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PMT17-01686 City of Menifee Permit No.: PMT17-01686 29714 HAUN RD. <ACCELA? MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 05/30/2017 PERMIT Site Address: 28469 STONEY POINT CV, MENIFEE,CA Parcel Number: 333-570-034 92585 Construction Cost: $6,900.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 660 SF SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor OMAR GONZALEZ TODD'S PATIO COVERS 28469 STONEY POINT COVE 30905 GREENSBORO DR MENIFEE, CA 92585 TEMECULA, CA 92592 Applicant Phone: 9516608665 TODD SKARIN License Number:834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA. CA 92592 Fee Description ,Qtv Amount f$i 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 $295.70 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_Permtt_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 ❑I am exempt from licensure under the Contractors State License Law for Professions CoA and my I nse is in full farce and effect. the following reason: Ac:� License Class�`�'J'� 7� Licens No. � 2 By my signature below I acknowledge that,except for my personal residence Expires D/ 6 Signature in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 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 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 Labor Cade,for the performance of work for which this permit is issued, www.leginfo.m.goy/calaw.litmi. Policy# Date ❑1 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 ?646y 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.1 have read this number are: application and the information I have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires Ent ab id tifled property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date V /�U / dollars($100)or less - PROPERTY OWNER OR AUTHORIZED AGENT Z@I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 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 shall rth omp with those provisions. Will the applicant or future building occupant handle hazardous material or a ,7 S/7 D f r —r mixture containing a hazardous material equal to or greater that the Applica . / r . Date I amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes roc, 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 modiRcatfon from South INADDITION SEC O N 3706 F THE LABOR CODE,INTERDAMA D ATTOES AS RNEYS EYSFEES 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 O Yes p 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 Cade) ❑Yes LlJNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 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 Code,Section 25505 and 25534 concerning er ial orting.ep checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous mat r�-r, Cam/ Business and Professions Code).Any city or county that requires a permit to Dyes 7O / construct,alter,improve,demolish or repair any structure,prior to its PROP r OWNER OR AUTHORIZED AGENT Date 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(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 apre-1978 and the basis for the alleged Exemption.Any violation of Section 7031.5 by residence or childcare facility to beork that firms and complypre-19th than Applicant fora permit subjects the applicant toacivil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves ar through their 01,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-BOD-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 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 bemuse: ❑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. & SAFETY • APPLICATION W. Menifee DATE I 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 DESCRIPTION OF WORK L X , W " 1�� I x Z 6" PROJECTADDRESS 22s.��22� fMri(, ASSESSOR'S PARCEL NUMBER ✓O� VOA LOT TRACT OWNERNAME 144 itee ADDRESS�..i to /Y � �]� 14-1 �v suildinQ & Safety Dept. PHONE / 7 ,� '�G�!© EMAIL MAY 3 201� APPLICANT NAME D �/ ! ReCeived ADDRESS J(] LJ ✓,��.ylS /J�0 Y- —^ 16�1 PHONE 1 660 EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES BUSINESS NAME J �f /0 „c�{' ADDRESS�V(D ✓ S `�!�'"' `�-7, w-e - PHONE 60j 6 EMAIL CONTRACTOR'S STATE LIC,NfUMBER � J ( G 5—I LICENSE CLASSIFICATION VALUATION$ ( 0 C/ SQ (� L SQ FT t APPLICANT'S SIGNATURE DATE Sr3n DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT •'1O 0 CCASH O CHECK# UCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES () NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Naun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Q. Building & Safety Dept. O LEDGER St TRACK MAY 3 0 2017 U LU INSPECTION REQUIRED Received U U. U. CITY OF MENIFEE - -� BUILDING AND SAFETY DEPARTMENT - PLAN APPROVAL N N� n REVIEWED BY � �I�IIDATE n M 'Approval of these plans shall not be 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. � 9 � O � `. N s In I