PMT18-03723 0
City of Menifee Permit No.: PMT18-03723
��IAF MENIFEE, CA 92586 29714 HAUN RD. Type: Residential Addition
1
MENIFEE MENIFEE Datelssued: 0 7/3 012 01 8
PERMIT
Site Address: 30359 CHERRY OPAL, MENIFEE,CA Parcel Number: 360-830-029
92584 Construction cost: $5,000.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 14'X 24'SOLID PATIO COVER,8'6"X 16'LATTICE PATIO COVER WITH 2 CEILING FANS,4
Work: LIGHTS
COLOR:ADOBE FRAME, DESERT SAND CEILING(TO MATCH HOME)
Owner Contractor
TONYCAMPOS SOCAL HOME IMPROVEMENT
30359 CHERRY OPAL 1430 3 RD ST 17
MENIFEE,CA 92584 RIVERSIDE,CA 92507
Applicant Phone:8002215645
SOCAL HOME IMPROVEMENT License Number:930540
1430 3 RD ST 17
RIVERSIDE, CA 92507
Phone:8002215645
Fee Description gty Amount($1
Receptacle, Switch, Outlet&Fixture 4 131.00
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 6.55
$306.20
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.ryt Page 1 of 1
CITY OF MENIFEE
• LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class +(tJ License No. A By my signature below I acknowledge that,except for my personal residence
Expires 1491lq 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 DECLA N have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty o 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 Cade,for the performance of work for which tyww.le¢info.ca.gov/calaw.html.
this permit is issued.
Policy It Date
,JII 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 in 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:`f I application and the information I have provided is correct.I agree to comply
C1AIY�1,IL` with all applicable city and county ordinances and state laws relating to
Carrier I building construction.I authorize representatives of this city or county to
Policy# Expires "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
❑I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and a_"that if I should become •HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation prow ' Section3700 fth Labor
Code,I shall forth ' complywith[ ons. Will the applicant or future building occupant handle hazardous material or
Applican Date mixture containing a hazardous material equal to or greater that the
amounts specified an the Hazardous Materials Information Guide?
WARNING: AIL TO SE ORKER'5 COMPENSATION COVERAGE IS ❑Yes No
UNLAWFUL, D SHALLSUBIECT AN EMPLOYER TO CRIMINAL PENALTIES Will the Landed use of the building by the applicant or future building
AND Cm INES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupant require a permit for the construction or modification from South
ADDIT N 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 guide'nes
CONSTRUCTION LENDING AGENCY ❑Yes ?No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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 No
OWNER BUILDER DECLARATIONS I haver d the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requir m nts_under the State of
California Health&5 Code,Section nd 25534 concernin
Contractor's License Law forthe reasons)indicated below by the hazardot s to ial ro orting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes o
Business and Professions Code).Any city or county that requires a permit to , Date
construct,alter,improve,demolish or repair any structure,prior to its ;EPA
OPERTYOWI ER OR IZED AGENT
issuance,also requires the applicant for the permit to file a signed statement 6/
that he or she is licensed pursuant to the provisions of the Contractor's State R L VATION REPAIR AND PAINTING RRPLicense Law(Chapter9(commencingwith Section 7000)of Division 3 ofthe EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure eiving 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-certied 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 orthrough their
❑1,as owner ofthe property,or my employee with wages as theirsole 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 1-800-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will he 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:
❑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 & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER I U
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL O RESIDENTIAL 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 PLUMBING O RE-ROOF NUMBER OF SQUARES-
DESCRIPTION DESCRIPTION OF WORK ` tg ' 5-.W D CQ362 j �16 l� L41-"�/l CoVC(_
�-LG6 I&IR, 2 ,=-.s
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES O NO
PROJECT ADDRESS ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME OVI 411111 ImO 06
ADDRESS i of�(enffQ3
f3ui1 In
PHONE 11EMAIL
APPLICANT NAME cv S V'L
ADDRESS elve
� = et Gw
..
PHONE EMAIL
CONTRACTOR'S NAME 4--Q OWNER BUILDER? OYES `' NO
BUSINESS NAME
ADDRESS
�j�
PHONE lJ�l 2/kZ—�� EMAIL
CONTRACTOR'S STATE LIC NUMBER Y�/7 TJ LICENSE CLASSIFICATION
VALUATION$ J�!] SQ FT �0/ 0 L SQ FT �)
APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY
DEPARTMENT DISTRI ON ACCEPTED BY: -1}CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING P NING ENGI RING FIRE 'v r''h'�Y�
INVOICETOTAL W(Q ,W T GREEN SMIP
OWNER BUILDER VERIFIED O YES g 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.cityofinenifee.us
r, ENIFE
PROPOSED
14'X 24'SOLID PATIO COVER
8'6"X 16'LATTICE PATIO COVER
2 CEILING FANS
4LIGHTS
COLOR:ADOBE FRAME,DESERT
SAND CEILING ■ ■ ■
((TO MATCH HOUSE)) ��[
NOTE:EXISTING DRAINAGE NOT TO ®R
�.+Lj BE ALTERED ■ ■
M
N
IDSPPa�MaN� �^
of MEN pF � l"� l
g�\�O PQPRO`� OP
a\\op�be` p°s°a0 e a°soveL ep�pD�e
J\s\ P
ZOO
City of Menifee
Building Dept.
x�g JUL 3 0 2018
'TONY CAMPOS ecei ed
30359 CHERRY OPAL
MENIFEE CA 92584
408-483-9635