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PMT18-04295 City of Menifee Permit No.: PMT18-04295 29714 HAUN RD. k MENIFEE, CA 92586 Type: Residential Addition lel MENIFEE MENIFEE Date Issued: 08/30/2018 PERMIT Site Address: 30520 LONE PINE DR, MENIFEE,CA Parcel Number., 358-682-001 92584 Construction Cost: $4,046.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 446 SF SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor SCOTT&LAURIE SPENCER ANGEL'S PATIO COVERS&AWNINGS 30520 LONE PINE DRIVE 225 SPARKLER LANE MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9514431659 IRENE GONZALEZ License Number:900657 ANGEUS PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA 92571 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_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 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,m.,y�license is in full force and effecL the following reason: License Class SQ Lice se No. /0C)to ' By my signature below 1 acknowledge that,except for my personal residence Expird—W-R-7y/�i 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 legaliysell a structure that I have built as an owner-builder if it has not been committed in its entirety by 01 hereby affirm under penalty of perjury one of the following declaratlons: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 Code,is avallable 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 this permit is issued. 1 I� / ,;r-� www.leginfo.ce.gov/calaw.htmi. Policy# E2 V V KL ()f 5S 7 X / Date - a 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 forwhich �[TBymy signature below l 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 number are: '- I application and the information I have provided is correct.I agree to comply Carrier_ I 1 lid UV-eL �' QiQe)e with all applicable city and county ordinances and state laws relating to c /� pp building construction.I authorize representatives of this city or county to Policy# U U Wlr V��7J70r�.smires �Z ' enter he abov Identified pr arty for inspection purposes. (This section need not to be completed is the permit is for one-hundred �� ZG dollars($100)or less PR TY OWNER OR AUTHORIZ AGENT U� 8 �i2rtlfy that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if l should become HAZAR00115 MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,Ishal orthwi c mply with those provisions. Will the applicant or future building occupant handle hazardous material or Appliant Date D Qg mixture containing a haardous material equal to or greater that the amounts specified on the Ha,,rdous Materials Information Guide? WARNING:F LURE TO SECURE WOR ERN COMPENSATION COVERAGE IS ❑Yes s NNo 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 THECOST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or muidifimtion from South IN SECTION 370E OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguldeli99es CONSTRUCTION LENDING AGENCY ❑Yes :N0 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or mpdified 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) ❑Yes ErNo OWNER BUILDER DECLARATIONS I 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 under the State of Contractor's License Law for the reason(s)Indicated below by the California Health&Safety Code,Section 75505 and 25534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous mates Preporting. Business and Professions Code).Any city or county that requires a permit to #Yes oNo — �,s construct,alter,improve,demolish or repair any structure,prior to its Date O GU issuance,also requires the applicant for the permit to file a signed statement PROPERTY OVjcIQER OR AUTHORIZEDA T that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING fRRPI License Law(Chapter 9(commencing with Section 7D00)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 n a pre-1978 paint s receiving compensation far most work that disturbs pai i and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to he RRP-certified firms pai n comply with than($500).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 managers who do the paint-disturbing work themselves or through their o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: mmpensatlon,will do( )all of or( )portion of the work,and the structure is www.eoa.Rov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOO.424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a oqn 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. 0 No EPA Lead-Safe Certified Firm is required for this project because: a 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 RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL .eNEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK p� PROJECTADDRESS 71nS21� Ll�p�pl �Q Q . ZIPe ASSESSOR'S PARCEL NUMBER LOT TRACT Gityenifee OWNER NAME r Buildir g Dept. ADDRESS rj n I -eq2,5 OAUG 3 0 2018 PHONE (qoq) 2j t) _qz�-q/ EMAIL ived APPLICANT NAME 1 i -7 ADDRESS. , 2 / I PHONE CR4!J; 1q1 J ✓ 14Z 5c� EMAIL 0 hOO,CU CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME n ' I ADDRESS L 14 PHONE EMAIL Jai CJ . C C Yl t CONTRACTOR'S STATE LIC NUMBER 10I j 7 LICENSE CLASSIFICATION VALUATION$ O Q FT L SQ FT APPLICANT'S SIGNATURESDATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL I o O,5. O GREEN t� SMIP 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.cityofmenifee.us NIF 0,'I',o1 e,I Urn inUYn Qa.+ic Cr-oe City of Menifee 1.5 'x 15':� 2-7° Sq'f- LEDGER & TRACK Building Dept. 11,x ltL = 0 0 5"1-+ (2-)C<iI Oc��- INSPECTION REQUIRED AUG 3 0 2018 eived r �q T � zIZZ� n �z, 15' bL6� 11 " zv I , 100 CPP�'M1\� to SCa�k � LQU,-le S( -enc-e-r 3�,520 L OYIt'- P i Pte. D t'L, M-Qvjv�e-e, C rq Lc�') aIc-�}Syl Q Hcr'✓'-� � ile Fence ------------- [REVIEWED C&MFAIRMn DING AND SAFETY DEPART ENT N APPROVAL BY 45 DATE io e a permitfor,Oran or,any violationofanvpr 'K;mA., tk.�� rs and ordinances, This set ofappmved plans m�te kept on the til completion.