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PMT18-04457 City of Menifee Permit No.: PMT18-04457 29714 HAUN RD. '1 MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 09112/2018 PERMIT Site Address: 28799 BRIDGEWATER LN, MENIFEE, CA Parcel Number: 364-152-014 92584 Construction Cost: $5,900.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 10'X 23'ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor DAVID ARFIIELD CALIFORNIA SHOWCASE CONSTRUCTION INC 28799 BRIDGEWATER LN 1507 MARLBOROUGH AVENUE MENIFEE, CA 92584 RIVERSIDE, CA 92507 Applicant Phone: 9516820208 ANGELA GOODMAN License Number:912352 CALIFORNIA SHOWCASE CONSTRUCTION INC 1507 MARLBOROUGH AVENUE RIVERSIDE, CA 92507 Fee Description city Amount!$1 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 $168.65 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 hereby af0rm under penalty of perjury that I am under provisions of with a licensed contractar(s)pursuant o the Contractors State License Law(. Chapter9(commencing with section 7000)of Oivision 3 of the Business and D 1 am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and/eff'�ect. the following reason: License,lChIas pse N .q 0- By my signature below l acknowledge that,except for my personal residence Ezpirez't' &Lf�S�,Snm.r ,1a 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 legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by O 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 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 this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance ofwork for which ,vsnv.leeinfo.ca.eov/calaw.html. this permit is issued. Policy 9 Date D I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below I 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 owners behalf.I have read this number are: application and the Information I have provided is correct.I agree to comply [amen !� C - - -. iVS V (IC n%� with all applicable city and county ordinances and state laws relating to f� building construction.I authorize representatives of this clty or county to policy L71 C:2 C1s.4r Expires 1C enter the above identified property for inspection purposes. [This section need not to be completed is the permit is for one-hundred Date dollars($1001 or less PROPERTY OWNER OR AUTHORIZED AGENT D I 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 became subject to the CITY BUSINESS LICENSER 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 shgl Hart hw r o' Fly those provisions. Will the applicant orfuture building occupant handle hazardousmaterial or Applicant)/ YP 1 Date L� ( 1J mixture containinga hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 OYes O Na UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES future AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),IN occupll efntundeda ermit of For building construction the applicant or antorcation building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require Management QD)modifperminfram South IN SECTION 3706 of THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality ManagementDistrict(SCAQMDI?see permitting checklist far guidelines CONSTRUCTION LENDING AGENCY DYes c,No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) O Yes O No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMO I hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 DYes o Na Business and Professions Code).Any city of county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORAUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure 978 and the basis for the alleged exemption.Any violation of Section 7031.5 by resident compensation cOryto Warkthettified rm$paint comply with an Applicant for a permit subjects the applicant to a civil penalty of not more residencera or childcarefacilitye rental property firmsandd property than(S500). required practices.This includes rental property owners and property managers who do the palnt-disturbing work themselves or through their D1,as owner ofthe property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure Is v ww.eoa.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 70",Business and Professions 1-BOG-424-LEAD(5323). Code;The Contractors State License law does not apply to an owner of a ❑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-Bullder 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 I,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: G 1 2 ) PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL q RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: QADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW OPLUMBING ORE-ROOF NUMBER OF SQUA/R�ES/ �L � DESCRIPTION OF WORK�rO (s'ed ID'X 23/ Sell & IASSIc. 5e.(it-S,ol Rtuma wco& o ezvcr ND EIECT L OCCUPANCY GROUP Qom} CONSTRUCTION TYPE SPRINKLERSOYES NO PROJECTADDRESS ZS / 01q �rl (,,CC�e.�l-� �-n ' ZIP ASSESSOR'S PARCEL NUMBER -- �S p'1.- � LOT 4-1 TRACT OWNER NAME ) lam, r-R t1cL �9 ADDRESS Zel7qq Bri a c( Lan<, PHONE `b45- 313-5q'8 EMAIL APPLICANT NAME Rnnchx oodmo-n ADDRESS c'- PHONE gO�l.�l127 ' ��3� EMAIL Qn dQ ,'�k OW CCL&e, ('0W1 CONTRACTOR'S NAME J I rn° OWNER BUILDER? OYES O ✓ BUSINESS NAME rl w l C ADDRESS I V PHONE g9,5j EMAIL CONTRACTOR'S STATE LIC NUMBER 01 (Z3522 �1 LICENSE CLASSIFICATION 13 VALUATION$ :.+ 9 S T 230 u' L SO FT APPLICANT'S SIGN ATUR l�N"'� DATE 1/IZ-�IO CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTE CITY OF FM (T]MEN'IIFFEE/BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 5 1 G.. 1 Z INVOICE TOTAL I GREEN SMIP I �- OWNER BUILDER VERIFIED OYES 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 ENIFE '�. 4+ 1507 Marlborough Ave. ---r— 'e Riverside, CA 92507 C�� PROPERTY PLOT PLAN Office (951) 686-2769 Showcase Conscruuccion Customer: �4117 44,CjC 4� � %— measuredate: , t6 Z97" 4R1&zwA7,a:g ( c% lot size. `1ZU /ljEiy/P'5E (S( c.7-5 g y house size: 5�M L1231 caS-- 3/3_5 779 garage size: �7b LU P/C size: Z30 lot coverage: s � City of Menifee k&jr L ut In SEP 12 2vLEDGER & TRACK ' p yat aJEW,u, Rece,Vef TION REQUIRED a3 tip CITY OF MENIFEE t1 BUILDING AND SAFETY DEPARI ENT PLA REV WED BY DATE 4y 'Approv of these plans shall not be construed to be a"St6akeptonthe n I approve f,any violation of any provisionlof thegi regulati d ordinances. This set of a jobsite u 'I completion. 0<00005eV 504,10 Suter. � �vlaY-;mu.m PC&T 00-60 JOA170 ('Z1V&A- ND e40P fo IO�� 16, r i 3 Pos�rs � l o d0 r8 0 _1°_ ® �o �a is', on reams s('a e w L3 --ter I ND ELECT 21'C19L r