PMT18-03903 City of Menifee Permit No.: PMT18-03903
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 08/0712018
PERMIT
Site Address: 26380 FLAXLEAF DR, MENIFEE, CA Parcel Number., 360-631-019
92584 Construction Cost: $7.000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 14'x 43'6"SOLID ALUMAWOOD PATIO COVER WTH 6 LIGHTS,2 FANS
Work:
Owner Contractor
DOUG SCHELL PATIO GUY ALUMAWOOD CONTRACTOR
26380 FLAXLEAF 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 fSl
Receptacle, Switch, Outlet&Fixture 8 151.00
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 7.55
$327.20
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 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_Template.rpl 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 contractors)pursuant to the Contraction State License law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from hoensure under the Contractor's State License Law for
Professions Code a my license is in full force and a cl��//e the following reason:
License Clatss Lire a ur /,/ By my signature below I acknowledge that,except for my personal residence
Expires _Signature k to 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
WORKER'S COMPENSATION DECLARATION 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 Cade,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 ,,y,s„N,leeinFo.ca.eov/calaw.lrtml.
this permit is issued.
Policy 4 Date
01 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 0 By my signature below 1 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
numberann. application and the information I have provided is correct.I agree to comply
����/Z� / with all applicable city and county ordinances and state laws relating to
Carder 2)6-�d& building construction.l authorize representatives of this city or county to
Policyg }f�wC$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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
a certify that In the performance of the work for which this permit is Issued, �
I shall not emoioy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g 0 (4L [L
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,Ishall fo hwl h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or
hcant i Date mixture containing a hazardous material equal to or greater that the
APp �' amounts spec""red on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes aigo
UNLAWFUL,AND SHALLSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the Intended use of the building by the applicant or future building
AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS($101J,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 forguidelin
CONSTRUCTION LENDING AGENCY 0Yes iehess
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 .school?
(Section 3097 Civil Code) Dyes 00)a
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that lam exempt from the
Contractor's License Law for the reason(s)indicated below by the Cazardoa Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous mat a reporting.
Dyes 0 /J
Business and Professions Code).Any city or county that requires a permit to � " pate
concoct,alter,Improve,demolish or repair any structure,prior to its PROPERTY 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(RRP)
License Law(Chapter9(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 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
01,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.gcv/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 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. a No EPA Lead-Safe Certified Firm is required for this project because:
0 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.
PAt7(O Cats
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: -! g PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER `
TYPE: ii COMMERCIAL 1,' ESIDENTIAL 0 MULTI-FAMILY c MOBILE HOME :> POOL/SPA 0 SIGN
SUBTYPE: 0 ADDITION 10 ALTERATION C}DEMOLITION 3-Eff&TRICAL C MECHANICAL
iL,NEVV " PLUMBING C RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK ,
Q v = t_I q H-T S, A S/y
PROJECTADDRESS a.� 3�rJ - `,�,L� 1r� ZIP "1
ASSESSOR'S PARCEL NUMBER "AOO ' ok(3L_ LOT TRACT
OWNER NAME
ADDRESS R • Building Dept.
PHONE -
EMAIL
APPLICANT NAME ,2) M� M)V .
ADDRESS IS A=c_ Roceived
PHONE `�L �l _ 334-1 to s EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ;YES 'N9�
BUSINESS NAME
ADDRESS d
PHONE _l t)n S;b EMAIL U)6 C, m
CONTRACTOR'S STATE LIC NUMBER pj�, a��j 9 LICENSE CLASSIFICATION
VALUATION$ p D SO FT CQ 1� ' L SO FT �] ny'
APPLICANT'S SIGNATURE DATE / U
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSLNUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL . aQ GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE N NOTARIZED LETTER 0 YES NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-61777
www.cityofmenifee.us
4� ENIFE'
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LEDGER & TRACI=
INSPECTION REQUIM City ofMenifee
Building Dept.
g AUG 0 7 2018
� F C eceive
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BUILDING AND SAFETY DEPA MEN
PLAN APPROVAL
3 REVIEWED BY —
DATE
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'Approval of these plans shall not be construed to b a permitfor,or an
approval of.any violation of any provisions of the le eral,state or city
regulations and ordinances. This set of approved pl s must he kept on the
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