PMT18-02484 City of Menifee Permit No.: PMT18-02484
29714 HAUN RD. Type; Residential Addition
'�CCELl� MENIFEE,CA92586
MENIFEE Date Issued: 0 512 212 01 8
PERMIT
Site Address: 29765 FINGERLING DR, MENIFEE, CA Parcel Number: 333-720-037
92585 Construction Cost: $3,400.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 14'x 25'6"SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,6 LED LIGHTS
Work:
Owner Contractor
TIMOTHY MCELROY TODD'S PATIO COVERS
29765 FINGERLING DRIVE 30905 GREENSBORO DR
MENIFEE, CA 92585 TEMECULA, CA 92592
Applicant Phone:9516608665
TODD SKARIN License Number.834251
TODD'S PATIO COVERS
30905 GREENSBORO DR
TEMECULA, CA 92592
Fee Description Qtv Amount I51
Receptacle,Switch, Outlet&Fixture 8 151.00
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 7.55
$327.20
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 7000)of Division 3 of the Business and o I am exempt from Iicensure underthe Contractor's State License Law for
Professions Code and my license is" full force and effe t. the following reason:
License ClassV
By my signature below I acknowledge that,except for my personal residence
Expires gnatur I in which I 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
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 workets 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 www.leeinFo.n.eov/calaw.hmal. '
this permit is Issued.
Policy k Date
❑I have and will maintain workets compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which SBy my signature below I certify to each of the following:I am the property
this permit is issued.My workers 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 I have provided is correct 1 agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.Jauthorize representatives of this city or county to
Policy II Expires ante h b iden fled property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred 1 Date
dollars($100)or less
ER OW R AUTHORIZED AGENT
�1 certify that in the performance of the work for which this permit is issued,
I shall not employ 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 I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers comA)ensation provisions of Section 3700 of the Labor
Code,I shall fo hw hcly�with those provisions. WIII the applicant or future building occupant handle hazardous material or
Applicaat -l/l� Date Z0 mixture containing a hazardous material equal to or greater that the
amount specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII the mended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupa require a permit for the construction or modification from South
IN SECTION ON TO
06 OF THE
LABOR CODE,INTERDAMADATTOGES AS R ATTORVIDEDNEYS
FOR Coast Al Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidi lines
CONSTRUCTION LENDING AGENCY o Yes i No
I hereby affirm that under the penalty of perjury there is a construction Will the iroposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer b ndary of a school?
(Section 3097 Civil Code) "Yes
No
OWNER BUILDER DECLARATIONS I have re d the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permittin checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California ealth&Safety Code tion 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardou mate' I r
Business and Professions Code).Any city or county that requires a permit to Oyu °
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPER ER OR THORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI
License Law(Chapter9(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 for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any nt to a civil
al penalty of not by residence or childcare facility to be RRP-certified firms 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). P P rtY
managers who do the paint-disturbing work themselves or through their
a1,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( )portion of the work,and the structure is www.eoa.eov/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 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. or 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
Code:The Contractors 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
SAFETYBUILDING & . CHECKAPPLICATION
IVlenifee
DATE: PERMIT/PLAN CHECK NUMBER
TYPE: C% COMMERCIAL O RESIDENTIAL C MULTI-FAMILY O MOBILE HOME 0 POOL/SPA ^SIGN
SUBTYPE: O ADDITION C ALTERATION C DEMOLITION C ELECTRICAL C MECHANICAL
O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK /y X ZS kJ
PROJECTADDRESS ( `� ZI
F
ASSESSOR'S PARCEL NUMBER /� - - LOT TRACT CIty Of Meni e
OWNER NAME 0 ` ro Ind Dept.
ADDRE 2 • MAY 2 2 20 8
PHON 77
EMAIL ift
APPLICANT NAAME S ! a ; I 'rq e
ADDRESS ia
p // r�
PHONE V (p �j ��e� EMAIL 061� OL �(/r QJ h00. co
CONTRACTOR'S NAME � OWNER BUILDER. O YES NO
BUSINESS NAME 1 d .4 5 a-Ho
ADDRESS 1�• f '
/, -/ S
PHONE _ 640 �j �j&� EMAIL t0 .SkArill, 00. co
CONTRACTOR'S STATE LIC NUMBER 3� 2� f LICENSE CLASSIFICA N
VALUATION $ QV SQ FT 0, L SO.FT rl
APPLICANT'�SSyIGNATU DATE
4
DEPARTMENT DISTRIBUTION ACCEPTED BY: µ`/,1/
j �n CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE SMIP I - GREEN —
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES C NO DRIVERS LICENSE N NOTARIZED LETTER O YES O NO
Ciry Of Manife2 Suuilding & Safety Oeparml.eni 29714 Haun rod. Nlenifer. CA 92586 951-672-6777
www. tv.cf nenifee.Lis
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