Loading...
PMT18-05017 City of Menifee Permit No.: PMT18-05017 29714 HAUN RD. Type: Residential Addition l/ MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 10/1612018 PERMIT Site Address: 27153 STOWAWAY DR, MENIFEE, CA Parcel Number: 333-440-016 29585 Construction Cost: $4,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 37'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS, 1 OUTLET Work: Owner Contractor ANTHONY TONKIN TODD'S PATIO COVERS 27153 STOWAWAY DRIVE 30905 GREENSBORO DR MENIFEE, CA 92585 TEMECULA, CA 92592 Applicant Phone:9516608665 TODD SKARIN License Number. 834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description Qtv Amount!$) Receptacle,Switch,Outlet&Fixture. 3 126.00 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 6.30 $300.95 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_Permft 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 l 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 o 1 am exempt from Iicensure under the Contractor's State License Law for Professions Cade and my Ilene[sin full force and effe t, the following reason: License Class Lim se I0. By my signature below I acknowledge that,except for my personal residence Expires�' Vriatur in which lmust have resided for at least one year prior to completion of WORKER'S.COMPENSATION DECLARATION 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 D 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 forworker'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 oral the following website: this permit is issued. www.leginfo.ca.eov/calaw.html. Polity N 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 'IJ3By 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 owner's behalf.I have read this numberare: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.LiMthorize representatives of this city or county to Policy N Expires ente h b iden red property for inspection purposes. (This section need not to be completed Is the permit Is for one-hundred dollars($10D)or less Date ��certify that to the performance of the work for which this permit is issued, ER 010R AUTHORIZED AGENT I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N workers compensation laws of California,and agree that if I should become subject to the workers compensation provisions of Section 370D of the Labor HAZARDOUS MATERIAL DECLARATION Cade,I shall fodthwAh lywlth those provisions. Will the applicant or future building occupant handle hazardous material or a APplica Date Zo mixture containing a hazardous material equal to or greater that the amoun specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS aYes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the ntended use of the building by the applicant orfuture building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupa require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Ai Quality Management District(SCAQMD)?See permitting checklist forguldi lines CONSTRUCTION LENDING AGENCY oYes 3 No I hereby affirm that under the penalty of perjury there is aconstruction 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 b ndary of a school? (Section 3097 Civil Code) "Yes No OWNER BUILDER DECLARATIONS I have re d the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permittin checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California flealth&Safe ty Code on 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardoul':,ate' I r r Business and Professions Code).Any city or county that requires a permit to ayes D 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 PRCIPERIV eWER OR A11THORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from Iicensure 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($SOD). required practices.This includes rental property ownersand property managers who do the paint-disturbing work themselves or through their D1,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 7D44,Business and Professions 1-BD0-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of DAn EPA Lead-Safe CertifiedRenovator will be respomlble 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 completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because: D 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 out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION _ MENIFEE DATE: ) b I b ' PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK . Z I I I I (� c� L(,i_Vi/lGl.w Ob �x ✓ Z s 4 P OJECTADDRESS 2 3 CL �1/ ZIP00��OtY Of Me ifee ASSESSOR'S PARCEL UMBER LOT TRACT Building D pt. OWNER NAME U � �'( O10 ADDRESS Z It S S vie, �1 PHONE gs—I �9 z `� L.� b EMAIL Received APPLICANT NAME - �9 ADDRESS -Logo U ✓ ei/I/l'S V-6 PHONE �'� (0 (0 EMAIL s' {� ✓ I�(,E ,.L CONTRACTOR'S NAME�I I OWNER BUILDER? O Y NO BUSINESS NAME SII�u ADDRESS/13b I/-GZG�S �"✓V -, K.L..L� PHONE 7C1 (S7�OO,��j(�.-(�! r EMAIL 1/ R_ �y eon CONTRACTOR'SSllSTAAATTE LIC/�N/U'MBER "[ z LICENSE CLASSIFICATION VALUATION$ ` 00 (/ SO yyy L SO FT APPLICANT'S SIGNATUR DATE j 0 ��A, CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL � GREEN .� SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES C> NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us 4nsNlFee� 'x.s, ICE COPY ` I Lk°Go -Vol IW64 a? n o > N 'o - � r W C ♦ 1 m O W CJ uj W W N x PL LU d H � `o z s sY w " = M ui LL aQ $ 5 & _ 0 W a w p d C T y W � LU G z > _ C V O A % ._ W Q m M m C9 a d o s a u' T s N o z a oo = z w 15 U CO a LU `i a