PMT18-03237 City of Menifee Permit No.: PMT18-03437
® 29714 HAUN RD.
Jr MENIFEE,CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 0 711 012 01 8
PERMIT
Site Address: 29048 GOLDEN PEBBLE CT, MENIFEE, Parcel Number: 341-222-018
CA 92584 Construction Cost: $4,689.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 13'X 17'LATTICE PATIO COVER NO ELECTRICAL
Work:
Owner Contractor
PAUL TALBERT CALIFORNIA SHOWCASE CONSTRUCTION INC
29048 GOLDEN PEBBLE COURT 1507 MARLBOROUGH AVENUE
MENIFEE, CA 92584 RIVERSIDE,CA 92507
Applicant Phone:9516820208
CALIFORNIA SHOWCASE CONSTRUCTION INC License Number:912352
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
Phone:9516820208
Fee Description Qtv Amount($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 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 he
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).
Chapmr9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractofs State License Law for
Professions Code and my license is in full force and//effect. the following reason:
License O i se N ."l o Ja
�// \ By my signature below I acknowledge that,except for my personal residence
Expires'f- L Signatur r in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION have
covered by this permit.I cannot legally sell 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,)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 webste:
by Section 3700 of the Labor Cade,for the performance of work for which www-leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy R Date
o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 37DD of the labor Code,for the performance of the work for which o By my signature below l certify to each of the following:I am the property
this permit is issued.My warkees compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: C f� application and the information I have provided is correct-I agree to comply
Cartier• 1) jf(,Q I�J.0 with all applicable city and county ordinances and state laws relating to
''}/�-� �1 c' F'� building construction.1 authorize representatives or this city or county to
Polity It Cf CLq "15-4 1 Expires Q 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
o I certlfy that in the performance of the work for which this permit is issued,
t shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE R
worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the worker's mpematlon provisions of Section 3700 of the Labor
Code,Ish rthw of plyw' those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date (c
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 15 DYes oNo
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 DOLIARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAOMO)?see permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY In Yes o No
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) o Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
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 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 to DYes 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7D00)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 70314 by residence or childcare facility to be RRP-certified 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
❑I,as owner of the properly,or my employee with wages as their sale 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.epa.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 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 Fnn 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
Cade:The Contractofs 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.
•ING & SAFETY PERM IT/PLAN CHECK APPLICATION
Aiii� ',Menifee
DATE: — Ip - 1 O PERMIT/PLAN CHECK NUMBER?"]?—
TYPE: O COMMERCIAL CXiESIDENTIAL 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 PLUMB I O RE-ROOF NUMBER OF SQUARES f
DESCRIPTION OF WORK Wl �j'X CL+'� CL C.l.r l VU�
/� J 1 _I
PROJECT ADDRESS ,2 9 0 48 hl O l cyo hel9by ZIP
ASSESSOR'S PARCEL NUMBER ,, LOT TRACT
',,
OWNERNAME PoLU-1 —rcLt be
-,/
ADDRESS a9l3kIL6 C 01deA I?,bLJ(l. BuildinglDept.
PHONE s5g� ,a 5q - lb57a EMAIL JUL 2018
APPLICANTNAME e1CL a-n
Recelveu
ADDRESS C'��„ /�u
PHONE EMAIL (LDCC6& I( )L0CLLSQ W• O
CONTRACTOR'S NAME �n I J; OWNER BUILDER? O YES NO
BUSINESS NAME
ADDRESS
PHONE q 5)-Ld 8 '1 EMAIL
CONTRACTOR'S STATE LIICC NUMBER q oL 3Sa LICENSE CLASSIFICATION
VALUATION$ � Le CJ D SO FFrN L SO FT p�
APPLICANT'S SIGNATURE lv DATE 1 )� i )
CITY STAFF USE ONLY -
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES O. NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-572-6777
www.cityofmenifee.us
4'AA � 1507 Marlborough Ave.
Riverside, CA, 92507
PROPERTY PLOT PLAN/��N Office (951) 662-0208
1' I_6 Fax (951) 686-2769
5hoyrcaw Construction
---------------
Patel
Customer: r measure date:
2f4q + lot size:_ L 7, 41Y3
41E7v/PTr, CA f rjgy house size: 27,*2-
551- 451 57Z, garagesize:._403-
P/C size: 2.2.
lot coverage:
62�
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City of Menifee
Building Dept.
JUL `i ':. 2018
..... Received