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PMT15-03559
City of Menifee Permit No.: PMT15-03559 29714 HAUN RD. Type: Residential Addition <ACCEL/Re? MENIFEE,CA 92586 MENIFEE Date Issued: 11/13/2015 PERMIT Site Address: 30286 TATTERSAIL WAY,MENIFEE, CA Parcel Number: 364-230-032 92584 Construction Cost: $3,415.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 360 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,2 POST LIGHTS, Work: 2 OUTLETS, 1 SWITCH Owner Contractor ANDREW SMITH ALUMACOVERS OF CALIFORNIA INC 30286 TATTERSAIL WAY 6186 MAGNOLIA AVENUE SUITE#23 MENIFEE, CA 92584 RIVERSIDE,CA 92506 Applicant Phone:6269349200 PHILLIP GREEN License Number:995932 ALUMACOVERS OF CALIFORNIA INC 6185 MAGNOLIA AVENUE SUITE#23 RIVERSIDE, CA 92506 Fee Description ON Amount(EI Receptacle, Switch, Outlet&Fixture 7 146.00 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 General Plan Maintenance Fee-Electrical 1 7.30 $321.95 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 slated,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_Permft_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for IN 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 it Professions Code d my license is in full force and effect. which I must have resided for at least one year prior to completion o License Class License No. improvements covered by this permit, I cannot legally sell a structure that I haw Expires Signature — 7 built as an owner-building it it has not been constructed in its entirety by Iicensec contractors. I understand that a copy of the applicable law, Section 7044 of thc WORKERS'COMPENSATION D TION 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 perju one oT the fol 'nit decl ations: hfto:/Aw .leoinfo.m.gov/calaw.htmi. I have and will maintain a certificate of consent of set-ins 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 orAuthodzed Agent Policy# $42 ❑ By my Signature below, I certify to each of the following: 1 am the proper(, ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to ad on the property owner's behalf. I have read IN 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 compl, permit is issued.My worke ' ompensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to bulldinl construction.I authorize representatives of this city or county to enter the above Carrier identified property for the inspection purposes. Policy# Expires Date Property Owner or Authorized Agent (This section need not be completed if the permit is for one-hundred dollars($100)or less) City Business License#��� ❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL 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 pacified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. []YES NO Applicant; Date; Will the in ended use of the building by the applicant or future building occupant equire 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 "YES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the No building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundalofa school? LABOR CODE, INTEREST,AND ATTORNEYS FEES OYES NO CONSTRUCTION LENDING AGENCY I have re d the Hazardous M4N1N5G1RRPJ Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I undersnts under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety CoBe and 25534 concerning 3097 Civil Code) hazardou terial reporting OWNER BUILDER DECLARATIONS ❑YES NO ` I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date I.J License Law for the reason(s)indicated below by the checkmark(s)I have placed RO E OR ALIT 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, EP EN ATION REPAI 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 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 EPKs 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 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 Finn Certification No.: purpose of sale). ❑ 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. & SAFETY PERM IT/PLAN CHECK APPLICATION Meniiee DATE ff /3"fS PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEEW` O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK >w'6 (. Zd'I/'rI 6y[i!u/✓ jAlf g &,/ g,�,Ms G 2 k/f& PROJECTADDRESS �Za�P /7 jy.J / "1 i ASSESSOR'S PARCEL NUMBER ��/l��V ✓� LOT _ TRACT OWNER NAME 14/),r&✓ ADDRESS 36 tf� 119✓'- 'S-Ir` /�//�� PHONE Y571 - A16 - 3V (g3 EMAIL APPLICANT NAME 1 . ,pt� ADDRESS PHONE EMAIL CONTRACTOR'S NAME WWII /YI /yt.i.� - OWNER BUILDER? O YES O NO BUSINESS NAME r p�nn ADDRESS ��b`s M A"Zrv- 1�� PHONE �p 2� a �oovl�(JG� EMAIL 'r ,>/ 2d d'jy�l�� Ayy� CONTRACTOR'S STATE LIC NUMBER / ( �� , jU9ENSECLASSIFICATION VALUATION$ `�G/ '� SOFT '�.7�©/ LSQFT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION I� CITY OF MENIFEE$U�SI�SS-LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE `/ PAIDAMOUNT AMOUNT J O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinemfee.us Inspection Request Line 951-246-6213 zi d C D T a � Z s� H • � m 'o T I (� O 1 V A oQL