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PMT16-00875 City of Menifee Permit No.: PMT16-00875 29714 HAUN RD. Type: Residential Addition 'ACCEL/? MENIFEE,CA 92586 MENIFEE Date Issued: 03/24/2016 PERMIT Site Address: 29537 GLENNEYRE WAY, MENIFEE,CA Parcel Number: 92584 Construction Cost: $2,900.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 30'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS&2 LIGHTS Work: Owner Contractor DEBBIE TAN TODD'S PATIO COVERS 29537 GLENNEYRE WAY 30905 GREENSBORO DR MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone:9516608665 TODD SKARIN License Number. 834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description ON Amount f51 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 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_Bidg_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjurythat I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License '- Li s / By my signature below I acknowledge that,except for my personal residence Expires 7J Signature, q�— in which lmust have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,Issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leeinfo.ca.Rov/calaw.html. Policy# Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which -ey my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carder and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply carrier building all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires 4en, tn b i t(fied property for inspection purposes(This section need not to be completed is the permit is for one-hundred Date dollars($100)or less OWNER OR AUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the rker's co pensation provisions of Section 3700 of the Labor Code,I shall f I ply with those provisions. Will j Will the applicant or future building occupant handle hazardous material or a Applic t Date —/ /,� mixture containing a hazardous material equal to or greater that the �'-17 amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑yes `-Ao UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCACMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for go'id'elii es CONSTRUCTION LENDING AGENCY ❑Yes 7(N0 1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bou}dary of a school? (Section 3097 Civil Code) ❑Yes ``& OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California ou Health&11 Safety Code,Se i 35505 and 25534 concerning haza ou mate' rep � i checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.Rov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a D An EPA Lead-Safe Certified Renovator will be responsible far this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Finn is required for this project because: D 1,as ownerof the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State Ucense Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLANA• • • Menifee DATE �J`o��i1\\� 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 1 f U ' 1 GC Ct O G.-h d C,64 ,- 4 4- Z 1 r P110JECTADDRESS r3 V 67 „i[ of Menifan rlL;IIding & Safety D pt. ASSESSOR'S PARCEL NUMBER LOT CT OWNER NAME MAR 2 4 2016 ADDRESSIR-5-7? Y'/I'/e PHONE EMAIL APPLICANT NAMESy� �� Q�� ADDRESS JV �� ! -C/""�-v - ✓D PHONE r �� 16 TEMAIL C CONTRACTOR'S NAME OWNER BUILDER? O YES O 1 BUSINESS NAME f ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER ZS LICENSE CLASSIFICATION VALUATION$ ZT U Q SQ FT (0 L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP ' INVOICE PAIDAMOUNT ^^��yy O rAOUNT ' � octal-LO OCASH CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# 0 CREDIT CARD VISA/MC ER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Building & Safety Dept. MAR 2 4 2016 a 0AVed 0 u_ LL N� O 1 L�t�Gti3 '�t TRACK z CITY OF MENIFEE ' $} BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL V' REVIEWED BY ° 9C 31a�11b DATE " rosal of these fans shall not be construed to be apermit for,or an App P approval of,any violation of any provisions of the federal,state or city ' regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. w