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PMT18-05387 City of Menifee Permit No.: PMT18-06387 29714 HAUN RD. Type: Residential Addition MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 11/08/2018 PERMIT Site Address: 27538 RENAISSANCE CIR, MENIFEE, CA Parcel Number: 336-530-009 92584 Construction Cost: $2,900.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 15'x 24'LATTICE ALUMAWOOD PATIO COVER WITH 1 FAN, 1 OUTLET, 1 SWITCH, U/G Work: GAS AND ELEC FOR FUTURE POOL&BBQ Owner Contractor JASON& KATIE RIVERA QUALITY CUSTOM POOLS INC 27538 RENAISSANCE CIRCLE 30138 MARNE WAY MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9516799732 LYNN STONE License Number: 795820 QUALITY CUSTOM POOLS INC 30138 MARNE WAY MENIFEE, CA 92584 Fee Description 0tv Amount($) Receptacle, Switch, Outlet&Fixture 3 126.00 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 6.30 $300.96 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_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 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C (:5 License No. -7 95 �6 a O By my signature below I acknowledge that,except for my personal residence Expires _7 / ( G Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ❑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 of work for which www.leRinfo.ca.gov/calaw.html. this permit is issued. Policy# Date ❑I 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 ❑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 with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy#CA(U00 2 i 2 Expires I 1 G enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date 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 worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? _WARNING:FAILURE TOSE RE WORKER'S COMPENSATION COVERAGE IS ❑Yes 29 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 for guidelines CONSTRUCTION LENDING AGENCY ❑Yes o 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 bvndary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 N (� Business and Professions Code).Any city or county that requires a permit to oYo _�� �_ Date _ �5 construct,alter,improve,demolish or repair any structure,prior to its PROR�RTY 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 Contractor's State EPA RENOVATION,RERAIR AND PAINTING(RRP) 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 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($500). managers who do the paint-disturbing work themselves or through their ❑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.epa.gov/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. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑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. BUILaING $�SAFETY PERMIT/PLAN CHECK APPLICATION MENIEEE DATE: PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: 0 COMMERCIAL © RESIDENTIAL 0 MULTI-FAMILY ©MOBILE HOME ®POOL/SPA Q City of Menif e SUBTYPE: (j)ADDITION ©ALTERATION ®DEMOLITION © ELECTRICAL Q MECHANICAL®NEW ©PLUMBING ORE-ROOF NUMBER OF SQUARES NOV 0 8 201 DESCRIPTION OF WORK s � d OCCUPANCY GROUP nn CONSTRUCTION TYPE SPRINKLERS Q YES QNO PROJECTADDRESS r�� i1�11ia1 � 1 1 .11�. ZIP r✓ I ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME 5 t� ;o, l V ADDRESS PHONE 951' 05496 EMAIL .. APPLICANT NAME ADDRESS /,� 12 V `\ � ''> LA PHONE EMAIL allat& ", 1 o i. CONTRACTOR'S NAME OWNER BUILDER? ®YESONO BUSINESS NAME + , ADDRESS t ffienliec SA Q rJ t PHONE � I. "��- "1_j 3g. EMAIL '1VVk 1 CONTRACTOR'S STATE LIC NUMBER�`��Yj LICENSE CLASSIFICATION VALUATION$ �a OD SQ FT L SQ FT APPLICANT'S SIGNATURE DATE OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL c) GREEN _ SMIP OWNER BUILDER VERIFIED C, YES NO DRIVERS LICENSE# NOTARIZED LETTER C' YES NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us City of Menifee Building Dept. NOV 0 8 2018 Received LEDGER & T ACK INSPECTION R1 QUIRED BxAya d rn 4' 3/4" Gav 3/4"UL UL 5ch 40 (BBQ future) t 1/2"P Gas 1"UL SCi40 New Concr to 3/4"PoMGW (P�IfuWre) Grey Cobr 3/4"UL 5ch Q it ... 31 New C.to G ay Cdor 15'x 24'SCM Numa C-1 - Color Ta Match Trim on House New Concrete G2y Color Rivera Residence 27538 Renaissance Cr. Menifee,Ca 92584 951-616-0548 ;P } CITY M NIF E DI AFETY DEPARTMENT N ' OVA EVI - D BY 11 N-t',A—, DATE s orrveway B>�ral«� *Approval oi: me Iona ShO not be construed to be a permit for,or an `yarn hvrrdival of,a y n o v' lataf `G�=" U'`�'a'"way y provisions of the federal,state or city �rt ya.c 3 3 a lotions a nancu, Id of (Grass) ' Y approved plans must be kept On the 5- Obsite until LEDGER & TRACK City of N nnifee 24' Building Dept. INSPECTION REQUIRED 3/4" Poly Gas NOV 0 2018 3/4" UL Sch 40 (BBQ future) 1 1/2" Poly Gas RecE! ved r o/ 1" UL Sch 40 Ii New Concrete 3/4" Poly Gas (pool future) �, Gray Color 3/4" UL Sch 40 .......... .. .... ....... ..... 31' New Concrete� 4CP Gray Color 15' x 24 it'-wMAU rnk, over Ln Ln Color to Match Trim on House New Concrete Gray Color OF 1110 IFEE f UILDIN,, AP D SA FETY DEN RTMENT j "!-AN AP I IRC VAL `MEWEM DATE plan shall nct be construed to b, 1 ivera Residen Permitfororan Aal of,any &atior Of anY provisions of the fe:j ral,state or c4 ins and c n inanci s. This Set of approved plar.1 Must be kept on the 38 Renai ance Cr. Atil cOm J eti Dn. Meni e, 92584 951-61 -0548