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PMT16-03171 City of Menifee Permit No.: PMT16-03171 29714 HAUN RD. Type: Residential Addition 97ACCIEL�� MENIFEE,CA 92586 MENIFEE Date Issued: 09126/2016 P E R M I T Site Address: 31885 VICTORIA PL, MENIFEE, CA Parcel Number: 360-720-021 92584 Construction Cost: $2,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 220 So FT SOLID ALUMAWOOD PATIO COVER NO ELECTRICAL Work: Owner Contractor LINDA MORLET COVERS N GUTTERS.COM 31885 VICTORIA PL 1159 NEATHERLY CIR MENIFEE, CA 92584 CORONA, CA 92880 Applicant Phone: 9514888377 CHUCK SPEARMAN License Number: 926009 COVERS N GUTTERS.COM 1159 NEATHERLY CIR CORONA, CA 92880 Fee Description Qtv Amount 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 bulliding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Exoept 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 BidgPerrnit—Template.rpt Page I of I CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and o 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 DO'N License a. CUIWY3 si By my signature below I acknowledge that,except for my personal re Idence Expires Signature inwhicb I musthave resided foratleastoneyear priorto 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 o I hereby affirm under Pena Ity of perjury one of the following clecla rations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-Insu re for worker's 7044 of the Business a nd 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 La bar Code,for the performance of work for which www.leginfo.cagory/calaw.himl. this permit is hisued. Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date o I have and will maintain worker's compensation insurance,as required by secrion 3700 of the Labor Code,for the performance of the work for which a 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 number am: application and the information I have provided is correct.I agree to comply 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# 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 XI 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 became HAZARDOUS MATERIAL DECLARATION subject to the workAs compensation provisions of Section 3700 of the Labor a Code,I shall forth ' c h h se provisions. Will the applicant or future building occupant handle hazardous materl lore ApplicanoZj6j �= —Date oi A mixture containing a hazardous material equal to orgreater that the IF - amounts specified on the Hazardous Materials Information Guide? LAtARNING.FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes 0& UNLAWFUL,AND SHALL SUBJECr 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 COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Qua lity Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORN EYS FEES for guidlones CONSTRUCTION LENDING AGENCY Dyes JsLNo 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) Dyes ANO OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I uVerstand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Sa^r Code,Section 25505 and 25534 conc ming Contractor's License Law for the reason(s)Indicated below by the h d i ria ,port] checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dpzar ous n ,ftes Business and Professions Code).Any city or county that requires a permit:to Data construct,alter,improve,demolish or repair any structure,prior to its PROPitpp 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 IRRP1 License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Businws and Profoslons Code)or that he or she is exempt fram 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 a 1,as owner of the property,or my employee with wages as their sole emp loyees.For more information about EPA's Renovation Progra rn visit: compensation,will do( )allofor( )portion of the work,and the structure Is www.ePa.Rov/Iead or contact the National Lead Inforination Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80G-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a ci 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 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER PMT((o-- 0.!)a TYPE: COMMERCIAL KESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION 0ELECTRICAL OMECHANICAL Pa�,b Cov..r ONEW OPLUMBING 0— RE-ROOF-NUMBER OF SQUARES— DESCRIPTION OF WORK c�ola Cov-.,- PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME CAAP, ADDRESS PHONE EMAIL APPLICANT NAME ADDRESS PHONE EMAIL C. J15'c� A r Dq f-b cou'-r-C-4 CONTRACTOR'S NAME Cj*Ver3/\/gd4*r5- OWNERBUILDER? OYESONO BUSINESS NAME Oo\jv5 Aj ADDRESS f ti5cl cxv PHONE cls(- q576 - EMAIL b6-3 CONTRACTOR'S STATE LIC NUMBER cl�cz LICENSE CLASSIFICATION VALUATION$ SO.FT LSQFT APPLICANT'S SIGNATURE DATE -,Tw 7"28A.I.T4104 DIPART ENT DISTRIBUTION SINESS LICENSE NUMBER BUILD DIAM PLANNING ENGINEERING FIRE GREEN SMIP T= INVOICE PAID AMOUNT AMOUNT oct.(o'5 7 1 1 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES I PAID AMOUNT I I OC45H 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee 8widing& Scifety Department 29714 Houn Rd, Mlenifee, CA 92586 951-672-6777 wvvvv.cityofmenifee.us lo5pection Request Line 951-246-6213 CITY —S106S5 Ll,^,�q. VA D z �-e y ow,,�ft.e Add,—, C�ea'5s 1159 ztlierly Cir Corona 92880 * No C�WCX S2F-A(LMlz,,N Covers N Gutters 951 -488-8377 Slivaluation Total$ Scope 0 work -fl ,-,( r),5-OD — A`ojmm,)o6d- SL Wi P nd Sj�ed --1 -5ic>\3 a-A-fA 'pa-I-to Coop(- �,77-^ctft�b Tp Ttfr- PA'i o, a 0 te 110 MPH Electitcal Fans 4K ft-�x po-�Fspp'e�lro Cd q Post Licjhts ao I Switches LED Recessed Out Lets Flood Lights Planning Requirements ATTxAtn Include properly line Show Max Post Spacing LEDGER & TRA 'K ATT INSPECTION REQU REI�, City of Menitee Building & Safety Dept. OF MENIFEE SEP 2 6 2016 DEPARTMENT City Inspect ion UOVAL Received Requirernents Light Fixtures Mui�bwucd) BY Track&Leader Required Leve I 904Fi I Fan 01),n not be mnstrued to be a permit fo or Of allY PrOAsions of the federal,state ol c - This set Of approved plans must be k pt on the finances V1, ck(W\a-