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PMT17-01548
City of Menifee Permit No.: PMT17-01548 29714 HAUN RD. Type: Residential Addition �A_CCELA? MENIFEE, CA 92586 MENIFEE Date Issued: OS/17I2017 PERMIT Site Address: 31043 MUIRLANDS DR, MENIFEE, CA Parcel Number: 364-370-063 92584 Construction Cost: $3,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID INSULATED 19 X 30'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,4 Work: POSTLIGHTS Owner Contractor SAMUEL LUERO LESLIE J MISKELLY-PROFESSIONAL HOME 31043 MUIRLANDS DR SERVICES MENIFEE,CA 92584 31917 CALABAZA COURT Applicant Phone:9517643084 LESLIE J MISKELLY License Number.917444 LESLIE J MISKELLY-PROFESSIONAL HOME SERVICES 31917 CALABAZA COURT MURRIETA, CA 92563 Fee Description Ql Amount IEl Receptacle, Switch, Outlet&Fixture 6 141.00 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 7.05 $316.70 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Perrnit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exemptfrom licensure under the Contractols5tate License Law for Professions Code and my license is in full force and effect. the following reason: r License Class gr License No. °\t`144LF By my signature below I acknowledge that,except formy personal residence Expires (a-30-1$ Signature in which I must have resided for at least one year priorto completion of improvements covered bythis permit.I cannot legallysell a structure that 1 WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o l 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 w,nw,leefnfo.ca.eov/calaw.html. this permit is issued. Policy fJ Date o 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 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 owner's behalf.I have read this number are: application and the information I have provided is correct 1 agree to comply Carrier with all appicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date ollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ('certify that in the perfomrance of the work for which this permit is issued, hall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p porker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION object to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant \.»ESSSs_(ic MsSt mixture containing a hazardous material equal to or greater that the Date 5' n-\�. amounts specified can the Hazardous Materials Information Guide? K R'S COMPENSATION COVERAGE I5 WARNING:FAILURE TO SECURE WOR o Yes QjJ0 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($300,000I,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 oYes 40 1 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) o Yes If 0 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 afety Code,Section 25505 and 25534 concerning hazardous ma checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes �1 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 PROPE O AUT RIZED 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 Contractor's State EPA EN TION RE I AND PAINTING RRP License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovatio ,Re air and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she Is exempt from licensor receiving compens for most work that disturbs paint in apre-197B 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 ❑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.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323). Code,The Contractor's 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 improvesthe 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: ❑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 BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATIO ''Menifee DATE ,7` - ( - PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL % ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: rADDITION O ALTERATION O DEMOLITION '°ELECTRICAL O MECHANICAL O NEW O PLLU�MBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 1�— eAA-3ftXl PPI'CM(s Ccu ee_ p x -a J 2 F-9� L-t• P 1. PROJECTADDRESS ASSESSOR'S PARCEL NUMBER ...�c� ^��',��0�A LOT TRACT OWNER NAME ADDRESS 3�0 cY 2. LFeE `t2S PHONE \—'j1.0 ' �Lf— �I�t I D• EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME Q=SC_kM OWNER BUILDER? O YE O BUSINESS NAME 1 Q.O-j7e.'sr-A ADDRESS 3 kl�k 1 Loz,2-7 IAu U rU---A- `t2S('3, PHONE S51 -16L.4 - 36%4 EMAIL KScV - 60 CONTRACTOR'S STATE LIC NUMBER Ck\'1!44t LICENSE CLASSIFICATION VALUATION$ 35b0 . SQ FT 3gp L SQ FT O APPLICANT'S SIGNATURE DATE s DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT AMOUNT OCASH CHECK# C}CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 0CREDIT CARD VISA/MC 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 951-672-6777 www.citypfinenifee.us Inspection Request Line 951-246-6213 Plot Plan For Mr. S Luera 31043 Muirlands Dr. Menifee, CA, 92584 .EDGER &`RACK Front Boundary r'j5gECTIO`N REQUIRED ,if L i r U City Dwelling Dwelli y of Mel itee � Safety Dept. . .wr' ROVAL Building /,�� MAY 17 2917 REVIEWS BY "r(1�� D TE ReCE)jve 6' 'AppgRl of the a plans shall not be construed to be a permit for,or an V approval of,any liolation of any provisions of the federal,state or city 7Ffu a ions an rdinances. This set of approved plans must be kept on the r jobsite until com letion. U- Side Ll' O NXInsulated Patio CO®er *x Ceiling Fans * 10' © 4 Past lights® Q rcct-t� ,^ Note : 4 Posts V " 30' 20, 1 r Back Boundary Line N