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PMT15-03141 r City of Menifee Permit No.: PMT15-03141 29714 HAUN RD. 4ACCEL-% MENIFEE,CA 9258E Type: Residential Addition c°'"""`"W l MENIFEE Date Issued: 1 0/0 812 01 5 PERMIT Site Address: 28745 HEATHER GREEN WAY, Parcel Number: 372-231-036 MENIFEE,CA 92584 Construction Cost: $4,950.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 37'x 15.5'SOLID&LATTICE ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor SCOTTHAMEN PSLQINC 28745 HEATHER GREEN WAY 28910 RANCHO CALIFORNIA RD MENIFEE, CA 92584 #206 Applicant Phone:9517954260 LUIS BENTIVENGO License Number.919885 PSLQ INC 28910 RANCHO CALIFORNIA RD #206 TEMECULA,CA 92590 Fee Description Qtv Amount IEl — _..._ - - - - -- - __ - - _ - __-- Receptacle, Switch, Outlet&Fixture 1 116.00: Building Permit Issuance 1 27.00 ,Deck/Paflo, non-standard 1 133.00. pGREEN FEE 1 1.00 iJMLP RES�pE.TIAL _ 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $284.65 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 carded 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 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 Professions Code anZ license is in full force and a which I must have resided for at least one year prior to completion License Class Lice e s S improvements covered by this permit. I cannot legally sell a structure that I h: Expires 7- t Signature built as an owner-building if it has not been constructed in its entirety by[[can: contractors. I understand that a copy of the applicable law, Section 7044 of WORKERS'COMPENSATION DECLARATVN Business and Professions Code,is available upon request when this applicatioi submitted or at the following Web site: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto:!/www.leainfo.p.aov/calaw.html. I have and will maintain a certificate of consent 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 ZPoli d # By my Signature below, I certify to each of the following: I am the propr have and will maintain workers compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read 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 cotr permit is issued.My workers'compensation Insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to builc ((��e- construction.I authoriz re enlatives of this city or county to enter the abc Carder ,1 i.A.cr identified property for e i 'on purposes. _ Policy# ` W Expires - — i U Date Property Owner or Authorized Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars($100)or less) �1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not enrol ov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material o 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 workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwi comply with those provisions. ❑YES j2fNO ApplicanC1_ Date; ti'� ` �� - t ) 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(SCAOMD)?See permitting check) COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES IND 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 ou DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES i(NO 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 understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material repo 'A . OWNER BUILDER DECLARATIONS YES ❑NO I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUT RED AGENT next to the applicable hem(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 contractor 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 firths and comply with she is exempt from licensors 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, www.epa.gov/lead or contact the National Lead Information Center at p perty, or my employees with wages as their sole 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 proje: 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 Firm Certification No.: purpose of sale). ❑ 1, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Finn 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. e DATE I Q PERMIT/PLAN CHECK NUMBER - o-3 Lek TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA it StZmenife SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICALg a Y ept. ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK SO �• r IN P.r Yl t4h n _ ecesve PROJECTADDRESS ` l ASSESSOR'S PARCEL NUMBER 'Jj - 22�- LOT TRACT PROPERTY OWNER'S NAME e ADDRESS PHONE (� EMAIL APPLICANT NAME i 1 t ADDRESS $q11�O no (�`,T l �Ag25 PHONE qV 1- 4 3� EMAIL L ,S fC'.-2Y1 YWX. CONTRACTOR'S NAME OWNERBUILDER? DYESIONO BUSINESS NAME ^ ADDRESS F/ ' I I 1p, 1& CA Q PHONE Gs-� D �d) / EMAIL CONTRACTOR'S STATE LIC NUMBER gl LICENSE CLASSIFICATION VALUATION $ H q 50 'o,,�, SQ FT 5fo L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP �- INVOICE AMOUNTU0 PAID AMOUNT •�� CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 4CHECK# 0CREDITCARD VISA/Mc OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Hour;Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Scott Hamen Plot plan 28745 Heather Green Way Not to Scale Menifee, Ca. 92584 951-237-9975 _� 540 sq ft. Solid 1 Lattice Combo Alumawood Patio Covers Attached to the house and to the concrete slab. Set at 9' high Installing (1) fan 2 city o enifee Building & Safety DeAL L RACK OCT 0 8 2015 0 SPECTION REQUIRED IF ceived 1 ' 3T 12' I 0 0 0 23' 155 Driveway CITY OF MENIFEE BUILDING AND SAFFTY DIPARTMENT PLAN APPROVAL Sidewalk DATE Heather Green Way *Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,g2te 9F city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion.