PMT18-03033 City of Menifee Permit No.: PMT18-03033
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 0611912018
PERMIT
Site Address: 27619 CALLE LADERA,MENIFEE,CA Parcel Number: 336-302-030
92585 Construction Cost: $11,240.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 1 Tx 33'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
CHRISTINA AIKEN CALIFORNIA SHOWCASE CONSTRUCTION INC
27619 CALLE LADERA 1507 MARLBOROUGH AVENUE
MENIFEE, CA 92585 RIVERSIDE, CA 92507
Applicant Phone:9516820208
ANGELA GOODMAN License Number:912352
CALIFORNIA SHOWCASE CONSTRUCTION INC
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
Fee Description ON Amount($1
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 2.00
General Plan Maintenance Fee-Building 1 6.65
General Plan Maintenance Fee-Electrical 1 5.80
$291.45
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 carded 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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License law for
Professions Code and my license is in full force and/effect. the following reason:
Ucense Clas I se N ."l y y g g p y personal residence
(' `� B m signature below I acknowledge that,except far m
Expires'Y Signatur i- 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 I
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 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 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 37GO of the Labor Code,for the performance of work for which ,wx wv,.IeRinfo.ca.gov/ca1aw.htmI.permit is issued.
Policy R Date
o 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 I have provided Is correct.I agree to comply
^ with all applicable city and county ordinances and state laws relating to
Carrier C. l W 't a'" building construction.I authorize representatives of this city or county to
Policy If L 1 IJnC � Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for ane-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit Is issued,
I shall not emnluv any persons in any manner so as to become subject to the CITY BUSINESS UCENSE q
workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the workers empensation provisions of Section 3700 of the Labor
Code,I sh rthw a ply w i those provisions. // Will the applicant orfutum building occupant handle hazardous material or a
Applican Date ("l mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
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($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(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oyes ONO
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 of a school?
(Section 3097 Civil Cade) ❑Yes o 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 al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑Na
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 7031.5 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
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.ena.gov/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 ❑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. ❑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
Cade: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 RAP
Acknowledgement.
BUI LDING i 1IT/PLANAPPLICATION
J*.'3Qtl
a%
Ilenifee
DATE: l p 1 Lj 18 PERMIT/PLAN CHECK NUMBER ^Q
TYPE: O COMMERCIAL Q.BESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOcF�N22UMBERROFSQUARES
DESCRIPTION OF WORK f� QS�G� II/x VJ' -561/% Pa, /'Wt(L'/
PROJECT ADDRESSC9 1U I G `'CC-� �4-adllfrCL ZIP C1,2"56 -1
ASSESSOR'S PARCEL NUMBER- LOT CiWMenifee
''//
OWNER NAME fr1 � 1 a 1 1�eA Building Dept.
ADDRESS JUN 19 2018
PHONE EMAIL Received
APPLICANT NAMEk UC( &fYja/1
ADDRESS
PHONE EMAIL
CONTRAC40NAME tf(j/(�� Q � - OWNERBUILDERi OYESO
BUSINESS NAME
ADDRESS 11501
In(1(ul (bc)✓cu v, 1q `), 56 7
PHONE (� EMAIL
CONTRACTOR'S STATE LIC is
�NUMBER `1 �p�,3 LICENSE CLASSIFICATION
/
VALUATION$ I '1 D SO FT �� L SO FT
APPLICANT'S SIGNATURE DATE I
STAFF USE LY
DEPARTMENT DISTRIBUTION ACCEPTE BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
D
BUILDING PLANNING ENGINEERING FIRE
PERMITFEE SMIP — GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us
*� A 4*
1507 Marlborough Ave.
Riverside, CA 92507
PROPERTY PLOT PLAN Office 0208
Fax (951)686--
Showcase Conmuction
Customer. 4rNR/5T/NA fY1901 measure date: (O-q-19
Z7611 CAULE 1.06R,4 lot size: 392.0
Nll% 92,5 house size: //O/
l6'/-301 - 3t 7 garage size: .5 0
LEDGER & TRACK P/C size. 3G3 �
INSPECTION REQUIRED lot coverage: I!!2 7e
fmour 12 City of Menifee _
OTJ
JUN 19 2018 ";�
30 Receiv d
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CITY OF MEh IF E
BUILDING AlD SAFETY ARTMENT
Vow
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ufi- eREVIEWED BY 01
DA111
r 'Approval of these plans shall not be construed to be a permit tor,or�n 9
approval of,as�voon of any provisions of the federal,state orcity� O
regulations and ordinances. This set of approved plans must be kept on I e
jobsite until completion.
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