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PMT15-03724 City of Menifee Permit No.: PMT15-03724 29714 HAUN RD. Type: Residential Addition �ACCEUA MENIFEE,CA 92586 ""-- "' MENIFEE Date Issued: 1 2101/2 01 5 PERMIT Site Address: 30565 LAKE POINT DR, MENIFEE, CA Parcel Number: 364-063-012 92584 Construction Cost: $3,325.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 297 SQ FT SOLID ALUMAWOOD PATIO COVER WITH 2 POST LIGHTS Work: Owner Contractor DEBBIE MANIACI PSLQ INC 30565 LAKE POINT DRIVE 28910 RANCHO CALIFORNIA RD MENIFEE,CA 92584 #206 Applicant Phone:9517954260 LOIS MONTINI License Number: 919885 PSLQ INC 28910 RANCHO CALIFORNIA RD #206 TEMECULA, CA 92590 Fee Description ON Amount(S) Receptacle, Switch, Outlet&Fixture 2 121.00 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 $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 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_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors State License Law for the 1 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 and m, license is in full force ar�li effq�t. — which I must have resided for at least one year odor to completion o License Class Licens l I "� improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-building if it has not been constructed in its entirety by licensec Expires - / ignature 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: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: http�/hw .leginfo.m.gov/Galaw.htmi. 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 Policy# ❑ By my Signature below, I certify to each of the following: I am the properly ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read thk 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.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildinf construction.I authorize representatives of this city or county to enter the above Carriers /< /�_ J�JJ identified property for the inspection purposes. Policy#_[1 woo oo���Expires W — /low 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) HAZARDOUS MATERIAL DECLARATION ❑ 1 certify that in the performance of the work for which this permit is issued,I 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 ha rdous material equal to or greater that the subject to the w rkers'compensation provisions of Section 3700 of the Labor amounts specif n the Hazardous Materials Information Guide? Code,I shall with comply ith those provisions. DYES ❑ITO Applic nt4&4 e;____ /Z" / �-/3 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 Mana ent District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidefir� 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, WIII the proposed builds modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary ofas LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES 0 CONSTRUCTION LENDING AGENCY I have read the Hazardous Mate nforhation Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting cheicklist.I u and my requirements under the State of agency for the performance of the work which this permit is issued (Section California He afety Code,Section 25505 and 25534 conceming 3097 Civil Code) hazardous:(Hated eAiag OWNER BUILDER DECLARATIONS 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 P ERTY 6WNER OR AUTHO ZED 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 palnt-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 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 J DATE PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑ POOL/SPA ❑SIGN SUBTYPE: 'ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW' (❑PLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS CA � �' ASSESSOR'S PARCEL NUMBER '6W'nU3- Q(p� LOT TRACT PROPERTY OWNER'S NAME ADDRESS PHONE a -7cg- q519 EMAIL APPLICANT NAME I �I ADDRESS gg115o cO PHONE I�1� �J ( E�M�AIL Wks � 1(✓�,I I �VII.-V . CONTRACTOR'S NAME c OWNERBUILDER? ❑YES❑NO BUSINESS NAME ADDRESS �,/ r PHONE �1SM CT�� /y ICENSE CLASSIFICATIO EMAIL CONTRACTOR'S STATE LIC NUMBER C1/ ( LN VALUATION$ 3a a5 SO.FT L SQ FT } APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE ^/�Q PAID AMOUNT n AMOUNT O�O O CASH CHECK tt CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 ---- - Debbie Maniaci L f 30565 Lake Point Dr. Menifee, Ca. 92584 909-708-9518 0 297 sq ft. Solid Alumawood Patio Cover. Attached to the house and to the concrete slab. (2) Post lights. set at 9' high. p� ^'tc� Ends Value $3,32. P s City of hlienifoa 9uilding & Safety Dept. 2T LEDGER & TRACK INSPECTION REQUIRED DEC () i 2015 2T3 � a 12' ❑ ® .3' New Solid Alumawood Patio Cover CITY OF MENIFEE v BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL REVIEWED BY kZ\kI kS Driveway DATE '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 kept on the jobsite until completion. Sidewalk Lake Point Dr.