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PMT18-03903 City of Menifee Permit No.: PMT18-03903 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 08/0712018 PERMIT Site Address: 26380 FLAXLEAF DR, MENIFEE, CA Parcel Number., 360-631-019 92584 Construction Cost: $7.000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'x 43'6"SOLID ALUMAWOOD PATIO COVER WTH 6 LIGHTS,2 FANS Work: Owner Contractor DOUG SCHELL PATIO GUY ALUMAWOOD CONTRACTOR 26380 FLAXLEAF DRIVE 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 ,Qtv Amount fSl 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 carded 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.rpl 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 Contraction State License law). Chapter!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from hoensure under the Contractor's State License Law for Professions Code a my license is in full force and a cl��//e the following reason: License Clatss Lire a ur /,/ By my signature below I acknowledge that,except for my personal residence Expires _Signature k to which l must have resided for at least one year prior to completion of v improvements covered by this permit.l cannot legally sell a structure that WORKER'S COMPENSATION DECLARATION 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 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 Cade,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 ,,y,s„N,leeinFo.ca.eov/calaw.lrtml. this permit is issued. Policy 4 Date 01 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which 0 By my signature below 1 certify to each of the following:I 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 numberann. application and the information I have provided is correct.I agree to comply ����/Z� / with all applicable city and county ordinances and state laws relating to Carder 2)6-�d& building construction.l authorize representatives of this city or county to Policyg }f�wC$3` Expires L4 I / 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 a certify that In the performance of the work for which this permit is Issued, � I shall not emoioy any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g 0 (4L [L worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,Ishall fo hwl h comply with th se provisions. Will the applicant or future building occupant handle hazardous material or hcant i Date mixture containing a hazardous material equal to or greater that the APp �' amounts spec""red on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes aigo UNLAWFUL,AND SHALLSUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the Intended use of the building by the applicant or future building AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS($101J,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 forguidelin CONSTRUCTION LENDING AGENCY 0Yes iehess 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 .school? (Section 3097 Civil Code) Dyes 00)a 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 lam exempt from the Contractor's License Law for the reason(s)indicated below by the Cazardoa Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous mat a reporting. Dyes 0 /J Business and Professions Code).Any city or county that requires a permit to � " pate concoct,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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter9(commencing with Section 7000)of Division 3 of the 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 01,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.epa.gcv/lead 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 Contractor's State License Law does not apply to an owner of a OAn 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: 0 I,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. PAt7(O Cats BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: -! g PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER ` TYPE: ii COMMERCIAL 1,' ESIDENTIAL 0 MULTI-FAMILY c MOBILE HOME :> POOL/SPA 0 SIGN SUBTYPE: 0 ADDITION 10 ALTERATION C}DEMOLITION 3-Eff&TRICAL C MECHANICAL iL,NEVV " PLUMBING C RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK , Q v = t_I q H-T S, A S/y PROJECTADDRESS a.� 3�rJ - `,�,L� 1r� ZIP "1 ASSESSOR'S PARCEL NUMBER "AOO ' ok(3L_ LOT TRACT OWNER NAME ADDRESS R • Building Dept. PHONE - EMAIL APPLICANT NAME ,2) M� M)V . ADDRESS IS A=c_ Roceived PHONE `�L �l _ 334-1 to s EMAIL CONTRACTOR'S NAME OWNER BUILDER? ;YES 'N9� BUSINESS NAME ADDRESS d PHONE _l t)n S;b EMAIL U)6 C, m CONTRACTOR'S STATE LIC NUMBER pj�, a��j 9 LICENSE CLASSIFICATION VALUATION$ p D SO FT CQ 1� ' L SO FT �] ny' APPLICANT'S SIGNATURE DATE / U CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSLNUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL . aQ GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE N NOTARIZED LETTER 0 YES NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-61777 www.cityofmenifee.us 4� ENIFE' �e lad , I�1o � T e. LEDGER & TRACI= INSPECTION REQUIM City ofMenifee Building Dept. g AUG 0 7 2018 � F C eceive L � f IL f f BUILDING AND SAFETY DEPA MEN PLAN APPROVAL 3 REVIEWED BY — DATE 3a' 'Approval of these plans shall not be construed to b a permitfor,or an approval of.any violation of any provisions of the le eral,state or city regulations and ordinances. This set of approved pl s must he kept on the �L II , kbrnrzo j 9k Xl`)r-D Mwmwwww� t,SI' n11V714+De'SJ'1F a �bU J �L'. Il H II9,3ot�e^D i4T+r C ,RCI�r td3 � Lo3 � a 1T=LA-� h �fl � 17R mu�tt-ti�, C14 9as�� YY E to l i= �`, C1a w dPX QZM-P: NORg ur�n� CorvTR'Kl-�'b�.S l..tCL�r� *6