PMT18-04606 City of Menifee Permit No.: PMT18-04606
29714 HAUN RD. Type: Residential Addition
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 09120/2018
PERMIT
Site Address: 30396 CHERRY OPAL LN, MENIFEE, CA Parcel Number: 360-830-038
92584 Construction Cost: $2,900.00
Existing use: 1 &2 Family Residence Proposed Use:
Description of INSTALL ATTACHED SOLID ALUMWOOD PATIO COVER-NO ELECTRICAL
Work:
Owner Contractor
JEFF SILER ESTRADA'S LANDSCAPING
30396 CHERRY OPAL LANE 145 NORTH SCOVELL AVENUE
MENIFEE, CA 92584 SAN JACINTO, CA 92583
Applicant Phone: 9515914737
ESTRADA'S LANDSCAPING License Number: 1012450
145 NORTH SCOVELL AVENUE
SAN JACINTO,CA 92583
Phone:9515914737
Fee Description Oft Amount($1
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
$168.65
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.
Paoe 1 of 1
�Ae1d!;bv) oek� -
CITY OF MENIFEE G`J LC"6 AP`r'S
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 Contractors State License Law for
Professions Code and my license is in full force and effect. ma�''ss the following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires(1�_'Ai C) Signature /� inwhech l musthave resided for at least one year priorto 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 constructed in its entirety by
O 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 seff-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 wehsite:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.gov/calaw.htmi. a
Policy# 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 ❑By my signature below 1 certify 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 owners behalf.I have read this
number are: application and the information I have provided fs correct.I agree to comply
Carrier t( p,v 1 n V ,^r with all applicable city and county ordinances and state laws relating to
(wry 1 building construction.I authorize representatives of this city or county to
Policy#NJ� ;�(, L� y ?gpires g 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
❑I certify that in the performance of the work for which this permit is issued,
I shall not emoloy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation taws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the W es compensation provisions of Section 3700 of the Labor
Code,I s al forthwith co ly with those provisions. 7 Will the applicant or future building occupant handle hazardous material or a
Appli nt dcd?��&.m Date— 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 ❑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 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 heconstSCtionor modification
cation fro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airlines
Qua
CONSTRUCTION LENDING AGENCY D Yes in No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or mociffied 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 U No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 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 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
oyes O No
Business and Professions Cade).Any city or county that requires a permit to Date
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(Chapter 9(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 apre-197B
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving or childcare facility to be RRP-certified firms and comply with
than
Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This Includes rental property owners and property
than($500J. managers who do the paint-disturbing work themselves or through their
o 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsiblefor 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 Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP role please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: D IT PERMIT/PLAN CHECK NUMBER R I M 0 D
PLANNING CASE NUMBER
TYPE: O COMMERCIAL C, RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
0 NEW O PIILUMBING 0 RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Q e G+ I C 0.1 C> LA A ` IJ I 3 O C7 n
3 L1 j6r\.0 h
/
PROJECTADDRESS OJh2fn C C'Cr\ C7 G.L ZIP
ASSESSOR'S PARCEL NUMBER 3lPD O �V✓ LOT TRACT
OWNER NAME C' ( r&V
ADDRESS '30 16UI ( h. er1ry OPL In Meoi/Ceiz- (, ) S /?L
PHONE EMAIL
APPLICANT NAME :1 r CA r, a a 'r\
ADDRESS !. /V� e I Q. LI t GLC /'x 4 0 C.
PHONE Lf I7 -3 // EMAILe/
CONTRACTOR'S NAME 11 .� V LL 6 OWNER BUILDER? O YES O NO
BUSINESS NAME C rL
ADDRESS I L I Af ' I){ l ( GL U e II o C "/\� D - /1 7 ;1 5 1/
PHONE (�, Tj j _ Gj /- LC '3 EMAIL 6
CONTRACTOR'S STATE LIC NUMBER )D L( '5-0 LICENSE CLASSIFICATION -
VALUATION$ - SQ FT L SO FT C7
APPLICANT'S SIGNATURE S DATE D C> - d f
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSENUMBER
BUILDING PLANNING ENGINEERING FIRE fw
INVOICE TOTAL GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE JI NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-67770_�o^
www.cityofinenifee.us 4�rNIF
My Of M@nif@@
Building Dept.
SEP ? 0 2018
aw
Qto rly C:�
Y,k ,V
Limm-
Ljlmw
o
Ncso
OF
p a cm�`te�°a
rya d mes,��eQ
�Vato���,eQtampe�aK1 �dp�'"� i
tot zeY w oan`� M
aQQro�a asaeae� '
--�e9ataao—atc�`
�bsXte°P
��� �y ChevY `/ oruL Ln
men � FeP C. H
Cify of Menifee
Building Dept.
EP 2018
RecelVeR .,7