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PMT17-00083 City of Menifee Permit No.: PMT17-00083 29714 HAUN RD. Type: Residential Addition �l-�CCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 02117/2017 PERMIT Site Address: 31585 NORTHFIELD, MENIFEE, CA Parcel Number: 358-231-004 92584 Construction Cost: $24,990.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of CONSTRUCTION OF ATTACHED SOLID CUSTOM PATIO COVER AND SITTING AREA 1400 SO FT, Work: W/ELECTRICAL&FREESTANDING BBQ Owner Contractor RICHARD&CORINNE QUESADA 31585 NORTHFIELD LN MENIFEE,CA 92584 Applicant License Number: RICHARD&CORINNE QUESADA 31585 NORTHFIELD LN MENIFEE,CA 92584 Phone:9516724310 Fee Description Ply. Amount I51 Receptacle, Switch, Outlet&Fixture 13 176.00 Gas System 1 116.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 2 266.00 Additional Plan Review Building 183 182.65 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 4.00 New Construction Permit Fee 1 114.95 General Plan Maintenance Fee-Building 1 13.30 General Plan Maintenance Fee-Plumbing 1 5,80 General Plan Maintenance Fee-Electrical 1 8.80 General Plan Maintenance Fee-New 1 5.75 Construction $921.25 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_61dg_Per mit 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 ❑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 License No. By my signature below I acknowledge that,except for my personal residence Expires _ Signature In which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered bythis 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 ❑1 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 workers 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 Labor Code,for the performance of work for which this permit is issued. Policy.# C ,X/� Dat ❑I have and will maintain worker's compensation insurance,as required by aPR/OPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which �"'my signature below I certify to each of the following:I am the property this permit is Issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this num her are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city andcounty ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires eJr[er-th ove identified p ropertV for inspection purposes. (This section need not to be completed is the permit is for one-hundred a n dollars($300)or less Date PROPERTYOWNER OR AU IZED AGENT ❑I 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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts sppeffled on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes , No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occll upant intended usermit of f buildingst by theapplicantorfuture building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7 See permitting checklist for guideline CONSTRUCTION LENDING AGENCY ❑Yes I hereby affirm that under the penalty of perjury there is a construction WIII 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 boun of a school? (Section 3097 Civil Code) ❑Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 hazcudous�material reporting. Business and Professions Code).Any city or county that requires a permit to n �_ Date j� I ? construct,alter,improve,demolish or repair any structure,prior to its a 1'OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement PROP RT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to beo k that i disturbs firms and comply with thanApplicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their Xas owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.aov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7D44,Business and Professions 1-800-424-LEAD(5323). Cade;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN . . :,. Menifee DATE Vial PERMIT/PLAN CHECK NUMBER 1 9- TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA _]SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK a-E'CD PROJECTADDRESS `J$S ►�p2tl,� 2 �-�CiV V Mc�v l`"�rC Z5� ASSESSOR'S PARCEL NUMBER �StS'01aI -ODq LOT TRACT Z 3 PROPERTY OWNER'S NAME i C-pet rAe ADDRESS ND `e LAf-JC PHONE Q6-I (p-;�Z EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDER? ZYESEINO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION $ SO FT L SO FT APPLICANT'S SIGNATURE li' DATE DEPARTMENT DISTRIBUTION o6 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE PAID AMOUNT AMOUNT O O CASH O CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO OIL NUMBER 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 951-246-6213