PMT18-04360 City of Menifee Permit No.: PMT18-04360
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 09104/2018
PERMIT
Site Address: 28663 LEGACY WAY, MENIFEE, CA Parcel Number: 372-281-006
92584 Construction Cost: $3,600.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'X 30'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS
Work:
Owner Contractor
JOSEPH PRATT PATIO GUY ALUMAWOOD CONTRACTOR
28663 LEGACY WAY 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 9513330056
LOIS MONTINI License Number:872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description QQt y Amount($)
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_Bldg_Perrnit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and Who contracts for the projects
1 hereby affirm under penalty of perjury that I am under provisions of with a licensed controctor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section7000)of Division 3 of the Business and 0 l am exempt from Iicensure under the Contractor's State License Law for
Professions Code a�(my license is in full force and effeli]n /y'�/ the following reason:
License Class_ �C.J Lice!gse/��.�/yO� /)Az8 /' By mysignature below l acknowledge that,except for my personal residence
Expires Signature l=/� Y /lA/—iu't�C In which l 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 DECLARATION have built as an owner-builder if it has not been constructed 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 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 or the Labor Code,for the performance of work for which
this permit is issued. www.leeinfo.m.¢ov/calaw.html.
Policy Date
PROPERTY OWNER OR AUTHORIZED AGENT
a I have and will maintain worker's compensation insurance,as required by
section 3700 of the La bar Code,for the performance of the work for which a By my signature below l certily to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: � application and the Information I have provided is correct.I agree to comply
Carrier 1/`/&12;d 1/ with all applicable city and county ordinances and stale laws relating to
/I building construction,l authorize representatives of this city or county to
Polrcyq T��LJL �jEzPires _ enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for ane-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT -
olcertifythatinthe performance of the work for which this permit is issued, �ILf fl�
I shall not employ airy persons in any ma nner so as to become subject to the CITY BUSINESS LICENSE g 0
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 370D of the Labor
Code,l shall fo li hccoompply with tthhpseepprooviisions. Will the applicant or future building occupant handle hazardous material or
Applicant(_ //Fl/Tx it Date mixture containing a hazardous material equal to orgreater that the
amounts spec red on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes m o
UNLAWFUL,AND SHALLSUB1ECfAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use ofthe building bythe applicantor future building
AND CIVILFINES UP TO ONE HUNDREDTHOUSAND DOLLARS($100,000),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 for guidelines
CONSTRUCTION LENDING AGENCY oyez 6No
I herebyaffirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 reet of the
lending agency for the performance of the work which this permit is issued outer boundary of a.school?
(Section 3097 Civil Code) o Yes a Norm
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that lam exempt from the permittingchecki8t.l understand my requirements underthe5tate of
California
Contractors License Law for the reason m
hazardous mata
s)indicated below by the Health g:Safe Code,Section 2S505 and 25534 concerning
Are ng.
checkmark(s)I have placed next to the applicable item(s)(Section 7033.5 oyes o 0
Business and Professions Code).Any city or county that requires a permit to orti
A6 Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER Of ZED AGENT
Issuance,also requires the applicant for the permit to rile a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRP)
License Law(Chapter 9(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 Iicensure receiving compensation for most work that disturbs paint in a pre-2978
and the basis for the alleged exemption.Any violation of Section 7032.5 by residence or childcare facilityto 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($500). managers who do the paint-disturbing work themselves or through their
O1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure Is www.eoa.eov/Iead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a aAn EPA Lead-Safe Certified Renovator will be respomible for this project
property who,through employees or personal effort,builds or improves the
property provided that the improvements are not Intended or offered for Certified Firm Name:
sale.If,however,the building or Improvement is sold within one year of Firm Certification No:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. O No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Cantractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement. I
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: 19 PERMIT/PLAN CHECK NUMBER
PLANNING.CASE NUMBER
TYPE: O COMMERCIAL (D E51DENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADD[FION O ALTERATION O DEMOLITION L3'ELECTRICAL O MECHANICAL
G-KEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK / )( 44-41M 19 4:04O4) a.-77,6
PROJECTADDRESS 1042 3 L Y [oqy ZIP
ASSESSOR'S PARCEL NUMBER a -^d'D��V/ LOT / TRACT
OWNER NAME - -r
ADDRESS A246 .3 LEo
ALy
PHONE R & - cR Lj ($ EMAIL
APPLICANT NAME Q j
ADDRESS
PHONE 4 (p,5 EMAIL
CONTRACTOR'S NAME Ab4m7EZ—�57-1OWNER BUILDER? O YES ;al4ff
BUSINESS NAME P14rIO
ADDRESS 19 _ - e-, 4e dz Q IL /[= o�"Z Q
PHONE ��/- �� -bQ� lo EMAIL d 1 mgrf�oc�lc/�Jn Ck.
CONTRACTOR'S STATE LIC NUMBER Q 9 LICENSE CLASSIFICATION .L7
VALUATION$ Q SO FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION ACCEPTED BY:, CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE �'�i..
INVOICE TOTAL 5. I(:>I GREEN r SMIP
OWNER BUILDER VERIFIED O YES O 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
MENIFEE
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QLJG - Received
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CIT . CF MENIFEE
FLAN APPI:CVAL o
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Id of!;Iese plans shall not be construed to be a permit for,or an 3 lD r>I
r, anprot,I nf,crry vioiaboa of any provisions of the federal,sfyte or city
regdiations and of dinances. This set of approved plans must be kept on the
jobsi'e unrii completion.
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