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PMT16-02293 City of meniffee Permit No.: PHIT10-02293 29714 HAUN RD. 'K;kCCEL/? MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 07118I2016 PERMI 'i Site Address: 27667 HOLLYOAK WAY,MENIFEE, CA Parcel Plumber: 333-302-003 92585 Construction Cost: $4,125.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 481 SQ FT SOLID ALUMAWOOD PATIO COVER WfELECTRICAL 2 FANS Work: Owner Contractor SAM TRAN ALUMACOVERS OF CALIFORNIA INC 27667 HOLLYOAK WAY 6185 MAGNOLIA AVENUE SUITE#23 MENIFEE, CA 92585 RIVERSIDE, CA 92506 Applicant Phone:6269349200 ALMA MONTEON License Number.995932 ALUMACOVERS OF CALIFORNIA INC 6185 MAGNOLIA AVENUE SUITE#23 RIVERSIDE,CA 92506 Fee Description Oat Amount(El A Fixture 2 121.00 Building Permit Issuance 1 27.00 .1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Nlaintenance 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_Bldg_Permit_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 perjurythat 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 n I am exempt from licensure under the Contractor's State License Law for Professions Code a my license is in full force and effec� the following reason: License Class. License No. 3 By my signature below 1 acknowledge that,except for my personal residence Expires EJI %% Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION ATIO have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalttyy o of f perjury one of the fallowing 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 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 Cade,for the performance of work for which www.Ieginfo.ca.gov/calaw.htmL permit is issued. Policy# Date D I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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 an the property owner's behalf.I have read this number are: / 7 application and the information I have provided is correct.I agree to comply C �' d�(,(N 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# L 'I 0� ( Expires �'�J�� 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 o I certify that in the performance of the work for which this permit is issued, I shall not em Ploy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# cr worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subje o ker's compensation provisions of Section 3700 of the Labor Co Is o 1 rcomply wrh as provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date -7-1�I{o mixture containing a hazardous material equal to or greater thatthe amounts sp ified on the Hazardous Materials Information Guide? WARNING: ILURETO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑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 TOONE 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidel' s CONSTRUCTION LENDING AGENCY D YesIti No I hereby affirm that under the penalty of perjurythere 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 boun ryofa school? (Section 3097 Civil Cade) 0 Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable Ltem(s)(Section 7031.5 bar rid u al reporting. Business and Professions Cade).Any city or county that requires a permit to oYes 01 0 construct,alter,improve,demolish or repair any structure,prior to its Date l l Issuance,also requires the applicant for the permit to file a signed statement PROPERTY WNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contactors 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 contactors 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($S00). managers who do the paint-disturbing work themselves or through their ❑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.epa.gov/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 0 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. o No EPA Lead-Safe Certified Firm Is required for this project because: 0I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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 & SAFETY PERMIT/PLAN CHECK APPLICATION "Menifee ly A DATE I b I PERMIT/PLAN CHECK NUMBER P N1Ti b - pa�l� TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: :'vADDITION :%ALTERATION :%DEMOLITION O ELECTRICAL O MECHANICAL ON �JO PLUMBING O RE-ROOF-NUMBER OF V ° SQQ�U�ARE�S, �J DESCRIPTION OF WORK Tj U�,V✓\1 Lk' m 1 v l.EJ1 eP, r IAJ 5-- LQ..0 . -2 � PROJECTADDRESS 6 I)�Z- W " `MvJIr-Re , l^41 ASSESSOR'S PARCEL NUMBER %�� /?Q�'d�3 LOT I TRACT OWNER NAME ADDRESS D W I �Y(/�1 �L� CA PHONE /�/� I/�,,EMAIL APPLICANT N/A� �E / [ �`-p'_ /" `°�'`+,e vvC_ r ADDRESS PHONE A EMAIL CONTRACTOR'S NAME r ��U LAAJF, �"'Y� Or C741At d- I OWNER BUILDER? O YES ONO BUSINESS NAME 7 I h NJ * a�5 ADDRESS /' �" / (�'/9v PHONE(lQ�l,p� "I "J�� 1 t? /- EMAIL CONTRACTOR'S STATE LIICCNUMBER LICENSE CLASSIFICATION VALUATION$ -1 Imo" SQ FT 5ITT L SO FT APPLICANT'S SIGNATURE-4 DATE DEPARTMENT DISTRIBUTION I60 I� CITY OFFMMENIFEE BISJW(; ICEN5E NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE 10 PAIDAMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES C 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 3N � ,S N o = m 00 v D m 0 Z Z per. 3 = 3 Nri -n Eou N 1 9G m � T7 --0 i n L y n ®rn rri — 7'to 7z m+ T � _ � m C CU w m c_ m CD OI S I � � Nc �I�Tlto- pa -3 CITY