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PMT15-03326 City of Menifee Permit No.: PMT15-03326 29714 HAUN RD. <ACCEL/A? MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 1 0/2 712 01 5 PERMIT Site Address: 30304 MOON STAR CIR, MENIFEE,CA Parcel Number: 360-640-025 92584 Construction Cost: $4,353.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 416 SO FT SOLID AND LATTICE ALUMAWOOD PATIO COVER WITH 1 FAN 3 POST Work: LIGHTS Owner Contractor OMAR AQUIRRE A A A QUALITY RAIN GUTTERS INC 30304 MOON STAR CIRCLE 1268 TRENTON AVENUE MENIFEE,CA 92584 CORONA, CA 92880 Applicant Phone:9517344729 MICHAEL MORGAN License Number:728413 A A A QUALITY RAIN GUTTERS INC 1268 TRENTON AVENUE CORONA, CA 92880 Fee Description Otv Amount IEI Receptacle,Switch, Outlet& Fixture 4 131.00 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 $299.65 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 Permil_Template.rpt 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 license is in full force and effect. which I must have resided for at least one year prior to completion of License Class (, O License No. 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 penalty of perjury one the following declarations: http://www.leginfo.ca.gov/calaw.htmi. 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# ? t M h 44�I L /, ❑ By my Signature below, I cedify to each of the following: I am the property, Q--11 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 370D 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 carder and policy number are: with all applicable city and county ordinances and state laws relating to building Carder Foop,(z- ff� l / construction.I authorize representatives of this city or county to enter the above- Ak_d // identified property for the inspection purposes. Policy# Expires r'� CS SO Date Property Owner orAuthorized Agent (This section need not be completed if the pemrit is for City Business License# one-hundred dollars($100)or less) ty ❑ 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 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. DYES ❑NO Applic Date; l d `,7 '7— ,/1 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 COMPENSA 1 N COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ONO 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 ❑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 reporting. OWNER BUILDER DECLARATIONS DYES ❑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 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-certthed 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: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, 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 purpose of sale). Firm Certification No.: ❑ 1, 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 PERMIT/PLANBUILDING & SAFETY . . r Wenifee DATE Q . / — PERMIT/PLAN CHECK NUMBER - TYPE: O COMMERCIAL &RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES 2 DESCRIPTION OF WORK / 0 ` J h 'evv\a n PROJECTADDRESS O ASSESSOR'S PARCEL NUMBER 05 0() -IPNO •Ce 5 LOT TRACT PROPERTY OWNER'S NAME (� . °InY & Sa'etY Dept at i ADDRESS �5 PHONE �7 EMAIL APPLICANT NAME _G /4rk. // /y ece! ed ADDRESS / ' PHONE 7�/ -7 l`7 Ll ! EMAIL CONTRACTOR'S NAME /71 L r OWNER BUILDER? O YES 0 NO BUSINESS NAME ADDRESS PHONE 9_�'� ^`7,3 EMAIL CONTRACTOR'S STATE LIC NUMBER -' 7 �Z LICENSE CLASSIFICATION VALUATION$ Q FT L��p L SQ FT APPLICANT'S SIGNATURE DATE / C' r DEPARTMEM DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP �� INVOICE AMOUNT -` PAID AMOUNT usCCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/Mc OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-5777 www.cityofinenifee.us Inspection Request Line 951-246-6213 7d,Sb 1 � City of MenifE e Building & Safety Dept. /o Z`sgot, AW OCT 2 7 2 15 hogs e�/l9 Roceiv( d c ct� K 'V 1 r4 s ro a �I CITY OF MENIFEE BUILDING AND SAFETY DEPARTOENT PLAN APPROVAL ys P� oMa r Q�u 1 rre REVIEWED BY �o1a71'h 3o30v nloo v sLa' c DATE Nl r°N%{ec Ca 9a�8 y *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,state or city regulations and ordinances. This set of approved plans must be ke�t on the •,I