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PMT15-03278 City of Menifee Permit No.: PMT15-03278 29714 HAUN RD. �J�►CCEUA MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 1 0/2 212 01 5 PERMIT Site Address: 30380 SHENANDOAH CT, MENIFEE,CA Parcel Number: 358-441-001 92584 Construction Cost: $4.000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 35'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,3 LIGHTS Work: Owner Contractor MICHAEL SHORES PSLQ INC 30380 SHENANDOAH COURT 28910 RANCHO CALIFORNIA RD MENIFEE,CA 92584 #206 Applicant Phone:9517954260 LOIS MONTINI License Number.919885 PSLQ INC DBA GREENBEE 28910 RANCHO CALIFORNIA RD #206 TEMECULA,CA 92590 Fee Description ON Amount 151 Receptacle, Switch, Outlet&Fixture 5 136.00 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 $304.65 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 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 ❑ lam exempt from licensure under the Contractors'State License Law for the 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 y license is in full force and a which I must have resided for at least one year prior to completion of License Class License N . % Improvements covered by this permit, I cannot legally sell a structure that I have Expires �- Signature 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 penally of perjury one the following declarations* httoJ/www.leoinfo.ca.cov/ralaw.html. I have and will maintain a certificate of consentt for workers;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. Properly 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 ce 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 carder and policy number are: with all p Iirable city and county ordinances and state laws relating to building }� cons ti o.I authorize representatives of this city or county to enter the above- Carrier �7J /j-�—/7ry / prgyeyty for the ��tion purposes. Policy# �C! pD,_ xItes / � 4P -16o /' (J� to Property Owner or Authorized Agent (This section need not be completed if the permit is for City Business License# one-hundred dollars($1OD)or less) HAZARDOUS MATERIAL DECLARATION ❑ 1 certify that in the performance of the work for which this permit is issued,I 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'corn nsation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to th w rkers'compensation provisions of Section 3700 of the Labor amounts spec don the Hazardous Materials Information Guide? Code,I sh f hwith corn I 'th those provisions. J�\* OYES 2 Ap ma G "� ) Will the intended use of the building by the applicant or future building occupant require a pe br the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quallbj.MCnagennent District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guicl in SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed builds dified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of 0MUIT LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES 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 Yrequirements 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) hazardous Tated porting. OWNER BUILDER DECLARATIONS OYES ❑ ff 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 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 fRRPI 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 Iicensure 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 www.epa.govAead or contact the National Lead Information Center at ❑ 1, as owner of the property, 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 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 Firm Certification No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed 0 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 DATE PERMIT/PLAN CHECK NUMBER PtAMIB TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ANEW(` ❑PLUMBIN,G� ly❑RE-ROyO�F-NUMBER OF SQUARES /^ DESCRIPTION OF WORK U' V' lull Nil -I �1 l..© PROJECTADDRESS IAA tr CA -256�- ASSESSOR'S PARCEL NUMBER I&SO 'LJLAJ -pO1 LOT Tgpq"pf Menifee EFullding & PROPERTY OWN ER'SNAME e ADDRESS ` PHONE 9CR !y�[ 1'%�:.2a EMAIL Received APPLICANTNAMMEI Ls Rd o Q �Vy-21 lADDRESS PHONE qbl- EMAIL V�LAq� U CONTRACTOR'S NAME "lam l T cJ OWNER BUILDER? ❑YES Q&O BUSINESS NAME p /nV ADDRESS �( O `A I I 1 (�.C�. U PHONE Gsl I q\ — V /yEyMAIL CONTRACTOR'S STATE LIyC�NNU�M�BER q[ ( LICENSE CLASSIFICATION VALUATION $ 50.FT X L SQ/FT APPLICANT'S SIGNATURE DATE f "1 x }. 'z •i. DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE q AID AMOUNTAMOUNT . OCASH OCHECK>< O CREDIT CARD VISA/MC LPLAN CHECKFEESAID AMOUNT - CASH QLHECK# OCREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Michael Shores Plot plan 30380 Shenandoah Ct. Not to Scale Menifee, Ca. 92584 ;r 909-261-8132 CL 420 total sq. ft. of Alumawood Solid Patio Covers. Attached to the house and 0 to existing concrete slab. set at 9' High W (2) ceiling fan and(3) lights sh iiruvvri wi¢io L- U LL Cr Menifee l j_ LEDGER & TRAGK Building & Depto 51' INSPECTION REQUIRE 1 OCT 2 2 2015 Received V El ®. ❑ 9' 12' swoon �o 0 CITY OF ME IFEE BUILDING D SAFETY DEPARTMENT � i_ � AL REVIEWED Y �OAXE Driveway *Approval of these plans shall not be construed to be a permi for,or an approval of,any violation of any provisions of the federal,sta a or city regulations and ordinances. This set of approved plans must a kept on the Sidewalk Shenandoah Ct.