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PMT18-00148 City of Menifee Permit No.: PMT18-00148 29714 HAUN RD. Type: Residential Addition !\CCELA- MENIFEE, CA 92586 MENIFEE Date Issued: 0111 2/2 01 8 PERMIT Site Address: 26739 OPALESCENT DR, MENIFEE, CA Parcel Number: 360-810-017 Construction Cost: $3,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL ONE 12'X 26'SOLID ALUMAWOOD PATIO COVER-NO ELECTRICAL Work: Owner Contractor RON AND CYNTHIA BECKWITH PATIO GUY ALUMAWOOD CONTRACTOR 26739 OPALESCENT DR 41197 GOLDEN GATE CIR STE 108 MURRIETA,CA 92562 Applicant Phone:9513330056 LOIS MONTI License Number:872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description Qtv Amount I51 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 Additional Plan Review Plumbing 1 1.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $168.65 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 slated,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 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). Chapter9(commencing with section 7000)of Division 3 of the Business and D 1 am exempt from licensure under the Contractors State License Law for Professions Code aqs(my license is in full force and effec. the following reason: License Class 99 JGJL Lice se �. `6' '.,.I By my signature below l acknowledge that,except for my personal residence Expires •sJ /r_Signature / ,v vt fn whichlmust have resided for at least one year prior to completion of v improvements covered by this permit.l cannot legally sell a structure that WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:) licensed contractors.I understand that a copy of the applicable law,Section have and wfll 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 this permit is issued. www.leeenfo.ca.eov/calaw.htmL Policy# Date 0I have 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 ❑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 an the property owners behalf.I have read this numberare•�� ) / application and the information I have provided is correct.I agree to comply Carrier ! // &/!haa / a�� 1 / with all applicable city and county ordinances and state laws relating to 1 , building construction.I authorize representatives of this city or county to Policy# �,(,7C$3j Expires ''"1 ( 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 � Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall fo�rU6tw�f h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or Applicants \ ��Date mixture containing a hazardous material equal to or greater thatthe amounts spec' Ed on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes m o UNLAWFUL,AND SHALL SUB1ECfAN 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 requires permit for theconstroRion or modification from South ADDITON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Aft Quality Management heconDistrict(SCtionor See permitting fro checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY DYes o I herebyaffirm that underthe penaltyofperjurythere Ise 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 boundaryof -school? (Section 3097 ChM Code) o Yes D OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractors 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 Rem(s)(Section 7031.5 hazardous mat�e+-a reForUng. Business and Professions Code).Any city or county that requires a permit to Dyes 0 tdo0 construct,alter,improve,demolish or repair any structure,prior to its tr Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors 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(ARP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most Painting that disturbs paint in a preracto and the basis for the alleged exemption.Any violation of5ection 7031.5 by receiving compor ensation re for mosty to eork that disturbs ified paint ico pre-19ply th than Applicant fora permit subjects the applicant taacivil 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 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.ena.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 Contractors 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 ofsale. ❑No EPA Lead-Safe Certified Firm is required for this project because: 0 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Buslness 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 Oil out the RRP Acknowledgement. PA-10 Gay `may DATE: PERMIT/PLAN CHECK NUMBER TYPE: O COMMER�C�IAL +1ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN SUBTYPE: G"ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES T DEPIPTIONOIWOR K 13 JIC 6.OLl L.Lfm�Gl� D D.I� M7b - G le. PROJECTADDRESS A%o 7A9 bQ41_J�SsrjsIvT DR ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME rC ADDRESS PHONE q oq• '7 1,o 7- 19 g/ EMAIL APPLICANT NAME % A-) /� f ADDRESS 41/__ PHONES'I ^1 EMAIL CONTRACTOR'S NAM OWNER BUILDER? O YES C'95 BUSINESS NAME U ADDRESS L41/ q7 PHONE �+ '�}'� 3_c�D^ �jj(y EMAIL Q D D m CONTRACTOR'S STATE LIC NUMBER g� {�ly 3� (� LICENSE CLASSIFICATION VALUATION$ b OC/ f SQ�q L SQ FT APPLICANT'S SIGNATURE /W / DATE / %/ ✓CJ CTTYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER ACCEPTED B . BUILDING PLANNING ENGINEERING FIRE PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO 45T T71 �� A / D City of Menifee , DL Building Dept Lin, A_ BAN 12 2018 Q Received 0 U 1' NIFEE LPL qg +,.!n r, ARD SAFETY DEPARTMEN O eLA D IN 1r 7) /0/0 . E V 1 `o Oran -' city reg!,'auons and ordinances. This set of approved plans ust be kept on the jobsite until completion. - 3D" ltbrneown1642 2N�o 9 aq - '16 -� _ � q g I en ro►e�or��a DN -�-- �' N�i-�-11� G ,1 l� ►T�} 41►q� %a d n cOQfe C-m CI 4- %R JN� a,Lo-739 +f'1w-ric . �• biasba ��fl-1.I= L',�lU� �1� . Dn4' Sure+l *Sol 13-I3 '(Yl E �11 F E � , C � tt)drk c�mP:No�gua� e D # gVI Q�$'3q