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PMT16-02425 City of Meniffee Permit No.: PMTIG-02426 _ 29714 HAUN RD. CCEL:I...' MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 07/28/2016 przRN � Site Address: 30297 STAGE COACH RD, MENIFEE, CA Parcel Plumber: 358-422-025 92584 Construction Cost: $3,560.00 Existing Use: 1 &2 Family Residence Proposed Use; Description of INSTALL 12 x 30'SOLID ALUMAWOOD PATIO COVER VNTH 2 FANS,2 LIGHTS Work: Owner Contractor ANTHONY SILVA SOUTHERN CALIFORNIA PATIOS 30297 STAGE COACH ROAD 1787 PAMONA DR#B MENIFEE,CA 92584 CORONA,CA 92880 Applicant Phone: 9098161288 SOPHIA KING License Number:948536 SOUTHERN CALIFORNIA PATIOS 1787 PAMONA OR#B CORONA,CA 92880 Fee Description QQtr Amount($ _.A, Outlet 8, Fixture ._ Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $306.20 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_eldg_Pennit_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 perjury that I 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 o 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: /1 tom/ License Class L cense NoG 4 13 r7� By my signature below I acknowledge that except for my personal residence Expires Signature V 1_ in which I 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 in I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.)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 requestwhen compensation,issued by the Director of Industrial Relations as provided for *w=.legir bmitt or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. cola .rt I.Policy# 1 I2 �ZCIG� .Dateo I have and will maintain workers compensation insurance,as required by R 0 ZEDAGENT section 3700 of the Labor Code,for the performance of the work for which low Jrtify to each of the following:)am the property this permit is issued.My workers 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.)agree to comply Carrier `applicable cityand county ordinances and state laws relating to �I buI dinggconstruc on.I authorize resentatives of this city or county to Policy# ` 1�2�OZ�� Expires nt th�above id ntified r perty or inspection pur(This section need not to be completed is the permit is for one-hundred Date ` U(X� I V' dollars($100)or less P PERT'0 ER (tk THO Z D AGENT ❑I certify that in the performance of the work for which this permit is issued, y�I I shall not employ any persons in any manner so as to become subject to the CITY U NESS LICENSE# workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to t !7rkers compensation provisions of Section 3700 of the Labor Code,I sha forthwith comply wit) those row ions. Wil a applicant or future building occupant handle hazardous material ora Applicant ( Date tel inure 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 -ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South ast.Airt� IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES ality Management District(SCA4MD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY o Yes o No I hereby affirm that under the penalty of perjury there is a construction ��`///��WilLtiae proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued /1 quter boundary of a school? (Section 3097 Civil Code) _vdVYes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting the4hafe derstand my requirements under the State of )ifyrnia He ty Cde, e ioT5505and 25534 concerning Contractors License Law far the reasons)Indicated below by the hazardous matng.checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyesoNoBusiness and Professions Code).Any city or county that requires a permit to Daconstruct,alter,improve,demolish or repair any structure,prior to its PROPERTYOWUTHORRE 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 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 apre-197B and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare n for most beork that d stued firms and comply with than 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 ❑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 I )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-B00-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a o 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: a 1,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. =1 F 3 l0 0 30 2-9-1 Sin&;c coU(1/1 . Mknt�= , CA g2Ss�1 LEDGER & TRACK INSPECTION REQUIRED City of Menifee Building & Safety Dept JUL 2 8 2016 Received i a LD ,c CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL I vl REVIEWED BY Ila?)J1L,0 DATE 'Approval of these plans shall not be construed to be a permit for,or an 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER LQ - TYPE: O COMMERCIAL *RESIDENTIAL 0 MULTI-FAMILY C MOBILE HOME O POOL/SPA C SIGN SUBTYPE: *ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK IG PROJECTADDRESS � ASSESSOR'S PARCEL NUMBER -L �;- 'C.b�J LOT TRACT City Of Menifee OWNER NAME v BuildIn & ADDRESS PHONE�0(a �� EMAIL APPLICANT NAME C � eCefVe ADDRESS PHONE (�Sl p�Yj 'J�� > EMAIL I l CONTRACTOR'S NAME VA kx Au OWNER BUILDER? O YES O NO BUSINESS NAME ^ Irn C-LUArnia02,hL, ADDRESS /J��(��\ 1� f ,, n(A CA- ^f-hCnD 0 � r� I� PHONIS '� 1 V" ► 1 (� 11(/ I LZS 0 EMAIL �I C ' 16D CONTRACTOR'S STATE LIC NUMBER �� CQ {-� LICENSE CLASSIFICATION VALUATION$ ( SO L SQ FT - APPLICANT'S SIGNATURE % DATErCfrYS7A�FF USE ONLY DEPARTMENT DISTRIBUTION I CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP INVOICE k ID AMOUNT AMOUNT • O OCASH OCHECK# OCREDITCARD VISAIMC PLAN CHECK FEES ID AMOUNT I 0CASH ON CHECK# 0 CREDIT CARD VISAIMC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES 0 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