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PMT17-03704 City of Menifee Permit No.: PMT17-03704 29714 HAUN RD. lf%CCELJi? MENIFEE,CA92586 Type: Residential Addition MENIFEE Datelssued: 10/13/2017 PERMIT Site Address: 26349 SOSA CT, MENIFEE, CA 92585 Parcel Number: 331-500-006 Construction Cost: $14,750.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL(3)PRE FAB SOLID PATIO COVERS WITH ELECTRICAL(3 LIGHTS,2 FANS,2 SWITCHES Work: AND 1 OUTLET)670 SO FT Owner Contractor YOLANDA LORENZANA CALIFORNIA SUNROOM PROS 26349 SOSA COURT 2600 MICHELSON DRIVE STE 1700 MENIFEE, CA 92585 IRVINE, CA 92612 Applicant Phone:8772951713 JOE MOORE License Number:991258 CALIFORNIA SUNROOM PROS 2600 MICHELSON DRIVE STE 1700 IRVINE, CA 92612 Fee Description OXt Amount r$1 Receptacle, Switch, Outlet& Fixture 8 151.00 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 7.55 $328.20 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_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 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 ❑I am exempt from Ilcensure underthe Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Cl as O C``1o/l063 License No. 1�s'7 By my signature below I acknowledge that,except for my personal residence Expires 3 j YY Signature �i-"v in which 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.html. this permit is issued. Policy# Date ❑I have and will maintain workers compensation OWNER OR AUTHORIZED AGENTn Insurance,as required by B section 3700 of the labor Code,forthe performance of the work for which ❑By my signature below I certify to each of the f'l am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owners b4V.f07have read this number are: (� application and the information I have provided corre41 to comply Carrier S�TA 1��1-I with all applicable city and county ordinances ae laws%tZ{(�to /� / , J building construction.I authorize repre atives o a y or�u�4y/to Polity#-/`Lcs2; / Expires —/ /1 / 7$ enter the above identified property fortion purpsy Ate, (This section need not to be completed is the permit is for one-hundred ��"````...•••��0�Q,ap ��OS dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT "'f ❑1 certify 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# workers 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,IshC -�r0� [h co ptq'rth tho eprovisions. Will the applicant or future building occupant handle hazardous material or Applican[1 .� - Date�U /3 /� mixture containing hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNIN AILURE TO SECURE ORKER'S COMPENSATION COVERAGE IS ❑Yes 17 to UNND 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 Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑yes 11�Ao 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 forthe performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes Ir0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. Business and I have placed next to the applicable item(s)(Section 7031.5 permit �� I ��,,._ Business and Professions Code).Any city or county that requires a permit to oesy J'" ( r Date construct,alter,improve,demolish orrepair any structure,priorto its PROPE OWNER OR AUT RIZED AGENT issuance,also requires the applicant forthe permit to file a signed statement i 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 a pre-1978 and the basis forthe alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicantfor 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 mww&pa.gov/Iead 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 ❑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: ❑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 BUILDING + . . • DATE: ill// /? PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL >rRESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA OSIGN SUBTYPE: WADDITION O ALTERATION ODEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK LL /.-..? t'l! t`Gt i! J CC? vj7�P S ry-! PRO1ECiADDRE553yq SSA C.-z— /{��^�i�� ZIP ASSESSOR'S PARCEL NUMBER 33i Sbh . LOT ��3_ TRACT p� OWNER NAME L 4 !:> ADDRESS -Sr,p / ' PHONE q5_1- q/o - }�C) 1°1 EMAIL -� APPLICANTNAME ,i3 c 1�M a� ADDRESS 01 C-/tFe ,,..J �Ql PHONE 9S/- a 9S'COY EMAIL CONTRACTOR'S NAME C4LlFriIZA-X A ;a2 ,M 5 OWNER BUILDER? OYES hkM BUSINESS NAME ADDRESS IpCX_'� ...3 PHONE :?10 - -,)9U- EMAIL CONTRACTOR'S STATE LIC NUMBER ! ,� �' LICENSE CLASSIFICATION B ce., '3 VALUATION$ /y '?S C�l SO FT _ &)150 L SO FT APPLICANT'S SIGNATUR 7'�, -- DATE ! >_// CITYSTAFFUSEONLY , DEPARiM ENT DISTRIBUTION CITY ELJIFEUUSINESS�NSE NUMBER ACCEPTED BY: `j�J1J s��.J\ BUILDING PLANNING ENGINEERING FIRE PERMIT FEE epz S= P GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER J YES O NO _City of Menifee _. Building & Safety Dept. OCT 13 2OV Received