PMT18-02983 City of Menifee Permit No.: PMT18-02983
AV At 29714 HAUN RD.
firs MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 06/15/2018
PERMIT
Site Address: 31442 CORDERRO LN, MENIFEE, CA Parcel Number: 372-411-006
92584 Construction Cost: $2,700.00
Existing use: 1 &2 Family Residence Proposed Use:
Description of 12 X 20 SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
SCOTT& DENISE MIARS PATIO GUY ALUMAWOOD CONTRACTOR
31442 CORDERRO LANE 41197 GOLDEN GATE CIR STE 108
MENIFEE,CA 92584 MURRIETA,CA 92562
Applicant Phone:9513330056
PATIO GUY ALUMAWOOD CONTRACTOR License Number:872839
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description QQt rr Amount fSl
Receptacle,Switch, Outlet&Fixture 1 116.00
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 5.80
$290.45
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_Pennit_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 1 am exempt from Rcensure under the Contractors State License Law for
Professions Code a my license is in full force and effecl��n the following reason:
License Class Lice e//�p ot �/ By my signature below l acknowledge that,except for my personal residence
Expires /0'J�/�/�i—Signature l \ Y /l.!/% -j/)/t in which I must have resided for at least one year prior to completion of
v 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
a 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 workers 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 ,„�,yy.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy$1 Date
D 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 a By my signature below 1 certify to each of the following:1 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
numberare: application and the information I have provided is correct.1 agree to comply
���.�Q-�f with all applicable city and county ordinances and state laws relating to
Carrier it V/ i / I building construction.I authorize representatives of this city or county to
Policy q 7N�wCp 3�Expires � I / 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
01 certify that in the performance of the work for which this permit is issued, �(L
1 shall not employ any persons in any manner so as to become subject to the CITY B O
BUSINESS LICENSE q 4
workers 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 fo hwpUs comply with th se�provvisions. Will the applicant or future building occupant handle hazardous material or
Applicant�_7 Date mixture containing a hazardous material equal to or greater that the
amounts spec'cad on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ayes rs o
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 UPTO 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 the
t(SCtionor See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast
Airlines
CONSTRUCTION LENDING AGENCY ayes m•ITo
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 ofa.school7
(Section 3097 Civil Cade) D Yes ❑Now
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guideand the SCAQMD
I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)Indicated below by the hazardous mat a reporting.
chsiness and
I have placed next to the applicable item(s)(Section permit oyes m t� /^,r_
Business and Professions Code).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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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-1978
and the basis for the alleged exemption.Any violation of Section 70313 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($SOO). managers who do the paint-disturbing work themselves or through their
o 1,as owner of the property,or my employee with wages astheir sole employees.For more Information about EPA's Renovation Program visit:
compensation,will do( I 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 a a 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 itwas
not built or improved for the purpose ofsale. a No EPA Lead-Safe Certified Firm is required for this project because:
a 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
r
DATE: PERMIT/PLAN CHECK NUMBER a 'J
PLANNING CASE NUMBER
TYPE: O COMMERCIAL -'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION t-f'LECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DES PTION OF WORK / L J L.0 l-n fl (�p 2)2)
Pon b =R A:4 14 ^
PROJECTADDRESS 6/z/z/& 6 �)�/l�\U ZIP - 1 Q0Ls _q
ASSESSOR'S PARCEL NUMBER 313 '41I - fta LOT TRACT
OWNER NAME E-P,) & - 1/4 esZ
ADDRESS � L CKy of Menffee
PHONE �9 i- a��_ �, EMAIL
APPLICANT NAME /U'
ADDRESS
Received
PHONE 33 ZI-17 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? C:YES 4<O
BUSINESS NAME ljh D A '
ADDRESS - �'�C
PHONE C� �,l ,D7} s� EIVIAILoidqjrn5 altimawoodoco
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ SQ FT r� 4 D L SQ FT
.APPLICANT'S SIGNATURE �'� v DATE ^ / 5 .
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BU/LDING PLANNING ENG EER/NG FIRf
INVOICETOTAL p�G� , GREEN SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE N 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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