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PMT18-02203 City of Menifee Permit No.: PMT18-02203 29714 HAUN RD. Type: Residential Addition <ACCEL/� MENIFEE, CA 92586 Cpn 'A qA MENIFEE Date Issued: 05/04/2018 PERMIT Site Address: 26465 MALLORY CT, MENIFEE,CA Parcel Number: 360-781-008 92584 Construction Cost: $4,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 300 SQ FT SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor ANDREW& HOPE DELVALLE ANGEUS PATIO COVERS&AWNINGS 26465 MALLORY COURT 225 SPARKLER LANE MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9514431659 ANGEL'S PATIO COVERS&AWNINGS License Number:900657 225 SPARKLER LANE PERRIS, CA 92571 Phone:9514431659 Fee Description ply Amount f$1 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 $295.70 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. c-T�2 the following reason: License Class_() U enA$a No. ��'ll/'f By my signature below l acknowledge that,except for my personal residence Expires ' SLO Signature in which I 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 ❑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 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leeinfo.ca.eov/calaw.html. Policyq `-' V� Z Date PROPERTY OWNER OR AUTHORIZED AGENT o 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 D 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 owners behalf.I have read this number are. ,� C application and the information I have provided is correct.I agree to comply p Carrier Y�( "t+'tN'` ��s'�Xc" r^O `x-�`- ' "�^l.0 ' with all applicable city and county ordinances and state laws relating to /nI building construction.I authorize representatives of this city or county to Polity g (�U wy 3� /n. spires t` 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 ❑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 K 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 shah rt Nith comply with those provisions. . Will the applicant or future building occupant handle hazardous material or a Applicant �� Date fv'()JJ I� mixture containing a hazardous material equal to or greater that the amounts ecified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 oyes No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the ntended 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY ❑yes /jNo I hereby affirm that under the penalty of perjury there is a construction Will the/proposed building or modified facility he 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) ❑Yes No OWNER BUILDER DECLARATIONS I have I'd the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 255D5 and 25534 concerning checkmark(s)I have placed next to the applicable Rem(s)(Section 7032.5 hazardous m erlal reporting. ayes_ �'N� 1 p Business and Professions Code).Any city or county that requires a permit to , F� � Date Cl construct,alter,improve,demolish or repair any structure,prior to its PROPEKITT6WNER OR AUTH016ZED 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPL License Law(Chapter9(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(SSDD). 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.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD 15323). Cade;The Contractor's State License Law does not apply to an owner of a o 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. o No EPA Lead-Safe Certified Firm is required for this project because: a I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade: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. ' SAFETY PERMIT/PLAN • ♦ APPLICATION Yj_f•� Men ifee DATELEA) xl � PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL AESIDENTIAL O MULTI-FAMILY O MOBILE HOME C POOL/SPA C SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL C NNEW O PLUMBING C RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 3° kw 1517-b `�a`�bl.M' b • PROJECTADDRESS ,GI L6 /'�t�l ��VYI� ��J�'�� ZIP Jd ASSESSOR'S PARCEL NUMBER J�G^Q/�C •?Q' 'OI��J/ LOT TRACT OWNER NAMEE/ 'n[,� l/'�/i(1 G //D -i � d Va-IJ6 /yJ� /�'n ADDRESS .C..l�'//]]+I-L' r/,,� <(C��O L UZ1V�• t P/G�/i �i Ci _ PHONE ' • "I`l _fflAA. Igun EMAIL APPLICANT NAM EE I Y� vp'1_ ADDRESS LO5 2-1 �(/ ` PHONE 73 � ( S EMAIL i i$YLZGiLP'GCt7��vlJ� �l)O•CO•W) CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME IS e {'U� ADDRESS ' I�InGI(:>r la)'. J I Zrri S � q�v PHONE �'�� - `T�� '��,ry^/_ 2 EMAIL V3jAiVL 0j' 11U6..CQ CONTRACTOR'S STATE LIC NUMBER 9W(JSq LICENSE CLASSIFICATION VALUAT SO L SO FT �l APPLICANT'S SIGN TURE DATE f vv CITY STAFFUSE_ONLY_.__ DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSING UENJLNUMBE BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: �y ^,•� VC6 PERMIT FEE al�,'ll� SMIP ♦ '� GREEN PLAN CHECK FEE INVOICETOTAL OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO City of Menifee Building Dept. City of Menifee Building&Sofety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.LIS MAY 0 4 2018 Received F6'A 50"C' Rluryir" 2-6'-3ooscy-N 2o` i�Cn.-eehe�rtcJ. - -_ - CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL rJ� REVIEWED BY 0S• CM. 'q?ct.� 6 C,,��rL 5� DATE 'Approval of these plans shall beeanttruedtobeaperm@fororeo approval of,any violation of an provisions of the federal,state orc4 }' } regulations and ordinances. Thi setofapprovedd ustbe kept on jobaite until completion, �ey►�� c0 go6gq (e Lpggo YC�; I �c v C V- t \ ( � i RACK iNSPECTIUiV EQUiRFI) City of Menifee Building Dept. MAY 0 4 2018 Receive(