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PMT17-01298 City of Menifee Permit No.: PMT17-01298 29714 HAUN RD. <ACCELA? MENIFEE, CA 92586 Type: Residential Addition s,a'""" MENIFEE Date Issued: 04/26/2017 PERMIT Site Address: 30322 SILICATE DR, MENIFEE, CA 92584 Parcel Number: 360-810-055 Construction Cost: $3,100.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'X 35'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 POSTLIGHTS,2 LED Work: LIGHTS Owner Contractor WILLIAM DAVIS ANGEL'S PATIO COVERS&AWNINGS 30322 SILICATE DR 225 SPARKLER LANE MENIFEE., CA 92584 PERRIS, CA 92571 Applicant Phone: 9514431659 IRENE GONZALE7 License Number:900657 ANGEL'S PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA 92571 Fee Description Qtv Amount Receptacle, Switch, Outlet&Fixture 4 131.00 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 6.55 $306.20 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_Bldg_Pernit_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 o I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Clas ��1�J se No. �� By my signature below I acknowledge that,except formy personal residence Expires o l �1 Signature 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 AI hereby affirm under penalty of perjury one of the following decla rations: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 La bar Cade,for the performance of work for which this permit i Iss ed, www.leeinfo.ca.eov/calaw.htmL Policylt 19UWCo139192 Date A 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this numberare: t rr .n),�ADN //l� �/7n r/1/� application and the information I have provided is correct.I agree to comply P'dweCc7�. Ti f�IV v,)Ll lamas y , `.1,�✓ with all applicable city and county ordinances and state laws relating to Carrier��11j ' O/r�O(�1 ,— building construction.I authorize representatives of this city or county to Policy M ✓""v t1Y L% �I31S p�es �) _ enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollarsify that or less PROPERTY OWNER OR AUTHORIZED AGENT 1&95-7 s�I certify that in the performance of the work for which this permit is issued, 3�(( I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p 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 sh1p, with cam wi thos rovisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SEC tE WORKER�NSATION COVERAGE IS Ayes ONO 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 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 for guidelines CONSTRUCTION LENDING AGENCY )!J'Yes allo 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 forthe performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) �Yes ❑No OWNER BUILDER DECLARATIONS 1 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 Cade,Section 25505 and 25534 concerning hazardous material oo eporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hr, Business and Professions Code).Any city or county that requires a permit to p' �,�,�Ae Date `C construct,alter,improve,demolish or repair any structure,prior to its V 'r'" u "`V issuance,also requires the applicant for the permit to file a signed statement PRO RTYOWNERIdRAUTl4ORFZEC7AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 perm it subjects the applicant to a civil penalty of not more required practices.This includes rental property than($500). P p p he owners and property 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 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-SOD-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. D No EPA Lead-Safe Certified Firm is required for this project because: D 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 CHECK APPLICATION Menifee -PHTDATE PERMIT/PLAN CHECK NUMBER �'�/ l� p TYPE: ❑COMMERCIAL DENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL EW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK In ` ' o l i Yjr�s - L�' Yrfs PROJECTADDRESS �� k-a GG �Iv� ASSESSOR'S PARCEL NUMBER _�(O—SIQ -OSetOT 'VJE? � (TRACT Aa O- DL PROPERTY OWNER'S NAME f� ADDRESS ,9f/ 61( � I U (j // PHONE q,�JG� `'l �J 1(J N6 EMAIL APPLICANT NAME +� /J�/' C ADDRESS Zm l 4- C/1' J 1 at 5, CO PHONE q2.( S"F EMAIL OhZi(ll/2(O� dC` • CONTRACTOR'S NAME eLOWNER BUILDER? ZrYES❑NO BUSINESS NAME ,6Ou�o 1 I ADDRESS ytr II S �rI PHONE C�51' 4:5' - EMAIL IN- I y nj i J` r� CONTRACTOR'S STATE LIC NUMBER I�"/ LICENSE CLASSIFICATION' I,r VALUATION$ , oo SO F"I L SO FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY 'T DEPARTMENT DISTRIBU HUN ,n CIN OF MENIFEE BUSI�UJUCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN V v SMIP INVOICE �j AMOUNT 7XxAID AMOUNT CCASH OCHECK# CCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# CCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6 77 7 www.cityofinenifee.us Inspection Request Line 951-246-6213 5v IIJ H LIMI 7UM PCIt,0 C c�Ve►2 ►a k 35 �a 3I � .5- 1 � O � i11i �m 17ct,vis � �p�2a Si If Cc.� l�i2iVQ C7 U.LL En hn + city of Meniteo ' ` aimaigi Building & Safety APR! "6Y2-QF MEN I EE C"` BU,I�L�D®IN G AN SAFETY DEPARTMENT Ri C V 1)110 AL REVIEWED B e�, - *WDAE *Approval of these pla is;tiai!not be construed to be a permit for,or an approval of,anyviolationof any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until'completi n.