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PMT18-02916 City of Menifee Permit No.: PMT18-02916 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 06/13/2018 PERMIT Site Address: 24389 COMANCHE CREEK DR, Parcel Number: 358-720-027 MENIFEE, CA 92584 Construction Cost: $2,860.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL ATTACHED SOLID 12'X 26'ALUMAWOOD PATIO COVER,W/ELECTRICAL 2 FANS Work: Owner Contractor KYLA CUSHMAN ANGEUS PATIO COVERS&AWNINGS 24389 COMANCHE CREEK DR 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 Q_yt Amount($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 $289.65 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 a 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: �N License Class 5 Lice se No. c/D(�[p By my signature below I acknowledge that,except formy personal residence Expires`71/ /� Signature 1 in which I must have resided for at least one year pdorto completion of WORKER'S COMPENSATION DECLARATIONAll improvements covered by this permit.I cannot IegalFysell a structure that I 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 declaration:) licensed contractors.I understand that a copy of the appl icable 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 by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website: this permit isissuped�. - www.leginfo.ca.gov/calaw.htmi. Policyg f`isn2 V QV,lam I-SS792 Date- 0 1 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 �a0y my signature below 1 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: 'd j application and the information I have provided is correct.I agree to comply Carrier 1 I l ( �-Q�T �' Lail c.e� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy tt S Q�2,U U WG 61-w or�.xpires A L21' enter he abov identified pr gray for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less „�� Date U/ 2G pj PR RTY OWNER OR AUTHORIZ AGENT certify that in the performance of the work for which this permit is issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE q worker's compensation laws of California,and agree that if I should become HA2ARD0l15 MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shal orthwi c mplywith t ose provisions. Will the applicant or future building occupant handle hazardous material or a Applfrant Date-° /� mixture containing a hazardous material equal to argreater that the amounts specified on the Hazardous Materials Information Guide? WARNING:F LURE TO SECURlillMORAG9 COMPENSATION COVERAGE 15 ❑Yes f5`No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the aplilicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or nio.diffcation from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY 0 Yes A. 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 ja'No 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 reasons)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 mater Freporting. Business and Professions Code).Any city or county that requires a permit to srYes D No(/I`/J! construct,alter,improve,demolish or repair any structure,prior to its "L"u Date G`Cl Issuance,also requires the applicant for the permit to file a signed statement PROPERTY DOER OR AUTHORZED A that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP1 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 Ifcensure receiving compensation for most work that disturbs paint in a pre-197R and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving or childcare facilitytoheork that disturbs firms ainicomre-197h an Applicant for a permit subjects the applicant to a civil penalty of not more required orctiildc This includes rental property than($500). q P p p rty owners and property managers who do the paint-disturbing work themselves or through their ❑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.eoa.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 Certiflotion No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. 0 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 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �` �',�r MENIFEE DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL is RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ,OfiEW O PLUMBING O RE-ROOF NUMBER OF SQUARES r/ DESCRIPTION OF WORK ) I `1 Im 1 _ PROJECTADDRESS �T.�gr(� ni�Y"�'i.� �(� ZIP ASSESSOR'S PARCEL NUMBER LOT _ TRACT (O g� OWNERNAME ADDRESS y)� © 'j PHONE '714 $ p � 1„'� EMAIL APPLICANT NAME M / W K ADDRESS 1 ,Z5 W I I+. c A -1_/��o PHONE -7' "42r ��.� EMAIL p j 2 (0530V � `�`x�106. CONTRACTOR'S NAME .1nib riza"�Z -` OWNER BUILDER? O YES O NO BUSINESS NAME 5 Gi, o roveor5. ADDRESSvarhkrY ` 5 PHONE 9 /-1 EMAIL CONTRACTOR'S STATE LIC NUMBER � A LICENSE CLASSIFICATION VALUATION$ a` l�'F'V FT d' L SQ FT APPLICANT'S SIGNATURE DATE 12211 DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MEN , 51NE55 LICE N UM BER BUILDING PLANNING ENGINEERING FIRE l� 5-7 VO INVOICETOTAL a r. (O S 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.cityofmenifee.us ENIF 6olicl fkl; VaP CovePS1 � 3iz I City of Menifee Building Dept. & A RACK JUN 13 2018 itvSPECT101� REQUIRED,,, o ved �C�jiG C�J Q12 Ky1s� CLsh n�u►'1 �'fq Cor�U I-��I�� CIrK Did Y OF MENIFEE �" B ILDING AND SAFETY DEPA TM NT PLAN APPROVAL v cr (� II ATE 'ApprcmIoftheseplansshallnotbeconsuusdtobeapermitfor, iran approe of,any violation of any provisions of the federal,state or ity ��e ���y regulatioo>and ordinances. This set of approved plans must be ke t on the jobsite:ntil completion. Slye- t