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PMT16-01830 City of Menifee Permit No.: PMT16-01830 29714 HAUN RD. �CCELA> MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 06/14/2016 PERMIT Site Address: 29170 BLUE SPRUCE CIR, MENIFEE, CA Parcel Number: 339- 43-012 92584 Construction Cost: $2,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 14'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN,2 LIGHTS Work: Owner Contractor KRISTEN REID PSLQ INC 29170 BLUE SPRUCE CIRCLE 28910 RANCHO CALIFORNIA RD MENIFEE,CA 92584 #206 Applicant Phone:9517954260 LOIS MONTINI License Number:919885 PSLQ INC DBA GREENBEE 28910 RANCHO CALIFORNIA RD #206 TEMECULA, CA 92590 Fee Description Oft Amount 1E1 Receptacle,Switch, Outlet&Fixture 3 126.00 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 6.30 $300.95 The issuance of this permit shall not prevent the building official from thereafter requidng the correction of errors in the plans and specifications or from preventing builiding operations being carded 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 Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam 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 Uce s/, o. Y jj improvements covered by this permit,I cannot legally sell a structure that I have Expires — - ignature ' 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: ❑ I hereby affirm under penalty of perjury one the following declarations, http://www.leginfo.ca.gov/calaw.htmi. I have and will maintain a certificate of consentt for workers;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 slate laws relating to building construction.I authorize representatives of this city or county to enter the above- Carrier � �t identified property for the inspection purposes. Policy# W011a!/yD601 Expires / 1� ' Date L� Property Owner orAulhorized Agent (This section need not be comp)3dgf the permit is far City Business License# ��q03 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 employ 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 wo 9!h compensation provisions of Section 3700 of the Labor amounts spec' on the Hazardous Materials Information Guide? Code,I shall o w h comply ilh those provisions. / I/— ❑YES f3�N0 Applic t; ete; � L � /ICJ 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 Quali anagement District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guideli SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Wi11 the proposed it rd g r modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool? LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES b 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 checkiist I und�tand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health 5 €h'Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous diet nal reporting. OWNER BUILDER DECLARATIONS ❑Y — -7 I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 6� License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR A4141DRIZEDAGENT 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 anyApplirant 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: www.epa.gov4ead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is . /1 not intended or offered for sale.(Section 7044,Business and Professions Code; GL 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 Firm 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 - +' .3E ��i�G' xis�Yl�� Lt�i =r zS .'e �� �•�'� �" �%—.. wiz jsf.'rzk^,� DATE �( '�� r PERMIT/PLAN CHECK NUMBER 0\ 3 TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY QMOBILE HOME ❑PODL/SPA Q'SIGN SUBTYPE: []ADDITION DALTERATION ❑DEMOLITION FIELECTRICAL []MECHANICAL NEW ❑PLUMBING'-❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS CAM slu ASSESSOR'S PARCEL NUMBER - �d LOT TRACT PROPERTY OWNER'S NAME IS Clty &Sty Dept. ADDRESS - 4 2016 EMAIL PHONE �iTj� C� • APPLICANTNAME` QQ 1(� ADDRESS EMAIL aGD�I} V ' �uo.6' PHONE 1lJ `J � t/' ' v l ` OWNER�DER? ❑YES®NO CONTRACTOR'S NAME BUSINESS NAME nx- ADDRESS PHONE CIsngaiD �OD f � l EMAIL .r LICENSE CLASSIFICATION CONTRACTOR'S STATE LIC NUMBER rA, SO FT LSQFT LUATION$ V DATE APPLICANT'S SIGNATURE - c CITY OF MENIFEE BUSINESS LICENSE NUMBER DEPARTMENT DISTRIBUTION SMIP BUILDING PLANNING ENGINEERING FIRE GREEN 0CREDIT CARD VISA/MC INVOICE :OF J PAIDAMOUNT �j� Q5 OCASH OCHECK# AMOUNT `� PLAN O CASH CI CHECK# G CREDIT CARD VISA/MC CHECK FEES PAID AMOUNT OWNEP.BUILDER VEP,IFIED AYES � NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building&Safety Deportment HDun Rd, Menijee, CA 92596 951-672-6777 www.cityofinenifee.u5 inspection Request Line 951-246-6213 Plot plan Kristen Reid Not to Scale 29170 Blue Spruce Cir. Menifee, Ca. 92584 - - —=- 949-533-0409 168 sq. ft. Solid Alumawood Patio Covers. Attached to the house and to the existing concreteslab. 9.0' high (1) fan (2) lilg tts >,, yLY Set at >kb :e ceiling Value $2000 CL, U City of Menifee 11j Building & Safety Dept. U LEDGER & TRACK JUN 14 2016 LL INSPECTION REQUIRED 21' LL Received � 14' 39' 1�. 7' 22 C CITY OF MENIFEE BUILDING AND SAFETY rEPAF TMENT PLAN APPROVALp I REVIEW ID BY L�ft DATE 'Approval of these plans shall not be construed totes pesmitfor,or an driveway approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. Sidewalk Blue Spruce Cir.