PMT18-03696 City of Menifee Permit No.: PMT18-03696
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 07/26/2018
PERMIT
Site Address: 27968 RED DAWN DR, MENIFEE,CA Parcel Number: 333-263-018
92584 Construction Cost: $6.400.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'6"x 21'SOLID AND 14'x 16'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL
Work:
Owner Contractor
DON HOULQUIST PATIO GUY ALUMAWOOD CONTRACTOR
27968 RED DAWN DRIVE 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 Qtv Amount f51
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 be
forfeited.
AA_Bldg_Permit_Terrplate.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjurythat 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 70DO)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License Law for
Professions Code a my license is in full form and If the the following reason:
License Class Lice a rrz �/ By my signature below l acknowledge that,except for my personal residence
Expires •J� /_Signature r 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 DECLARATION 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 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 tabor Code,for the performance of work for which .nvsy,leeinfa.n.eov/calaw.html.
this permit is Issued.
Policy# Date
m 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 D 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
numberare:/� f application and the information I have provided is correct.I agree to comply
Carrier I ` +&✓XL� with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Pollry#�f C$3 1Expires � 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o l certify that in the performance of the work for which this permit is issued, o
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 37110 of the Labor
code,I sha11 fioTthh";h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or
Applicant// -X&W, Date mixture containing a hazardous material equal to or greater that the
amounts spec' Ed on the Hazardous Materials Information Guide?
WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS oYes m 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($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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelmess
CONSTRUCTION LENDING AGENCY 0 Yes m-f�fa
I hereby affirm that under the penally 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 boundaschool?
(Section 3097 Civil Code) D Yes DN
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjurythat 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 2SS34 concerning
re o
checkmark(s)1 have placed next to the applicable item hazardous mat a iling.
s)(Section 7031.5 oyes o /J,,�,/�
Business and Professions Code).Any city or county that requires a permit to 1{' Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the pernilt to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(fiRP)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 7031.5 by residenceorchildcarefacility 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
ol,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.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a aAn 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:
o I,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 project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement
PATIO GLt
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �y" MENIFEE
i
DATE: 7 — - / $ PERMIT/PLAN CHECK NUMBER
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL s"RESIDENTIAL - MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O A�DDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ANEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES
PROJECTADDRESS a77 9 R L»D L A-[, )A) rDIN- ZIP qRSt
ASSESSOR'S PARCEL NUMBER 7J • LOT TRACT
' r City of Menifee
OWNERNAME tV Z)[) Building Dept.
ADDRESS a77 Q E
PHONE 96-1- 97D 99 EMAIL
APPLICANTNAME Q D!i`� T2/0 Received
ADDRESS
PHONE 9�'� - 334-/ L L7� EMAIL
CONTRACTOR'S NAME M L / OWNER BUILDER? O YES a-K6
BUSINESS NAME
ADDRESS /tJ Imo— 9a�
PHONE qL-333-D� - EMAIL Q [J/TDCJL.�00� C.O
CONTRACTOR'S STATE LIC NUMBER 6�A-I �' 9 LICENSE CLASSIFICATION
VALUATION$ SO FT Q b - �0 L SQ FT 77 1 (]
APPLICANT'S SIGNATURE DATE 7 ' O1 •/ CAS
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIREV'_P
INVOICE TOTAL I %U GREEN SMIP 1�
OWNER BUILDER VERIFIED OYES 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
NIF
118 l SIT 3A'
LEDGER & TRACK
INSPECTION REQUIRED �f
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City of Menifee l $
Building Dept.
JUL 2 6 2018 ,
b - L Received
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B ILDING AND-SAFETY DEPARTMEN
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REVIEWED BYY
DATE
'Approval of these plans shall not be construed lobe a permit for,or an
approval of,any violation of any provisions of the federal,state orcity a a
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion,
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