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PMT18-00883 City of Menifee Permit No.: PMT18-00883 29714 HAUN RD. �A_CCF1/�. MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 02/28/2018 PERMIT Site Address: 27805 SPRING MEADOW CT, MENIFEE, Parcel Number: 333-263-050 CA 92585 Construction Cost: $3,100.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'X 23'SOLID ALUMAWOOD PATIO COVER SIDE YARD W/ELECTRICAL 1 FAN Work: Owner Contractor BEATRICE COTA T F MEADOR CONSTRUCTION 27805 SPRING MEADOW CT PO BOX 713 MENIFEE,CA 92585 WILDOMAR, CA 92595 Applicant Phone: 9518376180 TOM MEADOR License Number:639087 T F MEADOR CONSTRUCTION PO BOX 713 WILDOMAR, CA 92595 Fee Description Qtv Amount($1 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 Document Reproduction Reimbursement 5 4.50 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 5.80 $294.95 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_aldg_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license Is in full force and effecL�]p the following reason: License Class Lice se No. ( 0$J —7 //'' By my signature below 1 acknowledge that,except formy personal residence Expims`L 3U Signature in which l must have resided for at least one year pdarto completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have hail[as an owner-builder if it has not been constructed in Its entirety by o l 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,for the performance of work for which www.leRf1nfc,.ca.goy1mIaw.html.permit is issued. Policy# Date d•l 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 l 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: 11 application and the information I have provided is correct.I agree to comply s''fga'�U y�.da with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy#q (IF 353`-f—( (O Expires J 0 J1 01 13 enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred r. dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, n �q I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9 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 forth (th co p tJh thos ravisions. —'7 Will the applicant or future building occupant handle hazardous material or Applicant /010 / mixture containing a hazardous material equal to or greater that the Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes �{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 FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,00D),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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideInes CONSTRUCTION LENDING AGENCY oYes No 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 bou Plary of a school? (Section 3097 Civil Cade) ❑Yes or o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health al Safety[ode,Section and 25534 concerning Contractor's License Law for the reason(s)indicated below by the ct �i�es ins material repo i g. chsiness and I have placed next to the applicable item(s)(Section permit dyes o No� / i(7 Business and Professions Code).Any city or county that requires apermitto Dater (� construct,after,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(RRPj 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.S 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 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.eoa.eav/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 aAn 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: 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. i • • Will 1 • • l L'• ... Menifee DATE: PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA --SIGN SUBTYPE: /ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 'TA VA 6� 10 X 2 3 r(j vAllrjQW\ a Gutt7 O w ( Ar PROJECTADDRESS Z / , 05 5 rInc) If-t ZIP 9�85 ASSESSOR'S PARCEL NUMBER a✓J'O0Jv0WLOT 1 v _ TRACT OWNER NAME 13eF-rrrCe Co-M ADDRESS Sr1y✓�2. PHONE 3731 EMAIL APPLICANT NAME 1��� ecdap�l I ADDRESS Po �X 7'Z l3 Wf 1don,&Y— CA- ai�,5�5 PHONE IT5/-F>37-(al30 EMAIL CONTRACTOR'S NAME l � ME(e Jc,�'_ CG K-l't OWNER BUILDER? O YES AO BUSINESS NAME Sa mC ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER (o3/q OS 7 LICENSE CLASSIFICATION VALUATION$ J G SO FT <3 L SQ FT APPLICANT'S SIGNATURE DATE 2 /� CITYSTAFF USEONLY DEPARTMENT DISTRIBUTION ACCEPTED CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE PERMIT FEE aq SMIP 1 GREEN I PLAN CHECKFEE INVOICETOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO K. i ,iy DoperYR7� -i 21071.=i.C,6li !,i 'Ill.. I) e. -_�.. l=._ �tii7 u✓;y'el.f'I i,Q%irR+7lj 2v'.U' I � .�-DGER & TRACK ASPECTION REOUiRED City of Menifee Building Dept. tj S��, r FEB 2 8 2018 • U Receiu ^, r ,1 .4 c' 373� i CITY OF ME NIFEE BUILDING ND SAF �DEPARTMENT PLAN APP VAL REVIEWE Y DATE ii to 'Approval of these p ans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. s r v eaJ.-ow_ - G