PMT18-04433 City of Menifee Permit No.: PMT18-04433
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 09/11/2018
PERMIT
Site Address: 28430 BAYSHORE LN, MENIFEE, CA Parcel Number: 333-571-009
92585 Construction Cost: $14,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 780 SF SOLID INSULATED ALUMAWOOD PATIO COVER WITH 8 LED LIGHTS,3 FANS
Work:
Owner Contractor
SALVADOR&CLAUDIA WALTERMIRE ANGEL'S PATIO COVERS&AWNINGS
28430 BAYSHORE LANE 225 SPARKLER LANE
MENIFEE,CA 92585 PERRIS, CA 92571
Applicant Phone:9514431659
ANGEL GONZALEZ License Number: 900657
ANGEUS PATIO COVERS&AWNINGS
225 SPARKLER LANE
PERRIS, CA92571
Fee Description Owl( Amount i$)
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 2.00
General Plan Maintenance Fee-Building 1 6.65
General Plan Maintenance Fee-Electrical 1 8.30
$343.95
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 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_Penn"a_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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractofs State License Law for
Professions Code and^my license is in full force and effect the following reason:
License Class bqa Lice se No. 7 OC7 40 By my signature below 1 acknowledge that,except for m g p my Personal residence
Expires U 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
01 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable late,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
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following wecsite:
this permit is issued.� q I,- /� / www.leginfo car eov/calaw html.
Poliryg 1`"71 V V V/rL ! 0f F)!7 Z2 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 'crly�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
number are:
, L -L� application and the information I have provided is correct.I agree to comply
Carrier_ j 111d ���"� 1� �S with all applicable city and county ordinances and state laws relating to
��ee'� �7 pp building construction.I authorize representatives of this city or county to
PolitygY"ll�UWG 6hi�d7`d;�xpires ��L.�' _ enter he abov identified pr erty far inspectionpurposes.
(This section need not to be completed is the permit is for one-hundred �� 2U dollars($100)or less �; - Date
PR RTY OWNER OR AUTHORIZ AGENT
,--I"2rllfy that in the performance of the work for which this perm([is issued,
I shall not employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE It
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 La bar
Code,I shal orthwi c.mply with thoseWill the applicant or future building occupant handle hazardous material or a
Applicen[ Date�/� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING,F LURE TO SECURE WOR ER'S COMPENSATION COVERAGE IS OYes NNo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the aps.iIicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or mrtdifica[ipn from South
IN SECTIODITION N
3 THE COST OF COMPENSATION,CODE,INTERDAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli99es
CONSTRUCTION LENDING AGENCY aYes 2a
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) aYes n'No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 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 reason(s)indicated below by the California Health&Safety Code,Section 25S05 and 25S34 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031,5 hazardous matey' (reporting.
Business and Professions Code).Any city or county that requires a permit to es O No '
construct,alter,improve,demolish or repair any structure,prior to its IDate ad (/lCJ
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 fRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires cantractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-197g
and the casts for the alleged exemption.pliany nt to a violation it Penaltyction of not o residence or childcare facility to be RRP-certified fines and comply with
than
nApplicant
($50 mfor a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property than($500). q P p p rty owners and property
managers who do the paint-disturbing work themselves or through their
D 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 www.epa.gov/lead or contact the National Lead Information Center at
not intended proffered 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 O An 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. 0 No EPA Lead-Safe Certified Firm is required for this project because:
O I,as owner of the property am excluslvely 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER '
PLANNING CASE NUMBER
TYPE: O COMMERCIAL ,,1E11EESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
,Jg'IGEW O PLUMBING O RE-ROOF NUMBER OF SQUARES /!
DESCRIPTION OF WORK
j rl
PROJECTADDRESS agy�l/ Ql✓P p{�1 �PQ � 1' ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACTCityof Menifee
OWNER NAME UQd0 k_ j✓ Building Dept,
d8
ADDRESS a J y ,Q a 5 SEP 11 2018
PHONE 5� ( j /'J29AEMAIL '
APPLICANT NAME
ADDRESS a5 j2 Perk-1 �jq 7 a
PHONE (q & -L'5_2 ] EMAIL
CONTRACTOR'S NAME - Q OWNER BUILDER? O YES O NO
BUSINESS NAME %I
ADDRESS
PHONE �SI)'y,�j�!-�� EMAIL
CONTRACTOR'S STATE LICNUMBER gbolpS7 p LICENSE CLASSIFICATION 0
VALUATION$ 1 S S L SQ FT
APPLICANT'S.SIGNATURE DATE A-)A w
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL GREEN SMIP a
OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZEDLETTER 0 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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'XXjgECTIGN REQUIRED Bui ing Dept.
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CITY OF MENIFEE
BUILDING AND SAFETY DEPAR WENT
PLAN APPROVAL
REVIEWE
DATE
'Approval of these plans shall not he construed to he a perm@for,or an
Q approval of,any viola n of any provisions of the federal,state or d
' .y
regulatto a d (( s. This set of ar^ave??I;. < to kept an M
johsite unh Oetion.
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