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PMT17-01258 City of Menifee Permit No.: PMT17-01258 29714 HAUN RD. �CCEL/-> MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 04124/2 01 7 PERMIT Site Address: 30247 CHANGING WIND LN, MENIFEE, Parcel Number: 358-510-012 CA 92584 Construction Cost: $2,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 9'X 30'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS Work: Owner Contractor CHRIS MCWILLIAMS TODD'S PATIO COVERS 30247 CHANGING WIND LN 30905 GREENSBORO DR MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone:9516608665 TODD SKARIN License Number:834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description Qtv Amountl$) 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 $296.70 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_Pernit_Templale.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 anc! r Ifcgn a is in full force and effgc�. ( the following reason: License Class Lfc rise No..G' I�. By my signature below 1 acknowledge that,except for my personal residence Expires L Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION OE[LARA710N improvements covered by this permit.1 cannot legally sell a structure that 1 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 Cade,for the performance of work for which this permit is issued. •www.leainfo.ca.zov/calaw.lzhnl. Policy Jt Date ❑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 o 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 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 constructed :�authorize representatives of this city or county to Policy IfExpires em he A ve Ide died property for inspection purposes. This section need not to be completed is the permit is for one-hundred ` Date dollars($100)or less ROPE OyVNE4 OR AUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, I shall natemoiov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 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 rth of ply with those provisions. //f��'��^/�/ Will the applicant or future building occupant handle hazardous material or a Applicaq =/ I/ Date a cF'I GE mixture containing a hazardous material equal to or greater that the r p amounts specified on the Hazardous Materials Information Guide? WARNIN :FAILURE TO SECURE WORKER'S COMPENSATION COVE RA IS o Yes 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 UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant quire a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air uality Management District(SCAQMD)?See permitting checklist for guide)nes CONSTRUCTION LENDING AGENCY o Yes o 0 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 bou dory of a school? (Section 3097 Civil Code) D Yes oI o OWNER BUILDER DECLARATIONS I have re N 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 m under Law for the reason(s)indicated below by the California ealth&Safety Code,Section 25505 and 25534 concerning hazar ou m rlal r p rtmg. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 DY � , - Business and Professions Code).Any city or county that requires a permh to Date---�/ construct,alter,improve,demolish or repair any permit to a prior to to ( 7 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 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 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 or through their D 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.aov/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 D 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 yearof Firm Certification No.: completion,the Owner-Builder will have the burden of proving that It was not bunt or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because: o 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. J APPLICATION& SAFETY PERMIT/PLAN CHECK Menifee DATE Z PERMIT/PLAN CHECK NUMBER TYPE: O 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 DESCRIPTION OF WORK 9u 3n j 17 at woo PROJECTADDRESS 302(-[ Kqj",ql w I viL ok 1h� ASSESSOR'S PARCEL NUMBER �p � 51 -Uj LOT TRACT OWNER NAME �jY �1 I S /J �• ,, C I I j�/C�wl Q ADDRESS 3b2 l/VL/G�I,V( ✓1 C t VV I ✓I A/L PHONE - 1 ��QQ C/ EMAIL APPLICANT NAME 6 S V! ADDRESS SL) OS G✓LZVL.�/GU"VC� �- iLC /� ZS PHONE ['�� (� U�r� 6 6 EMAIL CONTRACTOR'S NAME 1 Q0 7 ✓I OWNER BUILDER? OYES040 BUSINESS NAA�ME/, !J b /Y' 5 �I 0 ADDRESS J�Jv//Cl ✓ ePtS A9--0 PHONE JCS / 10 r-'gj y/k1 —7 EMAIL CONTRACTOR'S STATE 7LIICNUMBER 8 D -�/ LICENSE CLASSIFICATION VALUATION$ 2J U SQ FT � / 0 L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION �� CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE O CASH O CHECK# CREDIT CARD VISA/MC PAID AMOUNT �, AMOUNT _ PLAN CHECK FEES PAIDAMOUNT OCASH Q CHECK# O CREDIT CARD VISAIMC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinemfee.us Inspection Request Line 951-246-6213 d < D r N o = m 0 .o a a m p . D ryl y - r DFrs v o r a � m N n T 0 o c D � a � z cn - ' - -- ---- c' _ fr► - CD m Q x—— CD 7z a 1� Nhi10, o (�� G Lary