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PMT17-04423 City of Menifee Permit No.: PMT17-04423 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 12/14/2017 PERMIT Site Address: 29602 ROCK CANYON RD, MENIFEE, CA Parcel Number: 340-461-008 92586 Construction Cost: $2,750.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL ONE 12'X 20'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN AND 4 RECESSED LED Work: LIGHTS Owner Contractor TONY PAZ PRO INSTALLATION 29602 ROCK CANYON RD 43043 CAMINO CARUNA TEMECULA,CA 92592 Applicant Phone:7142348652 PRO INSTALLATION License Number: 895950 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description ON Amount(81 Receptacle, Switch, Outlet&Fixture 5 136.00 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 $304.65 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_Permit_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 perjurythat I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect.,, �� the following reason: License Class Lice; 10. By my signature below I acknowledge that,except for my personal residence Expires 5/1,01ck 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 DEC TION 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 fallowing 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.leginfo.ca.gov/calaw.html. this permit is issued. Policy# Date � SXhave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ry my signature below I certify to each of the following:I am the property this permit is issued.My workers pppompensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: �� application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier ¢ -7 !, building construction.I authorize representatives of this city or county to Policy#��(/�OY r�7 Expires / ZL enterthe ab identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred ZZAZZ dollars($100)or less .06KDate RTY OWNER OR AUTHORIZED AGENT I certify that in the performance of the work for which this permit is issued, shall not employ 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 workers 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 orgreater that the amounts specified on the Hazardous Materials Information Guide? WA _FAILURE TO SECURE WORKER'S COMPENSATION[OVERAGE IS ❑Yes iQTJo 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,OOD),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 SECTION3706 OF THE LABOR CODE,INTEREST,-AND ATTORNEYS, - -- ----- -for guidelines CONSTRUCTION LENDING AGENCY ❑Yes IND 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 Cade) ❑Yes `TNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exemptfrom 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 hazardo ma rial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 1,15 oyes I p Business and Professions Code).Any city or county that requires a permit to Date �7 construct,alter,improve,demolish or repair any structure,prior to its RTY 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING FIRM 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 D 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-BOG-424-LEAD(5323). Cade;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. SAFETYPERMIT/PLAN CHECK APPLICATION !Menifee DATE: 12/14/17 PERMIT/PLAN CHECK NUMBER PM TYPE: 0 COMMERCIAL ✓RESIDENTIAL 0 MULTI-FAMILY - MOBILE HOME O POOL/SPA ^.SIGN SUBTYPE: 0 ADDITION 0 ALTERATION O DEMOLITION C ELECTRICAL 0 MECHANICAL XNEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES 14 DESCRIPTION OF WORK 12' X 20' SOLID ALUMAWOOD PATIO COVER, 1-FAN ANDfRECESSED LEDS. PROJECTADDRESS 29602 ROCK CANYON RD. ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME TONY PAZ ADDRESS 29602 ROCK CANYON RD. PHONE 951-663-1846 EMAIL APPLICANT NAME JONATHAN COLONNA ADDRESS 43043 CAMINO CARUNA, TEMECULA,CA 92592 PHONE 714-234-8652 EMAIL CONTRACTOR'S NAME PRO INSTALLATION OWNER BUILDER? :;YES CNO BUSINESS NAME /�-" ADDRESS GI,y�2 a,S G bee-f— PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER 895950 LICENSE CLASSIFICATION B VALUATION$ 2750.00 SO FT 240 L SO FT APPLICANT'S SIGNATURE DATE 12/14/17 CITYSTAFF USE ONLY - DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED ii YES C NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO City of Menifee Building& Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.CityOfinenifee.uS NA i ;1`f vF MENy�`ED� DEP TN►ENT R'JI�..P-1h SRJYL Pl;%'M CGc� Y v ✓� E D � REV Y- ermit for,or an .ppprovai of these plans shall not he'-onstrued to be a p , viclation of any prove>ions of the federal,state or a on the approvaiof,any t_iappu, ,plansmustbekep regulations and ordinances.This} n c� \ jobsite until compietio � L . GIP C ' _ . ' 1