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PMT18-04282 City of Menifee Permit No.: PMT18-04282 29714 HAUN RD. .. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 08/29/2018 PERMIT Site Address: 25699 TURFWOOD ST, MENIFEE, CA Parcel Number: 335-470-006 92585 Construction Cost: $6,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 17'X 20'& 10'X 17'LATTICE ALUMAWOOD PATIO COVERS W/ELECTRICAL 2 Work: FANS ON SOLID COVER Owner Contractor MICHAEL BLACKWELL KMPATIOCOVERS.COM INC 25699 TURFWOOD ST 19495 OAKVIEW LANE MENIFEE, CA 92585 LAKE ELSINORE, CA 92530 Applicant Phone:9098386779 KENT MURVINE License Number:954365 KMPATIOCOVERS.COM INC 19495 OAKVIEW LANE LAKE ELSINORE, CA 92530 Fee Description Oft Amount ISl Receptacle,Switch,Outlet&Fixture 2 121.00 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 6.05 $295.70 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_Bidg_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 l 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 0 l am exempt from licensure under the Contractor's State License taw for Professions Code and my license is in full force and effect. the following reason: License Class License No. lqa✓H I:, By my signature below I acknowledge that,except for my personal residence Expires �� Signature !�-� /--- in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirely by 01 hereby affirm under penalty of perjury one of the following declarations:) licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self•risure for worker's 7044 of the Business and Professions Code,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 oral the following website: this permit is issued. cw%%Igginfo.ca.coWcalasv hurt. Policy a Date O l 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 D By my signature below l certify to each of the following:I am the property this permit is issued.My worker's compensation insuance carrier and policy owner or authorized to act an the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and stale laws relating to building construction.I authorize representatives of this city or county to Polite'R Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is far one hundred dollars($10o)or less Date PROPERTY OWNER OR AUTHORIZED AGENT certify that in the performance of the work for which this permit Is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE B 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 shall f/q/nJhwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant l Date 5 mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS DYes two 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($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR caupant require a permit for the construction or modification from South IN SECTION 37060FTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguidellnes CONSTRUCr1ON LENDING AGENCY 3Yes yglfio l hereby affirm that under the Penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is Issued outer boundary of a school? (Section 3097 Cw yn ii Code) ❑Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt fromthe permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable Item(s)(section 7031.5 hazardouu�s(9��aterl21 reporting. Business and Professions Code).Any city or county that requires a permit to Dyes construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION.REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 70315 by receiving compensation for most work that disturbs paint in a pre-197a an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childare facility to he RRP-certified firms and comply with than($SDOj. required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their o1,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.eaa.gowflead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-8 004 2 4-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of oAn EPA Lead•SafeCertlfied Renovator will be responsible for 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. D No EPA Lead-Safe Certified Firm is required for this project because: D 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code.The Contraictor's State License Law does not apply to an ownerof a If your project does not comply with EPA RRP rule please rill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ; ; MENIFEE DATE: C� ZGI g PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE- 0 COMMERCIAL OD RESIDENTIAL BMULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK krns-V-&0 Akt mawoocl "o Coveff 1 x 20 Sa\I J W 1 2 Fan of nd 10 X 1-1 LAA- -i cc OCCUPANCY GROUP CONSTRUCTION •TYPE SPRINKLERS YES NO PROIECTADDRESS 25 (-pgq -��T-f`/VOOCk S� - ZIP 92E595 ASSESSOR'S PARCEL NUMBER 335 - 4--10-MtP LOT Lp TRACT pt OWNER NAME I, LYLA f- M /� ADDRESS 2�� Tom' Yvot) S�1L - 1 � ZYlI -f,C C 7A -IZCJBS PHONE �7�' �j LIZ - ��1p EMAIL APPLICANT NAME n-I' mmviu ADDRESS 9547Zf?(Al �1-1Or G . (J4 �2 5�I �I PHONE ( -8?j� -IP 1 r I EMAIL YYl p fY$� u I I• C b✓✓1 CONTRACTOR'S NAME �eyn,+ Mu.r v i Ae OWNER BUILDER? ()YES()NO BUSINESS NAME (it:l 1U o -erS. (,OTYI Inc . ADDRESS GG� .2 a CA -17,SSL4 PHONE Cl()I- p (.P'l1cl EMAIL jLm oC-}10 CONTRACTOR'S STATE LIC NUMBER q 5 W3(o s LICENSE CLASSIFICATION VALUATION$ U, SOO SQFT G10 LSQFT APPLICANT'S SIGNATURE - DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OFnM I�[J FE�U$INFLICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE `J!✓�J /V INVOICE TOTAL s rl 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 E:NIFB A LEDGER & TRACK -Ivt - ea- s-+,NSPECTION REQUIRED CITY OF ME 4IFEE BUILDING ND SAFETY DEPARTMENT PLAN APP OVAL Q� 6� REVIEW D7tW DATE C � Appr,, r :ese lanssh Inotbeitfor,oran appr, - y v' lation of my protate or city t=�regula, d ord nances. is sett be kept on the jobsite . sLAW ompl lion. 0 — 0 c i O u i I