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PMT17-01527 City of Menifee Permit No.: PMT17-01527 29714 HAUN RD. Type: Residential Addition SAACCELA- MENIFEE, CA 92586 MENIFEE Date Issued: 05/17/2017 PERMIT Site Address: 27637 BOULDER RIDGE DR,MENIFEE, Parcel Number: 340-422-010 CA 92584 Construction Cost: $7,000.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL COMBO 10'X 12' LATTICE&30'X 12'SOLID ALUMAWOOD PATIO COVER Work: W/ELECTRICAL 3 FANS Owner Contractor JUDY KLEINSORGE CLASSIC ALUMAWOOD COVERS 27637 BOULDER RIDGE DR 39450 BONAIRE WAY MENIFEE, CA 92584 MURRIETA, CA 92563 Applicant Phone:9516748533 DAVID ABEEL License Number. 986793 CLASSIC ALUMAWOOD COVERS 39450 BONAIRE WAY MURRIETA, CA 92563 Fee Description Qtv Amount($1 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 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_Permit_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 7D00)of Division 3 of the Business and ❑I am exempt from licensure.under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class U"nse No. F 6 7 f1 By my signature below I acknowledge that,except for my personal residence Expires Q- 1 l 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 ❑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 wehsite: by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.litml.permit is issued. Policy# Date ❑I have and will maintain worker's 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 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 )J u/'C- U H r2lT with all applicable city and county ordinances and state laws relating to _ !� building construction.I authorize representatives of this city or county to Policy#AXIr C7�ZL3� Expires 7- / D enter the above identified property for inspection purposes. (This section need not to be completed Is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ��www��1 ❑I certify that in the performance of the work for which this permit is issued, O 2d I shall not emoloV 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 wprke's compensation provisions of Section 3700 of the Labor Code,I shall fo iwit c ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date-r— 17 -1 ) mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes aNci 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 IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMO)75ee permitting checklist for guidelines CONSTRUCTION LENDING AGENCY ❑Yes o No 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 a school? (Section 3097 Civil Code) ❑Yes QNo 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 Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous ma (ial reporting. chsiness and I have placed next to the applicable item(s)(Section 7031.5 permit fifes ❑No J��1 Business and Professions Code).Any city or county that requires a permit to L7( / Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permitto file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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-certfed 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 theirsole 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 Contractor's 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. & SAFETY PERMIT/PLAN CHECK APPLICATION .Menifee DATE S- I Z - 17 PERMIT/PLAN CHECK NUMBER i 1 'V TYPE: ❑COMMERCIAL ®RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK G MaL- &,9 rD !4t•`C, Cao 3 Ele-)S PROJECTADDRESS Z 37 O Du I Ace "le-� la� ASSESSOR'S PARCEL NUMBER 3LfO ' y'aa-flo LOT �� TRACT PROPERTY OWNER'S NAME Tu d.y 1<4ei" J�5o,s _ ADDRESS 2- 7637 13OuId-es P,JA C /xe,JJ-O'e�- PHONE 5.1 / - 6 77 -/ cq0 f EMAIL APPLICANT NAME Dc�u.A A 17Ir r L ADDRESS z 4 8 ZS L4 Z `/ Gt2CL'IL � /'� eil0 e- PHONE JFO g- 7Tz- 9-?4 7 EMAIL CONTRACTOR'S NAME A&JdSt k)e-- Lh/0- 6ov'1114 OWNERBUILDER? E]YESENO BUSINESS NAME 4 �0` �}L J.st a laJpdrt�J ��cl e✓s ADDRESS .3 .S/-O /�O.U61/'G U-':�'� ✓1/( uI'�c 1 E ce, @ PHONE JOS( - d, EMAIL CONTRACTOR'S STATE LIC NUMBER RR� 7P-.? LICENSE CLASSIFICATION VALUATION$ 70Do SO.FT Gr,k;(-c /I.A 161-<Q ,3(,o L SQ FT APPLICANT'S SIGNATURE Q t! yBO) DATE 5—'/7_ 7 DEPARTMENT DISTRIBUTION CITY O[F�)1Ey/�F�EE US5$J�,E[ry_SE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN I SMIP I V-✓�I�iv 1 INVOICE h AMOUNT 3V� • PAID AMOUNT OCASH 0CHECK# OCREDITCARD VISAIMC PLAN CHECK FEES PAIDAMOUNT I OCASH 1)CHECK# OCREDITCARD VISAIMC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 OWNER: 7V4,t 1e1NSu/Cra6 CONTRACPOR: Z7 6 3 7 S ou i A er P-k4 a De, CLASSIC ALUMAWOOD COVERS /t'ieN;4 er- Cu. c1'LSR} 39450 BONAIRE WAY MURRIETa,CA 9256�S FSI "6 ?7 -J o( 951-674-8533 CITY OF MENIFEE LEDGER & TRACK BUILDING AND SAFETY D PARTMENf `iSPECTION REQUIRED PLAN APPROVAL �S REVIEWED BY 101 r7 DATE *Approval of these plans shall not 7be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. }- CL S r- O /?-0 U 3 U t400 e- City of Menife LL S Building & Safety ept. O MAY 17 20 It 70 Receiv d L a H t'(-e So 0 y3 3 I