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PMT18-01507 City of Menifee Permit No.: PMT18-01507 29714 HAUN RD. Type: Residential Addition '5A—CCELA? MENIFEE,CA 92586 MENIFEE Date Issued: 04102/2018 PERMIT Site Address: 26851 POTOMAC DR, MENIFEE,CA Parcel Number: 338-131-011 92586 Construction Cost: $9,999.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'X 26'SOLID ALUMWOOD PATIO COVER WITH 2 FANS&1 OUTLET Work: Owner Contractor PHIL LISO CALIFORNIA SHOWCASE CONSTRUCTION INC 26851 POTOMAC DRIVE 1507 MARLBOROUGH AVENUE MENIFEE, CA 92586 RIVERSIDE, CA 92507 Applicant Phone: 9516820208 1507 MARLBOROUGH AVENUE License Number:912352 RIVERSIDE, CA 92507 Phone: 9516820208 Fee Description Qty Amount f51 Receptacle, Switch,Outlet&Fixture 3 126.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 6.30 $301.95 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_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 I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions CodeeQ and my license is in full force and e((fff�e,ct.�7 the following reason: License Class 415 /nOcense N//o."((.�� 1� By my signature below l acknowledge that,except for my personal residence Exp1resr (� �� S i g n a t u r ,Y_ ( 1�� -- Ali %vl/ `- in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑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 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 37GO of the Labor Code,for the performance of work for which �v,�,w,,leein(o.ca.eov/calaw.html. this permit is issued. Polity If Date PROPERTY OWNER OR AUTHORIZED AGENT &I have and will maintain worker's compensation insurance,as required by 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 worker's Compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: n -Y ,I ''\\ application and the information I have provided is correct.I agree to comply Carrier z �, ��r 1 S. )" LIV V with all applicable city and county ordinances and state laws relating to 77��jj// building construction.I authorize representatives of this city or county to Policy#g62— t J21 Expires 1 31 the above fentified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred I , v�`( . ` �— Date dollars($100)or less OPEN-1lY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, 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 shallyf�a,rthwith c mpiy w th those provisions. (� Will the applicant or future building occupant handle hazardous material or a Applicant I 1� I C9 ��r n—;:it,7.(�'�—� Date t h o/(O mixture containing a hazardous material equal to or greater that the v amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 6'1010 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant requite a permit for the construction or modification from South Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OE THE TABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli es CONSTRUCTION LENDING AGENCY - D Yes &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 boundary of a school? (Section 3097 Civil Code) Dyes � o. 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 under the State of Contractor's 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 Zaterial reporting.. . II f Business and Professions Code).Any city or county that requires a permit to Dyes Ii �Ifl6l L CLGrJIP Dale 1/3�I1 v construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER dR AUTHORIZED AG ENT 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(RRPI License Law(Chapter 9(commencing witki Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he onshe 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($500). - managers who do the paint-disturbing work themselves or through their o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( I portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1.800.424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a D An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. CI:;I 01 i':1�ij;fe"o EPA Lead-Safe Certified Firm is required for this project because: of,as owner of the property am exclusively contracting with licensed`''i idi In r-el" contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner.d_f;1a 11 _)))fi If your project does not comply with EPA RRP rule please fill out the RIP 1 - Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: L ( PERMIT/PLAN CHECK NUMBER k/Tn3 I' 1U71 PLANNING CASE NUMBER TYPE: O COMMERCIAL kRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING ^- RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Prc� C�S-e d I 4 XZ k'S(C) I 11 �(CS5 l C.-i i I I,r��c� \isl.1� f��-�/� PROJECT ADDRESS I 160 251 b+b ►, aC Ok - ZIP 9�I FA> ASSESSOR'S PARCEL NUMBER 33$ •131 •bl I LOT TRACT OWNER NAME ( p IS ADDRESS 2_(Q g.GI I V K b ' PHONE'a(VZ - ,3ZZ-_13-7I.D EMAIL APPLICANT NAME ' a- ADDRESS (HONE EMAIL OO TRAM RU'S V} ME&(I r ICI. abwcsl OWNER BUILDER? 4 YES kO BUSINESS NAME &146( n( S j (� �✓ /�� ADDRESS b--I �,r i bo`(p k A vt PHONE qN -S(Q_j . -7'73 7 EMAIL CONTRACTOR'S STATE LIC NUMBER 1?-3 6 Z LICENSE CLASSIFICATION 13 VALUATION$ 1q CIA SQ FT ')3(D l�1 L SQ FT APPLICANT'S SIGNATURE .� .� -��' w-_, DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY:11 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL /501 .C�'E I GREEN I •� SMIP `Z•� OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO City of Menifee Building &Safety Department 129714 Haun llkl OWGA 92586 (951)672-6777 www.cityofinenifee.us Building Dept. APR 0 2 2018 "IF Received LEI) I:D .0 'rn A � MUM INSPECTION REQ19f ;Iborough Ave. R� '18e, CA 92507 Cti; o i PROPERTY PLOT PLAN Of rFax (951) 686-2769 cm, Construction Customer: /1—e- tso measuredate: 3-30/8 2G851 1rrbA1ac �"' "� lot size: G g 70 CIJ SuvC'rrq 586 house size: /2 8 .kl,.,,v 54;2 3ZZ- 7374 garage size: 996 LA.s P/C size: 3 3,, Ldi lot coverage: � A7Z te.. L3 ILj ZU 5(-,) I1 ry - — 24� __ Pate Cover Poi rs 1 " L i PE,6-r <paciiv,K IP,�" tN otj r✓MCHstX �I��ri CAI CITY OF FENIFEE C> BUILDINUKDAAEETftvpAR� A PLAN APPROVAL REVIEWED BY L zo.s- 'AWoval of tlwe ptans thsti not be am**fo a a permd for,or Opmal of,any violation of any provblau of ON hNral,state or Ck / ngolydians and ordnum This ads otapprowd ON most be kept dw Ay l—}- joba@e undl Completion.