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PMT16-01873 City of Menifee Permit No.: PMT16-01873 29714 HAUN RD. Type: Residential Addition '15A�CCELA? MENIFEE, CA 92586 MENIFEE Date Issued: 06/14/2016 PERMIT Site Address: 29047 BLUE MOON DR, MENIFEE, CA Parcel Number: 340-350-014 92584 Construction Cost: $6,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 13'x 45'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,3 LED LIGHTS Work: Owner Contractor MICHAEL ROBERTS KMPATIOCOVERS.COM INC 29047 BLUE MOON DRIVE 19495 OAKVIEW LANE MENIFEE, CA 92584 LAKE ELSINORE, CA 92530 Applicant Phone:9098386779 KENT MURVINE License Number.954365 KMPATIOCOVERS.COM INC 19495 OAKVIEW LANE LAKE ELSINORE, CA 92530 Fee Description OO(t Amount($) Receptacle,Switch, Outlet&Fixture 5 136.00 Building Permit Issuance 1 27.00 Deck/Pabo,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 6.80 $311.46 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_Pe"it_Template.xpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that 1 am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and ❑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 Licns ec/ eNo. %!i L11Z61; By my signature below l acknowledge that,except for my personal residence Expires l 1, - f Signature //- in which I must have resided for at least one year priorto completion of improvements covered by this permit.]cannot legallysell a structure that 1 WORKER'S COMPENSATION DECLARATION have built as an owner-builder H it has not been constructed in its entirety by D I 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 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,forthe performance of work for which www.leeinfo.ca.gov/calaw.html. this permit is issued. Policy R Date PROPERTY OWNER OR AUTHORIZED AGENT o I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,forthe performance of the work for which o 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 owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy M Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT As certify that in the performance of the work for which this permit is issued, all not emoloy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 snall fo hwith cam with those prov slons. Will the applicant or future building occupant handle hazardous material or a / mixture containing a hazardous material equal to or greater that the Applica , 'Date --/ ' amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN 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 require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes o 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 school? (Section 3097 Civil Code) o Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand 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&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 oYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTYOWNER OR AUTHORIZEDAGENT issuance,also requires the applicant forthe 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 forthe alleged exemption.Any violation of Section 7032.5 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 ❑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 forthe purpose of sale. o 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 BUILDING & SAFETY .ERMIT/PLAN CHECK APPLICATION Men if ee DATE PERMIT/PLAN CHECK NUMBER azu- TYPE: O COMMERCIAL A'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK ,L- !� I ) I S u�,•�� PROJECT ADDRESS �� v G 140 " ' ASSESSOR'S PARCEL NUMBER 31�0-01Q LOT TRACT d� - OWNER NAME city nt MenlfeS ADDRESS v` Cl .�, l Building & Safety Dept. PHONE e'S EMAIL J U N 1 4 2016 APPLICANT NAME ived Crrlr ADDRESS PHONE EMAIL CONTRACTOR'S NAME Q'" \ OWNER BUILDER? O YES O BUSINESS NAME �u�i� - • �., i�� ADDRESS / G/Cy cam/ '< <,•J PHONE G/ljL( x (✓7)Cj EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ a SO FT L SQ FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE I AMOUNT I1' PAID AMOUNT 1%.L ie> O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DLNUMBER 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 - �� CL \\ Q 13xu ` �Ai� z yGy U LWAER & TRACK LL- INSRFC. ION REN1 nifee Building & Safety Dept JUN 14 2016 EC@IV® y ti ' r moos dt �•"� e° r a J 13; �i8'F ME &FEE '\ ING JP SAFETY rEPARTM NT F�CAN 0 AL REVIEWED BY DATE 'Approval of these plans shall not be construed to be a permit for,Oran 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.