PMT18-04856 City of Menifee Permit No.: PMT18-04856
29714 HAUN RD.
MENIFEE,CA 9258E Type: Residential Addition
MENIFEE MENIFEE Date Issued: 10/05/2018
PERMIT
Site Address: 29325 FENWICK CIR, MENIFEE,CA Parcel Number: 364-320-018
92564 Construction Cost: $700.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL ATTACHED 440 SO FT SOLID PATIO COVER 11 X 40 AND 108 SO FT LATTICE PATIO
Work: COVER 12 X 9 WITH ELECTRICAL-2 FANS, 3 LIGHTS
Owner Contractor
CLARDIT BARTON-FIRKINS TRADER DAN'S INC
29325 FENWICK CIRCLE 840 S ROCHESTER AVE STE C
MENIFEE,CA 92584 ONTARIO, CA 91761
Applicant Phone:9093900555
TRADER DAN'S INC License Number: 517575
840 S ROCHESTER AVE STE C
ONTARIO. CA 91761
Phone:9093900555
Fee Description Of. Amount ISl
Receptacle,Switch,Outlet&Fixture 5 136.00
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 6.80
$311.45
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 carded 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 Permit_Templatesin 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 o I am exempt from licensure under the Contractor's State license Law for
Professions Code a my license is in full force and effect. the following reason:
License Class License Na. S�7s7�
By my signature below I acknowledge that,except(army personal residence
Expires 6rntOZ& Signatur in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION OEC 8 O 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
o I hereby affirm under penalty of perjury one o le 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 iztvw,leeinfo.ca.eov/calasv.html.
this permit is issued.
Policy N Date
/a4— ve 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 o By 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 owner's behalf.I have read this
number are: _ application and the information I have provided is correct.I agree to comply
Carrier �'� with all applicable city and county ordinances and stale laws relating to
I'` st ry ) building construction.I authorize representatives of this city or county to
Polity Nl� '�6f/33 Expires 6 ( enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is far one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
01 certify that in the performance of the work for which this permit is issued, O 0 2�y
1 shall not emolav any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N
worker's compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's�ompenseF rovisions of Section 3700 of the Labor
Code,Is ahaK'0 hwn pI thos rovislons. Will the applicant or future building occupant handle hazardous material or a
i L mixture containing a hazardous material equal to or greater that the
Applicant pace r
amounts spec n.*don the Hazardous Materials Information Guide?
WARNING: U RE WORKER'S COMPENSATION COVERAGE 15 a Yes
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Willthei/mended use of the building by the applicant of future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSANOOOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Airqualii Management District(SCAQMDj?See permitting checklist
IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guide}li�£S
CONSTRUCTION LENDING AGENCY 0Yes ra No
I hereby affirm that under the penalty of perjury there is a construction Will the propose$d building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued oulerboun pryofaschaol?
(Section 3097 Civil Code) a Yes No
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
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous mq[eda o ng.
checkmark(s)I have placed next to the applicable items)(Section 70315 a No /
Business and Professions Code).Any city or county that requires a permit to Date Z
construct,alter,improve,demolish or repair any structure,prior to its pROPEILlY 0W) O DAGENT
issuance,also requires the applicant for the permit to file a signed statement
that he of she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP
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($SOD). managers who do the paint-disturbing work themselves orthrough their
In 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 wwsv.eoa.eov/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 Contractor's State License Law does not apply to an owner of a aAn 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:
a I,as owner of the property am exclusively 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
�6 5rh h U 2An&A ;I 11edgemen- r�Jt^
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
J
DATE: �U S 1 PERMIT/PLAN CHECK NUMBER O - O D'/Iy
PLANNING CASE NUMBER
TYPE: 0 COMMERCIAL -:RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ;�BI ELECTRICAL O MECHANICAL
,,er'NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK \\ Xq a W x ' k 4l,ct G(,b'—ctW-a,�� -
PROJECTADDRESS 7 ' FtV1W>•2q 6'y ZIP 61 Z 5 I
ASSESSOR'S PARCEL NUMBER( I LOT TRACT
OWNER NAME �1✓-d4 A- h �r K V'
ADDRESS Z1 3 Z S FCNk.)(,A 6v• City of Menifee
PHONE 626_ 6 jj- a6 z 7 EMAIL Building Dept.
APPLICANT NAME l�Dh �/t �-Z�n�f{- OCT 85 2018
ADDRESS Received
PHONE R01 g0-G5 — EMAIL
CONTRACTOR'S NAME OWNERBUILDER? OYESD415
BUSINESS NAME ADDRESS 'FqO S
'rl 1-74
PHONE a'o-y -310-05_5_s EMAIL
CONTRACTOR'S STATE LIC NUMBER SI7 S7_ J LICENSE CLASSIFICATION I}
VALUATION$ 7 nU 1) SO FT L SQ FT
APPLICANT'S SIGNATURE DATE (U/J si Io,�
1w
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE �^—
INVOICETOTAL . p GREEN If 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.cityofmenifee.us
NIF
OWNER
ADDRESS
CITY 2 ,0 ZIP f21HONE (off
LOT NO. TRACT APN
CONTRACTOR i1Q
ROOMS N' COVERS PROPOSED ADDITION S) 5� [�
840 S ROCHESTER AVE #C ', /p�Py�a �`
ONTARIO, CA 91761 �� X 7�� solid and /Z rG _
LIC. B-517575
909-390-0555
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