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PMT16-03963 City of Menifee Permit No.: PMT16-03963 29714 HAUN RD. 'i;kCCEiLA_> MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 1210512016 P E R M I T Site Address: 29636 COPPER RIDGE RD, MENIFEE, Parcel Number: 340-460-008 CA 92584 Construction Cost: $3,600.00 Existing Use: I &2 Family Residence Proposed Use: Description of INSTALL 408 SO FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 2 FANS, 3 LIGHTS Work: Owner Contractor JERRY&CINDY LOPEZ PATIO GUY ALUMAWOOD CONTRACTOR 29636 COPPER RIDGE RD 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92584 MURRIETA. CA 92562 Applicant Phone:9513330056 LOIS MONTINI License Number:872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description ON Amount I$) Receptacle, Switch,Outlet&Fixture 5 136.00 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 6.80 $311.45 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 building 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. AABIdg—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). Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exam pt from licensure under the Contractor's State License Law for Professions Code my license is in full force and effe . the following reason: License Class Z Lice A'e8.9 By my signature below I acknowledge that,except for my personal residence Expires 6,Zo-17 Signature atrh.'�_' in which I must have resided for at least one year prior to completion of Improvements covered by this permit.I cannot lega Ily 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 u I hereby affirm under penalty of perjury one of the following decla 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 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 La bor Code,for the performa nce of work for which this permit is issued. wwvv.leainfo.ca.gov/caIaw.htmI. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT o 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 ci By my sIgnatu re 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 n umber are: 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# Expi�res 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 OWN ER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 0 155144 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 fojtljw�b comply With thipse provisions. Will the applicant or future building occupant handle hazardous material or a Applic-_ 5� Date mixture containing a hazardous material equal to or greater that the amounts spec' Ld on the Hazardous Materials Information Guide? J VIC' WARNING:FAILURE TO SECURE WORKER!S COMPENSATION COVERAGE 15 a Yes it UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or futu re 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 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 I herebyaffirm that underthe penalty of perjurythere 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 bou school? (Section 3097 Civil Code) ciYes 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 Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous manglaijreporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes 0 i465�: Business and Professions Code).Any city or county that requires a permit to t2bbd"Z_k� Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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 Contmctoes State EPA RENOVATION,REPAIR AND PAINTING 1RRPJ License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(ARP)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 childca re facility to be RRP-cert'iffed firms and comply with an Applicant for a Perm it subjects the applfca nt to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their o 1,as owner of the propeft or my em ployee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do I )all of or I )portion of the work,and the structure is www.epa.Royllead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the Property provided that the improvements are not intended or offered for Certified Firm Name: sale.if,however,the building or improvement Is sold Within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm Is required for this project because: ci 1,as owner of the phaperty am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING SAFETY PERMIT/PLAN CMECK APPLICATION 717- D AT PERMIT/PLAN CHECK NUMBER PHI(Ito- (D M .TYPE: 0- COMMERCIAL rVRE51DENTIAL OMULTI-FAMILY 0MOBILEHOME QPOOLISPA �51QN SUBIYPL: UAUUIIIUN UAL-ItHATION (JULMULITION JELELI-RiCAL OMECHANiCAL &IVEW OPLUM13ING 0 RE-ROOF-NUMBER OF SQUARES—_ DESCRIPTION OF W; lK L4,b 44L X �4 77 L) VE-7� PROJECTADDRESS lg 9 42 3 42 (�_p fi�plx:;R' -P)I-)q E- /�z) ASSESSOR'S PARCEL NUMBER 5 LfO - Lf(W -GO$ LOT I '-'? TRACT W-7 5'7 OWNERNAME -=�:z Cl-- /tl-)6 ADDRESS AQ //) :L �a Di >ck cz: PHONE qd 6) EMAIL APPUCAPM NAME 41 ADDRESS PHONE EMAIL CONTRACTOR'S NAME OD4nn 7�477-1 Q.WNER BUILDER? 0 YES PN-6— BUSINE55 NAME - 7'-J4 T7 b ADDRESS A-77-: OLAO, I I A/ 9 PHONE -q--EMAIL Q&JflACC�0 )[Ar)-ojw� a , W� CONTRACTOR'S STATE LIC NUMBER d6 '7019 LICENSE CLASSIFICATION VALUATION SQ FT L SO FT APPLICAW'S SIGAIR TURE WZ j. DATE �7 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN S INVOICE it I Tj� PAIDAMOUNT AMOUEN -45 1 1 OCASH OCHECK# OCREDITCARD VISAYMC PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK N OCREDITCARD VIWMC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO A Lj Q.Tb- %14A 11!2� 7 RAG K 'PECTIONREO.UIRE' ' City of Menifoe Mor SL) L )b Building & Safety Dept. 0 C 0 5 70% F7: e 0 0 v('3§1 L JL C—rL�Cra I e. I F-ANS L) q )4TS J)' MENIFEE 7R�--16 t aj FLET"PAEM ENT )Aef'KUVAL ply DAT �hese plans 51�4;1 nf,!bP(cnstrued to be a permit fiwn dpproWl�Ot,dry V;oIaticIn of any Pawkions of th�federal,state or city ,re000ations and ordinances. Thisset of approved plans must be kept on t jobsite until compietion, 'D)PP 11D Ck 1;� P—b Wft�M4+.D r--rAFZ Z) C—I*T 11 a W 14TI 0 SQY 4UMj4jC)D4 Cc4me�irr joi -j tq LD#�C- Z- qlIq-ItD'dCA , ��' gg I'd 3 LP - f� R ra. 'Owc ft-) FN ra'1�1%cv, S U r e.+�