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PMT18-01379 City of Menifee Permit No.: PMT18-01379 29714 HAUN RD. �!-�CCELA7 MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 03/2712018 PERMIT Site Address: 29309 PINELEAF ST, MENIFEE, CA Parcel Number: 333-491-018 92584 Construction Cost: $2,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 16 X 19 SOLID ATTACHED ALUMAWOOD PATIO COVER W/0UT ELECTRICAL Work: Owner Contractor RYAN&JEWEL HUIZINGA SUNSTATE LANDSCAPE INC 29309 PINELEAF STREET 9901 INDIANA AVE#102 MENIFEE; CA 92584 RIVERSIDE, CA 92503 Applicant Phone:9517977000 SUNSTATE LANDSCAPE INC License Number:945375 9901 INDIANA AVE#102 RIVERSIDE, CA 92503 Fee Description CityAmount IS) 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 $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 carded 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 perjury that l am under provisions of with a licensed contractors)pursuant to the ContranonState License taw). Chapter9(commencing with section 7000)of Division 3 of the Business and a l am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full farce and effect the following reason: License Class_13 G-a-7 License lo. �L. 3 S By my signature below I acknowledge that,except for my personal residence Expires I 30—/k Signature in which I musthaverelided for at least one year pcinrto completion of WORKER'S COMPENSATION DEC ION improvements covered by this permit l cannot legallysell a structure that have built as an owner-builder if It has not been constmded In its entirety by a 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 cwnv.leelnfa.m.eov/calaw.htmi. this permit is issued. Polity R Date D 1 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 forwhich ci By my signature below l certify to each of the following:I am the property this permit is issued.My workers compensation insurance mrrier 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 Carrier E05TZ1:4-—7 NH%.b gg- with all applicable city and county ordinances and state laws relating to y� building construction.I authorize representatives of this city or county to Policy tolI-Ii-1 el17 WS Expires_ `]—� '-��_ 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 a I certify that in the performance of the work for which this permit is Issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the worker's an pe lotion pro visions of Section 3700 of the Labor Code,I shall forth it� th hose provisions. Will the applicant or future building occupant handle hatardaus material or A licant Dale �2-3/—/� mixture containing a hazardous material equal to or greater that the pp amounts specified on the Hazardous Materials Information Guide? WARN :FAILURE7O SECUREWORKER'S COMPENSATION COVERAGE IS oYes ONo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY Dyes ONO I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within IDOD 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) Oyu ONO OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury thatlam exempt from 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 hazardous material reporting. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 oYes a No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,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 Contactors State EPA RENOVATION.REPAIR AND PAINTING IRRPi License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contactors 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 palm-disturbing work themselvesorthrough their O1,as owner of the property,or my employee with wages as their sale employees.For more Information about EPA's Renovation Program visit: compensation,will do( Iall of or( )portion of the work,and the structure is www.epa.eav/lead or contact the National Lead Information Center at not intended proffered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does notapply to an owner of a DAn EPA Lead-Safe Certified Renovator will he responsible forthis 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. D No EPA Lead-Safe Certified Firm Is requlred for this project bemuse: D 1,as owner of the property am exclusively contracting with licensed contactors to construct the project(Section 7044,Business and Professions Code:The Contactoes State License Law does not apply to an owner of a If your project does not comply with EPA RRP role please rill out the RRP Acknowledgement • Menifee DATE Z Y PERMIT/PLAN CHECK NUMBER g 'a TYPE: O COMMERCIAL & RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOLJSPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ,O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK W / F Sol' Al-1414ilhl Ti 0 he e ecl--t-i nvi PROJECTADDRESS "' ASSESSOR'S PARCEL NUMBER all 4q 1 '01 LOT TRACT p,(/ SG OWNER NAME / J = [. `L ` Building Dept. ADDRESS Z f - - PHONE �sl l fa;j 9 EMAIL //��QQ p APPLICANT NAME j-- ecely� ADDRESS AV,' -&n PHONE q�j/- 717_ 76u2 EMAIL CONTRACTOR'S NAME S- ` OWNER BUILDER? OYES /NO BUSINESS NAME Ki 'X7 ii ADDRESS /; PHONE 241 EMAIL CONTRACTOR'S STATE LIC NUMBER Sys'3�,� LICENSE CLASSIFICATION VALUATION$ L SQ FT APPLICANT'S SIGNATURE % " / /]' DATE Ile- DEPARTMENT DISTRIBUTION I CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLAN ING ENGINEERING FIRE GREEN ( $MIP INVOICE /l f IDAMOUNT AMOUNT I K 0 CASH 0 CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Mel Buid,4&Safety Deportment 29714 Hal Rd. Menifee, CA 92586951-672-6777 a.vw.cicyo meni/a .!rs Inspeca:,r, neyuesr Line 951-2=6-6213