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PMT15-03749 City of Menifee Permit No.: PMT15-03749 29714 HAUN RD. Type: Residential Addition �^_CCEL/> MENIFEE,CA 92586 MENIFEE Date Issued: 1 210 31201 5 PERMIT Site Address: 29028 GOLDEN LAKE CIR, MENIFEE,CA Parcel Number: 333-510-021 92585 Construction Cost: $8,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'x 60'SOLID ALUMAWOOD PATIO COVER WITH 4 POST LIGHTS Work: Owner Contractor JAMES PARK PATIO GUY ALUMAWOOD CONTRACTOR 29028 GOLDEN LAKE CIRCLE 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92585 MURRIETA, CA 92562 Applicant Phone: 9513330056 LOIS MONTINI License Number.872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA,CA 92562 Fee Description ON Amount(51 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 2.00 General Plan Maintenance Fee-Building 1 6.65 $300.65 The issuance of this permit shall not prevent the building official from thereafter requiring the connection of errors in the plans and specifications or from preventing building 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_Per it Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ I am exempt from Iicensure 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 it Professions Code and m.4icense is in full force and act which I must have resided for at least one year prior to completion c License Class Ucens improvements covered by this permit, I cannot legally sell a structure that I haw Expires .©' Lmgnature built as an owner-building If it has not been constructed in its entirety by licenser contrctors. I understand that a copy of the applicable law, Section 7044 of thr WORKERS'COMPENSATION DECLARATION usiness and Professions Code,is available upon request when this application i; submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: hftp,lMmmleginfo.ca.gov/calaw.html. 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 properq ❑ 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 thit section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is cored. I agree to cempll permit is issued.My v;arkers'compensation insuran carder and policy number are: with all licable city and county ordinances and state laws relating to buildin{ Il/) ocnsW do .I authorize representatives of this city or county to enter the above _�6 Carier / r1— iden pe rth map c' npurposes. Policy# Expires "/ �` �✓ Property Owner or Authorized Date (This section need not be completed if the permit Is for City Business License# one-hundred dollars($100)or less) ❑ 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 WIII the applicant or future building occupant handle hazardous material or a workers compens on laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the coo s'compensation provisions of Section 3700 of the Labor amounts specifie a Hazardous Materials Information Guide? Code,I shall w comply with hose provisions. ❑YES ❑ WCr Appllcan• — / / 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 M5nogement District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidel" es 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 building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary fa school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ❑� 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 conceming 3097 Civil Code) hazard atedal reporting. OWNER BUILDER DECLARATIONS YES O I hereby afro under penally 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. PPRO ERT1'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-certfied firths 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.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 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. r� SAFETYBUILDING & PERMIT/PLAN APPLICATION �Pni{PP DATE ` 3 — IS PERMIT/PLAN CHECK NUMBER — —1u 11 TYPE: O COMMERCIAL C, ESIDENTIAL O MULTI-FAMILY C MOBILE HOME C POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL 0-9-EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES ,,�,�\ DESCRIPTION OF WORK Z D O cu2 > Co v EE . L Pas-- PROJECTADDRESS d E qa 4_25 5 ASSESSOR'S PARCEL NUMBER '�j-S -v0C LOT TRACT OWNER NAME ADDRESS l./ p y �yI/— PHONE /D 9 -3yaoZ EMAIL �,ify of Menifee = eI In9 a y e APPLICANT NAME rvI ADDRESS S4 G DEC 0 3 2015 PHONE Sr^ •�� 7= � EMAII}L- Yl 1;:; n N CONTRACTOR'S NAME d�� ��/� ���'a OWNER BUILDER? O YES *GtVTT BUSINESS NAME ♦_�\\r- V ADDRESS L)�U - eXXE J PHONE 957- 3 !I . bt S ( EMAIL q mQ D L CONTRACTOR'S STATE LIC NUMBER a8 3 9 LICENSE CLASSIFICATION VALUATION$ 9z 2--) SQ FT g L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE /_ PAID AMOUNT ^y.� / — AMOUNT �(/ -.M!• O CASH O CHECK Y O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES U NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee,uS Inspection Request Line 951-246-6213 n � a LIP �t�l LAD, N —_ _ T X - _ - -- .. ---x ;K X c�D O / U u +r liep• ? ILLL 0 • o City of Menifee Building & Safety Dept. !r DEC 0 3 2015 Received LEDGER & TRA( K ILSep-pr ' INSPECTION REQU RED 1D PLAN APPROVAL 3b, REVIEWED By 95 DATE "Approval of these plans shall not be construed to be permit for,or an approval of,any violation of any provisions of the fed I,state or city regulations and ordinances. This set of approved plar must be kept on the etion. i� Lr brn6D1vN1S� ZN�D 141q� 3tla•� `jl� w rMAFa Fir S�mE:S �A•f�� �Q9uY AapmgwcoD � l�le D k-b y u Ch 9oldcn %4Fe c.►r-ciC 4 108 rn >✓N ►�-r✓r'. , C-A er�� Sure-h� .4�S91313s Mork CZW%P.%)jMS Oft A-o,),Wr