PMT18-03695 City of Menifee Permit No.: PMT18-03696
29714 HAUN RD. Type: Residential Addition
MENIFEE,CA 92586
MENIFEE MENIFEE Date Issued: 0 7/2 612 01 8
PERMIT
Site Address: 29031 BOTANICAL CIR, MENIFEE, CA Parcel Number: 333-670-001
92584 Construction Cost: $3,400.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 16'6'x 16'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL
Work:
Owner Contractor
DOCK&LYDIA JONES PATIO GUY ALUMAWOOD CONTRACTOR
29031 BOTANICAL CIRCLE 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9513330056
LOIS MONTINI License Number:872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description Oty 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
$168.66
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_Pennit 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 cantractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractors State License Law for
Professions Code a my license is in full force and effecl��n� the following reason:
License Class Lim a yr�z /// By my signature below I acknowledge that,except(army personal residence
Expires •3 � Signature Y /lA/% .v vt In which l must have resided for at least one year prior to completion of
v Improvements covered by this permit.l 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
❑1 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 ty,�,ty,leeinfo.ca.eov/calaw.html.
this permit is Issued.
Policy ff Date
❑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 a By my signature below I certify to each of the follondng:I am the property
this permit is issued.My workers compensation insurance arrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information 1 have provided is correct.I agree to comply
�v�.�n with all applicable city and county ordinances and state laws relating to
Carrier '�f[i 1 building construction.l authorize representatives of this city or county to
Poliryg 1( C$3` Expires L4 I / enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date
dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that In the performance of the work for which this permit is issued, O iJ.f�l f 1J
I shall not emolov any persons in any mannerso as to become subject to the CITY BUSINESS LICENSE q
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall fo hwi[h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant�. J"/ Date mixture containing a hazardous material equal to orgreater thatthe
amounts spe - Cd on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 a Yes d o
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($10D,000),IN occupant require a permit for the construction or modlficition from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oyes mfd"o
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 outerboundaryof school?
(Section 3097 Civil Code) O Yes o Norma
OWNER BUILDER DECLARATIONS i have read the Hazardous Material Information Guide and the SCAQMO
I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section Z5505 and 25534 concerning
Contractors License Law for the reason(s)indicted below by the hazardous mat alai re
chsiness and
I have placed next to the applicable items)(Section permit p run
oyes o
construct,alter,
Professions Code).Any rre air anystthatre,priorres apermit to f ,{ Date
csuance,also r,improve, applicantemolish for the perystrto file signed toits PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the perrriit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(ARP)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 703L5 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
a1,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.epa.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 Contractors State License Law does not apply to an owner of a DAn 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. a No EPA Lead-Safe Certified Firm is required for this project because:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your pmect does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: -cl 42 - Q PERMIT/PLAN CHECK NUMBER
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL 0 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING// O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK / lp n ` tp 4Z-14 77 gL42bn' b 47777 )
o v C- . / 4IIo A — c C
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES Q W5'
PROJECTADDRESS ]j2)7-A4 f 0_,AL. 0,1R4IeZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT City of Menifee
OWNER NAME L Building BepI.
a 5
ADDRESS o G.IK
PHONE _9b9 - Si 9 - � q:7 8 EMAIL Receavec
APPLICANT NAME
ADDRESS C
PHONE /_7 6_6 EMAIL
CONTRACTOR'S NAME /Ym ��^ OWNER BUILDER? O YES C44er-
BUSINESS NAME D vX
n
ADDRESS �. ,
PHONE EMAIL [j W QQ try
CONTRACTOR'S STATE LIC NUMBER �, ` LICENSE CLASSIFICATION T)
VALUATION$ 0 D SO FT a�n 5. �p L SO FT c
APPLICANT'S SIGNATUREtz� //DATE 7 l0 ' l0
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PANNING ENGINEERING FIRE Wb
INVOICETOTAL IW� GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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JUL 2 6 2018
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INSPECTIONREQUIRED
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BUILDING AND SAFETY DE PARTMENT
! REVIEWED BY
7 fS
DATE
'App,oval of these plans shall not construed to be a permit for,or an
apprcvalof,any violatio�f isions of the federal,state or city
jJ o�CJ repula8ons and ordinan Psse4nf approved plans must be kept on the
jobsito until completion.
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