Loading...
PMT18-02427 City of Menifee Permit No.: PMT18-02427 29714 HAUN RD. 'I�CCF6A MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 0511712018 PERMIT Site Address: 27982 HIDE AWAY CT, MENIFEE,CA Parcel Number: 333-370-042 92585 Construction Cost: $5,600.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 47'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor JUAN&ANGELICA MARCELINO PRIME BUILDERS 27982 HIDE AWAY COURT 16596 CITRUS VIEW CIRCLE MENIFEE, CA 92585. RIVERSIDE,CA 92504 Applicant Phone:9517808624 CAITLIN CALI License Number: 795780 PRIME BUILDERS 16596 CITRUS VIEW CIRCLE RIVERSIDE, CA 92504 Fee Description Oft Amount 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 $168.66 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_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 700D)of Division 3 of the Business and O I am exempt from Iicensure under the Contractor's State License Law for Professions Code Qee and my license is in full force and effect. t},,, the following reason: License Class 61 U nsye No. "/"I 570 D By my signature below 1 acknowledge that,except for my personal residence Expires .J�-j1'�Signature &-nc&sn c2r:i in which l must have resided for at least one year prior to completion of 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 m ❑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 37GO of the Labor Code,for the performance of work far which this permit Is issued. www.1eginfo.ca.gov/calaw.htm1. /n1 Polity# FLA 00 r�b�7(Do d I Date o 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 D 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 aI�re: application and the information I have provided is correct I agree to comply Carrier W IA s n Qmkirnt,1h4e with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# L A"03 /n�1 Expires ��','.<,—`�(p 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 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# 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 I rthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date_ -t - Ik mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o 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($100,000),IN ion occupant require a permit for the construct or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC ion or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit Is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed nett to the applicable item hazardous material reporting.$)(Section 7031.5 oyes D No Business and Professions Cade).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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP 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.Any violation of Section 7031.5 by residence car childcare facility to be RRP-certified firms and comply with than Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($S00). managers who do the paint-disturbing work themselves or through their 01,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( )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-BOD-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a n 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 completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because: ❑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 �p MENIFEE DATE; PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL $RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O P//L��U��M��BBIpING O RE-ROOF NUMBER OF SQUARES //��n�T,, II DESCRIPTION OF WORK I t✓U Vci{' L LVI.I PROJECTADDRESS a:)ggg, 0lak I.tAA/GU1 lJl . ZIP a�5 bJ ASSESSOR'S PARCEL NUMBER �3 3 I?i2o0 I-s' LOT �� TRACT 5 0 7 Q OWNERNAME II / ADDRESS C� Building Dept. PHONE "I J 'LL11 A EMAIL APPLICANT NAME I l l 611 ADDRESS 4Ly� 'ft (j CdA In td Ci)Ybnae Recelvelu PHONE Q�I "/()�' ,�,2j ��j EMAIL CONTRACTOR'S NAME j ,� i I e OWNER BUILDER? OYESPONO BUSINESS NAME &NU / ADDRESS CIAVJAS `,/ O t I �d4 L PHONE �S��- �'�(0�-% EMAIL DaVA 6 � x. P1 CONTRACTOR'S STATE LIC NUMBER �N 5?�y LICENSE CLASSIFICATION I,:J VALUATION$ 5,Cn o D(/ (n,^,SnnQ••FT S(p L SQ FT �' 1 11 APPLICANT'S SIGNATURE ( - b/ DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 www.cityofmenifee.us NIF r 7 LeheO JIN*ld N O - - - - - = CD r .ZT ALE cc LLJ cr o Lu a S.') z a Uj x W ® S o Q c Z N J ` a X a W W o •N-1 � � LL G w Q Z o g u > a wf y � Q U IL W Q J g rco.9 � Co LL p j Lam € � 0 CL 0� 3 N O Z Q �c Q w W 55 as p E 3 � o ° w Z 2 M 0 O Z _E ,a q g 4CY wN "� a o - f (A � 00M > > A o - 7 a O N LLI c 2 - =' Q H S rq (h c> m a. Ir a 119,TE w U co > W O 0 ( 00 1-1 ce �. Co L - m U 7 Ln Q WmCa uj mm Chz F+ 10 0: N �j O C' 0H N n.� S CL . u 0% 0. City of Menifee Building Dept. Prime Builders MAY 17 2018 The Home Improvement Specialists Received 16596 Citrus View Cir Riverside, CA 92504 (951)780-8624 I hereby authorize the following person(s)to act on my behalf in obtaining permits from the Building Department and to sign permit applications for me. I am properly registered and/or licensed by the city and/or state of California. I assume full responsibility under the law for permits taken by persons authorized to act on my behalf. Persons authorized to sign permits and their signatures: Caitlin Cali / to �r;2�i ,G ( , il ,20 I Company Name: Prime Builders By: Bernhardt Brenner State License Number: B1-795780 Owner �se� a.-�c>titd i ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California Riverside County of ) On February 20, 2018 before me, Charlene D. Simmons Notary Public (insert name and title of the officer) personally appeared Bernhardt Brenner who proved to me on the basis of satisfactory evidence to be the person(s-rwhose nam I are-- subscribed to the within instrument and acknowled ed to me thal�Ashelth�y executed the same in ( i E!s eNthetrauthorized capacity(ieq, and that bifhWhedtheit signature(syon the instrument the person(sj or the entity upon behalf of which the person(e)-scted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. CHARLENE D. SIMMONS COMM. #2184111 ¢'wee N0TAHVPUBUGCALIFORNIA m RIVERSIOI COUNTY WITNESS my hand and official seal. Mr Comm EKDOesMarch8,2O2r - (Seal) Signature Seal