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PMT17-03579 City of Menifee Permit No.: PMT17-03579 29714 HAUN RD. -ACCEL/4�.' MENIFEE, CA 92586 Type: Residential Addition MENIFEE "Date Issued: 10/06/2017 PERMIT Site Address: 29403 HONEYWOOD DR, MENIFEE,CA Parcel Number: 340-310-054 92584 Construction Cost: $9,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL TWO PATIO COVERS 1) 16'X 20'SOLID& 1)12"X 11"LATTICE ALUMAWOOD PATIO Work: COVER W/ELECTRICAL 2 FANS Owner Contractor ARMANDO MAGANA TRADER DAN'S INC 29403 HONEYWOOD DR 840 S ROCHESTER AVE STE C MENIFEE, CA 92584 ONTARIO, CA 91761 Applicant Phone: 9093900555 DON DAUGHENBAUGH License Number:517575 TRADER DAN'S INC 840 S ROCHESTER AVE STE C ONTARIO, CA 91761 Fee Description O_yt Amount(EI 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 2.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 6.05 $296.70 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 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_Pernit_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 7DO01 of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. _ the following reason: License Class License No. 7 S_ —�; 8y my signature below I acknowledge that,except for my personal residence Expires 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 DECIARATI have built as an owner-builder if it has not been Constructed in its entirety by ❑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 worker'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.legmlo.cagmlralaw.h:ml, Policy If Date ❑we and will maintain worker's compensation Insurance,as required by PR €RTY 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 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 I have provided is correct.I agree to comply Carrier y 4t" with all applicable city and county ordinances and state laws relating to �/ building cons[Wet"fin.l authorize representatives of[his city or county to Policy g 62Syq>(, � Expires e o e i< tifi rty for inspection purposes (This section need not to be completed is the permit is for one-hundred Date q I I t J,_. _, dollars($100)or less p IZED AGENT ❑I cernfy that in the performance of the work for which this permit is issued, O �2/'Z I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9 _35✓✓ worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the worker's5gzapgrisavon provisions of Section 3700 of the Labor Code,I sha ort pl a provisions. Will the applicant or future building occupant handle hazardous material or a Applican Date �O amountsspre ri hazardous material Materials to Ivor ationrthat the amounts spe 0 on the Hazardous Materials Information Guide? WARNI RE TO ECU S COMPENSATION[OVERAGE IS ❑Yes ❑ o UNLAWFUL,AND SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES WIII 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 Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidel' s CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the pro sed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bo dory of a school? (Section 3097 Civil Code) ❑yes No 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 California Health 8.Safety Ca#e,-5eGttpn 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the has ous ma erial re ng checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es ❑No O Business and Professions Code).Any city or county that requires a permit to ( construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY OWNER O LITHO IZidl 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 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( I portion of the work,and the structure Is www,e,Qa,. ov 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 ❑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 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 Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER `V � TYPE: O COMMERCIAL A&ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O4SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING ORE-ROOF APPLICATION NAME DESCRIPTION OF WORK 61�C ZQ / SDlll aAd OJECTADDRESS ASSESSOR'S PARCEL NUMBER 3 LOT TRACT �p1 OWNER NAME �{// 7b A `' ?�7 ADDRESS (AqO 3 (I�� De PHONE 'Tbk- 277 EMAIL APPLICANT NAME ADDRESS ��d_. i J PHONE C 'lr ®- C, EMAIL C CONTRACTOR'S NAME ,r OWNER BUILDER? 0 YES . ISo, BUSINESS NAME ADDRESS a S . PHONE ry � �� EMAIL P 1 CONTRACTOR'S STATE LIC NUMBER (� LICENSE CLASSIFICATION VALUATION $ �DDO YS L SQ FT APPLICANT'S SIGNATURE DATE 11-7 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE SMIP GREEN INVOICE AID AMOUNT AMOUNT •� 0CASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK It OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO LICENSE NUMBER NOTARIZED LETTER G YES O NO gaiety City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 95�_ Dept.��7 www.cityofinenifee.us Inspection Request Line 951-246-6213 OCT U 6 20V Received OWNER ADDRESS CITY PHONE�2 � R-27 ' LOT NO. TRACT APN ;;!*f b 5 L()Q-5-4 CONTRACTOR ROOMS N' COVERS PROPOSED ADDITION(S) �{�2 840 S ROCHESTER AVE #C 13z-or 13� ONTARIO, CA 91761 LIC. B-517575 909-390-0555WORK cW OUP � tfJ�- . �l°� 2 - W SA5000386-0 7 EXP6/14/201 8. CityAwlifte Building & afetY DeKt' ` OCT E 7.61? �r Rec avc k t� a/ 6 r � EPARTM -; Ili o �:' cv-t- CS`- lave, tt :ir, �� D -L onstrued to be a permit for,or p aF ons of the federal,state a 77 reg is oproved plans must pt o the joLL,:, 47 51�h OPPIT07STREET0 _ 5