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PMT16-02306 City of Menifee Permit No.: PMT16-02306 _ 29714 HAUN RD. Type: Residential Addition 'ACCEL/_> MENIFEE, CA 92586 MENIFEE Date Issued: 07/19I2016 PERMIT Site Address: 30309 SILICATE DR,MENIFEE,CA 92584 Parcel Number: 360-810-068 Construction Cost: $3,700.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL ALUMAWOOD PATIO COVER 408 SQFT-NO ELECTRICAL Work: Owner Contractor JIMMIE&KATHLEEN DULIN 30309 SILICATE DR MENIFEE,CA 92584 Applicant License Number. JIMMIE&KATHLEEN DULIN 30309 SILICATE DR MENIFEE,CA 92584 Phone: 9092347952 Fee Description (QJtt Amount(SI 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 $168.65 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 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 ME IFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractors)pursuant to the Contractors State License law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if 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,for the performance of work for which www.le info.ca. ov calaw. tml. this permit is issued. 1 1` Z Policy# Alm, Date I t I o I have and will maintain worker's compensation insurance,as required by PROPS TY OWNER OR 4117HORIZED AGENT section 3700 of the tabor Code,for the performance of the work forwhich ❑By my signature below I certify to each of the following:)am the property this permit is issued.My worker's compensation Insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Cartier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# 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 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# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o 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 LABOR[ODE,OR CODE,TON,INTEREST,AND DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist TORNEYS FEES for guidelines IN SECTION 3706 OF THE LAB CONSTRUCTION LENDING AGENCY o 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 a school? (Section 3097 Civil Code) in Yes in No 10WNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's 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 o 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 PROPERTY OWN ER OR AUTHORIZED AGENT Issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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($S00). managers who do the paint-disturbing work themselves or through their as owner of the property,or my 5mployee 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.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of 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 bemuse: in I,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 rERM IT/PLAN CHECK APPLICATION py. I Menifee DATE I� I PERMIT/PLAN CHECK NUMBER a SO TYPE: 0 COMMERCIAL ' RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O-SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL NEW OPLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Q4iD - UC✓ m L,i PROJECTADDRESS 13b9 &IICQ.TG r..,, a g25b`4 ��yy �a ASSESSOR'S PARCEL NUMBER 3cf0 - (JIO Ote13 LOT #�9g TRACT y'I "I OWNERNAME j1unj q ,^,Q,II--,teyj n Ij ADDRESS �J)noq ( IAoa4 Dr. PHONE bog) 93q-�9sa EMAIL It,llh* APPLICANT NAME+,, eY1 Vrl ADDRESS PHONE EMAIL CONTRACTOR'S NAME f e P? et'S OWNER BUILDER? 0 YES ONO BUSINESS NAME JamEajjrQad S4- ADDRESS bn&, PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 3 7 0 SO FT `qb B _C�f L SQ FT APPLICANT'S SIGNATURE DATE I r`JI., - DEPARTMENT DISTRIBUTION 1 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREL EN SLIP INVOICE aIr 6 .� PAID AMOUNT �� AMOUNT �Y U O CASH O CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER 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 - .._. kwfa+y l6+ — C' of Meni}�e Building 8,Safet Dept. . JUL 19 MIS CC EMI I --t:( J i 0. i � t. �l I j ten U 1 �3blnclrx 1 n �jo ri�t)'_� cTiCt nrr _ j�J : ''✓y/w _� U. i I IL I O 1� II i 5r: S & TRACK A REQUIRED r QJ �7' F MENIFEE L%CA.4 `WID SAFE-PI DEPARTMENT 1APPROVAL � � � --� lIEWED BY A'n, T_ DATE � -r- t ro ns shall not be construed to ix a permit for,or an rovifany vi ation of any provisions ofthefkew,stane or city ulations and ordinances. This set of approved pla is must be kept on the .,usite until completion. (1� :3 /i r 09/08/2015 05:43 0000000000000 races mini - - ORDER DM FAX 961--13&-035 5T3D�3'•SIIRT� �-'�7 Products _ � a suM shop Hours 7:00 AM to 3_DD PN{ Oarorra�craSs�a - ORDER FORM DFJ. \/'e�7 �JnS r ,06f#jkw �ltct \ DUEDAE�� i.ER t— CONTACT PHONE NUbfZM _ f 7 [�naU xeia_ttc_1L_ COVER- 3V -OR ` LAT77CE OR f3.J+F PhN OR 1RP PP.D3C�tOli _ . 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