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PMT18-03584 City of Menifee Permit No.: PMT18-03584 RAS 29714 HAUN RD. Type: Residential Addition MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 0 711 8/2 01 8 PERMIT Site Address: 27819 PADDLEBOAT CT, MENIFEE, CA Parcel Number: 333-700-060 92585 Construction Cost: $3,090.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 14'X 25'ALUMAWOOD PATIO COVER W/ELECTRICAL, 1 FAN Work: Owner Contractor GEORGE NEGRON ANGEL'S PATIO COVERS&AWNINGS 27819 PADDLEBOAT CT 225 SPARKLER LANE MENIFEE, CA 92585 PERRIS,CA 92571 Applicant Phone:9514431659 YVETTE GONZALEZ License Number:900657 ANGEL'S PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA 92571 Fee Description City Amount($1 Receptacle,Switch,OuUet&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 Bldg_Pennit_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 70(10)of Division of the Business and D 1 am exempt from Iicensure under the Contractoes State License Law for Professions Code and my license is in full force and effect. the following reason: License Class_ b2.?N Uce se No. '70C`)(O By my signature below I acknowledge that except(army personal residence Expires -20_19 Signature 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 legalli,sell a structure that I have built as an owner-builder if it has not been committed in its entirety by a 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 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 isisnissuped�. 1 I,- P / www.IeRinfo.ca.Roy/nIaw_htmI. Polity# f'"7�V U�nL ! �l F37;2 Date a have and will maintain workers compensallon insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work forwhich It my signature below l 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 ar e[ r_J y/ application and the information I have provided is correct.I agree to comply Carriers l (f� -e�"i-7�7 �� ,�,5 with all applicable city and county ordinances and state laws relating to Polity#W Q WC_612'0 r p� - �-Z�� building construction.n.fledauthorize pr riz arty or inspection pure city or county to "> Plies ente he abov identified pr erty or inspection purposes. (This section need not to be completed is the permit is for one-hundred Date �� ZG dollars(S100)or less PR tTY OWNER OR AUTHORR AGENT that in the performance of the work for which this permit is Issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION to the workers compensation provisions of Section 3700 of the Labor Cade,Ishal cirthwi c triply witht ose provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date O 8 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:F LURE TO SECURE WOR ER'S COMPENSATION COVERAGE IS Dyes rNo UNLAWFUL,AND SHALLSUBIECT 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 rimu.diRcation from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See pet;mltting checklist forguidell9as CONSTRUCTION LENDING AGENCY 'Yes 2A0 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 permits issued outer boundary of a school? (Section 3097 Civil Code) 'Yes e•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 Contractors 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' Preporting. Business and Professions Code).Any city or county that requires a permit to AM 'No ' construct,alter,improve,demolish or repair any structure,prior to its Date Gl� issuance,also requires the applicant for the permit to file a signed statement PROPERTY 04y1 EROR AUTHORIZED T that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 inapre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facilitytohe RRP-certifiedrms pre,19ply th an Applicant for a permit subjects the applicant to a civil penalty of not more required radices.This includes rental property than($500). q P p p rry owners and property managers who do the paint-disturbing work themselves or through their 0 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.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1.800424-LEAD(53Z3). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will he 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. a 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: F-1 ' "CJ PERMIT/PLAN CHECK NUMBER L> O PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION C ELECTRICAL O MECHANICAL ANEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK cc PROJECTADDRESS _,.7 a P���yy �-�b �t ZIP ASSESSOR'S PARCEL NUMBER �7`�� �OC7 LOT TRACT OWNER NAME C7• r� e IVQ r ADDRESS jlgiq d boa4 M C' PHONE ` 1 ����y EMAIL APPLICANT NAME \ l� -'I c j r C ADDRESS PHONE l�� - Cf.hl�-��� EMAIL U%I ' t:2) , Ca 7 CONTRACTOR'S NAME J1 ivi OWNER BUILDER? Q YES 0 NO BUSINESS NAME i' S (,U IU i F i''_`> 1 L--t) O ADDRESS _"_} �7r ' /" l Y' PHONE 01 5/ - EMAIL i I' II hav �d 1 CONTRACTOR'S STATE LIC NUMBER �U� �,��• LICENSE CLASSIFICATION VALUATION$ "P��1 SQ FT L SQ FT �yy� •/�1 f 1 J� APPLICANT'S SIGNATURE ' i - DATE rowI DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL O� _ �� GREEN SMIP OWNER BUILDER VERIFIED 0 YES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF LE-D�E-RJ � UV'1J1a�od �P�i`, Cwe� iNSPECTION� REQUIRED SiZc X2S ::: � � �i �l ✓�+un I City of Menifee buildling Dept. JUL i E 2018 25 � /Receiv �JI— rJ 2' -- po5r Sj�acil2� 1 t� j C�or�j� NPc�l�on )?361 PQCOI� bOct� gd M,tt1l C' )4 clsl - qLl— s 1 Ilk CITY OF MENIF E BUILDING AND AFETY DEPAR PLAN APPROV L EVIEWED BY 119 _- DATE 'Approval of these plans shall not be cons rued to be a permit for,or ap v �f � approval of,any violation-Of any provisio of the federal,state or city regulations and ordinances. This set of ap roved plans must be kept on the jobs ite until completion.