PMT18-05043 City of Menifee Permit No.: PMT18-05043
29714 HAUN RD.
' rAr MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 10/18/2018
PERMIT
Site Address: 30364 CHERRY OPAL LN,MENIFEE, CA Parcel Number: 360-830-034
92584 Construction Cost: $4,800.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL ALUMAWOOD PATIO COVER 14'X 40'3 IN. INSULATED NO ELECTRICAL
Work:
Owner Contractor
TERRI RENEE PREKAR ESTRADA'S LANDSCAPING
30364 CHERRY OPAL LN 145 NORTH SCOVELL AVENUE
MENIFEE, CA 92584 SAN JACINTO,CA 92583
Applicant Phone:9515914737
NELSON ESTRADA License Number: 1012450
ESTRADA'S LANDSCAPING
145 NORTH SCOVELL AVENUE
SAN JACINTO, CA 92583
Phone: 9515914737
Fee Description City Amount(S)
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
$168.65
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
�A212;bv) a-
CITY OFMENIFEE �" �`^Da`J iar aecoe:n's
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 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 Ilcensure under the Contractor's State License Law for
Professions Cade and my license is in full force and effect. .mot the following reason:
License Class j-Z� License No. I C) By my signature below I acknowledge that,except for my personal residence
Expires(1�,_3f 0 Signature in which l must 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
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 warkets 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 car at the followingwehsite:
this permit Is Issued. www.leginfo.ca goy/calaw.html.
Policy Date_
o 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 o 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 owner's behalf.I have read this
number are: m application and the information I have provided Is correct.I agree to comply
CarrierAl AY 1 R V ✓l� with all applicable city and county ordinances and state laws relating to
/�( f / /y'j_'f building construction.I authorize representatives of this city or county to
Policy IfA )1`" a`-''�74'res enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
Ishallnotemolov 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
subjecttothew rkeds compensation provisions of Section 3700 of the Labor
Code,ls Ifrorthwith co ly with those provisions. Will the applicant or future building occupant handle hazardous material or
A Ii at /b r mixture containing a hazardous material equal to orgreater that the
PP ,., ''no+r Date ` — j2 amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
ANDCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($10D,000),IN occupant requires permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District See permitting from
checklist
IN SECFION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airllnes
Qua
CONSTRUCTION LENDINGAGENCY - ❑Yes o No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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) oYes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCADMD
I hereby affirm under penalty of perjury that l 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 2SSO5 and 25534 concerning
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to oYes ❑No
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 PROPERTY OWNER OR AUTHORIZED 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from ltcensure receiving compensation for most work that disturbs paint ins pre•1976
and the basisforthemitsdects th applican.Any n
t
a civil
al penalty of not o residence or childcare facility to be RRP-certiried firms and comply with
than
n($50an[fora permit subjects the applicant toacivil penalty of not more required practices.This includes rental property owners and property than($500), p p y
managers who do the palnt•disturbing work themselves or through their
ol,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( I 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 ❑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:
❑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 awner 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: n a PERMIT/PLAN CHECK NUMBER
PLANNING CASE NUMBER
fes
TYPE: O COMMERCIAL /RESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0F0W)4D6AIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL C y THtWC90'a
O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES Ul. 1 0 r.
Q I Ltfo A Aj 0vacl ,
DESCRIPTION OF WOR� 0. i Q O U 2 D
PROJECTADDRESS D YY � ZIP
ASSESSOR'S PARCEL NUMBER _ O TRACT
OWNER NAME C Y av
ADDRESS Y Q�26 L V1 M fle) 1 L' C�-
PHONE EMAIL
APPLICANT NAME Y G. r� q �n
ADDRESS rj c)'Ve,jQ U C cS Q CILC,I 6 C 3
PHONE G) 5'- �j� I- ^/ EMAIL
CONTRACTOR'S NAME /l/ l o n�E Y- CL OWNER BUILDER? OYES 0 NO
BUSINESS NAME ,] y Q, &S I-CAlks UL f r1
ADDRESS (,( (�Q ( - U - �n C,
PHONE EMAIL
z
CONTRACTOR'S STATE LIC NUMBER O S Q LICENSE CLASSIFICATION
00
VALUATION$ O 0 SO FT 6 Q L SQ FT
APPLICANT'S SIGNATURE 19 DATE - A? -
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL 11494 &09
GREEN loco
SMIP
•
OWNER BUILDER VERIFIED YES ? NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
0
City of Menifee
Building Dept.
e- OCT 182018
Rece ved
5
ai
El Q
7
! t r I x
I
r�o coueY p' G.
n�e� P°- g1yxH �.
SAFETY DEPARTMENT
3p j b�l C 'n e r -PLAN f,EkROW
REVIEWED BY ATE
'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.
e most state or iton the
regulations and ordinances. This set of approved p o kept
jobsite until completion,