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PMT14-01899 f gI t City of Menifee Permit No.: PMT14-01899 � 29714 HAUN RD. Type: Residential Addition MENIFEE, CA 92586 MENIFEE Date Issued: 07/22/2014 1 P E R M I T J i Site Address: 29940 LAMPREY ST, MENIFEE, CA Parcel Number: 338-351-023 92586 Construction Cost: $1,750.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'X 20' SOLID ALUMAWOOD PATIO COVER WITH 2 FOOTINGS, NO ELECTRICAL Work: Owner Contractor DAVID BONNEY PRO INSTALLATION 29940 LAMPREY ST 43043 CAMINO CARUNA MENIFEE, CA 92586 TEMECULA, CA 92592 Applicant Phone: 7142348652 JONATHAN COLONNA License Number:.895950 PRO INSTALLATION 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description Qty Amount Deck/Patio, non-standard 1 133.00 SMIP RESIDENTIAL 1 1.00 $162.00 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_Bidg_Permlt_Templatexpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penally or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Cod an my license is in full f r a d effect. Code:The Contractor's License Law does not apply to an owner of a property License Class License N who builds or improves thereon, and who contracts for the projects with a Expires -O�y� Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirely by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'//www.ieqinfo.czi.aov/ca1aw.htmI. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or uthorized Agent Date ,rQ L/ Expires to �/� Policy �Z C�,7 �OM-7 ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,1 identified p p'e�j for a inspection purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor rty Owner or Authorized Agent D to Code,I shall forthwith comply with those provisio City Business License# Date; Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES AO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? I hereby affirm that under the penally of perjury there is a construction lending agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address P-040 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS PRINT NAME: I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the checkmark(s)I have placed AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, �`NO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the permit to rile a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to 1�1F10 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SEC MION 25505I�E5533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do ( )all of or( )porting of the work, and the structure is PROPER N7 R AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: P , 29714 Haun Road Dale: Date Menifee, CA 92586 �Z I Phone: (951)672-6777 ° nt' Amount: Fax:(951)679-3843 Ck#: Ck#: b S Building Combination Permit I -SA To Be Com leted By plicant Legal Description: O_ lanning Case. L: Pro Address Assessor's Parcel Number. 351 oa Unit#: Floor is: Phone No. Fax No. Owns Ad r Uml Number I Zip C Email Address: Name Phone No. Fax No. ONA Applicant Address: Unit Number Zip Code Email Address' a / ASlate4f?c ne No, Fax No. Contractor dress 5 e Zi Code .7 3 Ca rthr p on rac ors uslness _Icenso o. Contractor's Ci is Licanee No. ClassiliiWtion:Number of Squares: t) Square Footage Description of Work: . l rr a Cost of Work:$ �rn Applicant's Sig `75 J ri Dale: E / To Be Completed By City Staff Only Indicate As R-Received or N/A-Nol Applicable 5 Completes sets of fully dimensioned.drawn to sale plans which include: 1 se[of documents whicn include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goad Tech/Soils Report(on ed only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on Ii x If) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan [I Structural Calculations ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Franing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Methods W°rk Type: Repair• Ld Retrofit• Revlsionto EnsUMP" Required? YES NO Proposed Building Use(s): Existing Building Use(s): a Buildings. p Units. If Stories. Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group =to.a YES or NO Indicate Indicate all Geo-tech.Haz.lone At Project Construction Sorinktered That apply: Coastal Zone Completion: Type(s)' C Of O YES or NO Noise Zone Re CITY Listed on Historic Resources Invento CITY PLANNING STAFF ONLY ry APPROVALS: Costal Commas Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Projer;t Elec.Vehiclo Charger Landmark Seismic Retrofit ea` B9e1 g ORrda.A ova. Expedite Projecl(s): Child Care Clty Project Green Bui,ding Landmark Affordable Housing For Staff Use Only Bu.ldin /Sale!ry I vermil pecial'st it tannin Y =wn r,,gineerinq I EPWM- dmin ransponabon gmf. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY o m s v rn C7 ® A :y 1' CD T c ° cfo C) Z Z G © K o a _ m �m fD o s m m V.�l m a > K P m O N at W = 3 'O O p O C '° ro n- a a re � o ��. L aza D cn -5) M ,l m LJ t x c`L 0- ry X s r