__permitting checklist
T IN SECTION 3706 OFHE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ayes O\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 f 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 al Safety Code,Section 25505 and 25534 concerning
hazardous terfal reporting.
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 ¢yes
Business and Professions Code).Any city or county that requires a permit to Dates S//7Ilif
construct,alter,improve,demolish or repair any structure,prior to its pERTY 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 IRRPI
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 Iicensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Anyviclation 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
D 1,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( I portion of the work,and the structure is www.eoa.aov/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 Contractor's State License Law does not apply to an owner of a O 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 I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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.
1
BUILDING & SAFETY PERMIT/PLAN CHECI( APPLICATION
a�
Menifee
11�21 kei."_
DATE: PERMIT/PLAN CHECK NUMBER (p -c)o4 L2_
TYPE: O COMMERCIAL rRESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 16X21.5,13X17 SOLID ALUMAWOOD PATIO COVER WITH 2-FANS
1-HANGING LIGHT,3-OUTLETS
PROIECTADDRESS 29833 TWIN LAKES RD. ZIP 92585
ASSESSOR'S PARCEL NUMBER '?�;' 07-Cl-OT TRACT
OWNER NAME OKOLO,NGOZI City of Menifee
ADDRESS 29833 TWIN LAKES RD, MENIFEE,CA 92585
PHONE 909-205-1663 EMAIL MAY 17
APPLICANT NAME JONATHAN COLONNA
li
ADDRESS
43043 CAMINO CARUNA,TEMECULA,CA 92592 ° e
PHONE 909-205-1663 EMAIL
CONTRACTOR'S NAME PRO INSTALLATION OWNER BUILDER? O YES NO
BUSINESS NAME
ADDRESS SAME AS ABOVE
PHONE 714-234-8652 EMAIL
CONTRACTOR'S STATE LIC NUMBER 895950 LICENSE CLASSIFICATION B
VALUATION$ 5850.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE /7 /
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: 0�j\
PERMITFEE t SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES C NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cltyofmenifee.us
rig
A City of Menifee
Building Dept.
MAY 17 2018
� � �• 1"� ' - orl-le�-
(ate 9
r �
LL-1
"0VSim
cc CD
Ct i`i Us MENIFEE t
BUILCINC AND SAFETY DEPARTf:'.::^JT
PLAN APPROVAL
2: C..�
lrrJ7
REVIEWED BY DATE `�
mit ior, Liam
F,pproval of these plans shall not be construed to be a p.n( or an
or federal.stL'
LAMM
approval of,any violatio esf This Set
of approvedny In ovisions of eplans Must be kept
t
jobs a until completion.
pro �rs�r.►�lw�o ,h Gvs�4vwrcr s��4o : +pc
,ic i+r ?959so Okolo , r\c�L) 1
c13v-13 co vtn%wo °I9s33 Tuo'I v, l akes 6Lc�
'rew.e<.c1la e LA, g2ST1Z Mil (fc I cA R2SSS
Z3y- �+SZ
�o�t - 2Z5- IG63