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PMT16-00409 City of Menifee Permit No.: PMT16-00409 29714 HAUN RD. Type: Residential Addition �ACCELA—> MENIFEE,CA 92586 MENIFEE Date Issued: 02/17/2016 PERMIT Site Address: 29890 PEPPERCORN CIR, MENIFEE, CA Parcel Number: 333-690-012 92584 Construction Cost: $4,900.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL SOLID/LATTICE 526 SQ FTALUMAWOOD PATIO COVER W/ELECTRICAL 4 LIGHTS& Work: FOOTINGS Owner Contractor CINDI EVANS PSLQ INC 29890 PEPPERCORN CIR 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 Qtv 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 1.00 General Plan Maintenance Fee-Building 1 6.65 $299.65 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 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_BIdg 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 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 in Professions Code and license is in full force and eff which I must have resided for at least one year prior to completion of License Class Lice se/No. �jz improvements covered by this permit,I cannot legally sell a structure that I have Expires — — fgnature 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 Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty is perjury one the following declarations: hftp:/Avww.leoinlo.ca.gov/calaw.htmi. I have and will maintain a certificate of consentt 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 property ❑ 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 carrier 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 property for the inspection purposes. Policy# Expires / (D '/ Date ( Property Owner or Authorized Agent(This section need not be compl teh City f the permit is for Ci Business License# 403 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 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 azardous material equal to or greater that the subject to the wo 37rs'compensation provisions of Section 3700 of the Labor amounts spec' on the Hazardous Materials Information Guide? Code,I shall o h comply ith those provisions. YES/ I/— ❑yES 0 Applip t; ate—CJ, !L / c:7 Will the intended use of the building by the applicant or future building occupant require a prinit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Que1i anagement District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli 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 II rd ng r modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool? LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES b 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 unde tend my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health €fy Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous nal reporting. OWNER BUILDER DECLARATIONS DY -- ^-7 1 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 ORALI IDRIZED 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 1RRP1 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 firths 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 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.gowlead or contact the National Lead Information Center at ❑ 1, 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 purpose of sale). Finn Certification No.: ❑ 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 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 z:.-(i {t s t� �k s � 1 ifa� ♦1 u i3 y14��"crb I l k I y G x �i `{ �� ,y.=. 1. Ye�1�^` DATE PERMIT/PLAN CHECK NUMBER Ib� TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION []ELECTRICAL []MECHANICAL ❑NEW ❑PLUMBING'❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS 2 ,90 :P ffml�dff.-Ck 2 ASSESSOR'S PARCEL NUMBER 1Z ��'OCI �O1161 LOT TRACT y -1FS(0 PROPERTY OWNER'S NAME CIinL V G11 I ADDRESS CC PHONE ly` V� Illy'I �l/ 1 EMAIL APPLICANTNAMEI1 I �' ADDRESS C � Vella ��1 O) I �r�r..v� D D ll�� ���Apq'� U PHONE b1 - `4 tfl3 EMAIL 1. `S 1(✓ 1 �/li . CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑NO BUSINESS NAME y� d ADDRESS ro-(U I I �Ci�. �./.C/ 1 R PHONE NISI-1 v'V l� WV / �EMAIL L �e ( L-C CONTRACTOR'S STATE LIC NUMBER q[ ( LICENSE CLASSIFICATION VALUATION $ yV o SQ Ff L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEENF�S LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP :5 33 INVOICE .bs PAID AMOUNT ., AMOUNT OCASH �. CHECKq OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD V15A/MC OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Cindi Evans Plot plan 29890 Peppercorn Cir. Not to Scale Menifee, Ca. 92585 951-696-1540 ,SZb total sq.ft. Alurnawood Solid Patio Covers. Attached to the house and to existing concrete slab. set at 9' High (4) lights :pGER TRACK :>'�EGTIt��I REQUiREU 10, ❑ ❑ ❑ 7 ❑ 15' ❑ 11' solid ❑ 19, ❑ 9' lattice lattice 9' 135 ri 2201/1 171 m CITY 0 MENIFEE BUILD114G AND SAFE rY DEPARTMENT PLAN APPROVAL REVIEWED 13'ca DATE 'Approval of these plans shall not be onstrued to be a permit for,or an approval of,any violation of any prov ions of the federal,state or city regulations and ordinances. This set approved plans must be kept on the jobsite until completion. Driveway Sidewalk Peppercorn Cir.