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PMT17-03491 City of Menifee Permit No.: PMT17-03491 29714 HAUN RD. Type: Residential Addition ACCEL/> MENIFEE, CA 92586 MENIFEE Date Issued: 10/03/2017 PERMIT Site Address: 29051 NAVIGATOR WAY, MENIFEE, CA Parcel Number: 333-360-013 92585 Construction Cost $5,800.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 763 SF SOLID ALLIMAWOOD PATIO COVER WITH 4 POST LIGHTS Work: Owner Contractor DANIEL WILLIAMS FIRST CHOICE PATIO COVERS 29051 NAVIGATOR WAY 31616 LEATHER WOOD DR MENIFEE,CA 92585 WINCHESTER, CA 92596 Applicant Phone:9518160018 TIM PHILLIPS License Number: 1019043 FIRST CHOICE PATIO COVERS 31616 LEATHER WOOD DR WINCHESTER, CA 92596 Fee Description City Amount 151 Receptacle, Switch, Outlet&Fixture 4 131.00 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 6.55 $306.20 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_Permit_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 licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. (� the following reason: License Classd-61 - Do-5 License No. d 9v � By my signature below I acknowledge that,except for my personal residence Expires /_0 ` ! Signature pegZin 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 DECLARATION 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 Code,for the performance of work for which www,leeinfo.ca.eov/calaw.lefzinfo.ca.gov/"c-alaw.html.permit is issued. Policy If Date ❑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 ❑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 1 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 Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ffFterllfy 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 If 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applicant Date �� "�� amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o 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 Air antQuality Management District(SCAQM tionor modee ification checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑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 Code) ❑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&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to oYes ❑No construct,alter,improve,demolish or repair any structure,prior to Its Date 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(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 receiving or childcare n for to be work RRI that firms and comply with than 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 o 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.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑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: ❑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. iPERMIT/PLANAPPLICATION Menifee DATE: 10 -3 - 17 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL BIRESIDENTIAL i>MULTI-FAMILY O MOBILE HOME O'POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O,DEMOLITION VELECTRICAL O MECHANICALLp " NEW -y-O'PLUMBING C' RE-ROOF NUMBER OF SQUARES PA-no 40lJcl� DESCRIPTION OF WORK YA I e 0 C&'�-QA N\ -�^ I of Menifee PROJECTADDRESS J-90 S I NAyi �a102 u� ]� /f�fA/�c eZIP By�l n & f;d tY 7epf. ASSESSOR'S PARCEL NUMBER ��3 LOT TRACT r OCT 0 3 201E OWNERNAME P-4AAIf (- tAJ(LCi ADDRESS g9O 51 /VA ✓, �ToR .t7 �!'lf4/Se-c, 9J,6-Y5_ PHONE K l- 75- 7- 969 3 EMAIL APPLICANT NAME // /7✓VN P 14 -5 7- ADDRESS �/� Ib [ 6 �pl� � (JJpp !? ull )riCGLtiS/p/� CA 9asg PHONE 9S�-b'(6 'OU (Y` EMAIL sltSt-Clx�eCf, (3^7)0 (l eveR 5 JP 6A CONTRACTOR'S NAME - /-y°-✓n/ �`T��C�-�-; OWNER BUILDER? 0YES1540 BUSINESS NAME //c.s/ ('s^c��C-� A / i 6 e6 c—/e e 5 O n ADDRESS 7tl Icy /_e-7-"/- - V..TO an n'\ !✓LCneJla° CA g5 PHONE 957-9-(6 - 001 y EMAIL �I CONTRACTOR'S STATE LIC NUMBER 101 90 C/3 LICENSE CLASSIFICATION VALUATION $ O G 2SQ FT 7163 Af L SQ FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: l ID_ PERMIT FEE ?o � SMIPI�•J GREEN r CHECK FEE �Y INVOICE TOTAL ,BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER O YES C% NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92556 951-672-6777 www.cityofmenifee.us a9 o s1 Building&Safety Dept, eA LEDGER & TRACK OCT o 3 2017 INSPFt TION REQUIRED Received I I V ti r r CI Y QF/ ENIFEE UILDI G AND SAFETY DEPARTMENT PLAN PPROVAL dot RE IEWED BY DATE "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.