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PMT18-03705 City of Menifee Permit No.: PMT18-03705 29714 HAUN RD. ZI, MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0712712018 PERMIT Site Address: 29869 BERRYESSA DR, MENIFEE, CA Parcel Number: 333-741-011 92585 Construction Cost: $1.800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 11'x 18'SOLID ALUMAWOOD PATIO COVER DOUBLE HEADER WITH 1 FAN, 2 LIGHTS Work: Owner Contractor SARAH BALIZADEH TODD'S PATIO COVERS 29869 BERRYESSA DRIVE 30905 GREENSBORO DR MENIFEE, CA 92585 TEMECULA,CA 92592 Applicant Phone:9516608665 TODD SKARIN License Number:834251 TODD'S PATIO COVERS 30905 GREENSBORO DR TEMECULA, CA 92592 Fee Description OQt Amount fSl Receptacle, Switch,Outlet&Fixture 3 126.00 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 6.30 $300.95 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_01d9_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects under penalty of perjury that I am under provisions of 1 hereby a with a licensed contractor(s)pursuant to the Contractors State License Law). affirm 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 my license is in full force and effe the following reason: License Clxass . Uce se Jo. By my signature below I acknowledge that,except formypersonal residence Expires 3 ' 4SIO natur In which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.1 cannot Iegailysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that 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 µ,ww.leeinfo.ca.eov/calaw.hmd. ' this permit is issued. Polity N —Date - o l 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 '108y my signature below l certify to each of the following:)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.1 have read this numberare: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or county to PolicyN Expires ente h h !den Fled property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($100)or less Date 'ER OW RAUTHORIZED AGENT -)stl certify that In the performance of the work for which this permit is Issued, Ishallnotemolov any persons in any manner sow to become subject to the CITY BUSINESS LICENSE worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's com ensation provisions of Section 3700 of the Labor Code,I shall lfffooythw h fy with those provisions. MIT the applicant or future building occupant handle hazardous material or a Applicant(_- Date Za mixture containing a hazardous material equal to or greater that the amoun specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o No 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 occupa require a permit for the construction or modification from South ADDITION TO THECOST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coaster quality Management heconDistrict(SCAionorm modification ingfrom checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST AND ATTORNEYS FEES fowtAguido lines CONSTRUCTION LENDING AGENCY o Yes 3 No I hereby affirm that under the penalty of perjury there is a construction Wlllthe urciposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer b ndary of a school? (Section 3097 Civil Code) o Yes No OWNER BUILDER DECLARATIONS have re d the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permittin checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)Indicated below by the California ealth&Safety Code Lion 25505 and 25534 concerning checkmark(s)i have placed next to the applicable item(s)(Section 7031.5 hazardou m�'a1 r �. Business and Professions Code).Any city or county that requires a permit to Dyes O � �/ Date construct,also alter,improve,demolish or repair permit to file,priorto to PROPER ER 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 a pre-1978 and the basis for the alleged exemption.Any violation of Section 70315 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 properly owners and property than($500). managers who do the paint-disturbing work themselves or through their o1,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-BD0.424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a DAn 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 bemuse: 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 MENIFEE AM - DATE: 1 I%s PERMIT/PLAN CHECK NUMBER emrke> -Q 05 GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL ') RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA O SIGN SUBTYPE: O ADDITION C%ALTERATION 0 DEMOLITION O ELECTRICAL ^ MECHANICAL O NEW " PLUMBING O RE-ROOF NUMBER OF QUARES OfDESCRIPTION OF WORK / I SD//r �{, li(.(�J(7ew a ✓ G vw- OCCUPANCY GROUP /� QQ /— CONSTRUCTION TYPE SPRINKLERSYiE7S PROJECTADDRESS Z / V& � 1 ZIP 4 S ASSESSOR'S PARCEL MBER 3.3 t4 LOT TRACT NAenite OWNER NAME a��,, � a City of plailciinci Dent 2 S ADDRESS �` `�J PHONE v v�VIAIL APPLICANT NAM h eive ADDRESS PHONE -EMAIL S Y! O0 . Cam. I r CONTRACTOR'S NAME—:71 OWNER BUILDER? C YES 0 r BUSINESS NAME ADDRESS (� �----- �- PHONE rO rO!:CMAIL f CONTRACTOR'S STATE LIC,,,,///N►►►/UUM///�BER 3�(ZS LICENSE CLASSIFICATION VALUATION$ -r�- 0 AFT L SO FT �/J ii�� APPLICANT'S SIGNATU r DATE • (ram 7 DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE pep INVOICE TOTAL Q'C� GREEN SMIP .. 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 ".of www.cityofinenifee.us � MENIFEE T w o m r C G Z r �3 m Z O ;o a m C v T a M NK T Iv ^ Hn as v (� a NIZ i • C C0 m ^ rn m 7 Dorn ® r- ;v > n z > CD 179 -p c Ito n ao mcX CD ti O / N D dkd co D O 0 m