PMT18-02665 City of Menifee Permit No.: PMT18-02665
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 0 5/3112 01 8
PERMIT
Site Address: 28763 ALMONDWOOD CT,MENIFEE,CA Parcel Number: 333-680-067
92584 Construction Cost: $7,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID ATTACHED ALUMWOOD PATIO COVER-784 SQ FT WITH 3 FANS,4 LIGHTS AND
Work: 1 OUTLET
Owner Contractor
OFIRE&JUN AMBAT BRAVO PATIO COVERS
MENIFEE, CA 92584 13105 APRIL DR
RIVERSIDE, CA 92503
Applicant Phone:9514549950
BRAVO PATIO COVERS License Number. 1032685
13105 APRIL DR
RIVERSIDE,CA 92503
Phone:9514549950
Fee Description Qtv Amount f$1
Receptacle,Switch, Outlet&Fixture 8 151.00
Building Permit Issuance 1 27.00
Wall/Fence, 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 D I am exempt from licensure under the Contractor's State License Law for
Professions Code
�and
rm�y license is in full farce and effect. �+ the following reason:
License Class ) 1 (/ License No. l 37 J 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 prior to completion of
improvements covered by this permit.I cannot legally sell a structure that 1
WORKER'S COMPENSATION DECLARATION
have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the fallowing 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 www.IeRinfo.ca.guv/calaw.h1mI.permit is issued.
Policy# Date
❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By 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 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 If Expires 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
I certify that in the performance of the work for which this permit is issued,
I s all not emolav 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 workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply�wi hie provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant a-✓/) Date 1 J mixture containing a hazardous material equal to or greaterthat the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes KNo
UNLAWFUL,AND SHALL SUBIECT 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)?See permitting checklist
--
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ANo
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 far 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
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable hems)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to Aes o No
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 Contractors State EPA RENOVATION.REPAIR AND PAINTING fRRPI
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 for most work that disturbs paint in a pre-1979
and the basis for the alleged exemption.Any violation of Section 7032.5 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 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( )all of or( )portion of the work,and the structure is www.eya.aov/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-BOO-424-LEAD(5323).
Code;The Contractors 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
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 ARP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
1 1 A,
DATE: S - 3 � _ o PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O COMMERCIAL KRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOUTION O ELECTRICAL O MECHANICAL
O NEnW O PLUMBING 0RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK /t �(�^'1aL✓OOq` I - 'C) (/mil/
l/i4 �, � � ,Lp I S D �j
PROJECTADDRESS 2-dy 7( 3 f jG�V'l'yidl-jao6l G� ZIP ( Z S
ASSESSOR'S PARCEL NUMBER 3�J?7 �o d CW 1 LOT TRACT
OWNER NAME UI-)
ADDRESS
PHONE /71D(Q_ I a EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME L✓!� Q -Ir/)Ali OWNER BUILDER? O YES 'ANO
BUSINESS NAME FrCt e) 1 �1./�-I�O / / /,
ADDRESS c�� 310S 'l Cl l �l I\ r; Vern�/I Z S� /
PHONE ( �l 'L�y �� SC� EMAIL
CONTRACTOR'S STATE LIC NUMBER l D 2,6 -S LICENSE CLASSIFICATION
VALUATION$ 7000 SSQ FT L SQ FT /Cl�
APPLICANT'S SIGNATURE DATE
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL 32�,� GREEN SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
FPI
City of Menifee Building & Safety Department 129714 Haun Rd., rg 'j 586 (951)672-6777
www.cityofmenifee.us
MAY 3 1 2018 PMNIFAM
7
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CITY OF MENIFEE
BUILDrINGAS�F D PAgTMEN t - _-'
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REVIE ?Approvalallno beconsWedbbeipMieitbraen approvalo any provisions offt NdwW,ehfeorollyregulations . ThssetofopproMOnsmustbekeptonthe m N y
jobsite until co pletion. U I.
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