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PMT16-01828 City of Menifee Permit No.: PMT16-01828 29714 HAUN RD. Type: Residential Addition <—ACCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 06/14/2016 PERMIT Site Address: 26374 TWIN PINES ST, MENIFEE,CA Parcel Number: 360-550-008 92584 Construction Cost: $5,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'x 40'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,2 POST LIGHTS Work: Owner Contractor WILBER SALINAS PSLQ INC 26374 TWIN PINES STREET 28910 RANCHO CALIFORNIA RD MENIFEE,CA 92584 #206 Applicant Phone: 9517954260 LOIS MONTINI License Number: 919885 PSLQ INC DBA GREENBEE 28910 RANCHO CALIFORNIA RD #2D6 TEMECULA, CA 92590 Fee Description OQt Amount($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 varied 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_Permi[_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the I 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 license is in full force and eff n (), which I must have resided for at least one year prior to completion of License Class Lice s o. Y jj improvements covered by this permit,I cannot legally sell a structure that i have Expires — - ignature r built as an owner-building if it has not been constructed in its entirety by licensed i 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: ElI hereby affirm under penalty of perjury one the following declarations: http:/Iwww.leginfo.m.aov/calaw.htmi. I have and will maintain a certificate of consentt 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:I am the property ❑ 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 construction.I authorize representatives of this city or county to enter the above- Carrier z,T 4 / identified property for the inspection purposes. Policy# Lyo O?}/ )LON Expires / l� '/� Date aProperty Owner orAuthorized Agent (This section need not be compel 3d4f the permit is for City Business License# \/ -Cj:' ;6 qC)3 one-hundred dollars($100)or less) i— HAZARDOUS MATERIAL DECLARATION ❑ 1 certify that in the performance of the work for which this permit is issued,I 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 azardous material equal to or greater that the subject to the coo �rs'compensation provisions of Section 3700 of the Labor amounts spec r on the Hazardous Materials Information Guide? Code,I 7.auo w comply ith those provisions. / OYES Applica ate; -SL /� 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 Quaij anagement District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed it id g r modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of pot? LABOR CODE, INTEREST,AND ATTORNEYS FEES OYES NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health Code,Section 25505 and 25534 concerning t 3097 Civil Code) hazardous nal reporting. OWNER BUILDER DECLARATIONS ❑Y I hereby affirm under penalty of perjury that I am exempt from the Contractors Date /7 License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER ORALI bRIZED 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 ficensure 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 the roe wwwepa.govAead or contact the National Lead Information Center at p p of or my employees with wages the their sole 1-800-424-LEAD(5323). compensation,will re ( )all . or( )porting of the work,and the structure is /1�Qa not intended or offered for sale.(Section 7044,Business and Professions Code; (�, 1�� The Contractor's 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 Firm 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 Firm is required for this project because: contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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 � �`-7c'��..F.r<. � .... �-�a�- DATE 1`<D i PERMIT/PLAN CHEEK NUIVIBER -O TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY MOBILE HOME ❑POOL/SPA []SIGN SUBTYPE: ❑ADDITION DALTERATION ❑DEMOLITION ❑ELECTRICAL MECHANICAL F-lNFW ❑PWMBING`QRE-RODE-NUMBER OF SQUARES DESCRIPTION OF WORK : W 2) TU�IYI Sk �Xl\�2 PROJECT ADDRESS . �T LOT TRACT Cit of Menifee ASSESSOR'S PARCEL NUMBER �1^A - �fi' o BU Ing & Safety Dept. PROPERTY OWNER'S NAME 11 a" JUN 2016 ADDRESS EMAIL PHONE APPLICANT NAME ADDRESS o�/�[.. S��rMy C (� U�• PHONE iV1 l \J I EMAIL _,^ 1 �./ OWNERS ❑YES O CONTRACTOR'S NAME -6 I BUSINESS NAME T ADDRESS EMAIL PHONE v' LFJ LICENSE CLASSIFICATION CONTRACT©R`S STATE-LIE-NU„�ER SOFT L SR FT VALUATION$ DATE APPLICANT'S SIGNATU RE-- a CITY OF MENIFEE BUSINESS LICENSE NUMBER DEPARTMENT DISTRIBUTION SMIP BUILDING PLANNING ENGINEERING FfRE GREEN O CREDIT CARD VISA11V1C INVOICE 1N aO PAID AMOUNT '7-xlQ .W (--; CA O CHECKS AMOUNT OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OEASR OCHECKC, OWNERBUILDERVERIFIED OYES G NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92596 .95J-672-6 77 pection Request Line 951-246-6213 www.cityofinenifee.us Ins Plot plan Wilber Salinas Not to Scale 26374 Twin Pines St. Menifee, Ca. 92584 760-977-9209 560 sq. ft. Solid Alumawood Patio Covers. Attached to the house and concrete slab. (2) fans and (2) lights on post Colors to be: Spanish Brown Trim with Desert Su: CL LEDGER & TRACK City of Menife O Building & Safety eRj•, INSPECTION REQUIRE;_ ■ , . JUN 14 201 U 12' Receive U. A ry h 12° IAA ❑ ❑ ❑ 1 4' Solid Patio �oagc� CITY OF MENIFEE BUILDING AND SAFETY 7EPART ENT FLAN A ROVAL REVIEWE D BY Driveway DATE 'Approval of the a plans shall not be construed to be a per ft for,or an approval of,any i iolation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans mu t be kept on the jobsite until com letion. Sidewalk Twin Pines St.