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PMT18-03789 City of Menifee Permit No.: PMT18-03789 29714 HAUN RD. Type: Residential Addition 'J '1k MENIFEE, CA92586 MENIFEE MENIFEE Date Issued: 08/01/2018 PERMIT Site Address: 29192 ABELIA GLEN ST, MENIFEE, CA Parcel Number: 333-632-011 92584 Construction Cost: $3,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 12 X 20 PATIO COVER WITH 1 FAN Work: Owner Contractor MUYISA SIRONDA TRADER DAN'S INC 29192 ABELIA GLEN 840 S ROCHESTER AVE STE C MENIFEE, CA 92584 ONTARIO,CA91761 Applicant Phone:9093900555 TRADER DAN'S INC License Number:517575 840 S ROCHESTER AVE STE C ONTARIO, CA 91761 Phone: 9093900555 Fee Description RIM Amount($1 Receptacle, Switch, Outlet&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_BIdg 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 contractors)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 ❑I am exempt from Iicensure under the Contractor's State License Law for Professions Code ap my license is in full farce and effect the following reason: License Class se No. SI7s7.� Bymy signature below l acknowledge that,except formy personal residence Expires in which l must have resided For at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that 1 WORKER'S COMPENSATION DE O have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one a e fallowing 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 5ection 3700 of the Labor Code,for the performance of work for which wsnv.leeinfo.m.eov/calaw.html. this permit is issued. Policy g Date PROPERTY OWNER OR AUTHORIZED AGENT Whave and will maintain worker's compensation insurance,as required by /section 3700 of the Labor Code,for the performance of the work for which Oey my signature below i certify to each of the followings 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.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier &tj with all applicable city and county ordinances and state laws relating in c s� �y building construction.I authorize representatives of this city or county to Policy llwsihS d 3?"C� Expires 6 l 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, O 2r O 2�t I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensatF revisions of Section 3700 of the Labor Code,I sh orthwit pl those eivisions. 5Z � /� Will the applicant or future building occupant handle hazardous material or mixture containing a hazardous material equal to or greater that the Applicant Date amounts spedadon the Hazardous Materials Information Guide? WARNING: U RE WORKER'S COMPENSATION COVERAGE IS O Yes ino.No UNLAWFUL,AND SHALL SUBIECT 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 Quali Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidellii�r CONSTRUCTION LENDING AGENCY ❑Yes 7u No I hereby affirm that under the penalty of perjury there is a construction Will the prcpo sgcl building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outerboun dryofaschool? (Section 3097 Civil Code) oYes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD under penalty of perjury that I am exempt the affirm permitting checklist.I understand my requirements under the State of I hereby a C California Health&Safely Cade,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)Indicated below by the hazardous majeda o ng. checkmark(s)I have placed next to the applioble items)(Section 7031.5 "y s o No Business and Professions Cade).Any city or county that requires a permit to Date E Z construct,alter,improve,demolish or repair any structure,prior to its PROPERTY O O OAGENT 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 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 7031.5 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 themselves or through their ❑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 w%vw.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-B06424-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 a re 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 protect because: 01,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. bo n �Cu��h�VL vJ �nA&A M l)aw —. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION > MENIFEE DATE: ( � PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL -1�-RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: __O�ADDITION O ALTERATION O DEMOLITION ELECTRICAL O MECHANICAL ,NEW O PLUMBING /O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK i ! 90 / ('// Alltsiolto 00 Ve,,(n f-t 44 'n PROJECTADDRESS ��`�� JQ/lla C-71ep, rJ s7 ZIP ASSESSOR'S PARCEL NUMBER 333- W32-CI I LOT TRACT OWNER NAME / ��FII� / /};� W da ADDRESS 2- l 1 /} g PHONE 74o - �f77-J�6� EMAIL APPLICANT NAME novi ADDRESS PHONE '101 -X6 -0s3('_ EMAIL CONTRACTOR'S NAME 0 VVJ OWNER BUILDER? 0 YES O NO BUSINESS NAME ,•7 ADDRESS 0L�� 44- Ot/Z(` PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER �� 7�Z6� LICENSE CLASSIFICATION VALUATION$ 3.3e D SQ FT L SQ FT l / APPLICANT'S SIGNATUR DATE64 /7$ CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: , I CITYOF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE v� INVOICE TOTAL 2Gi0_ S- T GR EN SMIP OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE N NOTARIZED LETTER O YES 0 NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us City 0t Menbe Building Dept. . MENIFEE AUG 01 2018 ^P�8�0�Y1 OWNER CLI I ADDRESS CITY ZIPcl PHON LOT NO. TRACT APN CONTRACTOR ROOMS N' COVERS PROPOSED ADDITION(S) 840 S ROCHESTER AVE #C ONTARIO, CA 91761 �� x 2:� G'%d n kih.aw LIC. B-517575 , [ n i n 909-390-0555 �.' lu l li1}o � WORK COMP city Menifee ICW GROUP ., �/lL B WSA5000386-07 u t. ilding nPp EXP6/14/2015 AIM18 Rcn(- 1S-S-2 c� �a 2-4p o Cac a°y L�i & TR CK COD m INSPEC4ION REWIRED � 5(o.o ILLr F w STREET LLM