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PMT17-02934 City of Menifee Permit No.: PMT17-02934 29714 HAUN RD. ";NCCELPO' MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 08/18/2017 PERMIT Site Address: 29929 BERRYESSA RD, MENIFEE, CA Parcel Number: 333-730-002 Construction Cost: $3,520.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTAL(2)ALUMAWOOD PATIOS 8X18&15X8 SOLID.4 LED RECESSED LIGHTS 1 FAN Work: Owner Contractor CINDY CAULEY PRO INSTALLATION 29929 BERRYESSA 43043 CAMINO CARUNA TEMECULA, CA 92592 Applicant Phone:7142348652 JONATHAN COLONNA License Number:895950 PRO INSTALLATION 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description r3yt Amount IEI Receptacle, Switch, Outlet&Fixture 5 136.00 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 6.80 $311.46 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 Permk_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 o I am exempt from Iicensure under the Contractor's State License Law for Professions Code and m license is in full force and effect. _ the following reason: r n 7 Ucense Class V Ucense.Na. By my signature below I acknowledge that,except for my personal residenm Expires J��/�7 Signature in which I 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 0 ION 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 ofseif-insure forworker'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 this permit is issued. www.leeinfo.ca.eov/caiaw.html. Policy# Date a 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 0 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 1 have provided is correct.I agree to comply Carrier_ �7l `i0 /!^f with all applicable city and county ordinances and state laws relating to c�� building construction.I authorize representatives of this city or county to P08cy tt4d �Zz J o Expires �� 70/� enter the above identified property for inspection purposes. I (This section need not to be completed Is the permit is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, O { 2 Ishallnotemolov any persons in any manner so as to become subject the CITY BUSINESS LICENSE It —`J -7 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall fort %comply with those.provisions. Will the applicant or future building occupant handle hazardous material ore Applicant �— Date mixture containing a hazardous material equal to or greater that the amounts s ecifred on the Hazardous Materials Information Guide? WAR :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes No 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 modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Alt Quality Management District(SCAQMDr?Seepermittingcation from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidel'Coast Air es CONSTRUCTION LENDING AGENCY o Yes f4o 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) 0 Yes 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 underthe State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 70315 DYes Business and Professions Code).Any city or county that requires a permit to Date �7 I construct,alter,improve,demolish or repair any structure,prior to Its •P RTY 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 Iicensure 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 fora 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 orthrough 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). 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 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: ❑1,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 I Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION DATE PERMIT/PLAN CHECK NUMBER TYPE: []COMMERCIAL ✓❑RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL []MECHANICAL ❑✓ NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 8'X 18', 15'X 8'SOLID ALUMAWOOD PATIO COVERS,4 LED RECESSED LIGHTS, 1 FAN PROJECTADDRESS 29929 BERRYESSA ASSESSOR'S PARCEL NUMBER �3�-� �Q •0O a- LOTS TRACT O PROPERTY OWNER'S NAME CINDY CAULEY ADDRESS 29929 BERRYESSA, MENIFEE, CA PHONE (951)837-1907 EMAIL APPLICANT NAME JONATHAN COLONNA ADDRESS 43043 CAMINO CARUNA,TEMECULA,92592 PHONE (714)234-8652 EMAIL CONTRACTOR'S NAME PRO INSTALLATION OWNER BUILDER? ❑YES©NO BUSINESS NAME ADDRESS SAMEASABOVE PHONE (714)234-8652 EMAIL CONTRACTOR'S STATE LIC NUMBER 895950 LICENSE CLASSIFICATION D03/C61 VALUATION$ $3,520.00 SQ FT 282 L SO FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION .� CITY OF MENIFEE BUSINESS LICENSE NUMBER MIP BUILDING PLANNING ENGINEERING FIRE GREEN t' S INVOICE C PAID AMOUNT v, AMOUNT �1 ��+ CASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT €SCASH 0CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-245-6213 s LEDGER & TRACK J\16 0'\ ti INSPECTION REQUIRED P� 0Ge\J� CITY OF MENIFEE --UMDING AND SAFETY DEPA TMENT PLAN APPROVAL REVIEWED BY W Or �Ao\ DATE r Qf these plans shall not be construed to a permit for,or an PV9 /6 y—A (Q approval of,any violation of any provisions of the fe eral,state or city regulations and ordinances. This set of approved pL ins must be kept on ; �� e /Z4b&ite until completion. S's� ;y7-/Yo-7 N r o 0 D � y