Loading...
PMT18-04478 City of Menifee Permit No.: PMT18-04478 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0 9/1 412 01 8 PERMIT Site Address: 27541 HEADSAIL DR,MENIFEE,CA Parcel Number: 333-761-014 92585 Construction Cost: $4,600.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL SOLID ALUMWOOD PATIO COVER 19'6"X 15&8'X 166",6 LEDS, 1 FAN AND 1 SWITCH Work: ON POST Owner Contractor JOHN BARNHART ANGEUS PATIO COVERS&AWNINGS 27541 HEADSAIL DRIVE 225 SPARKLER LANE MENIFEE,CA 92585 PERRIS, CA 92571 Applicant Phone:9514431659 ANGEL'S PATIO COVERS&AWNINGS License Number: 900657 225 SPARKLER LANE PERRIS, CA 92571 Phone:9514431659 Fee Description Pity. Amount I81 Receptacle,Switch,Outlet& Fixture 8 151.00 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 7.55 $327.20 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_Pennit 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 01 am exempt from licensure under the Contractor's State License Law for Professions Cade and my license is in full force and effects. the following reason: License class. bQ.?N Lice se No. BY my signature below I acknowledge that,except formy personal residence Expiresi " / USignature t in which I must have resided for at least one year pdorto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that 1 have built as an owner-builder if it has not been commicted 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 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 by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following wehsite: this permit is issued. www.leeinfo ca.eovycalaw htm1. Policy# f`"7�V V !�L l �l X / Date 01 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 —1,T<y 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 owners behalf.I have read this number arey}r:��/� r tt-- '' _ application and the information I have provided is correct.I agree to comply Carriers l (d VV-e S-� f` ' (dt�V )`� 2 with all applicable city and county ordinances and state laws relating to /1�7G�i building construction.I authorize representatives of this city or county to Policy# UwG 6,L�i7I /Oxpires �Zk2 e e abov identified pr erty far inspection purposes. (This section need not to he completed is the permit Is for one-hundred Date U/ 2G S dollars 100 or less PR TY OWNER OR AUTHORI2 AGENT �rtlfy that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BU51NESS 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,t shal orthwi c mply with t ace provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 0 0 8 mixture containing a hazardous material equal to or greater that the 431Zamounts specified on the Hazardous Materials Information Guide? WARNING:FA RE TO SECURE WOR R'S COMPENSATION COVERAGE IS 0 Yes a NNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the aPFilicanlor future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist for guideliIes CONSTRUCTION LENDING AGENCY 0 Yes ;t a 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) 0 Yes 2rNo 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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 2550S and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous matey Preporting. Business and Professions Code).Any city or county that requires a permit to jaYes 0 No / construct,alter,improve,demolish or repair any structure,prior to Its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OW ER OR AUTHORZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with section 7000)of Division 3 of the Business and Professions Code)or that he or she 1s exempt from Rcensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their 01,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renova8on 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 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 0 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. O No EPA Lead-Safe Certified Firm is required for this project because: 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 fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL —c-4ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL �W O PLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK mzmml01911 / 11 / i / /i= �- ✓1 . PROJECTADDRESS ASSESSOR'S PARCEL NUMBER 333.1�a1• o f�- LOT TRACT OWNERNAME b ADDRESS /j' 'e•e PHONE (�51t�l'r39.43 EMAIL APPLICANT NAME GG ADDRESS J r t— a YY / PHONE (Q5�) u�Gi EMAIL /I . CONTRACTOR'S NAME OWNER BUILDER? O YES O NO / BUSINESS NAME / Q t ADDRESS r n NN ....,, �, PHONE (� EMAIL I O CONTRACiOR'SSTATE LIC NUM^BER b4O W�-4 LICENSE CLASSIFICATION VALUATION$ L4 OV L.AQ FT �Q• ��L SQ FT APPLICANT'S SIGNATURE \ DATE .O riTYrAFFUSEONLY DEPARTMENT DISTRIBUTION ACC TED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING GINNEEEEERING FIRE WY� ,� INVOICE TOTAL ✓2, .Z GREEN SMIP OWNER BUILDER VERIFIED OYES 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.cityofmenifee.us City Of Menifee Ni Building Dept. SEP 14 2018 ReceivAri - P- ---- _--- -Atktchin So[iot wl-lv;�vtcf in�ctxt ---- � - PCM(D V%-O-tz to "o►ne I-•Cov'ea ;2-Siv25 ►q�'zls'= �4, U Gp-i It yl r) Q)�i-kh on po5-F �r l;�h+s t3 �97 FaInn9 zz (�cAy-n " ay4 Da. enx e �C q Side crle RcMEN� 51)3oq- 3ag3 S� Frr of M of pEPp 1 C\ G N NOVp,� � P�pN pP A H-0 rnC 8 �dtec,°�an =rtm RSV\E p tpoam w n State°Mepl0%% wet �cLy 0 asha\tt ��� sd�psm°sty aQP at°�as �dmance~� City of Nlenifee Buildin Dept. nniQ Received