PMT18-03082 City of Menifee Permit No.: PMT18-03082
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Addition'ar
MENIFEE MENIFEE Date Issued: 06/20/2018
PERMIT
Site Address: 26309 LILAC VIEW CIR, MENIFEE, CA Parcel Number: 360-671-039
92584 Construction Cost: $4,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 13'X 25'ALUMAWOOOD PATIO COVER W/ELECTRICAL,2 FANS,2 LED LIGHTS
Work:
Owner Contractor
JAWED NAWEED PATIOS&MORE
26309 LILAC VIEW CIR 32897 MONTE DRIVE
MENIFEE, CA 92584 TEMECULA,CA 92592
Applicant Phone: 9519722000
ROBERT ALVES License Number: 1001577
PATIOS&MORE
32897 MONTE DRIVE
TEMECULA, CA 92592
Fee Description Qtv Amount($1
Receptacle,Switch, Outlet&Fixture 4 131.00
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 6.55
$306.20
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_Penit 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 700D)of Division 3 of the Business and ❑I am exempt from Ilcensure underthe Contractors State License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class G(a � License No. I C c f S`7-7 By my signature below I acknowledge that,except formy personal residence
Expires,)-_-',c&-/eF Signatuoc�i+�-E� in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered bythis permit.I cannot legallysell a structure that I
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 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
this permit is Issued. www.leginfo.ca.eov/calaw.html.
Policy# Date
a have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 ofthe Labor Code,for the performance of the work for which 0 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
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 g Expires 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
D-I-Certlfy that in the performance of the work for which this permit is issued, ^ CeCt
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS UCENSE g (J (J
workers compensation laws of Califomia,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of5ection 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicantor future building occupant handle hazardous material or a
Ate- Date L--� �-!'A mixture containing a hazardous material equal to or greater that the
Applican - amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 DYes cfNo
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYERTO 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(SCtionor See permitting fro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air
s
CONSTRUCTION LENDING AGENCY ❑Yes rNo
I hereby affirm that under the penalty of perjury there is a construction WIII 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 Code) oYes RrNo
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 Z5534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit toconstruc OYes o 0
Date 6 �. o—/o
issuance,also alter,improve, applicantsh far hepermiany t toile a signeor d
to its PROPERTY OWN ER OR AUTHORIZED AGENT
issuance,also requires the applicant far 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•1978
and the basis for the alleged exemption.Any violation of Section 70315 by residence compeor nsation
n forciii mostV to work
FIR that
rums and comply with
than
Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($SOD). managers who do the paint-disturbing work themselves or through their
❑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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-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. O No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contactors to construct the project(Section 7044,Business and Professions
Co/de: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
F: 0 �� 1- �tY,�J Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: v( V5 PERMIT/PLAN CHECK NUMBER g`
PLANNING CASE NUMBER
TYPE: 0 COMMERCIAL 2- SIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA O SIGN
SUBTYPE: 9'ADDITION O ALTERATION t>DEMOLITION S ELECTRICAL OMECHANICAL
CO NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK �� 6J,o1,
�2, GOw y j j6 5
PROIECTADDRESS
ASSESSOR'S PARCEL NUMBER bw- (p1� -O3�] LOT l� TRACT
OWNERNAME �Ct�fi� C.WG�p
ADDRESS 3 j fR c L9ie.r-� i I rVAe---PCG G x G]L ` Ly
PHONE 9.1 —y a y--y L/3 2 EMAIL
APPLICANT NAME �r✓.. 'E {Q�J�
ADDRESS Zjj�J r.+wo �-c �, ,,,, & C,�S
PHONE OJS I CJ7 a _ o,,� EMAIL ,QIKMIG�o.P�iLlihS-l--�ccicwl ma+'
CONTRACTOR'S N/A�ME ��hU J-GS OWNER BUILDER? O YES 0-140-
BUSINESS NAME I✓OL�,'p, rnj>/[--
ADDRESS AAO^t-e RZ-y-,7L
PHONE �IS-I �GJ?Z2a � -� EMAIL
CONTRACTOR'S STATE LIC NUMBER l t7 6 /f Q LICENSE CLASSIFICATION
VALUATION$ lI000 SQFT 3zS� LSQFT
APPLICANT'S SIGNATURE,; DATE
OTYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY:/2-& CITY ClotjIJFEF� N LICNSE NUMBER
BUILDING PLANNING ENGINEERING FIRE UU �I'✓✓11��/(��((
INVOICE TOTAL '( „ �C7 GREEN Imo"" SMIP I
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE## NOTARIZED LETTER C 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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CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT City Building
Menefee
Dept. I
I PLAN APPROVAL
l
/,��� JUN 18 2018 �REVIEWED !/� N
DATE Received
j 'Approval of these plans shall not be construed to be a permit for,or an
approval of.any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans most be kept on the
jobsite until completion. O
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