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PMT15-03795 City of Menifee Permit No.: PMT15-03795 29714 HAUN RD. Type: Residential Addition <A—CCEL:A—> MENIFEE,CA 92586 MENIFEE Date Issued: 12110/2015 PERMIT Site Address: 30083 CALLE BELCANTO, MENIFEE,CA Parcel Number: 364-091-011 92584 Construction Cost: $2,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 13'x 20'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN,4 RECESSED LIGHTS Work: Owner Contractor STEVEN RANISZEWSKI QUALITY FIRST CONSTRUCTION 30083 CALLE BELCANTO 15910 SAGEWOOD COURT MENIFEE, CA 92584 RIVERSIDE, CA 92504 Applicant Phone: 9516853555 TINA RIVERS License Number:739214 QUALITY FIRST CONSTRUCTION 15910 SAGEWOOD COURT RIVERSIDE,CA 92504 Fee Description Qat Amount tEl 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 carded 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_eldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ I 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 it Professions CodA a my lioens is in full force and effe which I must have resided for at least one year prior to completion of License¢I oZ 1_ Licen a No. improvements covered by this permit,I cannot legally sell a structure that I have Expires I I I I'� Signa 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' RATION COMPENSATION DE 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: htto://www.lecinfo.p.cov/calaw.html. I have and will maintain a certificate of consent ofself-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 crAuthorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the property I 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 se 'on 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 i/ss1'1ed..�1l�My coworkers compe1ns\atio�n insurance carrier and policy number are: with all applicable city and coun ances and state laws relating to building Cartier_ J I T1 I �� N ` J cons c'p P sot ooze- res nlatives o is city or county to enter the above- �� Q I �y c led ro fo fie do ses. h Policy# —I� C 7 U lJ� Expires ' Date i Q- ' i y I� Pro Arty Owner or Authorized Age t (This section need�be completed ff the permit is for one-hundred dollars($100)or less) ity Business License# HAZARDOUS MATERIAL DECLARATION I IIcertify that in the performance of the work for which this permit is issued,I sh 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 tot a work com nation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I sh with comp with those provisions. DYES ❑NO plicant, Date; 1 l y ` WIII the Intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South ARNI G: FAIL RE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist C NSATION 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 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 affimr 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 ❑YES ❑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(RRPI 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 lioensure 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: ❑ I, as owner of the roe www.epa.gov/lead or contact the National Lead Information Center at property,rty, 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. MIT �11�11\113 & SAFETY PER /PLAN CHECK APPLICATION `Menifee DATE 13L 10 vs PERMIT/PLAN CHECK NUMBER IQ TYPE: O COMMERCIAL x RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEI1W Tt�KO PLUMBING�p,O RE-/ROOF-NUMBER OF SQUARES i ,/ DESCRIPTION OF WORK, 6d AJ \ U M 1 \w V� �4G 1 f) k i�4 1 cE( < I//r3 r-R►. 6 1iQ - e u - -5 -. tb ) a PROIECTADDRESS VU�1� �QN EL -A� I V ASSESSOR'S PARCEL NUMBER iJ ��-js� I LOT T�A of Menifew OWNERNAM 51 Eel {ZflN l5Z-�1 �51L1 Building & Safety Dept. 2E /y1'� 1 ^ n�, \-i-T-� ADDRESS //���J�b �7 Cf\�-� ✓C-l�v �+ v DEC 10 2015 PHONE q b I �� 1 EMAIL ` ' Received APPLICANT NAME N V � ,t I_ ADDRESS VC) Cam` ' � 3 P- PHONE ( VB�J - 5✓�J EMAIL CONTRACTOR'S NAME IIV�� n CLT 1 ^\T��-�-{�OWNE^R�BTUILIDER? O YES NO BUSINESSNAME - LkT QS 1 , `� JL P-0 ` VtQ ADDRESS 169M '5NbE ,U3bDD PHONE G�)1 •bE 5 - � 5 EMAIL CONTRACTOR'S STATE LIC NUMBER 156014 LICENSE CLASSIFICATION VALUATION$ S - L SQ FT i I ALICANT'SSIGNAT E ` DATE r PP OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINE55 LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT O CASH 0 CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/Mc OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER O YES O NO City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92586951-672-5777 www.cityofinenifee.us Inspection Request Line 951-246-6213 LEDGER & TRACK WSPECTION REQUIRED CAS t ) a3-4 - c, -3-2 3 City of �enifee Building & Safety Dept. conTrTo� ; c�v ic� L k DEC 10 2015 t5-Cf 10 SIkc�Ev�ov,) �-r Received" �—, I\)ei f�-i00 e— A 9zs0 3ssS Y �C�opC7sE-L� t3fzo So t.i 0 ALUr,%A V'Jou0 004-si O coQE)Z LCL7 L I Li VLT� t CITY OF ENIFEE BUILDIN ND SAFETY DEPARTMENT Zv PLAN APPROVAL o o � � 1 �rJ1is REVIEWED BY l --�� J DATE r , "Approval of these plans shall not be construed to be a permit for,or an 6 approval of,any violation of any provisions of the federal,state or city 1$ regulations and ordinances. This set of approved plans must be kept on the 'obsite until completion.