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PMT17-03818 City of Menifee Permit No.: PMT17-03818 29714 HAUN RD. Type: Residential Addition '!-kCCEL/? MENIFEE,CA 92586 MENIFEE Date Issued: 10/25/2017 PERMIT Site Address: 28138 SPRING CREEK WAY, MENIFEE, Parcel Number: 333-600-008 CA 92585 Construction cost: $5,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'X 50'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 FAN Work: Owner Contractor LAGABRIEL REDIC&NIGHAT BEG PRO INSTALLATION 28138 SPRING CREEK WAY 43043 CAMINO CARUNA MENIFEE,CA 92585 TEMECULA,CA 92592 Applicant Phone:7142348652 JONATHAN COLONNA License Number. 895950 PRO INSTALLATION 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description Qtv Amount(Sl 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 $290.46 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 Permil_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter!)(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 and nrA license is in full force and effect. the following reason: License Class/ ,3Licens /S ZJ I.S c/ By my signature below l acknowledge that,except for my personal residence Expires Signature inwhich l must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION D TION have built as an owner-builder if it has not been constructed in its entirety by n I hereby affirm under penalty of perjury one of the following declaration:) 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 www.IeeInfo.ca.Rov/caIaw.htmI is submitted ra this permit is issued. Policy 1f Date n 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 ❑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 i ! �n with all applicable city and county ordinances and state laws relating to t^r building construction.I authorize representatives of this city or county to Policy g/ /J7 0J a Expires l0 O/� 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 o I certify that in the performance of the work for which this permit is issued, O 1"J� I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g "—J 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 or Applicant !— Date mixture containing a hazardous material equal to or greater that the -�-7-'—�— amounts s ecified on the Hazardous Materials Information Guide? WAR :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes amounts UNLAWFUL,AND SHALL SUBIECTAN 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(SCtionor See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST AND ATTORNEYS FEES Coast Airf es CONSTRUCTION LENDING AGENCY °Yes �lo 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) O Yes f4o OWNER BUILDER DECLARATIONS I have reja�d 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 checkmark(s)I have placed next to the applicable item(s)(Section 70315 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to °Y� construct,alter,improve,demolish or repair any structure,prior to itsOigif� Date �7 issuance,also requires the applicant for the permit to file a signed statement RTY OWNER OR AUTHORIZED AGENT that he or she Is licensed pursuant to the provisions of the Contractor's Stare P •PEPA 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 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 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.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 D 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 I,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. �ONG� YiCt�/1� (Of'Ln&1 - P-bZn&-h H &4; h r\ M. BU I WING & SAFETY PERMIT/PLAN CHECK APPLICATION --Menifee DATE: ll' 35 /7 PERMIT/PLAN CHECK NUMBER 1 I f' O TYPE: O COMMERCIAL RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA --SIGN SUBTYPE: O ADDITION 0 ALTERATION :%DEMOLITION C ELECTRICAL C MECHANICAL NEW O PLUMBING C RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 10'X50' SOLID UNITED DURALUME PATIO COVER PROJECTADDRESS 28138 SPRING CREEK WAY Q ZIP 92585 ASSESSOR'S PARCEL NUMBER 333 -kj2W-ptf5 LOT p TRACT ftsD OWNER NAME NIGHAT BEG,LAGABRIEL REDIC ADDRESS 28138 SPRING CREEK WAY,MENIFEE,CA 92585 PHONE �s`/- /,S-/QS EMAIL APPLICANT NAME JONATHAN COLONNA ADDRESS 43043 CAMINO CARUNA,TEMECULA,CA 92592 PHONE 714-234-8652 EMAIL CONTRACTOR'S NAME PRO INSATALLATION OWNER BUILDER? C YES NO BUSINESS NAME ADDRESS SAME AS ABOVE PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER 895950 LICENSE CLASSIFICATION C61 VALUATION$ 5500 SO FT 500 L SO FT APPLICANT'SSIGNATUR DATE zZ, CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MOENIF E LICNSE NUMBER Z✓. BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: USINE PERMIT FEE 1 4 An SMIP '� GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofnienifee.us _ _. — Sir/n • � G/1`'to � r — - :�. .RACK Wr City of Menifee BuHding Dept. OCT 2 5 2017 � vv5 � CITY OF MENIFEE sa�'�`� r�re�kF3@iVed BillNG AND SAFETY DE PLAN APPROVAL �ti1 �� � La�C-6\te 1 REVI WED BY DATE 'Approv il 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 regulatic ns and ordinances. This set of approved plans must be kept on the jobsite u itil completion. /� CI iML GVL�I � �V C•�4/y J �� Lb'p 5� s WA �- r Q � p--