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PMT18-02944 City of Menifee Permit No.: PMT18-02944 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0611412018 PERMIT Site Address: 28591 HEATHER GREEN WAY, Parcel Number: 372-231-003 MENIFEE, CA 92584 Construction Cost: $5,130.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 45'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor ROBIN OLDENBURG PSLQ INC 28591 HEATHER GREEN WAY 18890 SEATON AVE MENIFEE,CA 92584 #206 Applicant Phone: 9517954260 JOSH HERRICK License Number: 919885 PSLQ INC DBA GREENBEE 18890 SEATON AVE PERRIS,CA 92570 Fee Description ,Q�t 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 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 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 contractors)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 Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature _IE�;� 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 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. www.leeinfo.ca.eov/caiaw html. Policy# Date o I have and will maintain warker'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 o 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 owner's behalf.I have read this number are: application and the Information I have provided is correct.I agree to comply Carrier l�lvC with all applicable city and county ordinances and state laws relating to - — building construction.I authorize representatives of this city or county to Policy u501067 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 ❑1 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 CM BUSINESS LICENSE g 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,l shall forth�wit/} mply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant 7/ - Date mixture containing a hazardous material equal to or greater that the <l amounts specified an the Hazardous Materials Information Guide? WARNING:FAILUR TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes 0<0 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($100,00D),IN occupant require a permit for the construction or modification from South IN SECTION ON TO THE COST LABOR CODE,INTERS TMADATTOGES AS ROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes d1fro 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) o Yes OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 2SS34 concerning checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 hazardous material re orting. Business and Professions Code).Any city or county that requires a permit to 01Fef O No Date _ Issuance, alter,improve, applicantsh frepair any ermitru ture,(ilea signedor ota PROPERTY OWN # R U ORIZED 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 Iicensure receiving compensation for most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility m o be RRP-certified firms and complypre-19th than Applicant fora permit subjects the applicant toacivrl penalty of not more required practices.This includes rental property owners and property than($S00), 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.eaa.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 Contractor's State License Law does not apply to an owner of a [3 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 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. ­3�sh-t*P-P4c-- ana;--6-Q.. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE i DATE: b L PERMIT/PLAN CHECK NUMBER eMTIZ-03gA14 PLANNING CASE NUMBER TYPE: O COMMERCIAL 'RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONE O PLUMBING - RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK v>+tp,wa. v f lid Z �r5 PROJECT ADDRESS �PC &to 2 ASSESSOR'S PARCEL NUMBER 3�-;2a�- Cj LOT TRACT City0f Menifee OWNER NAME n�i rl ©) n l W BuildingeP ADDRESS 4mqo SUN 14 20% PHONE 9aq- t -1 -929-1 EMAIL APPLICANT NAME ADDRESS PHONE J�-�7h' ]QOy EMAIL CONTRACTOR'S NAME ceW"&'o OWNER BUILDER? 0 YES ekNO BUSINESS NAME tt 1 Q d ADDRESS v$41� Q�nCla `.� 4 Tjd' Lee_1 PHONE 5�-�3 y ate_ EMAIL CONTRACTOR'S STATE LIICnNUMBER q')gm /{ LICENSE CLASSIFICATION VALUATION$ J 1-7u. SQ FT r77 Q L SQ FTrj APPLICANT'S SIGNATURE DATE -OTYSTAFF USE ONLY FA DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL �5, GREEN 1 — SMIP OWNER BUILDER VERIFIED YES C NO DRIVERS LICENSE# NOTARIZED LETTER C YES 0' NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 G tr o� www.cityofinenifee.us � �erLiFeE 10, City of Meni ee Building Dept. JUN 14 2018 Received W m A _ LEDGER & TRACK INSPECTION REQUIRED O ]A O m r : O r------- ---------- ---- - ----- --- '�— —� 3 13 0 r I 0 (D 'a e OR7 m rt A IN I O H D C rn n m p 3 0 O CL o 70 Z O '. o I mm O (� r a m Z D D r) m M r� '< f,^r N Z Z 00 COY OF MENIFEE �, ALDING AND SAFETY D PAR MEI m m m PLAN APPRO AL D D = W C9�1�&-m z $EIEWED B mm Qshall not be construed tobeaperm °Ap�Aval of these plans y rovisions of the federal,sm M Z approval of,any violati n of an pZ regulations and ordinances. this set of approved plansmus v C jobsite until completion. A 7 Yf AVM N33HD U3HIV3 H