PMT18-04946 City of Menifee Permit No.: PMT18-04946
MENIFEE,
EE, C 92 Type: Residential Addition
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 1 011 01201 8
PERMIT
Site Address: 29569 LIGHT SHORE COVE, MENIFEE, Parcel Number: 333-560-033
CA 92585 Construction Cost: $6,700.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 526 SQ. FT. SOLID ATTACHED ALUMAWOOD PATIO COVER WITH 2 FANS AND 3 POST
Work: LIGHTS 12 X 34'6"+7'6"X 15
Owner Contractor
JOE GARCIA ALVES PATIO DESIGNS INC
29569 LIGHT SHORE COVE 32897 MONTE DRIVE
MENIFEE, CA 92585 TEMECULA, CA 92592
Applicant Phone:9519722000
ROBERT ALVES License Number: 1001577
ALVES PATIO DESIGNS INC
32897 MONTE DRIVE
TEMECULA, CA 92592
Phone:9519722000
Fee Description Ogr 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 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_Pennil_Terrplate.rpl 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 in I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full farce and effect. the following reason:
License Class e6/— DOS License No. /O `u/J177 By my signature below I acknowledge that,except for my personal residence
Expires 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
❑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.leginfo.ca.gov/calaw.html.permit is issued.
Policy K Date
❑I 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 ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carder 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 is correct.I agree to comply
0�(i��r..�J with all applicable city and county ordinances and state laws relating to
Carri '"/ building construction.I authorize representatives of this city or county to
Policy 1 Nuw"''�'D/!!e Uoypires 7— r - .S dI `j 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
❑I certify 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 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant 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 15 ❑Yes a4 0�
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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ram
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) ❑Yes ❑NC
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 25505 and 25534 concerning
hazardous rr aterial reporting.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 ❑Yes ❑Flo
Business and Professions Code).Any city or county that requires a permit to Date C)-- y
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(RRPj
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 Cade)or that he or she is exempt from Iicensure 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
In 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.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 ❑An EPA Lead-Safe Certified Renovator will be responsible forthis 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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑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 rule please fill outthe RRP
Acknowledgement.
e
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE: 10AII 0 PERMIT/PLAN CHECK NUMBER
GRADING/ PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL CIESIDENTIAL G MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: ADDITION O ALTERATION ()DEMOLITION O ELECTRICAL O MECHANICAL
ONNEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK {/2 )C Lj " ./ 7 ' " x / S` /� •icy ,, ,� �� T
A,AC—kt "> 1 V ��i+�S d'JS'�' I S'✓'�"S
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES ONO
PROJECTADDRESS 19,1S1-4F � i�yll� Sh--e- zD ✓<- ZIP Izj-'sS-
:/IFj
ASSESSOR'S PARCEL NUMBER 733- Q— a�
O��LOT 17,0 TRACT J 00
OWNER NAME "'U � ; a e �'Of
. /n9 n/fe
ADDRESS `3 ji 1 H�. t CoLY- l✓1cs:4O�- C ✓F Yztys' D
PHONE t!S`- a 4-7 3 EMAIL
APPLICANTNAME I2,be. 4 IAf u,-s C�
ADDRESS 32e, 5'"T k,, - ^4c d« --7-e rh e.c le C �4 �72 5`5
PHONE q1 c5 1 -C/7 t .;Zn-•o EMAIL
CONTRACTOR'S NAME 26Jb-e+r A/v-r-S OWNERBUILDER? ®YESO NO
BUSINESS NAME Pc /;u.J N M, ,,(-
ADDRESS
PHONE 'jJ7 -7Z- EMAIL Urh �ct7u�ZGa nc� o NnC a�
CONTRACTOR'S STATE LIC NUMBER/ p 6 /-5'-7 -7 LICENSE CLASSIFICATION
VALUATION$ 670 O SQ FT Sa 6 L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL 1 3 GREEN ' - 00 SMIP 00
OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER YES C NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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CITY OF MENIFEE ; I
ETY DEPARTMENT
I t I PLAN APPROVAL
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-Approval of these plans shall not be construed to be a Pen"':for,or an
PP ofthefederal,sta;eorcity W I
i approval of,any violation of any provisions roved Puns must be kept en the
regulations and ordinances. This set of approved
iobsite until completion.
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