PMT18-04123 City of Menifee Permit No.: PMT18-04123
29714 HAUN RD.
II1 MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 08/20/2018
PERMIT
Site Address: 26399 LEOS TR, MENIFEE, CA 92586 Parcel Number: 335-510-052
Construction Cost: $6,600.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 41'X 40'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,6 LIGHTS, 1
Work: OUTLET
Owner Contractor
ART&DEE SCHOPP PATIO GUY ALUMAWOOD CONTRACTOR
26399 LEOS TRAIL 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92586 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 t$1
Receptacle, Switch,Outlet&Fixture 9 156.00
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 7.80
$332.46
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 building 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_Permft 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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o 1 am exempt from licensure under the Contractors State License Law for
Professions Code a/rs��my license is in full force and a cb n) the following reason:
License Cl�ass_a/JA_, Uce�rtse//��. rst ,/ By my signature below l acknowledge that,except for my personal residence
Expires� Signature l /\ P /lA/—/»f�C in which 1 must have resided for at least one year pdorto completion of
Improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if It has not been constrocted in its entirety by
a 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 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
this permit is issued. www.leeinfo.m.govYcalaw.hi mi.
Policy q Date
o 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 o By my signature below I certify to each of the follawing:i am the property
this perm it is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the Information I have provided is correct.I agree to comply
Carrier v � _ with all applicable city and county ordinances and state laws relating to
---yy'' '� building construction.)authorize representatives of this city or county to
PolicyR �AJC 3 Expires L• ��� _ enter the above identified property for inspection purposes.
(This section need not to be completed Is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, /�i} ell
�/111 A�
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g l/ �I/ (L"'_
workers compensation taws 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 forthwixh comply with those lions. Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to or greater that the
Applicant�, �X i Date amounts spa 'red on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Oyes B o
UNLAWFUL,AND SHALLSUBTECT AN EMPLOYER TO CRIMINAL PENALTIES Will AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant
requiretended aermit of f buildingst by theon or antorfutionure building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require aanagementhe construction ISCt(on ormodificationfrom South
Coast Air quality Management District(SCAgMD)7 See permitting checklist
IN SECTION 37060�THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY a Yes esNp
I herebyaffrrm that underthe penallyofperjurythere 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) oYes a0:
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAgMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that l am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardousm, mire 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 \ A&ZDate
construct,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 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(RRP)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 laciliryta he 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
❑1,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 wwmeoa.govAead 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. o No EPA Lead-Safe Certified Firm is required for this project bemuse:
01,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 RII out the RRP
Acknowledgement.
OPTAflrioCki
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
Y
DATE: / PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
TYPE: COMMERCIAL 3 ESIDENTIAL 0' MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION (9'<ECTRICAL O MECHANICAL
Qw11'EW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK y In L_, m A
0,60
PROJECTADDRESSL tj
' �"�a9 Y'L- —��>a yL ZIP
ASSESSOR'S PARCEL NUMBER 15-3C5 - S I0--01 sa LOT (01a TRACE
OWNER NAME a 12, QT'
ADDRESS L
PHONE 314 ^ !. 3-1_ L4 tpQ EMAIL
APPLICANT NAME LB L �'�'
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME m OWNER BUILDER? 0 YES (?-N
BUSINESS NAME 'b ['
ADDRESS (- 0 y p$
PHONE -lE� I- -74 j3 -b Q C'jp EMAIL CAQWRokkarAllicted
r.
CONTRACTOR'S STATE LIC NUMBER (3 a� / LICENSE CLASSIFICATION
VALUATION$ SQ FT L SQ FT 4 �^
APPLICANT'S SIGNATURE DATE L] O
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL 1 3 .13 GREEN SMIP
OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LE7ER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
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www.cityofmenifee.us
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of these plans shall not be construed to be a permit fbr,or an t{
m any violation of any provisions of the federal,state or city t7
ad ordinances. This set of approved plans must be kept on the !
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