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PMT18-02657 City of Menifee Permit No.: PMT18-02657 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 05/31/2018 PERMIT Site Address: 24369 TRAILBLAZER LN, MENIFEE, CA Parcel Number: 358-562-004 92584 Construction Cost: $2,200.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 9'x 22'SOLID ALUMAWOOD PATIO COVER WITH 1 LIGHT Work: Owner Contractor BRIANNA HERNDEN ANGEUS PATIO COVERS&AWNINGS 24369 TRAILBLAZER LANE 225 SPARKLER LANE MENIFEE,CA 92584 PERRIS, CA 92571 Applicant Phone: 9514431659 IRENE GONZALEZ License Number: 900657 ANGEL'S PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS,CA 92571 Fee Description Qtv Amount f81 Receptacle, Switch,Outlet& Fixture 1 116.00 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 5.80 $290.46 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 BIdg_Pennit_Template.rpt Page 1 of 1 Arejet faa-yz�oyk-, - 1 e s � 06 CITY OF MENIFEE i 0 C S 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, the following reason: License Class �B Lice se No. �oh to� By my signature below I acknowledge that,except formy personal residence — U o Expires Signature in which l must have resided for at least one year prior to completion of ell 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 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. 9 l,- /' 1? www.leginfo.ca.gov/calaw-htmi Policyq Ej�'V V K �l �I b1S7�2 Date o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which irrny my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation Insurance carder and policy owner or authorized to act on the property owners behalf.I have read this number are: s application and the Information I have provided is correct I agree to comply m (� w�J �F7 it O�c��S with all applicable city and county ordinances and state laws relating to Carrier �/��tt OO building construction.I authorize representatives of this city or county to Policy#6U UWG 3'0 pires r enter he abov identified pr ertyfor inspection purposes. (This section need not to be completed Is the permit is for one-hundred Date U/ zG 8 dollars($100)or less PR TY OWNER OR AUTHORl2 AGENT �ertify that in the performance of the work for which this permit is issued, I shall not emolev 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 shal orthwL c mply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date D Q B mixture containing a hazardous material equal to orareater that the 43/zamounts specified on the Hazardous Materials Information Guide? WARNING:F LURE TO SECURE WOR ER'S COMPENSATION COVERAGE IS Dyes 6—ho 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($100,O01)),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management hecoDistrict(SCtionor modification from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airlines Qua CONSTRUCTION LENOfNG AGENCY DYes e1"No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within ILOOD feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) Dyes 2rNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of Contractoorsr's License Law for thea reason(s)indicated below by the I hereby under penalty perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous mater' (reporting.$)(Section 7031.5 Ayes o No Business and Professions Code).Any city or county that requires a permit to Date O Gl6' construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZEDA 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 IRRPI 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 and the basis for the alleged exemption.Any violation of Section 703L receiving compensation for most work that disturbs paint in apre-3978 5 by residence or childcare facility to be RRP-certified fsrmsand complywith an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners property than($500). P P y managers who do the paint-disturbing work themselves or through their cs 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( )all of or( )portion of the work,and the structure is www.eoa.Rov/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 Contractors 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: ❑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 a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION p MENIFEE DATE: D PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL 011ESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION L> ELECTRICAL O MECHAgVoLf Menifee ,^EW O PLUMBING O RE-ROOF NUMBER OF SQUARES GAL)/ DESCRIPTION OF WORK I 1 I 4 .J PROJECTADDRESS T_ 7C C Zip kd ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ADDRESS p'1'y �^ l 959V PHONE (Q4q)�a�� EMAIL APPLICANT NAME ADDRESS J"� J/ PHONE EMAIL 5 CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME $ r ADDRESS PHONE �5/)7 o�//Jq�J EMAIL , cZ7'P '( CONTRACTOR'S STATE LIC NUMBER 90n �- pC�LICENSE CLASSIFICATION VALUATION$ go SQ FT / f• O L SQ FT APPLICANT'S SIGNATURE - --O DATE�� DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL I 0 , GREEN ( _. SMIP I — OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586(951)672-6777 www.cityofinenifee.us NI LEDGER & TRACK !NSPECTION REQUIRE'[2 City of Menifee Building ept. - Ind F9-114'mf'nun-t p Co MAY 31 2018 a v�h xa� Received i I $6w pahv ql _- �YlGl�iflA f��/1c��Vl ��n�e �3(��f I�frl�blllS�rGn � n-ry Qv FIEWEDB MENIFEE yuV� �rZIVe �� U G AND SAFETYpp°�TMENT APPROVAL ED B`�� 5'b1 DATEf these plans shall not be construed to be a permit for,or an ,any violation of any provisions of the federal,state or city and ordinances. This set of approved plans must be kept on the [ y� il completion. / c7r/, � -