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PMT15-03732 City of Menifee Permit No.: PMT15-03732 29714 HAUN RD. Type: Residential Addition <ACCEL/_> MENIFEE, CA 92586 MENIFEE Date Issued: 1 2/0 212 01 5 PERMIT Site Address: 30417 WARM LODGE CT, MENIFEE,CA Parcel Number: 358-441-063 92584 Construction Cost: $3,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 480 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 3 LIGHTS,2 FANS Work: Owner Contractor TIMOTHY MAUS KYLE KELLY 30417 WARM LODGE CT 35406 REDBERRY PALMS COURT MENIFEE, CA 92584 LAKE ELSINORE,CA 92532 Applicant Phone:9512960908 KYLE KELLY License Number:948536 KYLE KELLY 35406 REDBERRY PALMS COURT LAKE ELSINORE,CA 92532 Fee Description O.t Amount 1$1 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 builiding operations being carried an 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_Perrrit Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that 1 am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below 1 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 /S License No. improvements covered by this permit, I cannot legally sell a structure that I have Expires 6/ Signat0 "-7 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 Cade,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: htt .le fo.ca. ov/oala 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 Section 3700 of the Labor Cade, for the performance of work for which this T permit is issued. Prope er arAu dz en 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 owners behalf. I have read this 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 building construction.I authorize representatives of this city or county to enter the above- Carrier identified p!pperlq-F e m pe poses. Policy# Expires Date roperty Owner orAuthoriz t r� (This section need not be completed ff the permit is for City Business ucense# n, �.T.7 ` 5 one-hundred dollars($100)or less) HAZARDOUS MATERIAL DECLARATION ❑ 1 certify that in the performance of the work for which this permit is issued,1 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'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 forthwith comply with those provisions. DYES ❑NO Applicant; _ Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WART NG": 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 DYES ❑NO 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 100D 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 Cade,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. OWNER BUILDER DECLARATIONS ❑YES—EMO —Rafe � �, I hereby affirm under penalty of perjury that I am exempt from the Contractor's _ r License Law for the reason(s)indicated below by the checkmark(s)I have placed PR9P NER O'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 Stale 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 anyApplicent 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 ❑ 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 Stale 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 Finn is required for this project because: contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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 & SAFETY PERMIT/PLAN CHECK APPLICATION 4•'( NF Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O 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 O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS �917 Llar,,+ 6o C-�- ASSESSOR'S PARCEL NUMBER �� LOT �� TRACT OWNER NAME / A,� ADDRESS s• OV C C '/- PHONE 95If- 61) 2 -o380' EMAIL APPLICANT NAME n !/ 1611-1 ADDRESS yr Iyed ZL•/p'�/ i I' 4 /'11 �C PHONE ! '(— /L7'(�/. EMAIL CONTRACTOR'S NAME 1 ' n OWNER BUILDER? O YES ONO BUSINESS NAME Q I e ( L� f nG,' ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER y�(Jj' cj 7 (� LICENSE CLASSIFICATION VALUATION$ 4f-' 3 906 SQ FT �(,Q� L SQ FTT 51W APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION to �^ CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE 1m PAID AMOUNT AMOUNT 0 - 0CASH OCHECKp OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 PLOT/SITE PLAN City of Menifee REAR PROPERLY LIN�oldinq & Safety De t. \ DEC 0 2 2015 Received yG l LEDGER & TRACK INSPECTION REQUIRED c> / n/ S�F� w /fZU/lraGUow lei �O /Pr tj w \ W 0 0 a d V) tn e MENIFEE NG AND SAFETY DEPARTMENT 'APPROVAL bui f-J7 ' i JIlED B et DA rE al of these plans shall not bo construed to be a permit for,or an ;i of,any violation of any provisions of the federal,state or city ons and ordinances. This set of approved plans must be kept on the Q FRONY0ROPd l ion' `1 Property Owners Name U ' Property Address