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PMT17-00560 City of Menifee Permit No.: PMT17-00560 29714 HAUN RD. Type: Residential Addition �ACCELA_>. MENIFEE, CA92586 MENIFEE Date Issued: 0 212 812 01 7 PERMIT Site Address: 29185 SIERRA GOLD CIR, MENIFEE, CA Parcel Number: 372-370-012 92584 Construction Cost: $3,D00.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 2 SOLID ALUMAWOOD PATIO COVERS, 14'x 13', 12'x 15',WITH 2 LIGHTS, 1 FAN Work: Owner Contractor JUSTIN SALAS SOUTHERN CALIFORNIA PATIOS 29185 SIERRA GOLD CIRCLE 1787 PAMONA DR#B MENIFEE, CA 92584 CORONA, CA 92880 Applicant Phone: 9098161288 LOIS MONTINI License Number: 948536 SOUTHERN CALIFORNIA PATIOS 1787 PAMONA DR#B CORONA,CA 92880 Fee Description Qy Amount 151 Receptacle,Switch, Outlet&Fixture 3 126.00 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 6.30 $300.95 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of emirs in the plans and specifications or from preventing builiding operations being carded 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_Bldg_Pennit_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 ❑1 am exempt from licensure under the Contractor's State License Law for Professions Code and cerise is in full force aAeff I the following reason: License Class License By my signature below I acknowledge that,except for my personal residence Expires ' d' b) CSignature � In which I must have resided for at least one year prior to 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 ❑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 7D44 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 ,,v,N,,v_le¢info.ca.zov/calaw.html. this permit is issued. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZEDAGENT section 3700 of the Labor Code,for the performance of the work for which ❑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 an the property owners behalf.I have read this numberare: }�� 1 k application and the information 1 have provided is correct.l agree to comply AJr� �l l with all applicable city and county ordinances and state laws relating to Carrier buildin onstruction.I authorize representatives of this city or county to Policy# ' T 6 O Expires p /e en r bave identified pEperty for inspection purposesrrrr.�� PP (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date RO RN OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If workers compensate laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the% ter compensation provisions of Section 370D of the Labor Code,I slJall.f it q/t�11 wit t (q� (/pns. Will the applicant or future building occupant handle hazardous material Ora A lica5tt r' YW �l—�l�/7"'�0ate mixture containing a hazardous material equal to or greater that the pp .� amounts spec 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 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 requires 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 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelliiness CONSTRUCTION LENDING AGENCY ❑Yes diTo 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 otasehoW (Section 3097 Civil Code) ❑Yes ❑ 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&SafeYSsidp0ection 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardou porting. Business and Professions Code).Any city or county that requires a permit to ❑Yzr-f--Date 9 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZ 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3of 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 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 orthrough their ❑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( )all of or( )portion of the work,and the structure is www.eoa.eov/lead 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 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. r� BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE A — l— / PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL '&HtSIDENTIAL O MULTI-FAMILY c: MOBILE HOME O POOL/SPA O SIGN enifee SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ��ECTRICAL :i MECHANICAIGullding & E gifety Dept. O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK / / 1 - / / [,JTj)f{ /a VS i3b [_,/ A GUdD P,4771) V LJ tf%r J. �A,l�l t @Q4E) PROJECTADDRESS /C/Q ASSESSOR'S PARCEL NUMBER �j-�I�L- j-7 p -tea LOT TRACT OWNERNAME S /A) ADDRESS PHONE /- 4 9/- ��{{��7 /� EMAIL APPLICANT NAME ADDRESS PHONE RJ `� � L L b_6ll EMAIL t� CONTRACTOR'S NAME _ /V L, 0A, ci/ OWNER BUILDER? " YES BUSINESS NAME �y �t n 909 n, ADDRESS / D7tJA- C� G ✓� i ��! 7 �Zl PHONE 7 toQ 92LI" T7 EMAIL �/ OhP . 0,10119 CONTRACTOR'S STATE LIC NUMBER 91 .6 5-3 LICENSE CLASSIFICATION VALUATION$ SQ FT 4 O L SO FT r/ iZAPPLICANT'S SIGNATURE DATE7 r DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE (Q] PAID AMOUNT /'] `� AMOUNT 1 .Me, CASH OCHECKG %CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECKp OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES 0 NO DL 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 951-245-5213 �1 1 -A REQUIRED 0 '4 b, 0- qD � . U r L 1h A } i) Is ] City of Menifee T Building & Safety De 11 D C FEB 2 8 2017 u � o Received p�to �11 G J,� D ` L �FTS . l T=A+t4 - — ,,d�ua�„irrx' 0 fi =1FEE " MENT PLAN APPROVAL [) g REVIEWED BY DAT *Approval of thdse plans shall not cons ued to be a permit for,or an u approval of,any violation of any provision of the federal,state or city regulations and ordinances. This set of a roved plans must be kept on the a u fC1N c TuSTT/J 84LAS 4! YOD , •l C>��It`o , D4- D r a91005 �S �EK�I� GD �� c«,G� C surrE - u � C ory-P S-1 4:M 011atoay9