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PMT16-02668 City of Menifee Permit No.: PMT16-02668 _ 29714 HAUN RD. T Residential Addition �/-�CCELA— MENIFEE, CA 92586 y�� MENIFEE Date Issued: 0 811 612 01 6 PERMIT Site Address: 30544 BUCKBOARD LN, MENIFEE, CA Parcel Number: 358450-007 92584 Construction Cost: $4.450.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 26'x 13' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor JEFF CHENAULT SOUTHERN CALIFORNIA PATIOS 30544 BUCKBOARD LANE 1787 PAMONA DR#B MENIFEE, CA 92584 CORONA,CA 92880 Applicant Phone:9098161288 SOPHIA KING License Number: 948536 SOUTHERN CALIFORNIA PATIOS 1787 PAMONA DR#B CORONA,CA 92880 Fee Description Dot Amount ISl Receptacle,Switch, Outlet&Fixture 1 116.00 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 General Plan Maintenance Fee-Electrical 1 5.80 $290.45 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_BIdg_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 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 D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect �k _ (�� the following reason: License Class LJc"'e[rse No. I—I V S "" y my gnature below I acknowledge that,except for my personal residence Expires Signature 1\ �` n ich 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 DECLARATION have built as an owner-builder If it has not been constructed in its entirety by he eby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section 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 bythe 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 ofwork forwhich wwvv.leainfo.ca.Rov/caiaw.html. this permit is issued. Policy# lb GO e1 Date I PROPERTY OWNER OR AUTHORIZED AGENT have a will maintain workers compensation insurance,as required by KI-700 of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the following:I am the property Is 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: p V� ap�callon and the information I have provided is correct.I agree to comply Carrier 711/� Yl �1 L( ( n all applicable city and county ordinances and state laws relating to ildin construction.I au o i presentatives of this cityjorumtytoPolicy# G �2tp24 Expires a to ab identi e p e for inspection purpos s1 I (This section need not to be completed is the permit is for one-hundred 111 Date rdolla ($100)arless PR P Fi NER ORA O 12ED AGENT ~ ify that in the performance of the work for which this permit is issued, otem In any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# s comp n tion laws of California a ee that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the rZrs compensation#fr sions f5ecdon 37 of the bor Code,Ishall fort itt compywith os`e rovisi s. Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant ( - Date am nts specified on the Hazardous Materials Information Guide? WARNING:FAILUR T SE URE WORKE ' COMPENSATION COVERAGE IS /es XNo UNLAWFUL,ANDS ALL SUBJECTAN EM OYER TO CRIMINAL PENALTIES fl eintended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN cupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR oast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY o Yes ❑No 1 hereby affirm that under the penalty of perjury there is a construction Will he proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued t boundary of a school? (Section 3097 Civil Code) s No OWNER BUILDER DECLARATIONS 1• ve read the Hazardous Material In rm tion Guide and the SCAQMD I permitting checklist.I understand m equi ments under the State of hereby affirm under penalty of perjury I am exempt from the California ea h&Safety Code,Se n 255 5 and 25534 cem.ing Contractors License Law for the reason(s)indicated below by the hazardous ial reportin . checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes D N Business and Professions Code).Any city or county that requires a permit to Da construct,alter,Improve,demolish or repair any structure,prior to its PROPERTY O R A OR2E 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 RENOVAT O R A AND PAINTI G 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($500). managers who do the paint-disturbing work themselves or through their o 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.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(5373). Code,The Contractors State License Law does not apply to an owner of a 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 because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 70",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 PERMIT/PLAN CHECK APPLICATION Menifee DATE Siw PERMIT/PLAN CHECK NUMBER —Q TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING CO RE-ROOF-NUMBER OF SQUARES - DESCRIPTION OF WORK U 0 1 f t/vV - PROJECTADDRESS &c I -o Y ASSESSOR'S PARCEL NUMBER , / L, !o •W I LOT TRACT OWNER NAME lM.� nifee ADDRESS ding/ V ., ¢� lt� Buil & Safety Dept. PHONE l �.92 \r Y� p �/� EMAIL AUG 16 2016 APPLICANT NAME -��,�7 ADDRESS o t CPT PHONE EMAIL CONTRACTOR'S NAMEY.2)jOWNER BUILDER? O YES NO BUSINESS NAMEr� .m ^� l ADDRESSl��Y�/1G� PHONE `��vt V"I Q�� '�� b o EMAIL S CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SQ FT r L SQ FCT� APPLICANT'S SIGNATURE DATE CIrYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP I 1 PAIDAMOUNT AMOUNT ,L O� u5 C CASH C LHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT CCASH OCHECK# OCREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES C 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 951-245-6213 LSD �- � r 5102 3b1 sg-z 05 O U City of Menifee W Building & Safety De t. U U. AUG 16 2016 U LL 16L ° - Received LEDGER & TRACK INSPECTION REQUIRED j� �572 — I j3 2� CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL r l �►ta�1t0 �� REVIEWED BY -m— •0i6- DATE *Approval of these plans shall not be construed to be a permit for,or an I approval of,any violation of any provisions of the federal,state or city regulations and ordinances. Inisset o jobsite until completion.