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PMT17-00698 City of Menifee Permit No.: PMT17-00698 29714 HAUN RD. Type: Residential Addition <ACCEIA—> MENIFEE, CA92586 4" kj'J." MENIFEE Date Issued: 03/08/2017 PERMIT Site Address: 26B48 NORTH BAY LN, MENIFEE, CA Parcel Number: 333-460-019 92585 Construction Cost: $7,700.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 640 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL,3 FANS, 3 LIGHTS, 1 Work: SWITCH&1 SPOTLIGHT Owner Contractor JAKE&KRISTA LORENZ PATIO GUY ALUMAWOOD CONTRACTOR 26848 NORTH BAY LN 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92585 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 OQt Amount ibl Receptacle,Switch,Outlet&Future 8 151.00 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 7.55 $327.20 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_Sldg_Pennit Templale.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed cantractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that 1 am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and n I am exempt from licensure under the Contractors State License Law for Professions Code an my license is in full force and effect >s the following reason: License Class— Lice se/p�� By my signature below 1 acknowledge that,except for my personal residence Expires 49•Z/✓)/7 Signature��\ P /1'o Al x J/V�� 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 o 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 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 w w•Ieeinfo.ca.eor&alaw.htmL this permit is issued. Policy# Date o 1 have and will maintain workers 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 l certify to each of the following:I am the property this permit is issued.My workers compensation insurence carrier and policy owner or authorized to act on the property owners behalf.I have read this numberare: application and the information I have provided is correct.I agree to comply Carrier ;P2)B-/n� q j „( with all applicable city and county ordinances and state laws relating to �'(. [i! �%/ building construction.I authorize representatives of this city or county to Policy# �7'^�—J7 Expires enter the above Identified property for inspection purposes. (This section need not to he completed is the permit Is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o l certify that in the performance of the work for which this permit is issued, III L I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# O 4 4 workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,Ishall fortlLwiIh comply with th se provisions. Will the applicant or future building occupant handle hazardous material or < mixture containing a hazardous material equal to or greater that the Applicant Date amountsspec�Ed on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes di UNLAWFUL,AND SHALL SUB3ECTAN 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 forguidelines CONSTRUCTION LENDING AGENCY o Yes o 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 .school? (Section 3097 Civil Code) o Yes o lti 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 Califomia Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous mate al re orting. checkmark(s)I have placed next to the applicable item(s)(Section 7032.5 oyes D 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 OWN ER 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 Contractors 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 facilityto 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 or through their o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renova0on Program visit: compensation,will do( )all of or( )portion of the work,and the structure Is www.epa.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 nAn 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: 01,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. PA-f i n A L4%1 APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK *Menifee DATE —/ PERMIT/PLAN CHECK NUMBER I Ob TYPE: C COMMERCIAL :✓ffESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: C'. ADDITION O ALTERATION O DEMOLITION (ECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK i [p X t4 b p 1— qL_ZjM4 Z40bnl) 77D S . U ' / S Lu T L 47- PROJECT ADDRESS Q y g f� ASSESSOR'S PARCEL NUMBER— _ LOT v TRACT OWNER NAME JAX E-t' /�/I b b e L ADDRESS L/a / �Qb^� i-y G PHONE I-�7j ` 3 EMAIL /APPLICANT NAME Z)A3rF_1 ADDRESS C PHONE4CL 3 EMAIL CONTRACTOR'S NAME I.+qI 1S Tl OWNER BUILDER? OYES C,I OO BUSINESS NAME p 477 L) ADDRESS III / In E10 C�. {D F4 IQ PHONE ' - b b5 EMAIL CVhM&Cj I tj JnQ L&0b_1)LZ0--com CONTRACTOR'S STATE LIC NUMBER g 7a g 3 9 LICENSE CLASSIFICATION VALUATION $ SO FFT�rj. ,may&LI D L SO FT APPLICANT'S SIGNATU "�✓ '� DATE L r� "J /�7 DEPARTMENT DISTRIBUTION tup CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN l W SMIP INVOICE ;LO �;PAID AMOUNT O AMOUNT - CASH CHECK# ',)CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT ;;CASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES C NO DL NUMBER NOTARIZED LETTER O YES C NO City of Menifee 6Llilding&Safety Deportment 29714 Houn Rd. Menifee, CA 92536 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 a oh n 4 Uu'l [AS, (a8 7___, / �` / / %1 4q' t ' City of iMenitee Building & Safety Dept. f i MAR- 0 8 '2011 . 9 1 rtuV Er � LEDrER .& TR cK t- INSPECTION REQ RED OL Sao.rmr Lp L4 p I S -I T- • 7 Z D Z) i ; yOFJ`dIE BUILDING AN ' PLAN PPROVAL REVI ED BYe�� DATE r •Approva f these plans shall not be construed to be a permit for,or an approval ,any violation of any provisions of the federal,state or city regolatio and ordinances. This set of approved plans must be kept on the jobsite un I completion, E hbrnGOLDArk Too q5l - 3Ig- Iq $ eo cinr•-TAFa 1 �Y�e DAT-7 i�►rteSQY 41lat1Ml4lootl! INt a 10 S y S I U oR7 N �fl� LAP4�- w�'f- 9c `.�' +ei. e,rirae �►. Aasb� n L lQ 11FEF, t Su 1 e�bmc�Nro,J��niva',u� 4 C3°tQ�%Air)q