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PMT16-00496 City of Menifee Permit No.: PMT16-00496 29714 HAUN RD. Type: Residential Addition '(;kCCEU/ MENIFEE, CA 92586 MENIFEE Date Issued: 02/29/2016 PERMIT Site Address: 29943 WESTLINK DR, MENIFEE, CA Parcel Number: 340-110-007 92584 Construction Cost: $3,750.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 372 SQ FT LATTICE ALUMAWOOD PATIO COVER WIND ELECTRICAL Work: Owner Contractor BONNIE CLEMENTS PSLQ INC 29943 WESTLINK DR 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 ISl 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 $168.65 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 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 ❑ 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 in Professions Code andq license is in full force and eff e n (j, which I must have resided for at least one year prior to completion of License Class Lice s(�/(.lo. `/ jj improvements covered by this permit, I cannot legally sell a structure that I have Expires _ - ignature M l r ' built as an owner-building if it has not been constructed in its entirety by licensed i 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 fallowing Web site: ❑ I hereby affirm under penalty of perjury one the following declarations: http://www.leginfo.ca.gov/mlaw.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 orAuthodzed Agent Policy# ❑ By my Signature below, 1 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 owner's behalf. I have read this section 370D 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.Myworkers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and slate laws relating to building construction.I authorize representatives of this city or county to enter the above- Carrier z,71�liq�y // identified properly for the inspection purposes. Policy# W 0110 J) 60/ Expires / ((J '/ 1-) Date L./ Property Owner or Authorized Agent (This section need not be camp eI ed4f the permit is for City Business License# ��O� one-hundred dollars($100)or less) ❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION 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 azardous material equal to or greater that the subject to the wo rs'compensation provisions of Section 3700 of the Labor amounts specs'r on the Hazardous Materials Information Guide? Code,I shall o w h comply ith those provisions. // •�/i I/— OYES G-WO Applic t; ete; -�/ / /ICJ 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 Qualf anagement District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidefi 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 propoil Id g r modified facility be vrilhin 100D feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool? LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES bNO 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 undue stand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health €ty Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous diat€nal r porting. OWNER BUILDER DECLARATIONS �Y - I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date /;7 License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER ORAU bRIZED 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 fRRP) 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 0censure 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 ❑ 1, as owner of the property, or my employees with wages as their sale 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 properly, 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). ❑ I, 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 contractorfsl Dursuant to the Contractors State License Lawl. If vour Droiect does not comply with EPA RRP rule olease fill rnrt the RRP �IeMee DATE PERMIT/PLAN CHECK NUMBER ' TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY 0 MOBILE HOME ❑POOL/SPA ❑'SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEWW//❑PLUMBING-❑RE /-ROOF-NUMBER OF SQUARES /+�J� DESCRIPTION OF WORK /pL Sq L C� C (1N i -hdu-- - ti0 E/PC ila PROJECfADDRESS y es1 fnre& ASSESSOR'S PARCEL NUMBER p�yy LOT _� TRACT PROPERTY OWNER'S NAME ADDRESS PHONE 9,6/ (1,97d IJ&l 1 EMAIL APPLICANT NAME l 1 ADDRESS (a�FFI �ryqh OCaj�Mt /^�/L-1 1 1 lr� ��Apg25 U PHONE IV�— II3� EMAIL `S Qee- I 1 �/LkL CONTRACTOR'S NAME c OWNER BUILDER? [:]YES[:]NO BUSINESS NAME ADDRESS F/ + 1 1� Ci� 1 Of] M PHONE GS-i C[bL -r �.o EMAIL CONTRACTOR'S STATE LIC7N�UMBER qC LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION �,p V0 CIF(OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGIN ERING FIRE GREEN u _ SMIP INVOICE PAID AMOUNT AMOUNT �• OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VIWMC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER 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 plan p 29943 WESTLINK DR. Not t0 Scale MENIFEE, CA. 92584 672-1561 372 Sq. Ft. Lattice Alumawood Patio cover. Attached to the existing concrete slab. NO ELECTRICAL Value $3,75( FCTION REQUIRED I Q � 30' IV El AJ W 11' City of Menifee Building & Safety Dept. FEB 2 9 2016 CI j Y OF ME IFEE BUILDING AlD SAFETY DEPARTMmpe Ived FLAN APPRC VAL. REVIEWED B DATE ` 'Approval of these plal S shall nOt hA approval of,any violation of any provisions of the federal,state oi cQriveway regulations and ordinances. This set of approved plans must be k pt on the 00 jobsite until completion. Sidewalk Westlink Dr