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PMT18-03744 City of Menifee Permit No.: PMT18-03744 29714 HAUN RD. Type: Residential Addition -� MENIFEE, CA92586 MENIFEE MENIFEE Date Issued 0 713 112 01 8 PERMIT Site Address: 28955 CAMINO ALCALA, MENIFEE, CA Parcel Number: 340-102-004 92584 Construction Cost: $5.500.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 24'SOLID ALUMAWOOD PATIO COVER, 6 LED LIGHTS, 2 FANS Work: Owner Contractor ROBERTO JIMENEZ PRO INSTALLATION 28955 CAMINO ALCALA 43043 CAMINO CARUNA MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone:7142348652 JONATHON COLONNA License Number: 895950 PRO INSTALLATION 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description O_yt Amount($1 Receptacle, Switch,Outlet&Fixture 8 151.00 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 7.55 $327.20 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_Permit_Template.rpt 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 70001 of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and ec effect. the following reason: /3 License Class Ucens D 7s/S� By my signature below l acknowledge that,except for my personal residence Expires Z°/z1 Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DE[ TION 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 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 sn.-jsyleeinfoca.gov/caiaw.html. this permit is issued. Policy 0 Date PROPERTY OWNER OR AUTHORIZED AGENT ❑1 have and will maintain workers compensation insurance,as required by 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 canter and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.i agree to comply Cartier d ,>' with all applicable city and county ordinances and stale laws relating to building construction.I authorize representatives of this city or county to Polirypt'.f��L (o S77 Expires 7 2O/5— enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify 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 become subject to the CITY BUSINESS LICENSE fl 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 fo N om with those provisions. Will the applicant or future building occupant handle hazardous material or �7 mixture containing a hazardous material equal to or greater that the Applicant Date amounts specified on the Hazardous Materials Information Guide? WARN G:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes b 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 occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes CM0 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 outer boundary of a school? (Section 3097 Civil Code) o Yes f¢No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and Z5534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous n terial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ayes Business and Professions Code).Any city or county that requires a permit to Date ,S// 7 construct,alter,Improve,demolish or repair any structure,prior to its 4AAPERTY 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 Contractor's 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 Cade)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 fora 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 O I,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is wynv.eoa.eov/lead or contact the National Lead Information Center at not intended or offered forsale.(Section 7044,Business and Professions 1-8011-424-LEAD(5323). Code,The Contractor's 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. ❑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 & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE:07/30/18 PERMIT/PLAN CHECK NUMBER Q GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: Q COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: QADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUM13ING ORE-ROOF NUMBEROFSQUARES DESCRIPTION OF WORK 12 x 24 solid alumawood patio cover, 6 recessed leds , 2-fans OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS Q YES E)NO PROJECTADDRE55 28955 CAMINO ALCALA ZIP q ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME --F _ ktrn �/ I City ofnq Dept Menifee ADDRESS 28955 CAMINO ALCALA PHONE C —679— 9V35� EMAIL APPLICANT NAME JONATHAN COLONNA Receive ADDRESS 43043 CAMINO CARUNA, TEMECULA,CA 92592 PHONE 714-234-8652 EMAIL CONTRACTOR'S NAME PRO INSTALLATION OWNER BUILDER? QYES(j)NO BUSINESS NAME ADDRESS SAME AS ABOVE PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER 895950 LICENSE CLASSIFICATION B VALUATION$ 5500.00 SQ FT 288 L SQ FT APPLICANT'S SIGNATURE i DATE07/30/18 DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL a%-'1 GREEN SMIP I — OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER 6 YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us NIFe `1�� .y 1 a� City of Menifee Building Dept. JUL 31 2018 LEDGER TRACK `Q Received �NSPEGTiQN REQDIREC G!TY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL R1=VIEWED BY :5 6) D TE 'Apprcval of these plans shall not be construed to be a permit for,o in reaulations and ordinances. This set of approved plans must be kept on the jobsite until completion. o © o m o CA 3rq- '3,