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PMT18-04856 City of Menifee Permit No.: PMT18-04856 29714 HAUN RD. MENIFEE,CA 9258E Type: Residential Addition MENIFEE MENIFEE Date Issued: 10/05/2018 PERMIT Site Address: 29325 FENWICK CIR, MENIFEE,CA Parcel Number: 364-320-018 92564 Construction Cost: $700.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL ATTACHED 440 SO FT SOLID PATIO COVER 11 X 40 AND 108 SO FT LATTICE PATIO Work: COVER 12 X 9 WITH ELECTRICAL-2 FANS, 3 LIGHTS Owner Contractor CLARDIT BARTON-FIRKINS TRADER DAN'S INC 29325 FENWICK CIRCLE 840 S ROCHESTER AVE STE C MENIFEE,CA 92584 ONTARIO, CA 91761 Applicant Phone:9093900555 TRADER DAN'S INC License Number: 517575 840 S ROCHESTER AVE STE C ONTARIO. CA 91761 Phone:9093900555 Fee Description Of. Amount ISl Receptacle,Switch,Outlet&Fixture 5 136.00 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 6.80 $311.45 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_Templatesin 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 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 Contractor's State license Law for Professions Code a my license is in full force and effect. the following reason: License Class License Na. S�7s7� By my signature below I acknowledge that,except(army personal residence Expires 6rntOZ& Signatur in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION OEC 8 O 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 o I hereby affirm under penalty of perjury one o le 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 iztvw,leeinfo.ca.eov/calasv.html. this permit is issued. Policy N Date /a4— ve 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 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 I'` st ry ) building construction.I authorize representatives of this city or county to Polity Nl� '�6f/33 Expires 6 ( enter the above identified property for inspection purposes. (This section need not to be completed is the permit is far one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT 01 certify that in the performance of the work for which this permit is issued, O 0 2�y 1 shall not emolav any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N worker's compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION subject to the worker's�ompenseF rovisions of Section 3700 of the Labor Code,Is ahaK'0 hwn pI thos rovislons. Will the applicant or future building occupant handle hazardous material or a i L mixture containing a hazardous material equal to or greater that the Applicant pace r amounts spec n.*don the Hazardous Materials Information Guide? WARNING: U RE WORKER'S COMPENSATION COVERAGE 15 a Yes UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Willthei/mended use of the building by the applicant of future building AND CIVIL FINES UP TO ONE HUNDRED THOUSANOOOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Airqualii Management District(SCAQMDj?See permitting checklist IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guide}li�£S CONSTRUCTION LENDING AGENCY 0Yes ra No I hereby affirm that under the penalty of perjury there is a construction Will the propose$d building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued oulerboun pryofaschaol? (Section 3097 Civil Code) a Yes No 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 25505 and 25534 concerning hazardous mq[eda o ng. checkmark(s)I have placed next to the applicable items)(Section 70315 a No / Business and Professions Code).Any city or county that requires a permit to Date Z construct,alter,improve,demolish or repair any structure,prior to its pROPEILlY 0W) O DAGENT issuance,also requires the applicant for the permit to file a signed statement that he of she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP License Law(Chapter9(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($SOD). managers who do the paint-disturbing work themselves orthrough their In 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 wwsv.eoa.eov/lead or contact the National Lead Information Center at not Intended or offered 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 aAn 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. o No EPA Lead-Safe Certified Firm is required for this project because: a 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 �6 5rh h U 2An&A ;I 11edgemen- r�Jt^ BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE J DATE: �U S 1 PERMIT/PLAN CHECK NUMBER O - O D'/Iy PLANNING CASE NUMBER TYPE: 0 COMMERCIAL -:RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ;�BI ELECTRICAL O MECHANICAL ,,er'NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK \\ Xq a W x ' k 4l,ct G(,b'—ctW-a,�� - PROJECTADDRESS 7 ' FtV1W>•2q 6'y ZIP 61 Z 5 I ASSESSOR'S PARCEL NUMBER( I LOT TRACT OWNER NAME �1✓-d4 A- h �r K V' ADDRESS Z1 3 Z S FCNk.)(,A 6v• City of Menifee PHONE 626_ 6 jj- a6 z 7 EMAIL Building Dept. APPLICANT NAME l�Dh �/t �-Z�n�f{- OCT 85 2018 ADDRESS Received PHONE R01 g0-G5 — EMAIL CONTRACTOR'S NAME OWNERBUILDER? OYESD415 BUSINESS NAME ADDRESS 'FqO S 'rl 1-74 PHONE a'o-y -310-05_5_s EMAIL CONTRACTOR'S STATE LIC NUMBER SI7 S7_ J LICENSE CLASSIFICATION I} VALUATION$ 7 nU 1) SO FT L SQ FT APPLICANT'S SIGNATURE DATE (U/J si Io,� 1w DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE �^— INVOICETOTAL . p GREEN If 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 OWNER ADDRESS CITY 2 ,0 ZIP f21HONE (off LOT NO. TRACT APN CONTRACTOR i1Q ROOMS N' COVERS PROPOSED ADDITION S) 5� [� 840 S ROCHESTER AVE #C ', /p�Py�a �` ONTARIO, CA 91761 �� X 7�� solid and /Z rG _ LIC. B-517575 909-390-0555 WORK COMP � ICW GROUP i. j u��yJ.rs - ��It17 Q,U/ C11 WSA5000386-07 f, y ),•� f LL- EXP6/14/2019 c. G iU J f/ t'QCQ,t�/ (1, LA - Tor '• RD l Y' ri SvttaC..� \ cl scud �. to ■— tffbGErN • RACK *�dt INSPEC N F EQUIREC City enifee ee- Buildi I Dept. Lab C� (p MG PNo 5T ET 4 • T 2010 N eci ��