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PMT18-03368 City of Menifee Permit No.: PMT18-03368 29714 HAUN RD. M MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0 710 612 0 1 8 PERMIT Site Address: 30425 COWBOY LN, MENIFEE,CA 92584 Parcel Number: 358-521-011 Construction Cost: $4,600.00 Existing Use:. 1 &2 Family Residence Proposed Use: Description of INSTALL 9 X 25 WITH 8 X 22 SOLID ATTACHED ALUMWOOD PATIO COVER WITH 2 LIGHTS AND 2 Work; POST LIGHTS Owner Contractor JOCELYN LEGASPI KMPATIOCOVERS.COM INC 30435 COWBOY LANE 19495 OAKVIEW LANE MENIFEE, CA 92584 LAKE ELSINORE, CA 92530 Applicant Phone:9098386779 KMPATIOCOVERS.COM INC License Number.954365 19495 OAKVIEW LANE LAKE ELSINORE, CA 92530 Phone:9098386779 Fee Description Ply Amount IS1 Receptacle, Switch,Outlet&Fixture 4 131.00 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 6.55 $306.20 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_Permft_Tempiate.rpt Page 1 of 1 LICENSED DECLARATION CITY OF MENIFEEproperty who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractors)pursuant to the Contractors Stale License Law). Chapter9(commencing with section 700D)of Division 3 of the Business and 01 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 License No. 'IxJ Hat-."S // By my signature below I acknowledge Na[,except for my Personal residence Expires 131 I Slgnature_ !� /--- in which l must have resided for at least one year priorto 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 entirely by D 1 hereby affirm under penally 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 by Seaton 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following websilie this permit is issued. www Ieeinfo ca.cov/cala• html. Policy 4 Date - a 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 D By my signature below l certify to each of the following:I am the properly this permit is issued.My worker's compensation fnsumnce carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information 1 have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy 11 Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($300)or less Date PROPERTY OWNER OR AUTHORIZED AGENT • cerilfy 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 became subject to the CITY BUSINESS LICENSE 8 worker's compensation laws of California,and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION Code,1 shot)fgrthwLN comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant �r Date 4i�Z,G�tl� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 OYes *Xo 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,'AND ATTORNEYS FEES Coast Air Quality Management District(SCAOMD)?See permitting checklist' forguidelines CONSTRUCTION LENDING AGENCY OYei tIA0 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or mocified 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 "0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand the SCAOMD I hereby affirm under penalty of perjury that l am exempt from the Permitting checklist.I understand my requirements under the State of Contractor's 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 Item(s)(Section 7031.5 hazardous�material reporting. Business and Professions Code).Any city or county that requires a permit to oyes Oxvo construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION.REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RAP)Role requires contractors andthe basis for the alleged exemption.Any violation of Section 70315 by receiving compensation for most work that disturbs paint in a pre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-cerdfled Firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their D1,as owner of the properly,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit: compensation,will doIIall of Or portion of the work,and the structure is wwweoa.euvAead or contactthe 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 property who,through employees'or personal effort,builds or Improves the O An EPA Lead-Safe Certified Renovator will be responsible for this project 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 completion,the Owner-Builder wilt have the burden of proving that it was Firm Certification No.: 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 7D44,Business and Professions Code:The Contnictor's State License Law does not apply to an ownerof a If your project daps not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 7 MENIFEE DATE: PERMIT/PLAN CHECK NUMBER ?�"LI �� 0 GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES 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 PLUMBINGrrnn0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK -J- �'`s t 11 L uvyi.,.., ,L �-t� �✓ -1' XZ5 c � zz i , �. OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS C;YES O NO PROJECTADDRESS ��I�S� < ' co}�� Z'n ZIP ASSESSOR'S PARCEL NUMBER �9 `Ryl ` V I - 1 I LOT TRACT OWNER NAME S , ADDRESS PHONE 7 71 5U EMAIL APPLICANT NAME {frs .- 1 ✓1 11l. ADDRESS c4jc. , ; PHONE CIO- EMAIL CONTRACTOR'S NAME I`�' 1 C� C'C>Vr,T OWNER BUILDER? C;YES XO BUSINESS NAME tL,Vv� A-# 0.%OVe,i c ADDRESS PHONE 4'1Ol 55?:.'j<r EMAIL CONTRACTOR'S STATE /LICCNUMBER S-I ��/ LICENSE CLASSIFICATION VALUATION$ SO FT L SO FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OFMMEENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE T1 lJ�' INVOICETOTAL �Q0 . OD GREEN 1 SMIP I— OWNER BUILDER VERIFIED OYES 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 City of Menifee NIF Building Dept. JUL 0 6 2018 3 C>C4 \ ok v4j\n 1LAA/\� "1151 �5`0 ��sb L ��-qs��3�� '�Nu I � I I l X4 e`\A "QNcQ�°`� S °0aSe�°�ac�'�� I 1 0 ♦ V City of Men fee L" Building D pt. " JUL U n 2 18 LL LL Received o