PMT18-04924 City of Menifee Permit No.: PMT18-04924
29714 HAUN RD. Type: Residential Addition
'ir MENIFEE,CA92586
MENIFEE MENIFEE Date Issued: 10/09/2018
PERMIT
Site Address: 29956 TWIN LAKES RD, MENIFEE, CA Parcel Number: 333-590-001
92586 Construction Cost: $9,500.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 749 SF SOLID ALUMAWOOD PATIO COVER WITH 3 FANS, 7 CEILING LIGHTS
Work:
Owner Contractor
MIGUEL&LAURIE GOMEZ PATIO GUY ALUMAWOOD CONTRACTOR
29956 TWIN LAKES DRIVE 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92585 MURRIETA,CA 92562
Applicant Phone:9513330056
ADAM TESTI License Number.872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Phone: 9513330056
Fee Description Olt Amount lSl
Receptacle, Switch,Outlet&Fixture 10 161.00
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 8.05
$338.70
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_Permit_Template.rpt Page 1 of 1
CITY OFMENIFEE t'CA—V10 Ewk
LICENSED DECLARATION property who builds or improves thereon,and who c racts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license Is in full force and effect. the following reason:
License Class 6-0— —/ C_ License No. �
By my signature below 1 acknowledge that,except for my personal residence
Expires - /E Signature �i in which I 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
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 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 www.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy g Date
At have and will maintain workers compensallon insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work forwhich ❑By my signature below I 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
numher are: application and the Information I have provided is correct.I agree to comply
Carrier A d`0% -Gct"mMiy with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
PolicygrXILVC 11202'35—U Expires Z� / /� enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred Date
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT
O I certify that in the performance of the work for which this permit is Issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS 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,I shall forth It those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date ra g /v mixture containing a hazardous material equal to or greater thatthe
amounts specified on the Hazardous Materials Information Guide?
WARNI G:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes ❑No
UNLAWFUL,AND SHALLSUBIECT AN EMPLOYER TO CRIMINAL PENALTIES WIII 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
IN SECTIODITIONN
TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
N ERION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oYes inNo
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) O 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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes o No
Business and Professions Code).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 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($500). managers who do the paint-disturbing work themselves or through their
D I,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 1-800-424-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 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:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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.
T
DATE: 10 Ic PERMIT/PLAN CHECK NUMBER '
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: 0 COMMERCIAL 0 RESIDENTIAL O MULTI-FAMILY, O MOBILE HOME O POOL/SPA 0 SIGN
SUBTYPE: (E)ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK ALUMAWOOD PATIO COVER L 2r,4 3 Fw i>; 7Cscc= [2,*rr
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O`%y 0 Wnlfee
Building
PROJECTADDRESS Z94J'6 7&yZ.v 44&t r ZIP 9ar9r-
ASSESSOR'S PARCEL NUMBER cqn -001 LOT TRACT OCT U 9 2
OWNER NAME /A=6cve.L f LbO/xc Co o4lL '
ADDRESS o1'Q9'3-6 71-IMAJ Co&I Aao¢ Mft-C C.n d
PHONE 9l6-�3. 3 '37 EMAIL patioguy@icloud.com
APPLICANT NAME PATIO GUY ALUMAWOOD CONTRACTOR INC.
ADDRESS 41197 Goldengate Cir Suite 108 Murrieta CA 92562
PHONE 951-333-0056 EMAILpatioguy@icloud.com
CONTRACTOR'S NAME PATIO GUYALUMAWOOD CONTRACTC OWNERBUB.DER? OYES(DNO
BUSINESS NAME PATIO GUY ALUMAWOOD CONTRACTOR INC.
ADDRESS 41197 Goldengate Cir Suite 108 Murrieta CA 92562
PHONE 951-333-0056 EMAILpatioguy@icloud.com
CONTRACTOR'S STATE LIC NUMBER 872839 LICENSE CLASSIFICATION B-General
VALUATION$ 9 SC)u_ SO FT 7f/9 L SQ FT
APPLICANT'S SIGNATURE DATE LU T a
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL O 1 GREEN , SMIP a
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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LEDGER &TRACK
--INSPECTION REQUIRED
-7 7 City of Menifee
Building Dept.
L-Zv�&� 09 2018
Received
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
3° REVIEWED BY O V-Gl 3G
DATE
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
bsite until
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