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PMT17-01257 City of Menifee Permit No.: PMT17-01257 29714 HAUN RD. 'ACCELA7 MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 04/24/2017 PERMIT Site Address: 29629 ASHTON CT, MENIFEE,CA 92584 Parcel Number: 364-380-049 Construction Cost: $4,000.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 1 V X 41'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS Work: Owner Contractor CHRIS UBANDO TODD'S PATIO COVERS 29629 ASHTON CT 30905 GREENSBORO DR MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone: 9516608665 TODD SKARIN License Number:834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description Qtv Amount l$1 Receptacle, Switch,Outlet&Fixture 2 121.00 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 6.05 $295.70 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_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). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code andyt licen a is in full force and eff the following reason: License Class Uc nse ff0.,�yatz'- By my signature below I acknowledge that,except for my personal residence Expires Z 1 Signature j 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 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 Labor Code,for the performance of work for which www.leainfo.ca=ov/calaw.html. this permit is issued. Policy# Date o I 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 ❑By 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 number 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 constructio .7 authorize representatives of this city or county to Policy If Expires en �7e an ve ide Tied property for inspection purposes. (This section need not to be completed is the permit is for one-hundred �/ Date � dollars($100)or less r,ify that in the performance of the work for which this permit is issued, �1A0_PEhTY O NOR AUTHORIZED AGENT 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 orth/it 6 ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applica / I mix Date ture containing a hazardous material equal to or greater that the amounts specked on the Hazardous Materials Information Guider WARNIN :FAI E TO SECURE WORKER'S COMPENSATION CO ERA 15 aYes No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the tended use of the building by the applicant or future building AND CIVIL FINES UP700NE HUNDRED THOUSAND DOLLARS($500,000),IN occupant equire a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air uality Management District(SCAQMD)75ee permitting checklist for guidel Des CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the p oposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bon dary of a school? (Section 3097 Civil Code) o Yes ci o OWNER BUILDER DECLARATIONS I have reatl the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permittin checklist I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California ea &Safety Code,Section 25505 and 25534 concerning hazer u m SJrial pr rung. yti checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oy / G� 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 I` E 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 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 RAP)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(S500). managers who do the paint-disturbing work themselves orthrough their o I,as owner of the property,or my employee with wages as their sale 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 70",Business and Professions 1-800.424-LEAD(5323). Code;The Contractors 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. ❑No EPA Lead-Safe Certified Firm Is required for this project because: ci 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- i i SAFETY PERMIT/PLAN MeniTee DATE Y/ 117 PERMIT/PLAN CHECK NUMBER r7i O ;t6 / TYPE: 0 COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES u�/ I DESCRIPTION OF WORK PROJECTADDRESS G ASSESSOR'S PARCEL NUMBER fj(p�.3$� LOT I g(p TRACT ✓D-I/`�� OWNER NAME ADDRESS PHONE �' l---EMAIL APPLICANT NAME r�I/� �p,`�r L ✓/ '✓7 ADDRESS D S- / lVrxe U Y• /1C� �J Z PHONE �V�v(l�- EMAIL CONTRACTOR'S NAME ////' C7G�(✓ S ` ✓�Z / OWNER BUILDER? O YES O BUSINESS NAME oWe � //MM �-t— S / Q ADDRESS 30 OS ✓.,Q-e. 4 3 K�oY D �� --7,4 t� ( [L- PHONE �/ G 6 b �� n �O . EMAIL 'J CONTRACTOR'S`/STTA/TEE LIC NUMBER 3 y z �� LICENSE CLASSIFICATION / �J / VALUATION$ V O o k4 S FT L SO FT APPLICANT'S SIGNATUR DATE DEPARTMENT DISTRIBUTION w CITY OF MENIFEE BUSINESS LI t�GE MBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP �J (�A1I INVOICE j 1_I5 70 PAID AMOUNT AMOUNT OCASH OCHECKH OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee.Lis Inspection Request Line 951-246-6213 S CD S0/�q N ��a n SV ID a 1 m ET CD .= m p D o s m an tD - - - - m a o m m Er m _ D m fD• o m m it no o o rn rnI- m •� �— —��—� �_A _I i_. � i l l 1 i �l 1-1 -i T T i y1J-