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PMT16-01668 City of Menifee Permit No.: PMT16-01668 29714 HAUN RD. Type: Residential Addition �ACCEL/-> MENIFEE, CA 92586 MENIFEE Date Issued: 05/31/2016 PERMIT Site Address: 28508 PLANTAIN ST, MENIFEE, CA Parcel Number: 333-490-029 92584 Construction Cost: $1,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 18'X 13'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN, 1 OUTLET Work: Owner Contractor VITO&CHRISTIAN ZERILLI , 28508 PLANTAIN STREET MENIFEE, CA 92584 Applicant License Number: VITO&CHRISTIAN ZERILLI 28508 PLANTAIN STREET MENIFEE, CA 92584 Phone:6193188193 Fee Description (3ty Amount f$1 Receptacle,Switch, Outlet&Fixture 2 121.00 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 General Plan Maintenance Fee-Electrical 1 6.05 $296.70 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_BIdf_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 taw). Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,exceptfor my personal residence Expires Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed In Its entirety by 01 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 workers 7044 of the Business and Professions Coded i able upon request when compensation,issued by the Director of Industrial Relations as provided for this cap lication isubmitted or at the I of wing website: by Section 3700 of the tabor Code,for the performance of work for which this permit is issued. www a infp.c , v calaw.htr 1 l� Policy# III_ Date o I have and will maintain workers compensation insurance,as required by P116VIElitY 0 NER OR AUTHORIZED AGENT section 3700 of the tabor Code,for the performance of the work for whichi'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 o ner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provi orrect.I agree to comply with all applicable city and county ordi ces and state laws relating to Carrier building const c[ion.l authorize r}} resentatives of this city or countyto Policy# Expires e e th 7 1dentifie pro arty for inspection purposes. ( 1 (This section need not to be completed is the permit Is for one-hundred - Date 1 dollars($100)or less PROPERTY OWNER OR llRI2ED AGENT 01 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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes 0 No UNLAWFUL,AND SHALL SUBJECTAN 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 requires permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air quality Management District construction t(SCtionor odi permitting Soutist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast Airlines Qua CONSTRUCTION LENDING AGENCY 0 Yes 0 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) 0 Yes 0 No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 OYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,priorto its PROPERTY 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 o 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.eva.eov/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 Contractors State License Law does not apply to an owner of a o 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. D No EPA Lead-Safe Certified Firm Is required for this project because: as owner of the property am exclusively contracting with licensed /'!il tractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RRP Acknowledgement. ilk • • . . . . . CitY-tt Menifee Building'&'Safety Def t. ;Menifee MAY 3 1 2016 I 1 ved DATE w� 1 kJ PERMIT/PLAN CHECK NUMBER MU -0 1 TYPE: O COMMERCIAL ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: >:ZDDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK •Ck tV y, ,61 lffiN PROJECT ADDRESS CZ� (-�v 1 �'Aj 1 ASSESSOR'S PARCEL NUMBER Z20-14q �rLOT �, TRACT ?j OWNER NAME ,, r CO ADDRESS Pl/'n{/C c v 4 ^ PHONE (p k9 -a kig C.) 'q _-") EMAIL �� r (_, � , kJ`�II i .�h APPLICANT NAME '^J rV v - 1 ��5 1 , Q ADDRESS ryA�j�� rP (/p" (v S 1� (•'L, �i J PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? YES 0 NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SQ L SQ FT r 3�APANT'S SIGNATURE 'I DATE PLIC DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT 0 AMOUNT 5•�Q O CASH CHECK# G CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 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 i _ � p 0 � � o - ; QG 5 Eo z � m c � mo 90 EL m CD x u o" a N �, c m T a a � Na � � a Ql � a CD ao s»o CD w N3 m 0 co CD OFFICE COPY CD