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PMT18-02377 City of Menifee Permit No.: PMT18-02377 MENIFEE, EE, CHAUN 92 Type: Residential Addition ACCELh? MENIFEE, CA 92586 MENIFEE Date Issued: 06/15/2018 PERMIT Site Address: 29363 CORAL ISLAND CT, MENIFEE,CA Parcel Number: 333-481-029 92585 Construction Cost: $2,900.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL ATTACHED ALLIMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor VANESSA STCLAIR PSLQ INC 18890 SEATON AVE #206 Applicant Phone:9517954260 PSLQ INC License Number: 919885 18890 SEATON AVE PERRIS, CA 92570 Fee Description Oty Amount f51 Receptacle, Switch, Outlet&Fixture 1 116.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 Administrative Fee 5 5.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 5.80 $295.45 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_Templale.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 1 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 Contractor's State License law for Professions Code and m license Is in full force and effect, /� the following reason: License ClassB License No. -I �1��5 By my signature below l acknowledge that,except for my personal residence Expires� Signature _ in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.)cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 1 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the appllcable 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. w ww .leeinfo.ca.eov/calaw.hanl. 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 ofthe 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 numberare. application and the information 1 have provided is correct.I agree to comply Carrier V t— with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Polity# LA O-LOR5a 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 D I certify that in the performance of the work for which this permit is Issued, ��,I"jam^ I shall not emolov 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 of5ection 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 an the Hazardous Materials Information Guide? WARNING:FAILURLFTO SECURE WORKER'S COMPENSATION COVERAGE IS oyes 040 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(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY 0Yes I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000feet ofthe lending agency forthe performance ofthe work which this permit is issued outer boundary of a school? (5ecUon 3097 Civil Code) c 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 under the State of Contractors License taw for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning erial re oriel checkmark(s)I have placed next to the applicable item hazardous mat s)(Section 7031.5 oy� O 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 OWN R R U ORQEa DA 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(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 Iicensure receiving compensation far most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compensation or atinforre mto ost eork that disturbs ified firmsanicomplywith then Applicant fora permit subjects the applicant taacivil 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 ci 1,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( I all of or I 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 71144,Business and Professions 1-BOG-424-LEAD(5323). Code;The Contractors State License taw 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: ci 1,as owner ofthe 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 out the RRP Acknowledgement. 75cishPAc.k- Glr�---%-be2. Ek M_ ENIFEE New.Better.Best. ( ��— DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL IBIRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 4 ELECTRICAL O MECHANICAL IV-NEW O PLUMBING O RE-RO F-NUMBER OF SQUARES DESCRIPTION OF WORK J'i �v�yv �- cover w z PROJECTADDRESS ej ' 1 ASSESSOR'S PARCEL NUMBER ?j?j� -'LA9 1 -('�' .LOT TRACT OWNER NAME V Q 4, 7 J Lj City of Menifee ADDRESS SArnj PHONE , EMAIL APPLICANT NAME J'M c r i C iveADDRESS Recec,,, PHONE 151'3 6-ga�Sy EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES XNO BUSINESS NAME aco4p n (� p ADDRESS PHONE 9s�- �b+q4 Q EMAIL CONTRACTOR'S STATE LIC NUMBER /�{l-'/�1 p$f LICENSE CLASSIFICATION VALUATION$ 047 Ol. ' SC,FT 2$� L SQ FT APPLICANT'S SIGNATURE DATE S DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE pplD AMOUNT LOCASHOCHECKN OCREDRCARD VISA/MC N CHECK FEES PAIDAMOUNT 0CASH OCHECKn OCREDITCARD VISA/MC UILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Dept 29714 Haun Road I Menifee,CA 92586 951-672-6777 0 N A r- ---- ------- ----1 tli 1 � 1 1 F+ I 1 � 9 2' z O O * X 0 0 v w o p l N rD V "= m Cc C.)dC N' IOi+ "C 0 S C /� v+ H ai _ N �. g Z r V D f+ 0, 0 0000 3. g N Z O an r, to -n T f 131 .0 m D N n - r : v O A 000 S y^ O. r S113 RI m D N S D m 71 v r Pg � D mO uv 00 & S l ) 3 a a qEr � m „ o a m v � Z now Vf m y CL 0 m 0- _0 ro m r 3Ln D m N O z Z_ to � T W :3 m of tD m W o (� Cl x �. z n O D = D< ao 0 tG D m ` `C' m N r Vf �." Iv v0 �—.'. m 6) N N N o o cu 00 r D oo CD m CD - LqZ cl v n " ° n D OFFC IE No 'c --� T 0 �f �. A �