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PMT18-03902 City of Menifee Permit No.: PMT18-03902 29714 HAUN RD. Af MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0 810 712 01 8 PERMIT Site Address: 24061 DEPUTY WAY, MENIFEE,CA Parcel Number: 358-550-014 92584 Construction Cost $3,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 13'x 19'6"LATTICE ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor ROSEY&JD ROSENKRANZ PATIO GUY ALUMAWOOD CONTRACTOR 24061 DEPUTY WAY 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92584 MURRIETA, CA 92562 Applicant Phone:9513330056 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description ON Amount 1E1 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 $168.65 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 I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State license Law for Professions Code ark my license is in full farce and eff. eclJ�/J the following reason: License Class rLJ Lice a rsz �/ f/af By my signature below l acknowledge that,except for my personal residence Expires (O•3 oQ/_Signature in which I must have resided for at least one year prior to completion of v improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o 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 workers 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 wyrw.leeinfo.sa.¢ov/w1aw.Iztml. this permit is Issued. Policy It Date o 1 have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which a By my signature below l certify to each of the following:(am the property this permit is issued.My workers compensation insurance Carrier and policy owner or authorized to act an the property owners behalf.I have read this numberare: / application and the information l have provided is correct.I agree to comply Carrier /I u � � i with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy If Expires L4 I enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o f Certify that in the performance of the work for which this permit is issued, 4 .fJ 4 I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE q o �.ijJ/+`/ workers 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 finflitwifh comply with th se provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date r \ � �X mixture containinga hazardous material equal to or greater that the amounts sped died on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes mica UNLAWFUL,AND SHALLSUBJECTAN 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES furguidelines CONSTRUCTION LENDING AGENCY D Yes so-lfo 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 outerboundaryof .school? (Seaton 3097 Civil Code) o Yes o Za OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permRing checklist.)understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 255D5 and 25534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous mat JI re orting. Business and Professions Cade).Any city or county that requires a permit to oYes cz t /J construct,alter,improve,demolish or repair any structure,prior to its �(' Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAIN71NG(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe The EPA Renovation,Repair and Painting(ARP)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 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 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 Car( )portion of the work,and the structure is www.eoa.eovylead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a D 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. a No EPA Lead-Safe Certified Firm is required for this project because: o I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 70",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 rate please fill out the RRP Acknowledgement PA-Mo & BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �M MENIFEE�' u uu�rvm yrxr i r i DATE: S — ^/ PERMIT/PLAN CHECK NUMBER ' 029 Q-2- GRADING/PLANNING CASE NUMBERR/�/OTHER RELATED CASES TYPE: OCOMMERCIAL 'RESIDENTIAL C MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: C ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ("EW O PLUMBIING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK /9 , 6 ~ ,4 /C[_ L U /7 JA Ltd ©017 -76 D 0,,6 VE� OCCUPANCYGROUP CONSTRUCTION TYPE SPRINKLERS YES PROJECT ADDRESS Y��p / �( �/` L _ ZIP Gity of Men" ee ASSESSOR'S PARCEL NUMBER - - �� LOT n ,, TRACT De t. OWNER NAME y-� �� C/ I A-aL7S ADDRESS pp O� _p a))q PHONE �Qp ' �d y ^ L141 EMAIL Received APPLICANT NAME & ADDRESS c / PHONE (O EMAIL CONTRACTOR'S NAM& OWNER BUILDER? OYES BUSINESS NAME l Cl 4 C, ADDRESS / Q 6 L,60 06 /4- L.t� / / PHONE 33L--)716 S EMAIL CONTRACTOR'S STATE LIC NUMBER 197a 'k ?S9LICENSE CLASSIFICATION VALUATION!, ALUATION$ on SQ FT C O L SO FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL Ubw GREEN I SMIP I OWNER BUILDER VERIFIED 0 YES C No DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us � • i� y ENIFE n � , y� 60l' I t ate' � •"' �l r / Ej EEDGER & TRACK PECTIQN REQUIREBityof enifee Buildir g Dept. AUG . 7 2018 n , G® 9Ve � I Ee t^ CITY OF MENIFEE jjQEPARTMENT PLAN APPROVAL REVIEWED BY • DATE 'Approval of these plans shall not be construes! b©pe it for,or an approval of,any violation of anj provisions of the federal, is or city regulations and ordinances. This set of approved plans mu be kept on the jobsite until completion. p )4` et6r11EO1�N1S� SNi O $rj$ - ��L` _ L} � �O CDIY}{ti4+�r-TAFD tq Y1'1 E N I fi-E7) OAX C.omfl' NMO, u44 9 os.3 �a Corv-rrZl4cro�..S L►cLr� *6 <A'7n9K Vq