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PMT18-01366 City of Menifee Permit No.: PMT18-01366 29714 HAUN RD. �ACCEL/� MENIFEE,CA 92586 Type: Residential Addition Gw.«.-ert SMlwxe MENIFEE Date Issued: 03/27/2018 PERMIT Site Address: 26720 OPALESCENT DR, MENIFEE, CA Parcel Number: 360-810-032 92584 Construction Cost: $4,475.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'x 34' SOLID ALLIMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor JERRY& PRECILLA BARRETTE PSLQ INC 26720 OPALESCENT DRIVE 18890 SEATON AVE MENIFEE, CA 92584 #206 Applicant Phone: 9517954260 JOSH HERRICK License Number: 919885 PSLQ INC DBA GREENBEE 18890 SEATON AVE PERRIS,CA 92570 Fee Description Ply Amount ISI Receptacle, Switch, Outlet&Fixture 2 121.00 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 General Plan Maintenance Fee-Electrical 1 6.05 $295.70 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 sift 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 perjury that l 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 licensure under the Contractors State License Law for Professions Code and_M license is in full force and effect. the following reason: License Class_ License No. By my signature below l acknowledge that,except formy personal residence Expires `1-'I' I :;&_Signature Y�N in which l must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legallysell a structure that I 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: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 Cade,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 ,A,ww.leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date o I 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 o 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: n ,� ' application and the information I have provided is correct I agree to comply Carrier c-/v 6- with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# 047 Expires -I 2-1 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, Cry 6goZ Ishallnotemoloy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# �"ftJ'j(/ workers 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 forthwi mply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILUR TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes 040 UNLAWFUL,AND SHALL SUBIECF 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 SECTION ON TO 06 OF LABOR CODE,INTERTION,DAMAGES ST, A AND FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE TABOR[ODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes zY1rr.- I herebyaffirm that underthe penaltyof perjurythere isa 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 Code) o Yes OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 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 erial re orting. checkmark(s)I have placed next to the applicable item hazardous mat s)(Section 7D31.5 aYe£ ❑No ' Business and Professions Code).Any city or county that requires a permit to construct,alter,improve,demolish or repair any structure,prior to its Date_ issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWN R 611 RUtHOKIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 than Applicant fora permit subjects the applicant toacivil 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.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a oAn 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. o 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 Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill aut the RRP Acknowledgement. r BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MEN IFEE AI±i)�glr fit,r-0T.1= - DATE: PERMIT/PLAN CHECK NUMBER -0 PLANNING CASE NUMBER TYPE: O COMMERCIAL --X RESIDENTIAL O MULTI-FAMILY () MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O`PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Ne j I( A I A •Z � 14% t 14 PROJECTADDRESSabl;t m 0y4'y5un} -S) qc. ZIP / xq ASSESSOR'S PARCEL NUMBER `i1-�{� • �jp� LOT TRACT OWNER NAME PC'C S ?Me : ck, f4t City of Menifee ADDRESS /54e• Z IF Building Dept. PHONE Kjq Fj 15 -lD2 q EMAIL MAR 2 7 2018 APPLICANT NAME o /, ADDRESS PHONE 7�I� Zi �i �dg�� EMAIL CONTRACTOR'S NAME fwf16•1T_ OWNER BUILDER? O YES XNO BUSINESS NAME ADDRESS �� (�-o ^^1 �l(� I FO-W-1 i 10 , CA7-54S i0 PHONE 95/ . ;?3-0;564 EMAIL CONTRACTOR'S STATE LIpC NUMBER J J qj LICENSE CLASSIFICATION 7 VALUATION $ f Gt T / r SQ FT � Ij L SO FT > APPLICANT'S SIGNATURE DATE Z CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER YES NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 G TY oe www.cityofinenifee.us � TMENIFEE' � -OF 'Of\ / OPALESCENT DR--77 PUBLIC SIUEV.'ALK rtly of enifee Buildir g Dept. m rt MAR 7 2018 2LEDGER & TRACK 018PECTION REQUIRE,, Received Z -0F mX O m v v D �11 A N A W p C) W (D 0 nn z m N T 0 M rT m N N ? 0 v a) a T L CITY OF A IENIFEE BUILDINC AND SAFETY DEPARTMENT m Cr 4 c PLAN APPROVAL m a rn D REVIEWS BY �ft K DA p 'Approval of them plans iall not be construed tobeapermitfor,oran m approval ot,any iolation f any provisions of the federal,state or city m D regulations and c dinances This set of approved plans must be kept on the Q jobsite until com lesion. 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