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PMT16-01633 City of Menifee Permit No.: PMT16-01633 29714 HAUN RD. Type: Residential Addition �A_CCfiLA-r?' MENIFEE, CA 92586 MENIFEE Date Issued: 0 512 512 01 6 PERMIT Site Address: 29427 BENT CREEK CT, MENIFEE, CA Parcel Number: 340-240-041 92584 Construction Cost: $1,600.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 128 SO FT LATTICE ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor CORINNE SOLTIS CLASSIC ALUMAWOOD COVERS 29427 BENT CREEK CT 39450 BONAIRE WAY MENIFEE, CA 92584 MURRIETA, CA 92563 Applicant Phone: 9516748533 DAVID ABEEL License Number:986793 CLASSIC ALUMAWOOD COVERS 39450 BONAIRE WAY MURRIETA,CA 92563 Fee Description Oft Amount ISI 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 thereunderwhen 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_Perrnit_Templale.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the 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 my Jicense is in full force and effect. which I must have resided for at least one year prior to completion of License Class 0-L q LI N . 8 6 79 improvements covered by this permit, I cannot legally sell a structure that I have Expires �*-( � Signature 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: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto:/lwww.leainfo.ca.cov/calaw.html. I have and will maintain a certificate of consent 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: 1 am the property 23 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 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 A construction.I authorize representatives of this city or county to enter the above- Carieroy,�L)'iRE 6411t�1Q 0-4v identifi car��Jparttyy fo�r,[(he inspection purposes. _ Policy#(}NJL7T2Z.31' Expires X- /7 Property Owner orAuthorized Agent C� (This section need not be completed if the permit is for City Business License# 03 8 �J 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 hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall ficAhwith comply with those provisions. G OYES t3 NO , ^("tht.o Applican — Date; `Z`��r 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 Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES L9KO 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 OYES f3NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAOMO I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the Slate 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 materia reporting. OWNER BUILDER DECLARATIONS 9?j'ES ON I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 0 ZS= �p 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(RRP) 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 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: ❑ I, as owner of theproperty, or m ern to employees with wages as their sole www.epa.govAead or contact the National Lead Information Center at Y P y 9 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 Contractors 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 Finn 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 Finn is required for this project because: contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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 SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION Y Menifee DATE ZS PERMIT/PLAN CHECK NUMBER I(D TYPE: []COMMERCIAL PDRESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: []ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL F[NEWF]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK L A ]T I C C' AL U/ka woe+> CmeJ E✓ PROJECT ADDRESS 2 / Lf Z ] 9&u7- C 94 C T rn&RJ ASSESSOR'S PARCEL NUMBER �pZ-� f ' LOT I3 TRACT PROPERTY OWNER'S NAME ADDRESS Z 2-7 35-JT C,e-LK C /11 e^)*ef- PHONE ZO 6 -Z.i 3 f( EMAIL APPLICANT NAM/E )D cw E C A,Y -F L pp / ADDRESS 2 6 PZ.s I! A-Z r C 9EIC- 1A M CT e- PHONE 73''1Z,��•`` EMAIL CONTRACTOR'S NAME T"1/v O-CaU e U&I m k QN OWNER BUILDER? ❑YES ANO BUSINESS NAME C SS e C L U/11a a-06,0 C-0 U ADDRESS .3 YJ n 1��c��- U-)I- y PHONE EMAIL n �/ CONTRACTOR'S STATE LIC NUMBER 7?J LICENSE CLASSIFICATION VALUATION$ 6 Q� l SO FT 12 S L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION r Cf1Y OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE ((�� (p pA1D AMOUNT AMOUNT I�-+-• OCASH OCHECKR OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER 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 �braar� r5 � So i ' Lf}SS(C llta�tqu'-mac? Lain 3911S� Z 95 2 '7 13CQ cRr-EK C-r rq ul,,At �-(a ��, 12Sa -3 NeNi-fec- Cc, Qzsig(l 95-1-67k/, ity of t e LEDGER & TRACK 3uilginq & Saafefety Dept. CITY OF MENIFEE A1A.Y 2 5 2016 INSPECTION REQUIRED r BUILDING AND SAFETY DEPARTMENTReceived PLAN APPROVAL REVIEWED BY ATE' u ermit for,or an *ppprgvalDfihe s s fall not be construed to be a p approval of,any violation of any provisions of the federal,state or cl on the regulations and ordinances. this set of approved plans must be kept lobsite until completion. V i JD '!� i a e sQ Fr ALUA4 ujoae) L ArrICle � 6 ' ' Coved f 9 \V3S