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PMT15-02847 City of Menifee Permit No.: PMT16-02847 29714 HAUN RD. CC MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 09/15/2015 I 1 PERMIT i Site Address: 27544 CLAYMEN ST, MENIFEE, CA Parcel Number: 360-591-005 92584 Construction Cost: $4,400.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 17'x 18'SOLID AND 13'x 14'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor VICKI SIMON PATIO GUY ALUMAWOOD CONTRACTOR 27544 CLAYMEN STREET 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone: 9513330056 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description Oft Amount 11 c Building Permit Issuance 1 27.00 e GREEN FEE 1 1.00 MP General Plan Maintenance Fee-Building 1 6.65 $289.65 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 building 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_Templatexpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: _ Chapter 9 (commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in Professions Code and my i ense Is in full force and =of ///'''))),,, which i must have resided for at least one year prior to completion of License Class License Wq. '�� _ improvements covered by this permit, I cannot legally sell a structure that I have Expires •l SignatureJZ,-3Q,;,, built as an owner-building If It has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the WORKERS'COMPENSATION DECLARATION Business and Professions Code,Is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one the following declarations: http://www leginfo ca ciov/calaw html. I have and will maintain a certificate of consentt of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by - Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the property ❑ I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance carrier and policy number are: with all plicable city and county ordinances and slate Is relating to building p p constrr� ti n.I authorize representatives of this city or county to enter the above- Carrier V ©�\ � a� _-/ I/^ e rap rt fop p rposes. Policy# JL' Expires �`1 '-'� �O to ro rty Owner or Authorized Agent (This section need not be completed if the permit is for City Business License#one-hundred dollars($100)or less) Y ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the - Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a haz,eldous material equal to or greater that the subject to th orkein compensation provisions of Section 3700 of the Labor amounts specifie rrffia Hazardous Materials Information Guide? Code,.I shall o h it corn ly with those provisions. / ❑YES ❑ N - Applic nY - �2' �� Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality M ment District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL,.AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND El YES El NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building o.,f,.modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundaryofasc LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES LQ- CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist. I under tend my requirements under the State of agency for the performance ormance of the work which this permit is issued (Section California &S .fery Code,Section 25505 and 25534 concerning 3097Civil Code) hazardo ma eriafreporting. s OWNER BUILDER DECLARATIONS S .0 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's --- '-Date "7 License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPE TY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish,- EPA RENOVATION REPAIR AND PAINTING(RRP)or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees. For more information about EPA's Renovation Program visit: ❑ I, owner of the property, or my employees with wages as their sale www.epa.gov/lead or contact the National Lead Information Center at 1-800-424-LEAD(5323). compensation, will do (. ) all of or ( ) porting of the work, and the structure is not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, Certified Firm Name: the building or improvement is said within one year of completion, the Owner- Builderwill have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.: ❑ I, as owner of the property an exclusively contracting with licensed Ll No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. C APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL C-9ESIDENTIAL ') MULTI-FAMILY O MOBILE HOME O POOL/SPA " SIGN SUBTYPE: O ADDITION O ALTERATION C DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK /7 / J �•[,(/ AWOd PROJECTADDRESS ci76W /n ASSESSOR'S PARCEL NUMBER bL00 -r=Pk1 - M5 LOT TRACT OWNERNAME Vie-KI, Z , n4 City of Menifee ADDRESS t5q hL4 DI PHONE EMAIL APPLICANT NAMEbko, A.7771 nt / ADDRESS /4 G PHONE (ae EMAIL CONTRACTOR'S NAME ��� /�� ���+ OWNER BUILDER? OYES iiaT BUSINESS NAME V c7� ADDRESS PHONE 9.V- 3 33 - 'UV C EMAIL CONTRACTOR'S STATE LIC NUMBER g9 agA 9 LICENSE CLASSIFICATION L ATION$ SQ FT 391L SQ FTQCANT'SSIGNATURE l/l-Li"'v!J DATE 7 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 1� INVOICE PAID AMOUNT AMOUNT •U� C.'CASH CHECK :'CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT !,'I CASH C%CHECK# �CREDITCARD VISA/MC OWNER BUILDER VERIFIED C YES C1 NO DL NUMBER NOTARIZED LETTER 0 YES C NO City of Menifee Building&Safety Department 29714 Hann Rd. Menefee, CA 92586 951-572-6777 www.Cityofinenifee.Lis Inspection Request Line 951-246-5213 x 114 1 1 --p tX v r 5 LfI77- 43 1.-d City of Menifee Building & Safety Dept. Agog r' 5EP 15 2015 L $ CITNI?9 BUILDING AND SAFE DEPARTMENT PLAN APPROVAL ` t.ua-nnx LA LI DD REVIEWED BY LUal IS TE strued to be a permit for,o an approval of,any violation of y provisions of the federal,state or ri regulations and ordinances. is set of approved plans must be kep n the LEDGER & TRACt until completion. INSPECTION REQUIRED 3 5r /rbrn�ownit'1� =N�o q5l � a, 3lp - a 1D .5 � �i�orSiiFa c 87a18.� V I G K , S t HkTt 0 9QY 44,6Jm-tUt+sD a 7 y y y tl %Dldcn %qA+e Grcle �41� foR CLPrjMeN S I +"4NrriL'�-�• c • qa%bzt M C N 1 fi E E , C. P� and: Su rtr•}y 4 .5913-) su-S Work ootoc b85Yt7