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PMT14-01915 I i City of Menifee Permit No.: PMT14-01916 29714 HAUN RD, Type: Residential Addition �'iGCiE'#. '' MENIFEE, CA 92586 c mNA'.' MENIFEE Date Issued: 07/23/2014 )I 1 g PERMIT Site Address: 26164 RED FOX RD, MENIFEE, CA 92584 Parcel Number: 360-520-006 Construction Cost: $5,200.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID& LATTICE ALUMAWOOD PATIO COVER, 1 FAN,4 LIGHTS Work: Owner Contractor BRIAN FAHEY CEBALLOS AWNINGS 26164 RED FOX ROAD 3420 FENSMUIR STREET MENIFEE, CA 92584 RIVERSIDE, CA 92503 Applicant License Number: 949791 ALBERTO CEBALLOS CEBALLOS AWNINGS 3420 FENSMUIR STREET RIVERSIDE, CA 92503 Fee Description 4y Amount($1 Building Permit Issuance 1 27.00 D Pato o -soda � 1 GREEN FEE 1 1.00 $298.00 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_Bldg_Permit_Template.rpl Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty 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 Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class_JDu 3—License �) c^ who builds or improves thereon, and who contracts for the projects with a Expires - -fo Signature rtee_ �j 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 ❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon requestwhen 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:http'//www.1eQirfo.ca.qov1caIaw.htrnl. permit is issued.My workers'compensation insurance carrier and policy number are: Property Owner or Authorized Agent Date Carrier Expires Policy# ;tp 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($10C)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- � certify that in the performance of the work for which this permit is issued, I identifj�ropefly for the inspection purposes. Shall not employ any persons in any manner so as to become subject to the ,���y f workers' compensation laws of California, and agree that if I should become �%dr � -_,`a ^! subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. roperty Owner or Authorized Agent Date J egae City Business License# Date; ��-7 3 --t`� 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, ❑YES 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 ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? 1 hereby affirm that under the penalty 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 ❑NO 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 reasons)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items) (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 file 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 OYES 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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION C M N 25505RIALfkE5533PORY AND 25534 CONCERNING HAZA�D❑ I, as owner of the property, or my employees with wages as their sole compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; X The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: Permit No: City of Menifee ,Q 29714 Haun Road Building & Safety Dept. Date: Date: Menifee, CA 92586 Phone: (951)672-6777 JUL 2 3 2014 Amount: Amount, A Fax:(951)679-3843 Ck#: Ck#: Received Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: A L Rill: R Property Address: Assessor's Parcel Number. I��— Project/Tenant Name: Unit#: Floor M Name: Phone No. Fax No. OwPronerly Address: :: Unit Number Zip Code Email Address: K�3 Name: 'hone e No. —q Fax No. 1 Applicant Address: z I� U� r Unit Number Zip Code rEmail Address: ,� Name. Phone No. Fax No. eu Contractor Address: \ , Ci * n t State Zip Cade ontractor s dy usiness i.an as o. Contractor's Cily State of Califomia License No. Classificati n: Number of Squares: Square Footage Description of Work I L Cost of Work:$ S Applicant's Signature " Dale: 7 - Z3 To Be-Completed_By'Chy Staff Only' Indicate As R-Received or N/A-NotApplicable 5 Completes sets of fully dimensiened,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑ Structural Calculations ❑ Foundation Plan El Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan 1 ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration` Addition- Means/Methods Work Type:El Repair" - Retrofit* Revislon to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Bldg. Code occupancy GroupY of N p y Indicate Indicate if Indicate all Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C o(Q YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: " Costal Commiss Arch:Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Ele(!,Vehicle Charger Landmark Seismic Retrofit I 4ecpw ease: uidg Officialal Expedite Projects): Child Care City Project Green Building Landmarkl I Affordable Housing For Staff Use Only BuildinglSalety Permit Specialise City Planning I Civil Engineering I EPWM-Admin Transportation Mgm— i I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY LEDGER & TRACK INSPECTION REQUIRED City of Menifee Building & Safety Dept. JUL 2 3 2014 Received >- w U U- 'zt I 1 i O i T 0 Vr CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPRO:M— REVIEWED BY — ak � (U Approval of these plans shall not be constmed m be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances.This set of approved plans must he kept on the jobsite until completion.