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PMT18-04015 City of Menifee Permit No.: PMT18-04015 29714 HAUN RD. Type: Residential Addition Q' G� MENIFEE, CA92586 MENIFEE MENIFEE Date Issued: 0 811 412 01 8 PERMIT Site Address: 30252 COBURN CIR, MENIFEE,CA Parcel Number: 358-720-037 92584 Construction Cost: $6,500.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 13'6"x 40'SOLID ALUMAWOOD PATIO COVER WITH 2 CEILING FANS, 6 LED LIGHTS,3 Work: POST LIGHTS, 2 SWITCHES Owner Contractor KEN STOLPA ANGEL'S PATIO COVERS&AWNINGS 30252 COBURN CIRCLE 225 SPARKLER LANE MENIFEE,CA 92584 PERRIS, CA 92571 Applicant Phone:9514431659 ANGEL GONZALEZ License Number:900657 ANGEUS PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA 92571 Fee Description Q1t r Amount ISl Receptacle, Switch,Outlet&Fixture 13 176.00 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 8.80 $353AS 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 building 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 Permi[ 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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 70001 of Division 3 of the Business and O l am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class bc!z Lice se No. 170C) By my signature below I acknowledge that,except for my personal residence Expires ?y/�. Signature in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 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 Cade,is available upon request when compensation,issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code,for the performance of work for which this application Is submitted or at the following website: this permit is Issued. 1 J ynvw.leginfo.M.eov/calaw html. Policy# �71 V V�n�r�l��� 2 Date- 0 1 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 forwhich �rruymy signature below l certify to each of the following:I am the property this permits Issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's beha If.I have read this number arey:V1 r '- I application and the information l have provided'a correct.I agree to comply Carrier_ 1 l 1 )d UV-e4- 01Q )eS with all applicable city and county ordinances and state laws relating to -7cf building construction.I authorize representatives of this city or county to Policy#� �11 UWG6� /O ires /-Z�' 5�— � P � enter he ahov identified pr ertyfor inspection purposes. (This section need not to he completed is the permit is for one-hundred ov Date O� 2G p dollars($10D)or less (J PR TY OWNER OR AUTHORIZ AGENT �rtlfy that in the performance of the work for which this perm([is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shal orthwi c mply with thus, a provision. Will the applicant or future building occupant handle hazardous material or a Applicant �TKQrr�/ _Date f7 g mixture containing a harardous material equal to orgreaterthat the amounts specified an the Hazardous Materials Information Guide? WARNING:F LURE TO SECURE WOR ER'5 COMPENSATION COVERAGE IS 0 Yes !rNo UNLAWFUL,AND SHALLSUBIECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use of the building by the apFilicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ottupan[require a permit for the construction or rnu:dification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Duality Management the t(SCtionor vdific.�nittino checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airllnes Qua CONSTRUCTION LENDING AGENCY aYes zf'No 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 isissued outer boundary of a school? (Section 3097 Civil Code) OYes a'No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCADMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous matey (reporting. Business and Professions Code).Any city or county that requires a permit to fifes 0 No — construct,alter,improve,demolish or repair any structure,prior to its Date G�CJ Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OW ER OR AUTHORIZED T that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 licensure receiving compensation for most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 70315 by residence or childcare facility to he RRP-certified bs poi and comply with than Applicant far a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). p p rty managers who do the paint-disturbing work themselves or through their 0 I,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.eoa.gov/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 0An EPA Lead-Safe Certified Renovator will he 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. o 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 7D44,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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �y MENIFEE DATE: I W �} PERMIT/PLAN CHECK NUMBER \ PLANNING CASE NUMBER TYPE: C COMMERCIAL RESIDENTIAL C MULTI-FAMILY C MOBILE HOME O POOL/SPA O SIGN SUBTYPE: C ADDIT ON C ALTERATION C DEMOLITION C ELECTRICAL O MECHANICAL lyfAE,W, `O PLUMBING O RE-ROOF NUMBER OF SQUARES //� n" DESCRIPTION OF WORK 1�1f�.'¢Ict wrm pah d Lw' r {•�11�n�I a "` lily l7 ' U Y� OC�LI 1"L�lfl PROJECTADDRESS 35 WUYY , GLIC� ZIP � CI ASSESSOR'S PARCEL NUMB/ER fg -_j •02j-j LOT TRACT •OWNER NAME --'vi \pot, , Building Dept. ADDRESS �d`_7/J� Cv 01j 'Y!Y1 IDU JAwI PHONE ( � � - I ?)/� W EMAIL Received APPLICANT NAM^E� 1 �JL/ G Ire i V G ADDRESS [)t5 W n PHONE —IZ'T17" EMAIL Y CONTRACTOR'S NAME > - � re I OWNER BUILDER? YES O NO BUSINESS NAME ADDRESS ,, .e l {, ,�,1 PHONE � 55 94-b ._' 1L0}5q �EMAIL wv1q d �V l(.JU 'ccm CONTRACTOR'S STATE LIC NUMBER �'IUV '1 LICENSE CLASSIFICATION VALUATION$ Q�V SQ FT L SQ FT APPLICANT'S SIGNATURE 40'i DATE (I r _ , DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL GREEN `— SMIP I_ OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZEDLETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 Grtr o� www.cityofinenifee.us - ��N,IF_EE3. • 501i'o[ t+1uvninvwiPaH0 Covtic S1xe : 11VX` O1-= 5W -%i-� � V+LZP4hb Building Dept. 2018 ,.V anAUG 14w- Receiv'(ttrbel (3\)PO` 51-)) ► LEDGER & TRACK ASPECTION REQUIRED 3 yOWn 5�a� yQ i „v..1w�j 8post f° posr f5ace trey- a ej rv., 5,9" sp 5 _� -Cr Iq, K� Spa rn Cir-cle 11�e ���FfI MENIFEE r�C�2 �,ctlN 3- tcgg 1i'orvw. - IL DING AND SAFETY DEPARTMENT PLA PROVAL REVIE ED B F� J DATE s In the W 'Approval o hese plans s I not be construed 6e a permit for,or an approval of. ny violation of any provisions of the federal,state or city regulations d ordinances. This set of approved plans must be kept on the jobsite until completion. S'�'Y2G7"