PMT18-03291 City of Menifee Permit No.: PMT18-03291
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 07/02/2018
PERMIT
Site Address: 27772 PADDLEBOAT CT, MENIFEE, CA Parcel Number: 333-700-068
92585 Construction Cost: $2,300.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 10'X 23'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 POST LIGHTS
Work:
Owner Contractor
SHARON CURTIS PRO INSTALLATION
27772 PADDLEBOAT CT 43043 CAMINO CARUNA
MENIFEE, 92585 TEMECULA,CA 92592
Applicant Phone:7142348652
JONATHAN COLONNA License Number:895950
PRO INSTALLATION
43043 CAMINO CARUNA
TEMECULA, CA 92592
Fee Description city Amount 15)
Receptacle, Switch, Outlet&Fixture 2 121.00
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 6.05
$295.70
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 700D)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class. /3 Licens 07�/$-� By my signature below l acknowledge that,except for my personal residence
Expires 5--7-O/9 Signature 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 DECLAT rON 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 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 3700 of the Labor Code,for the performance of work for which svenv.leeinfo.ra.eav/calaw.html.
this permit is issued.
Policy g Date
❑I have 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 ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's 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 D s- y P with all applicable cityand county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy R 60L`JLqq 10 S 77 Expires -7 Z(7/5- 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
❑I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so alto become subject to the CITY BUSINESS LICENSE g
worker's 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 h I ism with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date -.1-117Zg mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide.'
WARN110 G:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes V No
UNLAWFUL,AND SHALL SUBJECIAN 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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY OYes 4No
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 Code) ❑Yes fs 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
California Health&Safety Code,Section ZSSOS and 2SS34 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous n terial reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 70315
as
Business and Professions Code).Any city or county that requires a permit to �A RE i_
construct,alter,improve,demolish or repair any structure,prior to its Date!/
PERTY 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(RRPI
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-197B
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
D1,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 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 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. ❑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
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
Acknowledgement.
BUILDING SA Y PERMIT/PLAN CHECK APPLICATION
- Menifee '
DATE:07/02/2018 PERMIT/PLAN CHECK NUMBER 8�
TYPE: O COMMERCIAL 24RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
D(NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 10 x 23 solid alumawood patio covers, 2 posts lights
PROJECTADDRESS 27772 Paddleboa//tt Ct. ZIP
ASSESSOR'S PARCEL NUMBER 3'�W'�FJ� LOT 901 TRACT
OWNER NAME Sharon Curtis
ADDRESS 27772 Paddleboat Ct., Menifee, Ca
PHONE 951-775-0167 EMAIL
APPLICANTNAME Jonathan Colonna
ADDRESS 43043 Camino Caruna, Temecula, Ca
PHONE 714-234-8652 EMAIL
CONTRACTOR'S NAME Pro Installation OWNER BUILDER? YES O
BUSINESS NAME
ADDRESS Same as Above
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 895950 LICENSE CLASSIFICATION B
VALUATION$ 2300.00 SQ FT 230 L SQ FT
APPLICANT'S SIGNATURE DATE 07/02/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BU MBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: v^/_j✓5L �EC�U
PERMITFEE ' s, lu SMIP I_ 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 92586 951-672-6777
www.cityofinenifee.us
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City of Menifee
Building Dept. LEDGER & TRACK
JUL o z tots II VECTION REQUIREl
Received
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CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED BY ✓'
DATE
'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 must be kept on the
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