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PMT18-03739 City of Menifee Permit No.: PMT18-03739 29714 HAUN RD. Type: Residential Addition 'r MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 07/31/2018 PERMIT Site Address: 29115 STONE RIDGE ST, MENIFEE, CA Parcel Number: 340-422-001 92584 Construction Cost: $5,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 9'x 9'LATTICE,9'x 1 V LATTICE AND 9'x 30'SOLID ALUMAWOOD PATIO COVER WITH 4 Work: LED LIGHTS AND 1 FAN Owner Contractor JOSE DURAN T F MEADOR CONSTRUCTION 29115 STONE RIDGE STREET PO BOX 713 MENIFEE, CA 92584 WILDOMAR,CA 92595 Applicant Phone:9518376180 TOM MEADOR License Number:639087 T F MEADOR CONSTRUCTION PO BOX 713 WILDOMAR, CA 92595 Fee Description City Amount($1 Receptacle, Switch,Outlet&Fixture 5 136.00 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 6.80 $311.45 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_Permit_Templatexpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and o l am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full farce and effect. the following reason: License 'Cl1ass U�ce/41se No. (,39 oH7 By mysignature below l acknowledge that,except formy personal residence Expires"L 3U Signature �" A in which l must have resided for at least one year priorto completion of improvements covered by this permit I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-bullder If It has not been constructed In Its entirety by ❑1 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.lefCinf6.m.gov/calaw.htmi. this permit is Issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT 61 have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which aBy 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 are: 11 application and the information 1 have provided Is correct.I agree to comply 4ta uy,d, with all applicable city and county ordinances and state Yaws relating to Carrier cr building construction.I authorize representatives of this city or county to Policy#GI 11f 3.5341-f Lo Expires 0 enter the above identified property far inspection purposes. z (This section need not to be completed Is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT . t o I certify that in the performance of the work for which this permit Is issued, � 64�_p7 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 l should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forth th co pOrijh rhos rovisions. / Will the applicant or future building occupant handle hazardous material or Applicant �� Date �� / mixture containing a hazardous material equal to or greater thatthe amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes KNo UNLAWFUL,AND SHALL SUB1ECr AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant at future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($10D,000),IN occupant require a permit for the construction or madification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid�IJnes CONSTRUCTION LENDING AGENCY Oyes lines 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 permit is issued uuterbou aryofaschool? (Section 3097 Civil Code) In Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjurythat 1 am exempt from the California Health&Safety Code,Section 25505 and 2SS34 concerning Contractors License Law for the reasons)Indicated below by thepzardous material repo i g. checkmark(s)I have placed next to the applicable items)(Section 7031.5 byes ❑No� Business and Professions Code).Any city or county that requires a permit to Datel� construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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 IRRP) 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 pre4978 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 property owners and property than($500). managers who do the paint-disturbing work themselvesor through their a1,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.gov/lead or contact the National Lead information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323). Code;The Contractors State License law does not apply to an owner of a o 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. D No EPA Lead-Safe Certified Firm Is required for this project because: ❑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 ® -Menifee DATE 7 3D PERMIT/PLAN CHECK NUMBER Q)� TYPE: O COMMERCIAL .RESIDENTIAL 0— MULTI-FAMILY O MOBILE HOME O POOL/SPA. O.SIGN SUBTYPE: XADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK T^'5-l0I I A to jC ,50/� 14(uMtnUwe Pq-trc dour �t,1 1-I ff 1 q ^ha'V1 PROJECTADDRESS o2ot 11.5 S'bre Kfa E C--7' q Building pt. ASSESSOR'S PARCEL NUMBER ?,f{�- �"L-,�' �, LOT 9',y of Men nCT OWNERNAME "3d5e. U Building Dept. ADDRESS Save JUL 31 2018 Received PHONE 9 5 13 - '1 31 EMAIL APPLICANT NAME �0v"1 t-1e01-c�eve- l ADDRESS -7 /3 W I' L dOYh04- C^ 12 S? 5 PHONE '1 5 1- $3 7-G 1I T 6 I EMAIL CONTRACTOR'S NAME \ 1 / - I'e ad '�_ C�0{'�Sfi� OWNER BUILDER? O YES NO BUSINESS NAME ADDRESS PHONE EMAIL rr�� CONTRACTOR'S STATE LIC NUMBER 6P390 87 LICENSE CLASSIFICATION u VALUATION$ 5 300 SQ FT Sd d L SO FT y APPLICANT'S SIGNATURE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE 311. PAID AMOUNT 3,,, 5 AMOUNT L' C CASH C CHECKA C CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER C YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Building Dept. LEDGER & TRACK ,,,, JUL 3 1 2018 � INSPECTION REQUIRERtio cOU.e-,- Received m 1 30 9 O Sim op d b �1 TyP I $ a �rd �ny1i i VI 3 / o aUSA. r. rya 7 1 _ CITY OF MENIFEE KIT BUILDING I-{on^z. p ;te ( LEVIEWED P OVALr' ,1I '� E BY G v „ I DATE 15i �Hf3- elf �( the a plans shall not be consWed to be a permit tor,or an 02' ( i5 e� ;�5 C 51 any iolationof any provisions of the federal,state or c ty nd rdinances. This set of approved plans must be kept on the Me+r � �1 SS� co pleGon.