PMT19-00075 City of Menifee Permit No.: PMT19-00075
29714 HAUN RD. Type: Residential Addition
MENIFEE, CA 92586
MENIFEE Date Issued: 01/08/2019
PERMIT
Site Address: 26508 RIM CREEK PATH, MENIFEE, CA Parcel Number: 360-820-001
92584 Construction Cost: $3,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of SOLID ATTACHED ALUMAWOOD PATIO COVER 12'X 32'
Work:
Owner Contractor
SHERRY WINETTE ESTRADA'S LANDSCAPING
26508 RIM CREEK PATH 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
Fee Description OtY Amount iS]
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_Perm it—Tern plate.rpt Page 1 of 1
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LICENSED DECLARATION CITY OF MENIFEE �C(:5
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 ❑1 am exempt from licensure under the Contractor's State License Law for
Professions Code and my ficene is in full force and effect
License Class the following reason:
License No. 10 Z]
Exp#res(1�_!4 `)t7 Signature BY my signature below I acknowledge that,except for my personal residence
in which I must have resided for at least one Year prior to completion of
WORKERS COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
❑I hereby affirm under penalty of perjury one of the following declarations:I have built as an owner-builder if it has not been constructed in its entirety by have and licensed contractors.I understand that a copy of the applicable law,Section
do maintain a certificate of consent of se Nnnsure far worker's
compensation,Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code,for the performance of work forwhich thhisis a the Business and Professions Code,is available upon request when
appp lication is submitted or at the following website:
this permit is issued, www•leginfO.ca, pv calaw.html.
Policy q
❑I have and will maintain worker's compensation insurance,as required by Date_,
section 3700 of the Labor Cade,for the performance of the work for which PROPERTY OWNER OR AUTHORIZED AGENT
this permit is issued.My worker's compensation insurance carrier and policy
❑BY my signature below I certify tp each of the Following:!am the property
number are; P Y owner orauthorizad to act cn the property owner's behalf,1 have read this
Carrier � r"% OPPlication and the information I have provided is correct.I agree to comply
0`Y V �r with all applicable city and county ordinances and state laws relating to
Policy# Zpires f building construction.I authorize representatives O€this tity Or county to
(This section need not to be completed is the permit is for one-hundred
enter the above identified property for inspection purposes.
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT Date
❑I certify that in the performance of the work for which this permit is issued,I shall not emoiov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE q
worker's compensation laws of California,and agree that if I should become
subject to thew fker s compensation provisions of Section 3700 of the Labor
1 s HA2ARDOU5 MATERfAL DE[LARATf N
Code, al ff�with cpr ply with those provisions.
Will the applicant or Future building occupant handle hazardous material or a
Appli nt y Date _ mixture containing a hazardous material equal to or greater that the
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION[OVERAGE IS amounts specified on the Hazardous Materials Information Guide?
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A Yes ❑No
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,o00),IN
FOR Will the intended use f the mit for the con uction applicant
or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED Sauth
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES occupant require a e
Coast Air Quality Management District(SCAQMp)7 See permitting checklist
CONSTRUCTION LENDING AGENCY for guideiines
❑Yes o No
1 hereby affirm that under the penalty of perjury there is a construction
lending agency far the performance of the work which this permit is issued Will the proposed building or modified facility be within 1000 feet of the
( outer boundary a school?
Section 3097 Civil Code)
OWNER BUILDER DECLARATIONS Yes o No
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 25531 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to 0Ye5 n No
construct,after,improve,demolish or repairany structure,prior to its
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT Date
that he or she is licensed pursuant to the previsions of the Contractor's State License Law(Chapter 9(commanOng with Section 70001 of Division 3 of the EPA RENOVATION REPAIR AND AAINTING RRP
Business and Professions Code)a that he or she is exempt from licensure and the basis for the alleged exemption.Any violation of Section 7031.5 by The EPA Rompenenova sat Repairomost
Painting(RRP)Ruts requires contractors
receiving tompensatipn for most work that disturbs paint in a pre-1978
an Applicant fora permit subjects the applicant to a civil penalty of not more
residence or childcare Facility to be RRP-esrtified firms and comply with
than($Soo), required practices.This Ind udes rental
❑I,as ownerof the property,or my employee ro y
with wages as their sole managers who do the paint-disturbing work them et es or�hprough their
pent
compensation, offered
re( )all of w( )Portion of the work,and the structure is w% a employea.sovofead orr mare rcont contact the Nationanformation about l Lead informationrCenter atrt
not intended or offered(Or sale.(Section 7044,Business and Professions
Code;The Contractoes State License Law does not apply to an owner of a 1 500-424-LEAD(5323).
property who,through employees'or personal effort,builds or improves the An EPA Lead-Safe Certified Renovator will be responsible for this project
property Provided that the improvements are not intended or offered for
sale-If,however,the bu#ldfng or improvement is sold within one year of Certified Firm Name:
completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.:
not built or improved for the purpose aFsafe.
o No EPA Lead-Safe Certified Firm is required for this project because:
A 1,as Own srofthe propertyam exrlusfvefy contract ingwith 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
DATE, PERMIT/PLAN CHECK NUMBERFMT191 06675
GRADING PLANNING CASE NUMBER OTHER RELATED CASES
TYPE: C! COMMERCIAL /RESIDENTIAL MULTI-FAMILY MOBILE HOME e) POOL/SPA SIGN
SUBTYPE: C)ADDITION C)ALTERATION ()DEMOLITION ELECTRICAL MECHANICAL
CN NEW PLUMBING RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK E�Ct 0 C OV e r roa � c mA
ry\I a c)U an L/V to c2A
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES NO
PROJECT ADDRESS sip cnf e zip
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ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME
ADDRESS cl
PHONE EMAIL
APPLICANT NAME r Ck P!
ADDRESS Al V f -1
cc I R
PHONE 6_1 EMAIL 0 U Z I�Icl 6�Cl �6L 1'-)7(c
C 0
CONTRACTOR'S NAME c i OWNER BUILDER? C)YES NO
BUSINESS NAME ( _, 1vaAa"'\
ADDRESS Q C, g s c o ile I OLLIC CA '-)
PHONE j 51- Sq /- CA- EMAIL
3 4_�' 1 t CA- 6 rt_ S M 611'() C e't"--
CONTRACTOR'S STATE LIC NUMBER J(21 � Ll 50 LICENSE CLASSIFICATION
VALUATION$ SQ FT LSQFT
APPLICANT'S SIGNATURE DATE
Li
-CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF E IFEEBUSJNENUMBER
BUILDING PLANNING ENGINEERING FIRE Rm to
v w
INVOICE TOTAL GREEN 0 QSMIP
OWNER BUILDER VERIFIED el")YES NO DRIVERS LICENSE# NOTARIZED LETTER C' YES NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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