PMT18-04201 City of Menifee Permit No.: PMT18-04201
29714 HAUN RD.
A* MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 08/27/2018
PERMIT
Site Address: 26556 RIM CREEK PATH,MENIFEE, CA Parcel Number: 360-820-007
92584 Construction Cost: $3,900.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 12'X 33'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS
Work:
Owner Contractor
JERRY RETTIG STEVE BENDORF CONST
26556 RIM CREEK PATH 28493 BAUVARDIA WAY
MENIFEE, CA 92584 MURRIETA, CA 92563
Applicant Phone: 9516791502
STEVE BENDORF License Number:610842
STEVE BENDORF CONST
28493 BAUVARDIA WAY
MURRIETA, CA 92563
Fee Description ON Amount 151
Receptacle, Switch,Outlet&Fixture 2 121.00
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 6.05
$295.70
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_aldg_Pennit_Templete.rpt Page 1 of 1
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CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
under penalty of perjury I hereby affirm that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law)..
firm
Chapter9(commencing with section 7000)of Division 3 of the Business and 0I 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 17; License No. S By my signature below l acknowledge that,except for my personal residence
Expires 2.-2 c�-1 )Signature ...v r/ In which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit l cannot legally sell a structure that)
have built as an owner-builder if it has not been constructed in its entirety by
D 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.leR1nIb.ca.eoy/alaw.html.
Policy 4 Date
D I have and will maintain workers compensa Gan 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 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 owners behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Polity H Expires 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
D I certify that in the performance of the work for which this permit is issued,
Ishallnotemolov 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 3700 of the Labor
Code,1 shall forth w' mpI with thus provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant /C/.>T�/� Date 8-22-1—Z mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes D No
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 requires permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management the
t(SCtionor See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines
Qua
CONSTRUCTION LENDING AGENCY o Yes o No
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 a school?
(Section 3097 Civil Code) D Yes D No
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 I am exempt from the
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 oyes D No
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 PROPERTY OWN ER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement -
thatheorsheislicensedpursuanttotheprovisionsofthe Contractors State EPA RENOVATION.REPAIR AND PAINTING IRRP)
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 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 orthrough their
n1,as owner of the property,or my employeewith 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a czAn 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. D No EPA Lead-Safe Certified Firm Is required for this project because:
cr 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 REP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: 8 - 27 - I PERMIT/PLAN CHECK NUMBER W VLf
GRADING/ PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL %RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
*NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES w�
DESCRIPTION OF WORK L.Ve(J� �'PJ �V' 2'- ��•`�
12 'x 33 '
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES ONO
PROJECTADDRESS TL1M � Q�S�.5 ZIP
ASSESSOR'S PARCEL NUMBER �o-� �' � LOT /7 TRACT
OWNER NAME
ADDRESS
PHONE EMAIL
APPLICANT NAME ).Q_.0'Z
ADDRESS -PA p )
PHONE 9Zg—�'1 —17 EMAIL lj-f IVE.nIb7�tL� r( 00 • 'EJY1
CONTRACTOR'S NAME -V K-X e t' 000 OWNER BUILDER? OYES A1N0
BUSINESS NAME
ADDRESS8493
PHONE 9-zg - �► 6 =-1 3 S EMAIL S"YE_ 1►�.N
CONTRACTOR'S STATE LIC NUMBER oS4-Z LICENSE CLASSIFICATION
VALUATION$ bO L SOFT 1 Z' 3_3' = L SQ FT 3 Co Q
APPLICANT'S SIGNATURE 4 DATE �'ZT - 1 q
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENJEEEyy51_N�SSJJGFy6E NUMBER
BUILDING PLANNING ENGINEERING FIRE I�J,29 IV/C7 � _�Jf
INVOICETOTAL •-7(0 GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER (} 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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REVIEWED
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'Appreval of these plans shall not be construed to be a permit for,or an 6 Ef,M
apprr A of,any violation of any provisions of the federal,state or city
reg�,ia:,ons and ordinances. This set of approved plans must be kept on the
jabs".• .ntil completion. o T7.x1 LS /
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