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PMT18-03272 City of Menifee Permit No.: PMT18-03272 A11A 29714 HAUN RD. AF MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 06/29/2018 PERMIT Site Address: 25844 BOULDER PARK PL, MENIFEE, Parcel Number: 335-480-026 CA 92585 Construction Cost: $3.200.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL10'X 34'9"ATTACHED SOLID ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor JULY SCHWARTZ TODD'S PATIO COVERS 25844 BOULDER ROCK PLACE 30905 GREENSBORO DR MENIFEE, CA 92585 TEMECULA, CA 92592 Applicant Phone:9516608665 TODD'S PATIO COVERS License Number: 834251 30905 GREENSBORO DR TEMECULA,CA 92592 Phone:9516608665 Fee Description city Amount lSl 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 $290.45 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 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_BIog_Permh_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 Contractor's State License Law for Professions Cade and my license is in full force and effe t. the following reason: License class (' Lice se !o. !63 Bymysignature below l acknowledgethaC except for my personal residence ExpiresV Signatur in which l must have resided for at least one year prior completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 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 www.leginfo.m.gov/calaw.htnil. ' this permit is issued. Policy 4 Date O l have and will maintain workers compensa lion 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is conect.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.Jauthorize representatives of this city or county to Policy 9 Expires VEOWt, iden led property for inspection purples. (This section need not to be completed is the permit is for one-hundred Date ` dollars($100)or less R AUTHORIZED AGENT certify that in the performance of the work for which this permit is issued, I shall not emolav any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If worker's 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 shall/ffoo h h��m(5ly�with those provisions. Will the applicant or future building occupant handle hazardous material or Applicaa[_/ .Y/J� Date 1& mixture containing a hazardous material equal to or greater that the amount specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS aYes ❑No UNLAWFUL,AND SHALLSUB3ECT AN EMPLOYER TO CRIMINAL PENALTIES Will the ntended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupa require a permit for the construction or modification from South ADDITION TO THE[OST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Ai Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LIBOR CODE,INTEREST,AND ATTORNEYS FEES for guid lines CONSTRUCTION LENDING AGENCY ❑Yes 3 No I herebyaffirm thatunder the penalty of perjury there isa construction Willthe imposed building ormodified facility be within 1000 feet ofthe lending agency for the performance of the work which this permit is issued outer b ndary of a school? (Section 3097 Civil Code) 0 Yes No OWNER BUILDER DECLARATIONS I have red the Hazardous Material Information Guide and the SCAQMO i hereby affirm under penalty of perjury that I am exempt from the permittin checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California alth&Safety Code ion 25505 and 25534 concerning checkmark(s)i have placed next to the applicable item(s)(Section 7031.5 hazardou mate]al Business and Professions Code).Any city or county that requires a permit o Dyes 0Ir / 7/ Date construct,alter,improve,demolish or repair any structure,prior to its PROPER R R THORIZED 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 fRRPI 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 01,as owner of the property,or my employee with wages as their sole employees.For more Information about EPA's Renowflon Program visit: compensation,will do( )all of or( )portion ofthe work,and the structure is www.ena.eov/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 ❑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 Certifiation No.: completion,the Owner-Builder will have the burden of proving that It was not built or Improved for the purpose of sale. D No EPA Lead-Safe Certified Firm Is required for this project bemuse: D 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 y BUILDING ♦ SAFETY PERMIT/PLAN APPLICATION 14t, ~ Meni ee DATE: �� PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK / v ' /► 3q !s VI/-d �qkyjf o, !!O 70.'�'►� b �t/V t / � U a PIlOJECT ADDRESS r tJ I o�/�IP ASSESSOR'S PARCEL UMBER 3�17) .IIII',Et)o -04qOT TRACE OWNER NAME U �� ADDRESS S PHONE 67 S� ' 0 I (03 V ' EMAIL APPLICANT NAME I p, J�9 ADDRESS 30 r Q /ti p ��-✓//� PHONE /'' (40� $&`5, EMAIL 001� et ;k OL) NDO. CO CONTRACTOR'S NAME � • ✓'� OWNER BUILDER. OYES NO BUSINESS NAME 1 d -. a4 O ADDRESS 3O s)oo✓D Y , S PHONE I / & `Q - Cb GAO J EMAIL +O ,S4{r//( `` r 00.CQ CONTRACTOR'S STATE LICC ICAIl N NUMBER gj 3�Z� , LICENSE CLASSIF �'� VALUATION$32-LI r) Sf FT LSQFT APPLICANT'S SIGNATURE ♦ DATE CITYSTAFFYSF;QN,LY .. ,..DEPARTMENT DISTRIBUTION _ /� CITY OF ME IFEE USINESS LICENSE NUMBER D BUILDING PLANNING ENG/N ER/NG FIRE ACCEPTE BY: PERMIT FEE an o-o -) SMIP GREEN I� L LAN CHECK FEE INVOICE TOTAL NER BUILD ER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Adenifee o"ulldlrg & 5afe?y De,oartmert 29711-1 Houn Rd. Meoifee. CA 92586 .-Men iPee bvww,ritynfnI en ifee.cis t. JUN 2 9 2018 Received , CD W Z Q (D N a o `o N CD CD (D O y t{� � N C W o C pap Ng'b� � $ a �r" rA p.. 1C �X p.� W �� , W � N cm m Cl� � c m 1 - 0311 OFFICE COPY