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PMT18-04433 City of Menifee Permit No.: PMT18-04433 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 09/11/2018 PERMIT Site Address: 28430 BAYSHORE LN, MENIFEE, CA Parcel Number: 333-571-009 92585 Construction Cost: $14,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 780 SF SOLID INSULATED ALUMAWOOD PATIO COVER WITH 8 LED LIGHTS,3 FANS Work: Owner Contractor SALVADOR&CLAUDIA WALTERMIRE ANGEL'S PATIO COVERS&AWNINGS 28430 BAYSHORE LANE 225 SPARKLER LANE MENIFEE,CA 92585 PERRIS, CA 92571 Applicant Phone:9514431659 ANGEL GONZALEZ License Number: 900657 ANGEUS PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA92571 Fee Description Owl( Amount i$) Receptacle,Switch,Outlet&Fixture 11 166.00 Building Permit Issuance 1 27.00 Deck/Patio,non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 8.30 $343.95 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 Bldg_Penn"a_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects 1 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 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractofs State License Law for Professions Code and^my license is in full force and effect the following reason: License Class bqa Lice se No. 7 OC7 40 By my signature below 1 acknowledge that,except for m g p my Personal residence Expires U 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 01 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable late,Section have and will maintain a certificate of consent of self-insure 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 or at the following wecsite: this permit is issued.� q I,- /� / www.leginfo car eov/calaw html. Poliryg 1`"71 V V V/rL ! 0f F)!7 Z2 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 'crly�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 number are: , L -L� application and the information I have provided is correct.I agree to comply Carrier_ j 111d ���"� 1� �S with all applicable city and county ordinances and state laws relating to ��ee'� �7 pp building construction.I authorize representatives of this city or county to PolitygY"ll�UWG 6hi�d7`d;�xpires ��L.�' _ enter he abov identified pr erty far inspectionpurposes. (This section need not to be completed is the permit is for one-hundred �� 2U dollars($100)or less �; - Date PR RTY OWNER OR AUTHORIZ AGENT ,--I"2rllfy that in the performance of the work for which this perm([is issued, I shall not employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE It 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 La bar Code,I shal orthwi c.mply with thoseWill the applicant or future building occupant handle hazardous material or a Applicen[ Date�/� mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING,F LURE TO SECURE WOR ER'S COMPENSATION COVERAGE IS OYes NNo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the aps.iIicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or mrtdifica[ipn from South IN SECTIODITION N 3 THE COST OF COMPENSATION,CODE,INTERDAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli99es CONSTRUCTION LENDING AGENCY aYes 2a 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) aYes n'No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD 1 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 25S05 and 25S34 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031,5 hazardous matey' (reporting. Business and Professions Code).Any city or county that requires a permit to es O No ' construct,alter,improve,demolish or repair any structure,prior to its IDate ad (/lCJ issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER 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 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires cantractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-197g and the casts for the alleged exemption.pliany nt to a violation it Penaltyction of not o residence or childcare facility to be RRP-certified fines and comply with than nApplicant ($50 mfor a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property than($500). q P p p rty owners and property managers who do the paint-disturbing work themselves or through their D 1,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.gov/lead or contact the National Lead Information Center at not intended proffered 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 O An 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: O I,as owner of the property am excluslvely 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 ,,1E11EESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ,Jg'IGEW O PLUMBING O RE-ROOF NUMBER OF SQUARES /! DESCRIPTION OF WORK j rl PROJECTADDRESS agy�l/ Ql✓P p{�1 �PQ � 1' ZIP ASSESSOR'S PARCEL NUMBER LOT TRACTCityof Menifee OWNER NAME UQd0 k_ j✓ Building Dept, d8 ADDRESS a J y ,Q a 5 SEP 11 2018 PHONE 5� ( j /'J29AEMAIL ' APPLICANT NAME ADDRESS a5 j2 Perk-1 �jq 7 a PHONE (q & -L'5_2 ] EMAIL CONTRACTOR'S NAME - Q OWNER BUILDER? O YES O NO BUSINESS NAME %I ADDRESS PHONE �SI)'y,�j�!-�� EMAIL CONTRACTOR'S STATE LICNUMBER gbolpS7 p LICENSE CLASSIFICATION 0 VALUATION$ 1 S S L SQ FT APPLICANT'S.SIGNATURE DATE A-)A w DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL GREEN SMIP a OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZEDLETTER 0 YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF CuRE Ij)( I7 �'` LEDGER &TRACK Ci of Menifee 'XXjgECTIGN REQUIRED Bui ing Dept. �' d L'9h+S 11 2018 - �1 B�,'�►�rjl _ i�,eive �1inWL'yt T `K �� al{e Gti(i _ fqn; b,t 4rc r `CJ) Cr,iL)YI S j aba ion - -5si. ^�' SalVado l)a/ferm Ile, G[guc�ia IA)q/fey-M,ne meri, cR ga�5:55 rznty C950 aq! - 36,47 = . CITY OF MENIFEE BUILDING AND SAFETY DEPAR WENT PLAN APPROVAL REVIEWE DATE 'Approval of these plans shall not he construed to he a perm@for,or an Q approval of,any viola n of any provisions of the federal,state or d ' .y regulatto a d (( s. This set of ar^ave??I;. < to kept an M johsite unh Oetion. < streW