PMT16-03965 City of Menifee Permit No.: PMT16-03966 29714 HAUN RD. Type: Residential Addition 't��CCEJLA-> MENIFEE. CA 92586 MENIFEE Date Issued: 1210512016 P E R M I T Site Address: 30643 VIEW RIDGE LN, MENIFEE, CA Parcel Number: 364-29M51 92584 Construction Cost: $6,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 916 SF SOLID ALUMAWOOD PATIO COVER WITH 3 FANS,8 POST LIGHTS Work: Owner Contractor ROGER LYNCH JUSTIFIED LANDSCAPING 30643 VIEW RIDGE LANE 22741 BLUE TEAL DR MENIFEE, CA 92584 CANYON LAKE, CA 92587 Applicant Phone:9517952222 ALEX ALVAREZ License Number.975513 JUSTIFIED LANDSCAPING 22741 BLUE TEAL DR CANYON LAKE, CA 92587 Fee Description Qtv Amount Receptacle, Switch,Outlet&Fixture 11 166.00 Building Permit Issuance 27.00 Deck/Patio, non-standard 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 8.30 $342.95 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of en-cm 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 Menifse.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.Bldg_Permit-Template.ript 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 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 C—Z) License No. GA Cf By my signature below I acknowledge that,except for my personal residence Expires S—3 k —1 J6 Signature Q-,� 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 a I hereby affirm under penalty of perjury one of the following declarations: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 webs[te: by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.htmi. this permit is issued. Policy# Date o I have and mfill maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property this permit is issued.My workees 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 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 ,At 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 UCENSE# 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 forthwith comply w!�`hose provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant OkG— Data amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURI WORKER'S COMPENSATION COVERAGE IS o Yes a 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 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 in Yes o No 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) o Yes a No 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 material reporting. checkmark(s)I have placed next to the applicable ftem(s)(Section 7031.5 oYes o No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for oe 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 Ucensure 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 RAP-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 m I,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 I I portion of the work,and the structure is www.epa.govilead 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 Contractoes 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: 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 RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION All Wenifee 19M&N2�e"t D 'DC, C 'D 2-D It PERMIT/PLAN CHECK NUMBER ATE em-0 -0,23PM5 TYPE: 0 COMMERCIAL P RESIDENTIAL 0 MULTI-FAMILY _0 MOBILE HOME 0 POOL/SPA O_SIGN SUBTYPE: 0ADDITION OALTERATION ODEMOLITION 9DELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Aj0(`nCL 00 Cj 1 0 PROJECTAIDDRESS 30 3 Ve '� L) c,e i (kf�j Q ocsg4 ASSESSOR'S PARCEL NUMBER 3LM- C;R0-e)5t LOT TRACT ully OWNERNAME ti c Building & iimety Dept. ADDRESS DFC 0 5 20 PHONE EMAIL 10 d APPLICANTINIAME ADDRESS oll\,) p_ TQ q, CCArJ Y t_)� OS KQ- C C� PHONE (:A5 ( -79SZ11L - EMAIL C,\ LQ_�l a) 41 C',e A I&,a '_,C q j g,,jj_ -,C+,� CONTRACrOWSNAME OWNER BUILDER? 0 YES ONO BUSINESSNAME 705 -FIC ',ed ADDRESS ?Lj " i P)\,,)e _T r,t,,_ eCIl IV C CA/\-J PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ (�(Dotp . 00 SO FT 9,f� — LSQFT APPLICANT'S SIGNATURE DATE 12 -5 CITY STAFF USE ONLY __[711TY 7OF DEPARTMENT DISTRIBUTION MERIFEE BUSINL LILENSE N BUILDING PLANNING ENGINEERING FIRE GREEN SMIP i INVOICE OCASH OCHECK# OCREDITCARD VISJVMC AMOU�T L PAIDAMOUNT L PLAN CHECK FEES PAIDAMOUNT -- CASH OCHECK# OCREDITr_ARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6777 www.cityofnienifee.us Inspection Request Line 951-246-6213 3o� q3 �-Roqe-(- lyr-4c-k Ve'l 0 ?�k 9 C;jty ot wienllyee uilding & Sa"et J)j pt. >_ Cl. DEC 0 5 20'E 0 -Po+or, L- qki- 9 (xt kielv -Po""'j Receive Uj LEDGER & TRACK U. U- INSPECTION REQUIRED 0 ATy OF MENIFEE UILDING AND SAFETY DEPARTMENT C) PLAN APPROVAL ��-REVIEWED BY C ATI Pproval of these plans shall not be construed tobe a permit for,0 an approval of,any violation of any provisions of the federal,state or ci y n ti, rdina This set Of approved plans must be ke regulations and o nces jobsite until COMPleftOn- p re io '0 12. T�>'7 IT 4;;� L'I hfs U T-0�02� A-)'U1V1A-w60'b Ge M-Q, ce-illAic, C--\Ose-O's z"n's�\-A t'