Loading...
PMT18-02641 City of Menifee Permit No.: PMT18-02641 29714 HAUN RD. �CCELA MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 05/29/2018 PERMIT Site Address: 30260 CHERRY OPAL LN,MENIFEE, CA Parcel Number: 360-820-012 92584 Construction Cost: $4,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 33 SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor RONALD WEATHERS PSLQ INC 30260 CHERRY OPAL LANE 18890 SEATON AVE MENIFEE, CA 92584 #206 Applicant Phone:9517954260 LOIS MONTINI License Number:919885 PSLQ INC DBA GREENBEE 18890 SEATON AVE PERRIS, CA 92570 Fee Description Owl Amount f81 Receptacle, Switch, Outlet&Fixture 2 121.00 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 6.05 $295.70 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_BIdg Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ ]am exempt from licansure under the Contractors State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code and ply license is in full force and eft n (} which I must have resided for at least one year prior to completion of License Class Lice! se/fto. �/ jj improvements covered by this permit,I cannot legally sell a structure that I have 95 Expires _ — ignalure \ built as an owner-building if it has not been constructed in its entirety by licensed 7 contractors. I understand that a copy of the applicable law,Section 7044 of the WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby will under penalty of perjury one t the following for httol/wwwteginfo.m.gov/calaw.htmi I have and will maintain a certificate of consent of self-insure far workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property OwnerorAulhodzed Agent Policy# ❑ By my Signature below, I certify to each of the following:I am the property ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and slate laws relating to building construction.I authorize representatives of this city or county to enter the above- Carrier � ri / identified property for the inspection purposes. Policy# Expires / (� ^/ Dale L Property Owner orAulhorizeed�Arggentt (This section need not be completedte0f the permit is for City Business License# l/�J��0� one-hundred dollars($1 Y 00)or less) ❑ I certify that In the performance of the work for which this permit is Issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California,and agree that if I should become mixture containing a azardous material equal to or greater that the subject to the wo rs'compensation provisions of Section 3700 of the Labor amounts spec' on the Hazardous Materials Information Guide? Code,I shall o w h comply itii those provisions. DYES C�NO Appli t; ate`,� •�` ( Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING- FAILURE TO SECURE WORKERS' CoastAir Quali anagement District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed tl rd ng r modified facility be within 10DD feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool? LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES MO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I undgcstand in requirements under the State of agency for the performance of the work which this permit is issued (Section California Health Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous 6a nal reporting. OWNER BUILDER DECLARATIONS ❑Y ^-7 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER ORAU 4t)RIZED AGENT next to the applicable item(s)(Section 7031.5.Business and Professions Code: Any city or county that requires a permit to construct, alter,improve,demolish, EPA RENOVATION.REPAIR AND PAINTING fRRPI or repair any structure, prior to its issuance, also requires the applicant for the permit to rile a signed statement that he or she Is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property. or my employees with wages as their sole 1-1100-424-LEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is /'1y_„ not intended or offered for sale.(Section 7044,Business and Professions Code; eI k� The Contractors Slate License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or Improves the properly, provided that the Improvements are not Intended or offered for sale.If,however, Certified Firm Name: the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.: ❑ I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's License Law does not apply to an owner of a property _ who builds or improves thereon, and who contracts for the projects with a BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: ^a9 - f a PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL Cc-RESIDENTIAL n MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION OALTERATION O DEMOLITION cKrrc—rRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK t„(„f p v�ER• /�" PROJECTADDRESS _ 12 IQ Q L794L ZIP ASSESSOR'S PARCEL NUMBER 7 - -61a s LOT TRACT OWNER NAME rj) ,4L f L,-Do4vhc—iKS ADDRESS d4p e ggv epW /u G_ PHONE _ 3 - �1 EMAIILr1 - City Of Meiffee APPLICANT NAME Q/V 6V Building Dept. ADDRESS �—/ PHONE - —� L �j EMAIL CONTRACTOR'S NAME S IALOWN V BUSINESS NAME 3�A) D ADDRESS 61I- �.� ` 7J /�_ �,��C b EMAIL PHONE j// �/7) CONTRACTOR'S STATE LIC NUMBER 9 � q g g'',s LICENSE CLASSIFICATION 80 VALUATION$ D O � SQ FT -_2-��9L L SQ FT �] APPLICANT'S SIGNATURE DATE a- % ^ . DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN — SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityotmenifee.us ENIFE -.a CHERRY OPAL LN 7 m \ � | � e ( k ¢ | } M§ ) v 0 m [ ( kM \ / ( 6 ( / 2 \ a « E c ( k } ( a \ = m ~ E / M m / § § m - / § \ \ m E E § - ` - i 2 2 m ( y § ƒ E - - _ _ 2 22m � r ) \ R E 2 - } � \ 2 § q M ) X � E % § } r r > M 1 D k ( / 0 ( 2L m } / \ CD ¢ ( m Ek \ / _ \ o -q CD r12 CD� CD / M co CD K / / CD Z \ m o ; z /00 ( . > ! 1 - - - ----- - - - - -- - - - -- - - - --- - -- - - - - -- - ' . > . ; \ | % ! � 2 / | [ k0