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PMT14-01919 City of Menifee Permit No.: PMT14-01919 29714 HAUN RD. '91CCEL�Atr.` MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 07/24/2014 PERMIT Site Address: 31951 SEWALT CT, MENIFEE, CA 92584 Parcel Number: 360-581-031 Construction Cost: $4,700.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 630 SO FT SOLID ALUMAWOOD PATIO COVER WITH 4 FANS Work: Owner Contractor MICHAEL MARSTON QUALITY FIRST CONSTRUCTION 31951 SEWALT CT 15910 SAGEWOOD COURT MENIFEE, CA 92584 RIVERSIDE, CA 92504 Applicant Phone: 9516853555 TINA RIVERS License Number: 739214 QUALITY FIRST CONSTRUCTION 15910 SAGEWOOD COURT RIVERSIDE, CA 92504 Fee Description Otv Amount($) �Recep le"-Sw�itC11�,0u let&,Fi tufey„n��, q�,��,�� �` �,,� r•��� ; ; aka Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 rSMIPpp > D y IAL` cb � xi. f;. "�`' '3-&x°,y . „ a '-z' .,.,,t'S� j,00"" . vt `3..e,taL=,c5 �.:�it�£s.t«,.ss3n,�;. a.�v.�t�.aaiL�s �`�:.,w:amrwSiw:, $293.00 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.rpt 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 License No. who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the ❑ 1 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 entirety by licensed Zficy# 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 ion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htti),I/www.leqiofo ca.gov/calaw.htmI. permit is issued.My workers' ompensation insurance carrier and policy number are: S�\TC�\ roperly Owner or Authorize Agent Date Carrier. I ` ' Expires _� 1 a O 11 C) // ''��Ihone#Policy dq 0� II ff` `� ` W[8 "I� �Y -y,.1 J By my Signature below, I certify to each of the following: I am the property Name of Agent ner 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(t be c m less) with all applicable city and county ordinan and state laws relating to building ruction.I authorize re rese fives of this ity or county to enter the above- con certify that in the performance of the work for which this permit is issued, ide fed property f ct c p s s 111 not employ any persons in any manner so as to become subject to the �l i L workers'compensation laws of California, and agree that if I should become �C subject to the workers'compensation provisions of Section 37 e Pro arty Owner or Authorized Agent Date Code,I shall forth ith co ply with those p visions. ` /_ (�/ 'I City Business License# 104J(a Date; A licant; 'Li WARNING: FAILU TO SECURE WO CERS' 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 )(p NO EQUAL TO OR UNTS SPECIFIED ON THE ATHAZARDOUS MAER THAN THE TERIALS CONSTRUCTION LENDING AGENCY INFORMATION GUIDE? I 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 []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION �I FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address / 0 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 YES 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, O 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 INFORMATION GUIDE AND THE SCAQMD PERMITTING Section 7000)of Division 3 of the Business and Professions Code)or that he or []YES CHECKLIST. I UNDERSTAND MY REQUIREMENTS she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any Applicant for a permit subjects the applicant to (N(0 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, CTION 25505 2 NCERNING HAZARD S MATERI L� 2PORI�ING. ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or ( ) porting of the work, and the structure is Pf20 OVA ER AUTH NT not intended or offered for sale.(Section 7044,Business and Professions Code; X ll/a" The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF 1V11LV19Yll'EE PLCK No: 29714 Haun Road' Date: Date: Menifee, CA92586 -7 Phone: (951)672-6777 Amount: ::dAmoun:^� Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit G 4- 7 �✓1'"l To Be Completed By Applicant Legal Description:' i� C -1 Planning Case: F: L: RI: R: Pr erty d ess: ,(�T CT 1�/ iO i IrYG Assessor's Parcel Number. ��D' G9I b�' Pr r N12_if7l _ \ -` Unit#: Floor#: N l I Fax No. Ownerty Ad Unt Number l Zip C i �� Email Address: Name: n 1 o etp�l �55 Fax No. Applicant Address: Unit' �� \` / Unit Number Zip Pod \` /l Email Address: (n� /',,,, ^�—n V a cam( e: - 'r (IC ' UJ1�5 J f� nr' -J Contractor A . L © 6C ontractor s i ut xreryse o. Contra t tateto4 al fomia License No. Classification: I �J U Number of Squares: (,� UG I Square Footage 0 Description of Work: hl i 1 /� T \ � 2 q Cast of Work:$ Applicant's Signature IIJJ L` 1 0 n j (NJ6 V . Date: To Be Complet d By CiN staff only, Indicate As R-Received or N/A-Not Applicable 5 Completes sets or fully dimensioned,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 l l) ❑ Foundation Plan ❑ Structural Calculations ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration" Addition' Means/Methods Work Type: Repair' ILI Retrofit* Revision to Exis6ng Permit Requtred9 YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate if Indicate all Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C Of O 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 Elec.Vehicle Charger Landmark Seismic Retrofit 8pedal Casa:Bldg Expedite Project(s): Child Care CityProject Afford able Ho l 1 Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist I City Planning ICivil Engineering EPWfA-Admin I Transportation M1gmt- Ron]Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY � . City of Men'ifee Building & Safety Dept. JUL 2 a 2014 LEDGER & TRAC ^ klfil,N4 CRs ._ INSPECTION BE rha� Received „� -- u,G � e r e t �a r Yv� Y CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT �+ PLA(_APPROVAL REVIEWED B DATE *Approval of these plans shall not be construed to be a permit for,or an e Q approval of,any violation of any provisions of the federal,state or city 1 regulations and ordinances. This set of approved plans must be kept on the fobsite 4ntil complQt_iqn _ �f C5