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PMT18-01367 City of Menifee Permit No.: PMT18-01367 29714 HAUN RD. � �/�' MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 0 3/2 712 01 8 PERMIT Site Address: 31898 SORREL RUN CT, MENIFEE, CA Parcel Number. 372-512-017 92584 Construction Cost: $5,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'x 40' SOLID ALUMAWOOD PATIO COVER WITH 2 FANS &5 LIGHTS Work: Owner Contractor IAN CASADAY PSLQ INC 31898 SORREL RUN COURT 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 -Ott Amount(SI Receptacle, Switch, Outlet& Fixture 7 146.00 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 7.30 $321.95 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 underwhich 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 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 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 I acknowledge that,except formy personal residence Expires --I--1- 19, Signature in which l 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 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 forworkers 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 w .leeinfo.ca.eov/calaw.html. this permit is issued. vnv Policy# Date ❑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 an the property owners behalf.I have read this number are: /� !1 application and the information I have provided Is correct.I agree to comply CACarrier � with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# 14503o6759 Expires -I Z-1 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for ane-hundred 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, ^�� Ishallnotemoloy 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 forthwi mply with those provisions. Will the applicant or future building occupant handle bazardous 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 15 o Yes 0110 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SC construction or modification cation fro checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY aYes dwo' 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 Code) o Yes 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 underthe 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 item(s)(Section 7031.5 hazardous material re lorting. Business and Professions Code).Any city or county that requires a permit to oYe£ allo 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 6R KUtRD9IZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 at 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.eov/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 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. o No EPA Lead-Safe Certified Firm is required for this project because: D 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 If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION „ MENIFEE DATE: Y / PERMIT/PLAN CHECK NUMBER ,,,,.pp PLANNING CASE NUMBER TYPE: O COMMERCIAL 4ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION 0 DEMOLITION O ELECTRICAL 0 MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 44 S ^146 X40 PROJECT ADDRESS ��Q� So:rQ i�vl1 ZIP ( z/D ASSESSOR'S PARCEL NUMBER //?rr"��'� -��- f'r�1"'1 LOT TRACTC• ty of Menifee OWNER NAME J-- \\N Lfl` ((11 /� Building Dept. ADDRESS )Q Jn.'EC,e q2-S MAR 2 7 2018 PHONE EMAIL APPLICANTNAME Received ADDRESS PHONE q5j- _�76-gOX9' EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES ENO BUSINESS NAME (� ADDRESS l / � .,-1 c'1 54 z PHONE EMAIL q Q CONTRACTOR'S STATE LIC NUMBER !I t StX5 LICENSE CLASSIFICATION (� VALUATION$ SO FT L SO FT 3 Y a APPLICANT'S SIGNATURE '� DATE //�'Y-�) O ITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEEBUSINESSUCENS"NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL \, 0145 GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us ENIFE SORREL RUN CT CRY Of 1110110e. Building Dept. o MAR 2 7 2018 EUC* Lv n R GK-ED Received TECTION RECUIR Z v 17i Mo D o O D rn m i a mC ITY OF MENIFE d o y UILDI G AND S WETY DEPARTIta. -n ° A LAN A PROVA N N ° U7 F C EVIE ED BY n D CD Z oCu Approval o these plans sh if not be construed to be a cer, ° approval of any violation o any provisions of the fedora - r` ° regulations nd ordinances. This set of approved plans mus.�, - v _ jobsite unt completion. O n -I m r m D � -p Q c r no rye D m N z ZW ° m 00 rD4 0i (D iA m t° 3 D O D p i -- — — —— — — —— — — ——— — — — — — — — — — H N A Z p T m n o x ci oo D A C D co Z V n o W N V •* Ql � C tD � O 00 O A �