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PMT17-03934 City of Menifee Permit No.: PMT17-03934 29714 HAUN RD. <ACCBLA� MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 11/0112017 PERMIT Site Address: 27846 SENECA CT,MENIFEE,CA 92585 Parcel Number: 333-731-013 Construction Cost: $10,000.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID ALUMAWOOD PATIO COVER 10x33 W/ELECTRICAL(2 FANS,4 POST LIGHTS AND Work: 1 OUTLET).U/G GAS LINE 1" POLY @ 130'. ELECTRIC 110V @ 130'. Owner Contractor DESMOND GRANT RPC CONSTRUCTION 27846 SENECA COURT 1460 ORANGE AVE#57 MENIFEE, CA 92585 REDLANDS, CA 92373 Applicant Phone:9096330690 RPC CONSTRUCTION License Number:831466 1460 ORANGE AVE#57 REDLANDS,CA 92373 Phone:9096330690 Fee Description ON Amount($1 Receptacle,Switch, Outlet& Fixture 7 146.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 Inspections not specified 121 121.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Building 1 12.70 General Plan Maintenance Fee-Electrical 1 7.30 $450.00 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_Bidg_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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Iicensure under the Contractors State Ucense Law for Professions Co d my license is in full force and a the fallowing reason: License Class Ucense / By my signature below I acknowledge that,except for my personal residence Expires Q' 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 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 wwwle¢infocazov/calaw.html. this permit is issued. — Policy k Date ,C,,,///�� PROPERTY OWNER OR AUTHORIZED AGENT l have and will maintain workers compensation insurance,as required by _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: 7 application and the information I have provided is correct.I agree to comply Carrier %7ICr G ��V with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy p 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 ❑i 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 M 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 s p�wj(/��C�y�(y with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicartl PT /V. Date mixture containing a hazardous material equal to or greater that the arpounts`55 ecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 "es ,q 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 Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldte�li-ner -- ------ CONSTRUCTION LENDING AGENCY ❑Yes NLNo 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 bo�uyndary of a school? (Section 3097 Civil Code) ❑Yes r.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 under the State of California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes ❑N Business and Professions Code).Any city or county that requires a permit to Date //—/ construct,alter,improve,demolish or repair any structure,prior to its PROPERTY O NER R ALI ORVED 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 IRRPL 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 for a permit subjects the applicant to a civil penalty of not mare 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 www.epa.gov/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 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-guilder 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 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. �y1 i • SAFETY PERMIT/PLAN • APPLICATION Menifee DATE:DATE: PERMIT/PLAN CHECK NUMBER T "'' I — 0�01,�"/ TYPE: C` COMMERCIAL RESIDENTIAL C' MULTI-FAMILY C MOBILE HOME J POOL/SPA C;SIGN SUBTYPE: ADDITION O ALTERATION O DEMOLITION Y+ELECTRICAL O MECHANICAL C.% NEW PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK [.�� pr ke-7, 1,0V .10 I %i0 , i PROJECTADDRESS J�78�.6 rj�yG - ZIP 21 I' 1 ASSESSOR'S PARCEL NUMBER 3 3 �3 � �3 LOT -73 TRACT 3�4 OWNER NAME of ADDRESS ZiXk�1(7 0X jFEE: Z58� PHONE Job>f.3-3��z EMAIL APPLICANT NAME e,07— ADDRESS PHONE EMAIL CONTRACTOR'S NAME vogzor OWNER BUILDER? 0YESXNO BUSINESS NAME ADDRESS / Q PHONE XOfop,?3 EMAIL CONTRACTOR'S STATE LIC NUMBER � rp�p . LICENSE CLASSIFICATION VALUATION $ SO FT 3?jy �'!� L SO FT APPLICANT'S SIGNATURE Z- DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF,M€NIFEE U ESS LICENSE NUMBER ACCEPTED BY: fvl BUILDING PLANNING ENGINEERING FIRE PERMIT FEE C5� SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED YES O NO DRIVERS LICENSE N NOTARIZED LETTER C YES 0 NO of Menifee City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 INOWW. www.cityol`menifee.us NOV 0