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PMT16-01783 City of Menifee Permit No.: PMT16-01783 29714 HAUN RD. Type: Residential Addition �ACCELA4.. MENIFEE, CA 92586 MENIFEE Date Issued: 06109/2016 PERMIT Site Address: 29070 AVENIDA DE LAS FLORES, Parcel Number: 341-142-015 MENIFEE, CA 92587 Construction Cost: $3,500.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 225 SQ FT SOLID ALUMAWOOD PATIO COVER WIELECTRICAL 2 FANS,2 POST LIGHTS Work: Owner Contractor CAROL PEPPER WEST COAST WINDOWS AND HOME 29070 AVENIDA DE LAS FLORES IMPROVEMENT MENIFEE, CA 92587 1151 POMONA ROAD SUITE P Applicant Phone:9512726644 FLORA RUIZ License Number:464230 WEST COAST WINDOWS AND HOME IMPROVEMENT 1151 POMONA ROAD SUITE P CORONA, CA 92882 Fee Description city Amount r$1 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 General Plan Maintenance Fee-Electrical 1 6.55 $306.20 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_Permil_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 Iicensure under the Contractor's State License Law for Professions Code a license is in full force and effect. ' L�^ the following reason: 4 L.License Class �1 License o _ By my signature below 1 acknowledge that,except for my personal residence Expires 2 1 Signature in which l must have resided for at least one year prior to completion of improvements covered bythis permit.I cannot legally sell a structure that 1 WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirely by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that 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 �v,,r�v,leeinfo.ca.eov/calaw.html. issued. Policy# A V\I C�. 5 0 1 I� I Date PROPERTY OWNER OR AUTHORIZED AGENT o I have and will maintain workers compensation insurance,as required by 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: t, I I - 0 application and the information I have provided is correct.I agree to comply _ n ,.1..._1 ' with all applicable city and county ordinances and state laws relating to Cartier ' /1]\\1A�titi�MWlvv,^(r�)—V �A1Ri1RLL..Aiiwnn `vvY��iJiN11 ---CCCVVV building construction.I authorize representatives of this city or county to Policy g "I vV C IS 0 Expiresabove identified property for inspection purposes. (This section need not to be completed is the perm�for one-hundred Date 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 employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g 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 forth ith amply with t ose provisions. � � will the applicant or future building occupant handle hazardous material or a Applicant Dated mixture containing a hazardous material equal to or greater that the LL `` amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO SECURE WORM( ' COMPENSATION COVERAGE IS o Yes o UNLAWFUL,AND SHALLSUB)ECT AN EMPLOYER TO CRIMINAL PENALTIES Will me 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 Coas[Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid�t1i S CONSTRUCTION LENDING AGENCY ❑Yes �j((Vo 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 bou�d7ty of a school?(Section 3097 Civil Code) ❑Yes ❑(It�\ff 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 California Health al 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 item(s)(Section 7031.5 ❑Yes o No Business and Professions Code).Any city County that requires a permit to L&ADate_(' 1 construct,alter,improve,demolish or repair r any structure,signed its PROPERTY OWNER OR AUTHORIZE E T ` l issuance,also requires the applicant for the permhto file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 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.eoa.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 D 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: o I,as owner of the property am exclusively contracting with licensed contractors 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 RRP rule please fill out the RRP Acknowledgement. Menifee DATE p PERMIT/PLAN CHECK NUMBER P 1 b-1 O 07 p TYPE: :%COMMERCIAL VESIDENTIAL 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 4-� (O C.0— MAQ °t251)+ PROJECTADDRESS Ay ASSESSOR'S PARCEL NUMBER 3�YI " I `FL—OIS LOT Itl TRACT 101 I,, OWNER NAME J � � ADDRESS IW PHONE EMAIL APPLICANT NAME V`\U 2 ADDRESS gIRL \� PHONE 6) — ` A ,9 - TO EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME ADDRESS ` 1 IS PHONE �„�j ` — 05� ��U 1_\ EMAIL Q CONTRACTOR'S STATE LIC NUMBER {, 111�1 Z JO yMLICE LASSI �NSE CFICATION VALUATION$ -'DU i OD SQ FT Cb ��L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAID AMOUNT AMOUNT I � I 1 O CASH O YHECKtt O.CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO OIL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofrnenifee.us Inspection Request Line 951-246-6213 GB a.vr. uv . WEST COAST WINDOWS NOMEIMPROVEMENZ pity of Menifee 1151 Pomona Rd. Suite P SL ;,,ting & Safety Dept' Corona, CA 92882 't7N 0 9 20% Ph: (951) 272-6644 Fax; (951) 272-6649 June 7, 2016 received City of Riverside 3900 Main Street Riverside, CA To whom it may concern: This letter is to inform you that I (Joe Vernon) President of West Coast Windows and Home Improvement authorize Flora Ruiz to pull city permits for our customer Carol Pepper located at 29070 Avenida De Las Flores in the city of Quail Valley. If you ave any questions, you can call me at (951) 272-6644. /Joeernon West Coast Windows & Home Improvement CSLB#464230-B C"'Y OF MENIFEE BUILDING AND SAFETY -EPARTMENT FLXI APPROVAL iyo eniee REVIEWED Building & Safety Dept. DATE JUN 0 9.2016 Approval of these pl ns shall not'e construed to be ape for,or an arproval of,any violatonof any provisions of the federal,lttoorcity Received regulations and ordin ces. This set of approved plans m st 1le�pt on the johsite until completi � f (4 V ( 5 LEDGER & TRACK REQUIR C' � o .