PMT18-02711 City of Menifee Permit No.: PMT18-02711
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 06/04/2018
PERMIT
Site Address: 29334 MURRIETA RD, MENIFEE, CA Parcel Number: 338-091-001
92586 Construction Cost: $1,800.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 10'X 15'ALUMWOOD PATIO COVER. NO ELECTRICAL
Work:
Owner Contractor
PAT STEWART TRADER DAN'S INC
29334 MURRIETA ROAD 840 S ROCHESTER AVE STE C
MENIFEE, CA 92586 ONTARIO, CA 91761
Applicant Phone:9093900555
TRADER DAN'S INC License Number:517575
840 S ROCHESTER AVE STE C
ONTARIO, CA 91761
Phone: 9093900555
Fee Description Qtv Amount 1$1
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
$168.65
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 varied 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 1 am exempt from Ilcensure under the Contractor's State License Law for
Professions Code ar my license is in full force and effect. the following reason:
License Class se No. 51!-yS7 By my signature below I acknowledge that,except for my personal residence
Expires 't 30 Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION OEC O improvements covered by this permit.I cannot legallysell 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 ol 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 37W of the Labor Code,for the performance of work for which wvnv leein(o.ca.eov/calasv.html.
this permit is issued.
Policy It Date
okhave 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 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 owner's behalf.I have read this
number are: _ application and the information I have provided is correct.I agree to comply
Carrier �'� with all applicable city and county ordinances and stale laws relating to
/ building construction.I authorize representatives of this city or county to
Policy gl/v6 3L b�Expires 6 ( V enter the above identified property for inspection purposes.
(This section need not to he 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, ^ ��g�y
1 shall not emolov any persons in any manner seas to become subject to the CITY BUSINESS LICENSE R `J ✓:✓
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workersfamperaseti rovisions of Section 3700 of the Labor
Code,Is orthwit pl s those revisions. 77 Will the applicant or future building occupant handle hazardous material or a
Applicant Date v mixture containing a hazardous material equal to or greater that the
amounts spec' ed-on the Hazardous Materials Information Guide?
WARNING: U RE WORKER'S COMPENSATION COVERAGE IS O Yes
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($1D0,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR s[Air Cea 4uali Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LAB OR CODE,INTEREST,AND ATTORNEYS FEES Coast Atrliy s
CONSTRUCTION LENDING AGENCY D Yes No
I hereby affirm that under the penalty of perjury there is a construction Will the propos d building or modified facility be within 1000 feel of the
lending agency for the performance of the work which this permit is issued outer been of a school?
(Section 3097 Civil Code) o 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 next to the applicable item(s)(Section 7031.S bazar ous matPslals o ng.
Business and Professions Code).Any city or county that requires a permit toconstruc .D es O No s Z 7 I
Date�>
issuance,alsoalter,quires h applicantsh orrepairrth any permit to
a signedor its PROPERTY O ORAU DAGENT
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 IRRP)
License Law(Chapter 9(commencing with Section 700D)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-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare fa ditty to be RRP-certi0ed firms and comply with
an Applicant fora 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
o 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 I )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-BOD-424-LEAD(5323).
Cade;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 1,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
Ackn/o�wledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: I'` y PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: O COMMERCIAL oi-rESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA --SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
_0-1q_EW O PLUMBING () RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK /4lU^�W Da 01 m t7& 40W.
PROJECT ADDRESS 2131i N Ufrl �i/�l� F- ZIP
ASSESSOR'S PARCEL NUMBER :3 39' t I •t�vT LOT TRACT
OWNER NAME �� 1 S4ew A(1- _/J
ADDRESS 2-1 3 3 >�Ufr!'�7�( 1�-�" CIui 0 eFll 1=
lding Dept.
PHONE �S� 7Z b` �7Q EMAIL
APPLICANT NAME Ova �A-0 ++`, �«
ADDRESS Ce1 M er7
PHONE �t��1'�S�I OS S� EMAIL
CONTRACTOR'S NAME '�00Yn3 Nt &11ILrS OWNER BUILDER? 0 YES '?�O
BUSINESS NAME
ADDRESS -66`1 0k%- 1rIL& e✓r- ql 6
PHONE GCoq -3-1 0 - EMAIL 7
CONTRACTOR'S STATE
LIC/'NUMBER 5-1 7J^r LICENSE CLASSIFICATION
I l3
VALUATION$ r o dv SO FT /J Q L SQ FT r�
APPLICANT'S SIGNATUR DATE
OTYSTAFFUSEONLY
DEPARTMENT DI5TRIBUTIDN ACCEPTED BY: CITY OF MENIFEE BU51NE55 LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL LIP� •Cos—
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.cityofinenifee.us
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WIF
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OWNERf ^
ADDRESS •?j`
CITY Sala" ZI PHONE `6%�
LOT NO. TRACT APN �9fc�r1(
CONTRACTOR
ROOMS N' COVERS PROPOSED ADDITION(S)
840 S ROCHESTER AVE #C
ONTARIO, CA 91761 auk k a wo�r�
LIC. B-517575
909-390-0555 �� Ch I �►
WORK COMP
ICW GROUP
WSA5000386-07
EXP6/14/2018
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