PMT18-03879 City of Menifee Permit No.: PMT18-03879 29714 HAUN RD. t:- MENIFEE, CA 92586 Type: Residential Addition F0 E N I F E E MENIFEE Date Issued: 0 8/0 612 01 8 PERMIT Site Address: 29196 CASTLEROCK CT, MENIFEE, CA Parcel Number: 340-220-046 92584 Construction Cost: $3,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10 X 22 SOLID ALUMWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor RICHARD&MARY EACOTT PSLQ INC 29196 CASTLEROCK CT 18890 SEATON AVE MENIFEE, CA 92584 #206 Applicant Phone: 9517954260 PSLQ INC License Number: 919885 18890 SEATON AVE PERRIS, CA 92570 Fee Description ON Amount($I 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. CONDITIONS Condition Comment 1 FEES PD PMT18-03877 AA_Bldg_Permil_Templale.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Conlraclors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence in Professions Code and license is in full force and eff n which 1 must have resided for at least one year prior to completion of License Class Lice s o. N improvements covered by this permit,I cannot legally sell a structure that I have Expires _ — Ignature built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law.Sectton 7044 of the WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application Is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one t the following for workers; hUo:(/ w.leoinro.ca.covlcalaw.html. I have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Cade, for the performance of work for which this permit is issued. Property Owner orAulhorized Agent Policy It ❑ By my Signature below,I certify to each of the following: I am the property ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply pernll is Issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and slate laws relating to building construction.I authorize representatives of this city or county to enter the above- Carrier �T y, // r identified property for the inspection purposes. Policy# (.(7G�d��U(�� Expires 7 —/ (� '/ .(� Date � City Property Owner or Authorized Agent (�. (This section need not be comp el dL f the permit is for Ci Business License# � —1 O� one-hundred dollars($100)or less) ElI certify that in the performance of the work for which this permit Is issued,I HAZARDOUS MATERIAL DECLARATION shall not amolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a azerdous material equal to or greater that the subject to the wo rs'compensation provisions of Section 370D of the Labor amounts spur on the Hazardous Materials Information Guide? Code,I shall o w h comply ith those provisions. / �/ DYES C9•N0 Appli t; et�-lL / /� Will the intended use of the building by the applicant or future building occupantrequirea Rarmit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quali anagementDistrict(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for gutdeli SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0D0), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed bb li rd g r modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of ool? LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I unde land my requirements under the State of agency for the performance of the work which this permit is issued(Section California Health Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous die nal reporting. OWNER BUILDER DECLARATIONS DY —7 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 2, License Law for the reason(s)indicated below by the checlunadr(s)I have placed PROPERTY OWNER OR AUMRIZED AGENT next to the applicable item(s)(Section 7031.5.Business and Professions Code: Any city or county that requires a permit to contact,alter,improve,demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP1 or repair any structure,prior to its issuance,also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractors State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption.Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPAs Renovation Program visit: ❑ www.epa.govftead or contact the National Lead Information Center at I, as owner of the property, or my employees with wages as their sole 1-80OA24-LEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is _ � ' not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's Slate License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees'or personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale.If,however, Cedlfied Finn Name: the building or improvement is sold within one year of completion,the Owner- Bullderwll have the burden of proving that it was not built or improved for the Firm Certification No.: purpose of sale). ❑ 1, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because: contractors to contact the project(Section 7044.Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a W/Kv fir - -03g III BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ME BUi-DIM( 6AFE4'I DATE: — I PERMIT/PLAN CHECK NUMBER V O 19 GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL :-RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION CJ-E CCTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES ES '� DESCRIPTION OF WORK t L 4L.L./ U D D .4 77Z 01 D _ X=4tos OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES `-1qT PROJECT ADDRESS a gig/lp A: ' jPZ5 rz- ZIP ASSESSOR'S PARCEL NUMBER ✓41) '� -p F� ' L q(O LOT TRACT OWNER NAME )c, ADDRESS Lob I� C -- MEnV lr- Lo C PHONE 7 b - YAQ - �5'D�/ EMAIL APPLICANTNAME %Qv ADDRESS G PHONE 9�'l� 3�,l-.�7 EMAIL CONTRACTOR'SNAM DS OWNER BUILDER? OYES G44e— BUSINESS NAME ADDRESS R 9 f D L F PHONE LJ`3�� oS 'zj- D :-)-, 'C4, nEMAIL ,Q CONTRACTOR'S STATE LIC NUMBER 91 9 b&S LICENSE CLASSIFICATION JD VALUATION$ 306 6 SO FT , y-��� L SO FT APPLICANT'S SIGNATURE / ��L2r,l�t� 1 C� DATE /Ll CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENWffERING FIRE INVOICE TOTAL Pk 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 (9S1)672-6777. www.cityofinenifee.us City of Menefee Building Dept. ENIFE 'ryj AUG 0 6 2018 0 Rcr°plvP_ ' 2 CASTLEROCK CT n c o m o M. X o d c �. n N G m H m CA 0 70 D p °_' a 70 :3 G D c 3 C yop O m O E. c 0 * p�q/Y Y/vo W = c Qp E c p r- a zpk4 O m ;0 Fpq s 1o�0/aa//,?Ol6P V This f`����yP PaPdpP(m mn ` A/vqs pia/s!d! lf�O� m Q m4sl hP� �d� O ID D D � z rD N Z Z m N City of M nifee m _ Building rn apt. °i a s rn AUG 0 6 2018 y p N r Qp 0 a i Ln m �° ��C -------------- i N 00 a 9 A N 0 [, 7 A O D N %D N w Ul G m .4 » A m Oc , ��MTI� • �0