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PMT18-04972 - J City of Menifee Permit No.: PMT18-04972 29714 HAUN RD. Type: Residential Addition . {' MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 10/12/2018 PERMIT Site Address: 30388 CHERRY OPAL LN, MENIFEE, CA Parcel Number: 360-830-037 92584 Construction Cost: $2,900.00 Existing Use: 1 6 2 Family Residence Proposed Use: Description of INSTALL 32'x 10'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor LYNN OSTERMAN ESTRADA'S LANDSCAPING 30388 CHERRY OPAL LANE 145 NORTH SCOVELL AVENUE MENIFEE, CA 92584 SAN JACINTO,CA 92583 Applicant Phone: 9515914737 NELSON ESTRADA License Number: 1012450 ESTRADA'S LANDSCAPING 145 NORTH SCOVELL AVENUE SAN JACINTO, CA 92583 Fee Description OQrt Amount($) 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 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 61dg_Permit_Template.rpt Page 1 of 1 �Ae1d�75V1 uQ CITY OF MENIFEE a'S Lo",5w `r,�s 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 0I am exempt from licensure under the Contractors State License law for Professions Code and my license 1s in full force and effect. +-� the following reason: License Class. --7_ License No. By my signature below I acknowledge that,except formy personal residence Expiresn,�,_ai Signature n 1 in which l must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION 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 fallowing 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 ,m,,,w.ieeinfo.ca-eov/calaw.html. this permit is issued. Policy# Dated 3L _ ❑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 0 By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier O,y Tel V ./lf with all applicable city and county ordinances and state laws relating to /� building construction.I authorize representatives of this city or county to Policy#!_tl I)IlX�i, !apims enter the above identified property for inspection purposes. (This section need notto be completed Is the permit is for one-hundred Dale dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify 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# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the�woorkers Cmpensation provisions of Section 3700 of the Labor Cade,Is Ifforthwith corrrL�ply with these provisions. Will the applicant or future building occupant handle hazardous material or Appli n �nh'w A Oate "— — mixture containing a 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 0 Yes o No 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 occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY o Yes ❑No 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) 0 Yes O 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,1 understand my requirements under the State of Contractors License Law for the reasons)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous material reporting.(s)(Section 7031.5 oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY OWNER OR AUTHORIZED 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 Contactors 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 contactors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in pre-1978 and the basisfar the alleged exemption. th applicant nttoa civil of penalty of not o residence or childcare facility to be RRP-certified firms and comply with than n($50Applican[fora permit subjects the app0can[toacivil penalty of not more required practices.This includes rental property owners and property than($500). 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: compensation,will do( )all of or( )portion of the work,and the structure is www.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 ❑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. O No EPA Lead-Safe Certified Firm is required for this project because: 01,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors 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— ( _ PERMIT/PLAN CHECK NUMBER - \ GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: 0 COMMERCIAL 6RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: ()ADDITION ()ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW ()PLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 60 j Q O `.L� ' Y l LCL OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS 0 YESCjQWMenlfee PROJECTADDRESS �o3R� r,he.rry cep-L Ln ZIP 6 ildingDept. ASSESSOR'S PARCEL NUMBER -t-W Q� LOT TRACT OCT 12 2018 OWNER NAME L r ADDRESS r'rti L Ln ni e PHONE EMAIL i APPLICANT NAME ADDRESS iLt !S {J r N U t k Q,v f Q C I n PHONE 9 &I_ tjCt I- L� �� EMAIL CONTRACTOR'S NAME SUrIC� IY- CLeCA OWNER BUILDER? ®YES61NO BUSINESSNAME 16SIrCLA&S Lon ADDRESS L .p (L Q C(-C( 1) J U C, PHONE rJ SI- S ct I- L4 EMAIL CONTRACTOR'S STATE LIC NUMBER O ) a_ LI 5-0 LICENSE CLASSIFICATION - VALUATION$ 21 O D SO FT d L SQ FT /p APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: ,n CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I'�"1`/Y-�l INVOICETOTAL , ue) GREEN I — 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.cityofm en ifee.us NI City of Menifee Building Dept. OCT 12 2018rSAJU T1 ro r �`! i in Te ed CM: 50� - Pon', LEDGER & T ACK INSPECTION RE UIRED t V 1 I o CP NOW � ) e N e , p� J �s l N 5O I � dn; u 0 � , f MENIFEE yp e o n eF NG AND SAFETY DEPARTMENT ynrl OJ�-�rrnan ; PPROVAL e'rv'� C• �C ; L 71 !, Ru\j E WED BY DATE gop"', I of these plans shall not be construed to be a permit for,or in ?.p9rool of,any violation of any provisions of thefeplans mustate Or city on the re�olahr,,js and ordinances.This set of app jobote onfil completion.