PMT18-05183 City of Menifee Permit No.: PMT18-05183
Ar 29714 HAUN RD.
,r MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 10/25/2018
PERMIT
Site Address: 29977 SEA BREEZE WAY, MENIFEE, CA Parcel Number: 340-500-029
92584 Construction Cost: $4,025.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of ATTACHED SOLID ALUMAWOOD PATIO COVER 9'X 42'WITH 2 FANS 1 OUTLET
Work:
Owner Contractor
MEGHAN AMADOR PSLQ INC
29977 SEA BREEZE WAY 18890 SEATON AVE
MENIFEE, CA 92584 #206
Applicant Phone: 9517954260
JOSH HERRICK License Number: 919885
PSLQ INC
18890 SEATON AVE
PERRIS, CA 92570
Phone:9513769084
Fee Description Qty Amount($)
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_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
C ❑I am exempt from licensure under the Contractor's State License Law for
hapter9(commencing with section 7000)of Division 3 of the Business and
Professions Code and my license is in full farce and effect. the following reason:
License Class License No. `1 By my signature below I acknowledge that,except for my personal residence
Expires_)9 _Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legallysell 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 worker's 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.goy/calaw.html.
this permit is issued.
Date
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain worker's compensation insurance,as required by
o By my signature below I certify to each of the following:I am the property
section 3700 of the Labor Code,for the performance of the work for which
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information 1 have provided is correct.I agree to comply
/� +1 I�1 with all applicable city and county ordinances and state laws relating to
Carrier y C building construction.I authorize representatives of this city or county to
Policy k Expires —1 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
❑I certify that in the performance of the work for which this permit Is Issued, � n-
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwit mply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILUR TO SECURE WORKER'S COMPENSATION COVERAGE IS O Yes ty{�o
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 t to
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 M .-'
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the state of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous material re orting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ¢Yief 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 OWN R•R U ORIZED 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 Contractor's State EPA RENOVATION REPAIR AND PAINTING fRRPi
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 orthrough their
❑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.epa.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 Contractor's 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 Certified Firm Name:
property provided that the improvements are not intended or offered for
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
o No EPA Lead-Safe Certified Firm is required forthis project because:
not built or improved for the purpose of sale.
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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 NNFEE
DATE: PERM IT/IPLAN CHECK NUMBER
GRADING PLANNING CASE NUMBER OTHER RELATED CASES
TYPE: COMMERCIAL K. RESIDENTIAL MULTI-FAMILY C.:) MOBILE HOME POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL MECHANICAL
...,. NEW .) PLUMBING m*l) RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK cum(- Lj
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES C.". NO
PROJECTADDRESS ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
PHONE EMAIL
APPLICANT NAME -elf
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? YES -ANO
BUSINESS NAME
PHONE �51-2:5v-e �Ljo EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: Ll IY OF MENIFEE BUSINESS LICENS!�
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL 7-3 GREEN SMIP
YES C) NO
OWNER BUILDER VERIFIED YES NO DRIVERS LICENSE# NOTARIZED LETTER ,
City ofK4enifee8ui|ding & SafetvDepurbnent | 29T14HaunRd, K4enifee (951)672-6777
11' 9, 5' r
r
(D
GARAGE Existing
� rn �
Driveway �■ CD
C
42- SINGLE FAMILY o
RESIDENCE
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMF,.,
- - - _ PLAN APPROVAL City of Menifee
ldin9 Dept
1s' REVIEWED BY �'�/ 1� 2G �� OCT 23 3 2018
'Approval of these plans shall not be construed to be a permit tor,or an /Receitccfapproval of,any violation of any provisions of the federal s r cit
regulations and ordinances. This set of approved plans must be k on the
jobsite until completion,
PROPOSED 378SQFT solid Alumawood patio cover, Property Owner: Meghan Amador
attached to fascia, 4 posts to slab, with 2 fans. Address: 29977 SEA BREEZE WAY
Materials: 100% ALUMAWOOD MENIFEE, CA 92584
Colors: DESERT SAND ceiling w/ LATTE trim SITE PLAN GreenBee Construction
End-Design: SCALLOP Josh Herrick 1 951-376-9084