PMT18-04016 City of Menifee Permit No.: PMT18-04016
r 29714 HAUN RD.
'i MENIFEE, CA 92586 Type: Residential Addition
Z/
MENIFEE MENIFEE Date Issued: 0 811 4/2 01 8
PERMIT
Site Address: 30303 COWBOY LN,MENIFEE, CA 92584 Parcel Number: 358-511-004
Construction Cost: $4,700.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 15'x 30'SOLID ALUMAWOOD PATIO COVER WITH 3 LED LIGHTS,4 POST LIGHTS,2
Work: CEILING FANS,2 SWITCHES
Owner Contractor
PATRICE ISOM ANGEL'S PATIO COVERS&AWNINGS
30303 COWBOY LANE 225 SPARKLER LANE
MENIFEE,CA 92584 PERRIS, CA 92571
Applicant Phone:9514431659
ANGEL GONZALEZ License Number:900657
ANGEL'S PATIO COVERS&AWNINGS
225 SPARKLER LANE
PERRIS, CA 92571
Phone:9514431659
Fee Description OQt Amount ISl
Receptacle, Switch, Outlet&Fixture 11 166.00
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 8.30
$342.95
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 thereunderwhen in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise slated,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 91dg_Permit_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 cantredor(s)Pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from Iicensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class DQa LIce se No. 7007
By my signature below 1 acknowledge that,except for my personal residence
Expires ' U o Signature_(' in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
o 1 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applimble law,Section
have and will maintain a certificate of consent of self-insure for worke's 7044 of the Business and Professions Cade,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. t www.leeinfo.ca.gov/calaw.html.
Policy lt Y'71 v/ V VI,- 1 P 43 2 7 9 2 Date
o I 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 Zany 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 aree:�/) I,, I L -L� /� application and the information I have provided is correct.I agree to comply
Carrier_/ I I )d 1/t7-e4"r 1� MA }2S with all applicable city and county ordinances and state laws relating to
pp building construction.I authorize representatives of this city or county to
Policy It 6V U WC 6 -9)a ph,, A 11! enter he abov identified pr erty for inspection purposes.
(This section need not to be completed is the permit is for one-hundred _� 2 dollars($100)or less �' Date G
.,�Certlty that in the performance of the work for which this permit is issued, PRRTY OWNER OR AUTHORIZEV AGENTO
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 11
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shal orthwi c mply with tl ose provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date 0 Qg mixture containing a hazsardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:F LURE TO SECURE WOR ERN COMPENSATION COVERAGE IS DYes tNNo
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or muidification from South
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY aYes dNo
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) ciYes a'ND
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I 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 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous mates Preporting.
Business and Professions Code).Any city or county that requires a permit to es allo —
construct,alter,improve,demolish or repair any structure,prior to its IDate a�f GCfJ
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZEDA T
that he or she is licensed pursuant to the provisions of the Contractor's 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(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from Iicensure receiving compensation for most work that disturbs paint in a pre-197g
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compensor ationre for
cility to eRRPthat disturbified firms and complypre19th
an Applimnt for a permit subjects the applicant to a civil penalty of not more required radices.This includes rental property than($500). P p p rty owners and property
managers who do the paint-disturbing work themselves or through their
D I,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion or 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 7G44,Business and Professions 1-800424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of ❑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. a No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7G44,Business and Professions
Code:The Contractor's State License Law does not applyto an owner of a If your project does not comply with EPA RAP rule please fill out the RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �, MENIFEE
DATE: �o CJIJI PERMIT/PLAN CHECK NUMBER (y
PLANNING CASE NUMBER
TYPE: O COMMERCIAL RESIDENTIAL C MULTI-FAMILY O MOBILE HOME C POOL/SPA C SIGN
SUBTYPE: C ADDITION O ALTERATION O DEMOLITION C ELECTRICAL C MECHANICAL
NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECT ADDRESS 3G.1 L�3 Co �oU ` ZIP 025%`
ASSESSOR'S PARCEL NUMBER p3 � al-MLk LOT TRACT City of Menifee
OWNER NAME r���r I Lv /T•-�C�`f^Z J yy��
ADDRESS 03 ,l-.�yO�(�}, b 11(�G 1 C
PHONE Cf5I • ,J " o� CO EMAIL
R.
APPLICANT NAME
Q rU:4Z VLQJ
�r C�Q�
ADDRESS S ,''TT ! / w j 5 C
-7126
PHONE /r -"TZI j�- S-S24 EMAIL
CONTRACTOR'S NAME n �QL OWNER BUILDER? V YES 0 NO
BUSINESS NAME//``//]]�� �j Y r c' �1�n+� S /� �q
ADDRESS 9�,/� J T' S l-
PHONE q5(- 44� ' (,0 � EMAIL �} YU.V\ S l� n _CGy✓J
CONTRACTOR'S STATE LIC NUMBER qO�AS;f LICENSE CLASSIFICATION
VALUATION$ SOFT L SO,FT
APPLICANT'S SIGNATUR DATE 1
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL 3 GREEN SMIP 1�
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER C 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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INSPECTION REJUIRED Building Dept.
AUG 14 2918
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CITY OF MENIFEE
BUILDING AND SAFETY DEPA TMENT
PLAN APPROVAL
R VI ��'l BAY
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DATA
'Approval of these plans shall not be construed to b a permit for,or an
approval of,any violation of any provisions of the fe eral,state or city
regulations and ordinances. This set of approved pla s must be kept on tht
jobsile until completion.
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