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PMT17-02437 City of Menifee Permit No.: PMT17-02437 29714 HAUN RD. Type: Residential Addition <A_CCELA_>. MENIFEE, CA92586 MENIFEE Date Issued: 07/13/2017 PERMIT Site Address: 27952 MEAD CT,MENIFEE, CA 92585 Parcel Number: 333-741-022 Construction Cost: $2,100.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 1T x 19 SOLID ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor PAULA GEIS ALOHA CONSTRUCTION AND DEVELOPMENT 27952 MEAD COURT 25324 CALLE DE TRES AMIGOS MENIFEE, CA 92585 MURRIETA, CA 92563 Applicant Phone:9513003124 WENDY SANTOS License Number: 868606 ALOHA CONSTRUCTION AND DEVELOPMENT 25324 CALLE DE TRES AMIGOS MURRIETA, CA 92563 Fee Description Oty Amount 151 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 General Plan Maintenance Fee-Electrical 1 5.80 $290.45 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_Pennit_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 perjurythat 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 o I am exempt from licensure under the Contractor's State License Law for Professions Code ar"yJ//mp�license is in full force and effect. �J/ the following reason: License Class 13 License No. l0 O(P o By my signature below I acknowledge that,except for my personal residence Expires pEc 210U Signature in which I 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 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 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 owners behalf.I have read this number are: application and the information I have provided is correct I agree to comply Carrier with all applicable 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 dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, 1 s II 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 sha I forthwith com wit a provisions. Will the applicant or future building occupant handle hazardous material or a Applicant - Date 7. /3, /7 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO ECURE WORKER'S COMPENSATION COVERAGE IS o Yes o No UNLAWFUL,AND LL 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($100,0110),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 forguidelines CONSTRUCDON LENDING AGENCY aYes in No 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 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 al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 Ayes ❑No 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(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 7032.5 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($500)4 managers who do the paint-disturbing work themselves or through their a 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or Improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because: o 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION P DATE /_ T PERMIT/PLAN CHECK NUMBER M J TYPE: O COMMERCIAL O RESIDENTIAL G MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: G ADDITION C ALTERATION G DEMOLITION O ELECTRICAL O MECHANICAL NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES / /'� DESCRIrPTIONOFWORK 7FAi l PROJECTADDRESS En Pnd C& MenI C' ro d ASSESSOR'S PARCEL NUMBER <�&3 LOT TRACT OWNER NAME .{ ADDRESS /� 1 C Q .+ I ty Di Pt. PHONE (1Q 1l 2 7 C /ice_ EMAIL JUL 13 20I17 APPLICANT NAME ADDRESS a Sao (] ^� � l �, l 8Y PHONE `-/�I �$ '/ .�� EMAIL !-7 L ruck I - C CONTRACTOR'S NAME C-kC� n (A.nu( %'C . OWNER BUILDER? YES ONO BUSINESS NAME ADDRESS, 'S I m l f .0 3S-To 3 PHONE ) � l..J EMAILCj-)rI ICJ CONTRACTOR'S STATE LIC NUMBER �� (�(Za 4j LICENSE CLASSIFICATION VALUATION $ / O SQ FT 9 L 5Q'FFTT7 /I22X� APPLICANT'S SIGNATURE J DATE / �J OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ` CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE rGREEN I SMIP INVOICE I AMOUNT ft. PAID AMOUNT U`J G v I V G C0.5H C CHECK A O[REDIT CARD VISAJMC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKW 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES C NO DLNUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. IVlenifee, CA 92596 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 I �o Pb City of Menifee Building & Safety Dept. MULr� JUL 13 2017 �- O Received W I � l� LL iI U- + O OCXA-S6 C� CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL wyd�J REVIEWED BY DATE `Approval of these plans shall not be construed to be a permit for,or n approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept c i the jobsite until completion, s �G��o�� p IvIt'AD �f �1X19 2a� j7e� cry. 5,2�gy � �-�./