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PMT15-02962 City of Menifee Permit No.: PMTIS-02962 29714 HAUN RD. L!>? MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 09/24/2015 PERMIT Site Address: 30176 STERLING CIR, MENIFEE, CA Parcel Number: 364-270-060 92584 Construction Cost: $4,200.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 17'x 1 T LATTICE AND 18'x 15.5' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN, 1 Work: SWITCH/OUTLET Owner Contractor ROGER JONES PATIO GUY ALUMAWOOD CONTRACTOR 30176 STERLING CIRCLE 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 Q_yt Amount 1$1 a B c ^u le ixt r 2 0 Building Permit Issuance 1 27.00 e GREEN FEE 1 1.00 �0. General Plan Maintenance Fee-Building 1 6.65 $289.66 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 Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION. ❑ I am exempt from Iicensure under the Contractors'State License Law for the: `. following reason. ' I hereby affirm under penalty or penury that I am licensed.under provisions of , Chapter 9(commencing with section 7060)of Droision 3 Hof the Business and By my signature below I acknowledge that, except for my personal residence in'. Professions Qodeand m- icense is in full force and e t which I -:must have resided for at least one year prior to completion of: , -License Cla s Licen improvements covered by this permit f.cannot legally sell a structure that I have Expires gnature built as an owner-building if it has not been constructed in its entirety by licensed contractors. 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: ❑ 1 hereby affirm under penalty of perjury one the following declarations: htti):I/www leginfo ca gov/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 ❑ 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.M workers'compensation insurance carrier and policy number are: with applicable city and county ordinances and state laws relating to building " /] con r ction. I authorize representatives of this city or county to enter the above'/- Carrier / / e o art coon purposes. —( C Policy# Expires �— �" ate Property Owner or Autho riAelAgent (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued, I HAZARDOUS MATERIAL DECLARATION shall not emolov 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 hazardous material equal to or greater that the subject to the rkers'compensation provisions of Section 3700 of the Labor amounts specif e Hazardous Materials Information Guide? Code, shall f rt with comply ith those provisions. ❑YES Applica tV S 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 Management 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 or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ❑�0_��----- 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 understan .any requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Saf de,Section 25505 and 25534 concerning 3097 Civil Code) hazardou mate epon n OWNER BUILDER DECLARATIONS ❑ _K� Date I hereby affirm under penalty of perjury that I am exempt from the Contractor's / 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, as owner of the property, or my employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at compensation, will do 1-800-424-LEAD (5323). p ( ) 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 sold within one year of completion, the Owner- Builder will 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 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. I & SAFETY PERMIT/PLAN CHECK APPLICATION -,*-�- Menifee DATE PERMIT/PLAN CHECK NUMBER - LP TYPE: O COMMERCIAL O RESIDENTIAL G MULTI-FAMILY > MOBILE HOME C; POOL/SPA ) SIGN SUBTYPE: C'AD ITION %ALTERATION C% DEMOLITION C? CTRICAL 0MECHANICAL ?)'NEW �:' PLUMBING C) RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK )( 1 1 11 A E E PROJECTADDRESS C ASSESSOR'S PARCEL NUMBER .3yu-Q-V 'DUC) LOT TRACT OWNER NAME ADDRESS YoC.I &L6C-7. L'1N) TZE PHONE qs�- `j V1 - `[ 3 EMAIL APPLICANT NAME City of Menifee ADDRESS 4 G PHONE 51- „ —' EMAIL CONTRACTOR'S NAME Ab ✓�/Y� TES OWNER 13UILDEB 0608 Wed BUSINESS NAME �\ ♦;J � ADDRESS q _—= If,LZ&rE PHONE q. -J- 3 3 - ��S EMAIL q IYIQ D L CONTRACTOR'S STATE LIC NUMBER a$ 3 9 LICENSE CLASSIFICATION VALUATION$ LA 9,.D I SO FT 4 to 1p L SQ FT APPLICANT'S SIGNATURE DATE • DEPARTMENT DISTRIBUTION _ CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN 1^ SMIP INVOICE PAIDAMOUNT � ,, ww AMOUNT 0\1 U5 V,y/ GCASH 4%CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT G CASH C)CHECK# C7 CREDIT CARD wsA/Mc OWNER BUILDER VERIFIED OYES G NO DL NUMBER NOTARIZED LETTER C; YES 0 N0 City of Menifee Building&Safety Department 29114 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.LIS Inspection Request Line 951-246-6213 L LEDGER & TRACK ��a* INSPE �,REQUIRE }. CL •Q611 r , * _ b' > U y s' > LL LL City of tvlenifee Building & Safety Dept. SEP 2 4 2015 Received fl�fi�QHT' 9 * ILI _ V eilxw CIl' 0F'MM EE �1 74 �iM ING AND SAFETY DEPA RTMENT ��, � � q�F•h1 C_ E _ �� REVIEWED.BY D TE 50% : *Approval of these plans shall not be construed to be a permi�fptsAr approval of,any violation of any provisions of the federal,staPoOity regulations and ordinances. This set of approved plans must be kept c i the jobsite until completion. E br-.a0WArk .r%:9�0 qsi - 5�� • � s'y3 � <+�r�Fa c 8r7a83d HOrT�Qa� •".ddin�.,t�r.� IgG}Dr jnie I �i J C1t�Cl�� Lf tr N t � E � , C, ta OnN. Sasre�" -;�as;�� r IWDrk Cz(AP:NDtS144RD 410-, OC _ t