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PMT18-04202
City of Menifee Permit No.. PMT18-04202 29714 HAUN RD. Type: Residential Addition s MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 08/27/2018 PERMIT Site Address: 26696 OPALESCENT DR, MENIFEE,CA Parcel Number: 360-810-029 92584 Construction Cost: $5,000.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL SOLID 15'X 33'ALUMAWOOD PATIO COVER W/ELECTRICAL, 1 FAN,2 POST LIGHTS Work: Owner Contractor MELANIE WEIR STEVE BENDORF CONST 26696 OPALESCENT DR 28493 BAUVARDIA WAY MENIFEE, CA 92584 MURRIETA, CA 92563 Applicant Phone:9516791502 STEVE BENDORF License Number:610842 STEVE BENDORF CONST 28493 BAUVARDIA WAY MURRIETA, CA 92563 Fee Description gtv Amount ISI Receptacle,Switch, Outlet&Fixture 3 126.00 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 6.30 $300.95 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 -6�voe f ;len&r� 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 1 am under provisions of with a licensed contractor(s)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 and my license is in full force and effect. the following reason: License Class T7 License No. S By my signature below l acknowledge that,except for my personal residence Expires 7?--ma5_1 Signature "v 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 ❑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 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 www.leginfo.u.gov/mlaw.htmi.permit is issued. Policy# Date a l have and will maintain workers compense don insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which D By my signature below I 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 on the property owners behalf.I have read this number are: application and the information I have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy# Expires 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 ❑1 certify that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 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 farthw th�pl with thus provisions. Will the applicant or future building occupant handle hazardous material or Applicant /C / /L/�s*�/W Date ES-22 mixture containing a hazardous material equal ro or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 a Yes a No UNLAWFUL,AND SHALL SUBJECT 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 IN SECTIODITION N 3 THE COSTLAB OF OR CODE,INTEREAMADATTOGES AS REYSFEOVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY Oyes ❑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 is issued outer boundary of a school? (Section 3097 Civil Code) a Yes O No OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt From the permitting checklist.I understand my requirements underthe State of Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25539 concerning hazardous material reporting. checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,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 Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI 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 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[$S00). managers who do the paint-disturbing work themselves or through their Oi,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.Ruv/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of oqn 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. a No EPA Lead-Safe Certified Firm Is required for this project because: ❑1,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 RAP rule please fill out the RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: 8-27 - I PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL &bRESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0- POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL f4 NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK l.VJ ANN (�J f)( ' OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS " YES O NO PROJECTADDRESS 21��� OPALcstt.NT ZIP ASSESSOR'S PARCEL NUMBER LOT 0� TRACT a9 OWNERNAME („ ADDRESS PHONE EMAIL APPLICANT NAME ADDRESS `N�V J PHONE �rj .-7o�©j �F�EJ•L EMAIL�V-_V - ►yq�pJ�Q. Ct�' 1CL�'Y-� • Clmn CONTRACTOR'S NAME TIC 3_; N!C?O OWNER BUILDER? O YES TANO BUSINESS NAME .ST_1EY_'f~ ADDRESS V % -T 2 PHONE EMAIL Gzn CONTRACTOR'S STATE LIC NUMBER Cm\ O a 4'2 LICENSE CLASSIFICATION V> VALUATION$ fj' SO FTrjC3J L SO FT APPLICANT'S SIGNATURE DATE 8- 2-7_ I OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSI<JJfS�L�Er9f�JW1 B E R BUILDING PLANNING ENGINEERING FIRE ' �J�l/jy-(�-- /•yJ•vI�,`/ 1 ' INVOICE TOTAL ,�'S GREEN SMIP I 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 (951)672-6777 www.cityofinenifee.us "ems+ 7 4;'iti ENIFE F J `y pl � ---- �Y ;-EDGER & TRACE. INSPECTION REQUIRED �r a City of Menifee v Building Dept. COOD AUG 2 7 2018 V t CITY IF MENIFEE Received � BU:LD NG AND SAFETY DEPARTMENT PLAN IPPROVAL i4-► 'ill L REVIE IED � i DATE f 'Approval o these plans shall not be construed to be a permit for,or an j approvai o:,any violation of any provisions of the federal.state or city f regulations nd ordinances. This set of approved plans must be kept on the joosite el. :ompletion. Po5r W ST j LT LT. r � - f �34 g' t� r Q � D 1 A , c l�Et_AN i W 3 2 Y-65 LT