PMT18-03510 City of Menifee Permit No.: PMT18-03510
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 0 7/1 612 01 8
PERMIT
Site Address: 29777 FAR SHORE DR, MENIFEE, CA Parcel Number: 333-700-008
92585 Construction Cost $2,900.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 12'X 26'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 CEILING FANS
Work:
Owner Contractor
LARRY&TAMARA ANGEUS PATIO COVERS&AWNINGS
29777 FAR SHORE DR 225 SPARKLER LANE
MENIFEE, CA 92585 PERRIS, CA 92571
Applicant Phone:9514431659
YVETTE GONZALEZ License Number:900657
ANGEL'S PATIO COVERS&AWNINGS
225 SPARKLER LANE
PERRIS, CA92571
Fee Description Qtv Amount t$1
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 6.55
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_Permil_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 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter3.(commencing-wfthsecti=-7000)4f-Division3ofthe-Business-and edam exempt-from-licensure-underthe{vntrzctoe0tate-Hcense-aw-for—
Professions Code and,m.,ylicense is in full force and effect the following reason:
Z= �
License Class �—lice se No. /Ofo
By my signature below I acknowledge that,except(army personal residence
Expiresiz- Signature tZ in which l must have resided forat leastone year pdorto completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot Iegallysell a structure that 1
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 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 wsysv.leeinfo.ca.eov/calaw.html.
issued.
Policy �7I V V I/� d �I bl Date
-
a l 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 --cr8y my signature below l 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 owners behalf.I have read this
number are:
�/� sry1 / -1� application and the information l have provided is correct.I agree to comply
Carrier I 1 I I vl �-e�T (' '��O� .}�S with all applicable city and county ordinances and state laws relating to
��11 building construction.I authorize representatives of this city or county to
Policy if L�)UUWC 61-Wa7yir�.ssp(res /-G1' ente he ahav identified pr erty far inspection purposes.
(This section need not to be completed is the permit is for one-hundred � U� -2 p
dollars($100)or less - Date (J
PR RTY OWNER OR AUTHORI2 AGENT
certify that in the performance of the work for which this permit is issued,
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSER
worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,ishal orthwi c mplywith those provisions. Will the applicant or future building occupant handle hazardous material era
Applicant Date �g mixture containing a hazardous material equal to orgreaterthat the
amounts specified on the Hazardous Materials Information Guide?
WARNING:F LURETO SECUREM Di ER'S COMPENSATION COVERAGE 15 Dyes C'NNo
UNLAWFUL,AND SHALLSUBIECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the apF�licant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO LIARS($100,000),IN occupant require a permit for the construction or mv�difi2tion from5outh
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Duality Management hecoDistrict(SCtionor See perunittfroin checklist
South
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airli9ua
es
CONSTRUCTION LENDING AGENCY 'Yes 2a
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 2000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) Dyes 2rNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCADMD
I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reasons)Indicated below by the California Health&Safety Code,Section 75505 and 25534 concerning
checkmark(s)I have placed next to the applicable Item hazardous materi (reporting.$)(Section 7031.5 es 'No
Business and Professions Code).Any city or county that requires a permit to Date Gib'
construct,alter,improve,demolish or repafrany structure,prior to its PROPERTY OWNER OR AUTHORIZED A J7
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(RAP
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 lfcensure 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
❑1,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.Rov/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 oAn 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:
01,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 col out the RRP
Acknowledgement.
yv{'Tylcf- Gor,zzzle.Z_ Acnge +f0.9&
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: 0 COMMERCIAL k RESIDENTIAL O MULTI-FAMILY () MOBILE HOME 0 POOLISPA O SIGN
SUBTYPE: C.ADDITION O ALTERATION O DEMOLITION O ELECTRICAL C MECHANICAL
Q,,?dW / O,fPLUUMMBING ORE-ROOF NUMBER OF SQUARES
�
DESCRIPTION OF WORK (SQ//(.f /7 /(f )/ /Onb'6 Cb w
PROJECTADDRESS / 7 ZIP
ASSESSOR'S PARCEL UMBER LOT TRACT
OW /
ADDRESS ((�� %p 77 7 /� v
PHONE 9 /P _ qc)s EMAIL
APPLICANT NAME -Q 2
ADDRESS22 �0 ,,,ppnrld,��, 491k ✓I:S, zy %tiTJ 7
PHONE EMAIL n G
CONTRACTOR'S NAME OWNER BUILDER? O YES ONO
BUSINESS NAME AnS S az
444
C
ADDRESS
PHONE q,�'' yq- —zI�Q EMAIL
CONTRACTOR'S STATE LIC NUMBER /CLr ��- LICENSE CLASSIFICATION
Op ^
VALUATION$ O, SQ FT - 7lJ' L SQ FT
APPLICANT'S SIGNATURE DATE /
I _ .o __ -
DEPARTMENT DISTRIBUTION ACCEPTED BY� CITY OF MENIFEE BUSINESS E NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL -7() GREEN ( .� SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES C NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777
www.cityofmenifee.us
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Build ng Dept ty of Menifee LEDGER & TRACK
JUL 16 201"8. INSPECTION REQUIRED
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Acm MILI ND SAFETY EPARTMENT
PLAN APPROVAL
RErVIIEEWED Y
by
Dyl Approval of these plans shall not be construed to be a per it ffoan O
approval of,any vi lation of any provisions of the federal,state orctty
regulations and or finances. This set of approved plans must be kept on the `
jobsite until com p etion. •V3,�`l
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