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PMT17-01670 City of Menifee Permit No.: PMT17-01670 29714 HAUN RD. 'ACCEL/> MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 05130/2017 PERMIT Site Address: 29655 COPPER RIDGE RD, MENIFEE, Parcel Number: 340A61-004 CA 92584 Construction Cost: $4,000.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 38'SOLID ALUMAWOOD PATIO COVER, NO ELECTRIC Work: Owner Contractor KEVIN&KRISTALYNN FRANKS PATIO GUY ALUMAWOOD CONTRACTOR 29655 COPPER RIDGE ROAD 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone: 9513330056 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA,CA 92562 Fee Description Qtv Amount fEl 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 $168.66 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 slated,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_Perr it_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). Chapter!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License Law for Professions Code a my license is in full force and e� the following reason: License Cla,ttss J Lice a c7 By my signature below l acknowledge that,except for my personal residence Expires lfJ•620/7 Signature r � / � in which l 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 La bar Cade,for the performance of work for which www.leginfa.m.gay/calaw.litmi.permit is issued. Policy it 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 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 behalL I have read this numberare•� application and the information I have provided is correct.I agree to comply Carrier / ` ���7fL/ with all applicable city and county ordinances and state laws relating to � building construction.I authorize representatives of this city or county to Policy# "'1--��J 7 Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($1oD)or less PROPERTY OWNER OR AUTHORIZED AGENT o l certify that in the performance of the work for which this permit is issued, I shall not employ 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 became HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall fo i}wi h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or a Applicant ��l i r—Date mixture containing a hazardous material equal to or greater that the amounts sc ied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes 1920 UNLAWFUL,AND SHALLSUBIECTAN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building bythe applicant orfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the constructlon or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideliness CONSTRUCTION LENDING AGENCY o Yes m•i�(o I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 100D feet of the lending agency for the performance of the work which this permit is issued outer boundary of .school? (Section 3097 Civil Code) 0 Yes o N OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury thatlam exemptfromthe permitting checklist l 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 mat are orting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes D 0 /J 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 PROPERTY 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(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(ARP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licemure 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 he 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.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). Cade,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. o No EPA Lead-Safe Certified Firm is required for this project because: 0 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 . . . i DATE le - / 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 J NEW O PLUMBING O RE-ROOF-NL M,BEE'R)OF5QUARES ^ T DESCRIPTION OF WORK PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNERNAME ADDRESS / PHONE ''7 - Sag- 71) EMAIL Csuilcitity Of Menifee ety apt. APPLICANT NAME f D //'�/ ADDRESS S4 G Y 3 IJ ;'u1/ q PHONE g y/- J�j Le-j -= 7 � EMAIL yv CONTRACTOR'S NAME �447_1 i / OWNER BUILDER? O YES Wk0_ BUSINESS NAME L, ADDRESS g1197 Q o 4ZaV PHONE 95/- ���-b0 EMAIL dam alismunpalUl4rarth c.Dm CONTRACTOR'S STATE LIC NUMBER g�(R Q a 9 LICENSE CLASSIFICATION VALUATION$ d0 D SQ FT f r� L SO FT APPLICANT'S SIGNATURE /�/U �— DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I ` 5MIP INVOICE '' ^^ PAIDAMOUNT 1 AMOUNT IW I�-o l05 OCASH OCHECKN :%CREDITCARD ViSAXIC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO �� I City of Menifee ° + =—��-- - Building & Safety Dept. . { _ MAY 3 F 2017 ' (' fly 9 e�° 14I f Received r 1 1 I ,.--. DER tit TRACK 11 tPECTION REQUIRED -42 I' ' e l o�E i 7 MENIFEE 1 I I I 1 _ i r r ) l Lz ! C= o 0 D ENT PLAN APPROVAL ' REVIEWED BY. i *400roVal of ll ow rl-r,. ,p.,; .,r,,:t; i�P d,: •'�nr,:°ud reueial,state ordty flI r ,.:m and ordiaances. Ih7s set of approve pGn3must6e kept o�the j0-_7i2 until completion. i, T-n G N I r C� f� CzMP.,,4a2w40 ',v 11D3 GD M'Ta�AC.�,1R,5 1.1 e✓L'NSfw `9 7 Q, 3q