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PMT18-02773 City of Menifee Permit No.: PMT18-02773 29714 HAUN RD. ! MENIFEE,CA 92586 Type: Residential Addition M E iV i k°E E MENIFEE Date Issued: 0 610 712 01 8 PERMIT Site Address: 29101 BOTANICAL CIR, MENIFEE, CA Parcel Number: 333-670-005 92584 Construction Cost: $1,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'x 14'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor SUSAN WILLIAMS PREMIUM PATIO COVERS 29101 BOTANICAL CIRCLE 22942 MIRILESTE DR MENIFEE,CA 92584 NUEVO,CA 92567 Applicant Phone:9513780857 KRISTY HENDRICKSON License Number. 1025122 PREMIUM PATIO COVERS 22942 MIRILESTE DR NUEVO, CA 92567 Fee Description ON Amount($1 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 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 Contractors State License Law for Professions Code and my license is in full force and effect.(� the following reason: License Class Di5 19-0, - Lice s By my signature below I acknowledge that,except for my personal residence Expires Signature -m w / in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I 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 workers 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.leginfo.ca.eov/calaw.html. Policy N 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 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application �z-� n,, 1 application and the information I have provided is correct.I agree to comply Carrier S (i`^I " W I�17 U{� I nS with all applicable city and county ordinances and stale laws relating to /� �1�� dd �7II I- r� building construction.I authorize representatives of this city or county to Policy 8"a-5h 4I o—riu)A Expires _-� ^19 - 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 in 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 UCENSE 0 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the crkers compensation provisions of Section 3700 of the Labor Cade,I shall( w th co ply wit those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant 1`i Date '1.ISS mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAI RE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes rpNo 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(SCAQMDI?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guide'nes CONSTRUCTION LENDING AGENCY ❑Yes ;to 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) ❑Yes kNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of 1 hereby affirm under penalty of perjury that I am exempt from the Contractors 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 items)(Section 7031.5 hazardous m1111terfal reporting. �( _ Business and Professions Code).Any city or county that requires a permit to oYes 6 ` f e construct,alter,Improve,demolish or repair any structure,prior to its PROPERTYOWNER 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 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 D 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 I )all of or( I 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(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: o 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 MENIFEE DATE: PERMIT/PLAN CHECK NUMBER . PLANNING CASE NUMBER TYPE: O COMMERCIAL O RESIDENTIAL 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 O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK h CI Fee PROJECT ADDRESS a_I I Q I 9)uban ccul Ur ZIP 9 uilding De t• ASSESSOR'S PARCEL NUMBER 33 01D W.J LOT TRACT JUN O ] 2018 OWNERNAME LISS.L l UjLu,LCLMS N ADDRESS ( n C ' ed PHONE (00-501 41 • EMAIL APPLICANT NAME 'a ADDRESS � n CPAs a �QQ PHONE qs -►1q�,- •''Uy • EMAIL CONTRACTOR'S NAME fy j'in h:bD cnverSOWNER BUILDER? O.YES V!NO BUSINESS NAME ADDRESS I 0- }, j I I-e k, Dr. NXU0 , CA PHONE EMAIL m�U CL••t p(DvfXS LLLL.CO CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 15DO SQ FT Ho L SQ FT APPLICANT'S SIGNATURE nC 1.1, . .�''J DATE DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE wb INVOICETOTAL jjjI46. U5 GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER C YES C' NO 11 City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 ono. www.cityofinenifee.us rf - , '.MENIFEE: �Qso'n LOLLl,t0,MS (,(.I,I,I rV , VU:V0 CDVff IL 14 5oLc . acilbl ��Ec�nkcc ctr n0 d-e' .-f -lCCL► m.erf.(e�, Ca 4a5�µ �1tDo-raj- lt�W . war in 5cale.. City of Menifee Building Dept. JUN 0 7 2018 r, Wed LEDGER & ► RACK � INSPECTION REQUIRED CMD a® M CMD j I 20 ` t � I I T ro SAFETY DEPARTMENT ryw A' ,=PRGVAL .� REY±EWED BY l l—I ' p5s e 'App,-'a;of these plans shall not be construed to be a permit for,or an approval rf,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion.