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PMT17-01963 City of Menifee Permit No.: PMT17-01963 29714 HAUN RD. Type: Residential Addition .KCCE-:A MENIFEE,CA 92586 MENIFEE Date Issued: 06/19/2017 PERMIT Site Address: 25394 ROCKING HORSE CT, MENIFEE, Parcel Number: 358540-025 CA 92584 Construction Cost: $2.500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'X 21'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 FAN Work: Owner Contractor MIK&CATHY JOHNSON PATIO GUY ALUMAWOOD CONTRACTOR 25394 ROCKING HORSE CT 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92584 MURRIETA,CA 92562 Applicant Phone:9513330D56 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA,CA 92562 Fee Description Qtv Amount ISI Receptacle, Switch, Outlet&Fixture 1 116.00 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 $284.65 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_Pennit_Terrplate.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 mntractor(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 underthe Contractor's State License Law for Professions Code a�g1({my license is in full force and a cl�.0 the following reason: License Class /J Lice r a V^. O -/ .9 By my signature below l acknowledge that,except for my personal residence Expires /7 Signature I J'x in which i must have resided for at least one year prior to completion of v improvements covered by this permit.l 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 1 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 Code,for the performance of work for which this permit is issued. www.leeinfo.ca.eov/calaw.html. Policy# 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 workers 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 I agree to comply Carrier �2)Lp.//Z i( �� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# '7^�^� 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o l certify that in the performance of the work far which this permit is issued, �1�1J L Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# O �.�}1f J `*J workers compensation laws of California,and agree thatif l should became HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall fo gwi•h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date mixture containing a hazardous material equal to orgreater that the amountsspec: ad on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes di2o UNLAWFUL,AND SHALL SUBIECFAN 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($300,000),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 CONSTRUCHON LENDING AGENCY o Yes mH"o 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 .school? (Section 3097 Civil Code) o Yes o No 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 Contractors License Law for the reason(s)indicated below by the California Health ai Safety Code,Section 25505 and 25534 concerning hazardous mat re carting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 oyes o 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 IRRP) License Law(Chapter9(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 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.eaa.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 oAn 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: o I,as owner of the pioperty 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. P A--T i n A u\1 SAFETYBUILDING & • • APPLICATION MenifeIs DATE LQ / 9 -I 7 PERMIT/PLAN CHECK NUMBER I TYPE: COMMERCIAL :"RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA CSIGN SUBTYPE: O ADDITION O ALTERATION () DEMOLITION O�ECTRICAL — MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK _ / Q t— L.L! m q w,*z)7 �" I-t-y D ,4 Y /� PROJECTADDRESS �, ^/N I� L C_. ' ASSESSOR'S PARCEL NUMBER ' J O'(.1dS LOT 4 11TRACi OWNERNAME ` c7� �} LA) ADDRESS } IR Q /A2 t/'DAZ — PHONE OS,010 • 3 3/- o0(019 EMAIL APPLICANT NAME ADDRESS G. PHONE ,1� �.y EMAIL CONTRACTOR'S NAME ^^ /-yv i i OWNER BUILDER? O YES �LACr_ BUSINESS NAME J-7n D U ADDRESS g1197 LI - PHONE EMAIL dam 9WD n�'ra calm CONTRACTOR'S STATE LIC NUMBER ��ag89 LICENSE CLASSIFICATION VALUATION$ D SO FT , A I Z) f L SO FT APPLICANT'S SIGNATURE DATE • DEPARTMENT DISTRIBUTION ,,�1 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING E INEERING FIRE GREEN _ SMIP INVOICE PAID AMOUNT AMOUNT �� CASH i%CHECK% :)CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH :%CHECK# %CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.usInspection Request line 951-246-6213 l9 � L 13©� gip, ' X EG.a:;aER & TRAC;K 41�r PEGTIQI� REQUIRED /. . OL tt �r City of Nienifee Building & Safety Dept. O • L SEAT JUN 19 2017 U ReceivedLL U u_ O 1 P)L , ,r a,SDD v CITY OF M IFEE B U I L D I EPARTMENT PLAN APPROVAL O REVIEWED 000 BY oo DATE �Qp roval of these plans shall not.be const•uer!to be a permit for,Zra 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. ►tbrnEot.�NlE� SN�D aD (e e:24me.+DrMiF:a M )KE 4rj)� if A-Thty ���} ry SL/L� togUyAWmqu�D r I'1'1 G-N 1 PG-k�- J4 ord Sure41 *Sg13"13 v � f,.t�Drk aDMP:NOR�uAR�7U�b3 C.OATAPW TaRSLIc.=NSE \ • 1 � g� l��`31