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PMT16-02404 City of maniffee Permit No.: PMT16-02404 29714 HAUN RD.r Type: Residential Addition ACCELA� MENIFEE, CA 92586 MENIFEE Date Issued: 0 7/2 712 0 1 6 F E RMf T Site Address: 28796 PARK TRAIL WAY, MENIFEE, CA Parcel Number: 333-680-034 92584 Construction Cost: $4,512.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 564 SQ FT SOLID ALLIMAWOOD PATIO COVER W/ELECTRICAL 3 FANS Mork: Owner Contractor MARK STOCKSTILL ANGEL'S PATIO COVERS&AWNINGS 28796 PARK TRAIL WAY 225 SPARKLER LANE MENIFEE,CA 92584 PERRIS, CA 92571 Applicant Phone:9514431659 YVETTE GONZALEZ License Number:900657 ANGEUS PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA 92571 Fee Description ON Amount tLl Cvtlet& Fixture - -. Building Permit Issuance 1 27.00 a^ 1 GREEN FEE 1 1.00 i l General Plan Maintenance Fee-Building 1 6.65 . '111r i,! iri Inance Fee-Electrical 'I 3.30 $300.95 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_Templatespt 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 perjury that 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License law). Chapter!)(commencing with section 7000)of Division 3 of the Business and a 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 k f J 3 License No. y y g g p y personal residence �/����c. O B m signature belowlacknowled acknowledge except Expires/ ,2// / Signature in which l 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 DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑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 yttvw,leeinfo.ca.eov/cataw.html. this permit is issued. Policy# Date iGr have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the 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 owner's behalf.I have read this numberare: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# xpires 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 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 it EJ _✓o 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 fort ith co ly with those provisio Will the applicant or future building occupant handle hazardous material or a Applicant �/� mixture containing a hazardous material equal to or greater that the c amounts—sp�ecified on the Hazardous Materials Information Guide? WARNING:FAIL RE TO SECURE WORKER'S COMP SATION COVERAGE IS D Yes Rwo 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($100,000),IN occupant require a permit for the construction or modification from South IN SECTIONON 3 06 OFT T LABOR CODE,INTEREST, DAMAGES ATTORNEYS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR[ODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY a Yes . No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is Issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes ciNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)1 have placed next to the applicable item hazardous material reporting.$)(Section 7031.5 ❑No Business and Professions Code).Any city or county that requires a permitto Dale construct,alter,improve,demolish or repair any structure,prior to its p RN OWNER OR AUTHORIZEDA P T 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter9(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 apre-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($500). managers who do the paint-disturbing work themselves or through their D 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm Is required forthis project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. C & SAFETY PERMIT/PLAN CHECK APPLICATIONs@ Menifee DATE -I a j Dol4e PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL -C-<ESIDENTIAL O MULTI-FAMILY MOBILE HOME C POOL/SPA C=SIGN SUBTYPE: U ADDITION ,O.ALTERATION DEMOLITION -,-fL-ECTRICAL O MECHANICAL :% NEW O PLUMBING :% RE-ROOF-NUMBER OF SQUARES -7 DESCRIPTION OF WORK S PROJECTADDRESS - / Ojq (5�� 4 ASSESSOR'S PARCEL NUMBER 3 '(D�p- ��� LOT TRACE OWNER NAME , ADDRESS PHONE - 10OX EMAIL APPLICANT NAME -e 0 `e ADDRESS PHONE ' AIL CONTRACTOR'S NAME OW ER 8 ILD ? &YES NO BUSINESS NAME y ADDRESS l" CW0,2L65-1I PHONE I EMAIL CONTRACTOR'S STATE LIC NUMBER G LICENSE CLASSIFICATION VALUATION$ 0 SQ FT L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION (�V CITYOF,,CCMI1ENIFEE B IN):S$L�.IL/ENSyENUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP l ll [- U INVOICE �V�CJ(' PAIDAMOUNT AMOUNT V II 0 CASH C CHECK M G CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT „CASH %CHECK# 'O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER :' YES C NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.Cityofinenifee.US Inspection Request Line 951-246-5213 Sei.+d um�nun�1 o CoEe vet : TXy1'- &jtv4sgt=+ 3-FOY15 3I1. City of Menifee 3uilding & Safety Dept. JQER JUL 2 7 2016 ECTION REQUIREL ZI TI --� Sol;d q lurn 'nun,-) I pcaib Cvvet2 (E}nrvtQ bvAt'►E 00 I fnary, S40Ck<S I �g79Co pb,-k I roti I NCA\j (flDryLp� M�tni�'ez , C►i `f :i7Y C)t NIE`IFEE uiLMNG ANDS".FETY DEPA TMENT -.tAN APPROVAL f �fvE� BYO DATE y��/►' 'Approval of these plans shall not be construed to I Vp e a permit for,or anD r l, 1 O✓ t apor,val of,any violation of any provisions o`the f deral,state or city J regulations and ordinances. This set of approved p ans must be kept on the icbsite until completion.