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PMT17-04370 City of Menifee Permit No.: PMT17-04370 29714 HAUN RD. 4';1CCEI_/1 MENIFEE, CA 92586 Type: Residential Addition " MENIFEE Date Issued: 12/17/2017 PERMIT Site Address: 26298 DESERT ROSE LN,MENIFEE, CA Parcel Number: 335-510-072 92586 Construction Cost: $4,500.00 Existing Use: 1 &2 Family Residence proposed Use: Description of INSTALL SOLID 17'X 26'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS Work: Owner Contractor GEORGE BANAGA PATIO GUY ALUMAWOOD CONTRACTOR 26298 DESERT ROSE LN 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92586 MURRIETA,CA 92562 Applicant LOIS MONTINI Phone:9513330056 PATIO GUY ALUMAWOOD CONTRACTOR License Number:872839 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description L�._1t C Amount f$1 Receptacle,Switch, Outlet&Fixture 2 121.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 Deck/Patio, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 13.30 General Plan Maintenance Fee-Electrical 1 5.80 $436.10 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 canied 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_Permft Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter!)(commencing with section 7000)of Division 3 of the Business and 01 am exempt from licensure under the Contractor's State License Law for Professions Code a Licer a my license is in full force and eff-c\� _ the following reason: License Clam tr By my signature below l acknowledge that,except for my personal residence Expires Z;,.3 /7 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 conslmcted in its entirety by 01 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,far the performance of work for which ,A„z„s,,leeinfo.a.eov/ralaw,html. this permit is issued. Policy# Date ❑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 o 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 numberare: application and the information I have provided is correct I agree to comply �V&.le � with all applicable city and county ordinances and stale laws relating to Carrier (16 building construction.I authorize representatives of this city or county to Policy# ^J 7 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 01 certify that in the performance of the work for which this permit is issued, O ^ I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# L 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,lshallfo ILwi h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant Date amounts spec' ard on the Hazardous Materials Information Guider WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes m-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 IN SECTIONON 3 THE COST LABOR CODE,INTERTION,DAMAGESDATTORNEYS PROVIDED S Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060FTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideliness CONSTRUCTION LENDING AGENCY 0 Yes 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 .school? (Section 3097 Civil Code) 0 Yes 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 Contractor's License Law for the reason(s)indicated below by the hazardous mate a re orting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes 0 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 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING[RRP) 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 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 ❑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.epa.eoy/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 ofsale. o No EPA Lead-Safe Certified Firm is required for this project because: 0I,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. PA-f a n /21uq Menifee DATE f - -17 PERMIT/PLAN CHECK NUMBER n'N o TYPE: O COMMERCIAL C3'fiESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O AADDgITION O ALTERATION O DEMOLITION 9"ELECTRICAL O MECHANICAL EW OPLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK D 1/ S c PROJECTADDRESS ASSESSOR'S PARCEL NUMBER JJ�J`�JO Q? lJ 1 LOT TRACT OWNER NAME a IQ ADDRESS Z)Z PHONE R D9' ' ,�'�� EMAIL APPLICANT NAME ADDRESS PHONE 9 �� 3 S 447 (per EMAIL CONTRACTOR'S NAME �1 - m -`� / OWNER BUILDER? O YES O NQ—/ 4 BUSINESS NAME (J ADDRESS q �� d PHONE 4�-7' ,� `(J hs EMAILq r/T[JGI�pOgl QC CONTRACTOR'S STATE LIC NUMBER �� 3� LICENSE CLASSIFICATION ([J VALUATION$ Q Q f .SQ FT 3 '�h�� L SC.FT ^ Q APPLICANT'S SIGNATURE �W �l/�^7W DATE OS- / J DEPARTMENT DISTRIBUTION SMIP wow II CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I INVOICE A�y�y PAID AMOUNT AMOUNT ✓�` Q CASH CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK# 0 CREDIT CARD MVISA/MCOWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O City of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 92586 951-572-6777 www.cltycfmenifee.us Inspection Request Line 951-246-6213 l► © 1D � E M � . IJIL r, - • N0113 dsr�s s DI �A TY DEPARTMENT01 PLAN APPROVAL - r K, REVIEWED BY DATE 'Approval of these plans shall not be construed to be a permit for,or an aurga r I pf,any violation of any provisions of the federal,state or city roll* ons and ordinances. This set of approved plans must be kept ortXhel r ` jobsite until completion. `7 �1= 0K� I-: xa-ry r-a g �l 'O9�Y b 411 g, 9erden cts-c;� "t>>~-ric -c1. cal. YY1L j\1 1� L C �.>� enq: Sure" A Z61131 % caNT�tAC.TCRSLtcx titer # c3'1 ��q