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PMT16-00879 City of Menifee Permit No.: PMT16-00879 c 29714 HAUN RD. Type: Residential Addition �CCEL/k-" MENIFEE,CA 92586 MENIFEE Date Issued: 0 3124/2 01 6 PERMIT Site Address: 30714 LIME ROCK CIR,MENIFEE,CA Parcel Number: 364-300-021 92584 Construction Cost: $3.000.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 25'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS, 3 LIGHTS,2 GFI OUTLETS Work: Owner contractor JOSHUA WILLIAMS PATIO GUY ALUMAWOOD CONTRACTOR 30714 LIME ROCK CIRCLE 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92584 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 Cltv Amount 1$1 Receptacle,Switch,Outlet&Fixture 7 146.00 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 ' $314.66 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_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE . LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License law). 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 Cade and m/y�l{icense is in full force and effect. the following reason: License Class LJ License No. �' By my signature below I acknowledge that,except for my personal residence Expires. ZP 12) Signature in which 1 must 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 wvnv.leeinfo.ce.eov/calaw.html. this permit is issued. Policy Jr' Date O 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 ❑By my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number re 0 application all ion and the information y ave ordinances a d date la neatgree no comply with all applfc le city and county ordinances and state laws relating to Carrier_ (y, ' I building con ccion.lauthorize representatives of this city or county to Policy t✓ � py S-'7� Expires �� ent rthea e' entifled grope f inspection purposes. cc (This section need not to be completed is the permit is for one-hundred Date f o� '/ dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner sow to become subject to the CITY BUSINESS LICENSE N worker's compensat' g laws of Calif a,and agree that if I should become subject to the wort is fompensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION Code,I sh(y�'w'mgJ(4 ith / p p visions. ' S Will the applicant or future building occupant handle hazardous material or a Applicanr I� �r��D to �'�� "� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes ❑a No UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the 56aAded-use6fthebuilding 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidellnes`� CONSTRUCTION LENDING AGENCY ❑Yes ❑No I 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 boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAOMD 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 Cal'domia Health&Safety Code,S ction 25505 and 25534 concerning hazardous mate checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑ o -y 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 PRO OWNER 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 IRRPI 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 far 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.eoa.aov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for 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 Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License 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/PLAN CHECK APPLICATION as &nifee DATE PERMIT/PLAN CHECK NUMBER _ TYPE: :% COMMERCIAL "ESIDENTIAL O MULTI-FAMILY CO MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION :%ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK / L L_zjfny4 e OZ) VC F L! 14 S. QTJ, 5 PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER 31�L.( • �jCO - LOT TRACT OWNER NAME S ADDRESS l'Y J �/ Y ! Z=_E �o - �aa g�g <Z City of Menifee PHONE EMAIL Building & Safety Dept. APPLICANT NAME ^^ /�� ADDRESS PHONE s1 EMAIL Received CONTRACTOR'S NAME Ab 1+ •-�� OWNER BUILDER? O YES V-flT BUSINESS NAME l.S V ie ADDRESS PHONE 9sl- p^�q aEMAIL a ry�q D L CONTRACTOR'S STATE LIC NUMBER p / 0►6 3 9 TT LICENSE CLASSIFICATION VALUATION $ Q SOFT 3 U L SO FT APPLICANT'S SIGNATURELS"L DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN — SMIP INVOICE 2 I ,,G PAIDAMOUNT ' ^C O O AMOUNT :JI�' �3'J �\ Vy�,J CASH CHECKN 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES " NO DL NUMBER NOTARIZED LETTER O YES 0 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 U1 3S M CA City of Menlfee r 00 1n t— Building & Safety Dept. CS MAR 2 4 2016 ?� 0- T to i�ecely O � - T w � ? Uj 09 U cSl sY 0 d LL �= 4 LEDGER & TRACK = F UIRM J� T 3 INSPECTIO R. _Q J R W a 0 1_ d a r W a � 4 -3 x x x W c- II - I Cz Iwo v sue -Z 1 a CITY OF MENIFEE 4 M BUILDING AND SAFE PARTMENT W J $) PLAN APPROVAL m ¢ - 06 r REVIEWE DATE (-- �{ d (1 V J "Approval of these plans shall rim a construed to he a pe ' for,o�t'n j9 p I I approval of any violation of arg visions of the federal,state or To 1 regulations and ordinances. This s t of approved plans must be kept on tne`�` �— v ty L) jobsite until completion. A�