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PMT16-03612 City of Menifee Permit No.: PMT16-03612 29714 HAUN RD. '19;�CCELA_> MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 11/0412016 P E R M I T Site Address: 27811 PORTAL WAY, MENIFEE, CA Parcel Number: 333-70D-035 92585 Construction Cost: $5,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 1OX40 SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor THOMAS CLYNE TODD'S PATIO COVERS 27811 PORTAL WAY 30905 GREENSBORO DR MENIFEE,CA 92585 TEMECULA,CA 92592 Applicant Phone:9516608665 TODD SKARIU License Number.,834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description Qtv Amount Receptacle, Switch, Outlet&Fixture 2 121.00 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 6.05 $295.70 The issuam:e ofthis permit shall not preventthe building official from thereafter requiring the correction of effors in the plans and specifications or from preventing builicling 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 oommenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AkBk1g_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 I 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 Rcensure under the Contractor's State License Law for Professions L and my license is in full force and effect. the following reason: 17, L// Lice N" 2,5-4 License C il — By my signature below I acknowledge that,except for my personal residence Expires 044 11 1�a signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legal"ell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ct I hereby affirm under penalty 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-insure for workers 7044 of the Business and Professions Code,is available upon request when cam pensation,issued by the Director of Inclustria I Relations as provided for this application Is submitted or at the following website: by Section 3700 of the La bor Code,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.litmi. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ci I have and will maintain worker's compensation insurance,as required by section 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 are: 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 ;enterjAe a ve' entffl property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date AZZ dollars($100)or less --4FOFERTY 0117NERZIR AUTHORIZED AGENT '?bq certify that in the performance of the work for which this permit is issued, I shall not emp] any persons in any ma nner so as to become subject to the CITY BUSINESS LICENSE It workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION s bLct 0 the wo U t ,I a I Will the applicant or future building occupant handle hazardous material or a C shZhp6 7 mixture containing a hazardous material equal to or greater that the Ap Ic rit amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKEWS COMPENSATION COVERAGE IS oYes &�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 TOONE 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 Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY 0 Yes EAU 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 b d rypf a school? (Section 3097 Civil Code) a yes OWNER 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 C94e,Sectlipri 2S50S and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardor checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 uYes ) 0 Business and Professions Code).Any city or county that requires a permit to 0 Date GIL construct,alter,improve,demolish or repair any structure,prior to its PROPERT(A),��NKWXUTHORIZED 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 he RRP�certifled firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practim.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 wv�w.epa.govllead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1�800-424-UEAD(5323). Code;The Contractoes 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: o 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 ��""MenifAPV 0 4 2016 DATE PERMIT/PLAN CHECKAqrAve*q>jyq- ti4 nom TYPE: ', COMMERCIAL CRESIDENTIAL OMULTi-FAMILY OMOBILEHOME 0 POOL/SPA 0 SIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ /0 / �� /In t DESCRIPTION OF WORK YU 5 b -4� b g/wrjo W+ D PROJECTALRESS azg .CA)o ASSESSOR'S PARCEL NUMBER LOT TRACT OWNERNAME -71) 11 ADDRESS 2 q,51 PHONE EMAIL U APPLCANTINAME Y-le 1, ADDRESS L AlfPHONE EMAIL cem OWNER EILIIUDEI�/C,YES MO CONTRACTOR'S NAME -"I* L11 YC4-4-i() (--!� BUSINESS NAME ADDRESS e44�5 kn--e-o :D r-7 PHONE 696-0-4,6e�)� EMAIL kk il Ali'9-� 6/& �W CO CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION��. VALUATION$ 4,nSQ FT L SO FT I.A= - DATE ------- --- CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION IP CJTY0FMENL1tgE UNNn �tMtNUMbtK BUILDING PLANNING ENGINEERING FIRE I GIEEN INVOICE ' V1 PAIDAMOUNT I AMOUNT IS Zqf. OCASH OCHECK# OCREDITCARD VISAINIC PLAN CHECK FEES PAIDAMOUNT 0 CASH OCHKK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofimenifee.us Inspection Request Line 951-246-6213 -T I -in all C=, :r:Tol 0- 0 C-- C > 0 Z co > (D 50 -n 0 CD D CD cm 0 CD Er OFFICE COPY D-)(0