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
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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,
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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
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