PMT19-00037 City of Menifee Permit No.: PMT19-00037
29714 HAUN RD. Type: Residential Addition
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 01/04/2019
PERMIT
Site Address: 30436 CHERRY OPAL LN, MENIFEE, CA Parcel Number: 360-830-042
92584 Construction Cost: $2,000.00
Existing Use: Proposed Use:
Description of INSTALL SOLID 13 X 20 ALUMAWOOD PATIO COVER-NO ELECTRICAL
Work:
Owner Contractor
NAPOLEON HOLMES ESTRADA'S LANDSCAPING
30436 CHERRY OPAL 145 NORTH SCOVELL AVENUE
SAN JACINTO, CA 92583
Applicant Phone: 9515914737
ESTRADA'S LANDSCAPING License Number: 1012450
145 NORTH SCOVELL AVENUE
SAN JACINTO, CA 92583
Phone: (951)591-4737
Fee Description gt t Amount(S►
Receptac'e. Swi,,ch, Outset Fixt i o 2 121.00
Building Permit Issuance 1 27.00
DeWatio, non,r rTdaird 1 133.00
GREEN FEE 1 0.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 0.00
SMiP RESIDENTIAL 1 1.00
$283.00
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_Permlt Template.rpt Page 1 of 1
CITY OF MENI FEE �Ol�j La ri51W J
LICENSEE)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 a 1 am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license Is in full force and effect. the following reason:
License Class { Z� Ucense No.
By my signature below I acknowledge that,except for my personal residence
Exp#resnl>_!Ai O Signature ��J.)l� �_ to which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION � -f— 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(hereby affirm under penalty of perjury one of the fallowing declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of seff-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
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. www.le info.ca. ov calaw.htrrii.
Policy k 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 ❑By my signature below I certify to each of the following:I am the property
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 I have provided Is correct.I agree to comply
Carrier 0.V Te-1 V __\r with all appiicab)e city and county ordinances and state laws relating to
6uildIng construction.I authorize representatives of this city a county to
Policy q dplres 0 r enter the ahove 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
❑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#
worker's compensation laws of California,and agree that if I should become
subject to th�ew Lke s compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I s al fforthwith co ty with those provisions. WIII the applicant or future building occupant handle hazardous material or a
Ail nt r mixture containing a hazardous material equal to or greater that the
pp Date — amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS p Yes o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the(require use of the building the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction
ruction modification from South
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)D)7 See permitting checklist
for gu Ideltnes
CONSTRUCTION LENDING AGENCY a Yes ❑No
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 ❑No
0VIINER 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
Contractor's License Law for the reasons)indicated below by the California Health&Safety Code,Section 25505 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 REP iR AND PAINTING JRRP
License Law(Chapter 9(commencing with Section 7000)of Divis#on 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 Iicensure
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-19t
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
th
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
❑1,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.gvv/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
property who,through employees'or personal effort,builds or improves the o An EPA Lead-Safe Certified Renovator will be responsible for this project
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:
o 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 MENIFEE
r I�
DATE:n _ Q PERMIT/PLAN CHECK NUMBER Pwol. 00061
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: _'COMMERCIAL /RESIDENTIAL MULTI-FAMILY MOBILE HOME C:: POOL/SPA )SIGN
SUBTYPE: ADDITION ':)ALTERATION DEMOLITION ELECTRICAL Cl MECHANICAL
0 NEW PLUMBING RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK U V ❑ u D O 0
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES NO
PROJECT ADDRESS -_� Lfj ��P �( l�-%) ] C}_ L ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME _/1)0L 0 hn&S
ADDRESS d 1 I-) PeeL
PHONE EMAIL
APPLICANT NAME - C ' ,n
ADDRESS Lc7 V a c i n [
PHONE 5 ( �- I '� EMAIL
CONTRACTOR'S NAME C, OWNER BUILDER? ':::'YES XNO
BUSINESS NAME r
R d A (.- � ,!1 J
ADDRESS I q -5 S Ct, UC-1 U Cc C I fO
PHONE rl j 5 _ t-J EMAIL ~ 'a�aA G1rl C.'-
CONTRACTOR'S STATE LIC NUMBER [ b1 Li C) LICENSE CLASSIFICATION -
VALUATION$ p (0 O, _ SQ FT C Q L SQ FT
APPLICANT'S SIGNATURE '.�� L) DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED B CI NfFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGIWjRING FIRE
INVOICE TOTAL GREEN SMIP
OWNER BUILDER VERIFIED ,:: YES () NO DRIVERS LICENSE# NOTARIZED LETTER !:' YES NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
a�of
www.cityofinenifee.us
City Of Menifee guildin %Pmhl
JAN 04 2019 •. .. ..1;.
Deceived