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PMT14-01962 g City of Menifee Permit No.: PMT14-01962 29714 HAUN RD, Type: Residential Addition 4W6CEL MENIFEE, CA 92586 MENIFEE Date Issued: 07/29/2014 PERMIT Site Address: 29337 RIPTIDE DR, MENIFEE, CA 92585 Parcel Number: 333-482-007 Construction Cost: $2,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'X 24' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor VIRGINIA CORONA&JASON REMINGTON PSLQ INC 29337 RIPTIDE DR 28910 RANCHO CALIFORNIA RD MENIFEE, CA 92585 #206 Applicant Phone: 9517954260 LUIS BENTIVENGO License Number: 919885 PSLQ INC 28910 RANCHO CALIFORNIA RD #206 TEMECULA, CA 92590 Fee Description Amount 8101 Building Permit Issuance 1 27.00 1 GREEN FEE 1 1.00 $278.00 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 staled,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 `Z License Up. who builds or improves thereon, and who contracts for the projects with a Expires? �J(b 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 entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the Ili 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:h>tt'llwww leginfo ca oov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Property Owner or Authorized Agent Date Carrier )Cf�-'� �g_Tr Ol t- Expires _ - t,- Policy# for rho 7la3z t 2- Agent ; Q � 5, Phone# 4=—) _�--� o By my Signature below, certify to each of the following: am the property Name of A g 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 a horize representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued,I =or urposes. shall not emalov 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 Date Code,I shall forthwith comply with those PT_ ' �1City Business License#�5`-tc) Date; /'77 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, DYES 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 IW440 EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION �� FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address �'"`" DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penally of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed ATI ES 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, 100 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. �S 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 PAC UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505, 25533, AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPE 2TY OWNER ORAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not Intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: P i 29714 Haun Road Date: Date: (� IN Menifee, CA 92586 Phone: (951)672-6777 Amount: Amount: Fax:(951)679-3843 Ck#: Etc It. s9 Building Combination Permit To Be mpleted By Applicant Legal Description: 1—7 15 LAZ�T I Planning Case: F: L: Rt: R Property Address: 'G2 Z--t -K n h�� Assessor's Parcel Number. ProjecVTenant Name: �• �� RV(r � Floor#: `, Name: cTr�..So.n �� t ^ Phony Now— y O Fax No- Owner Address: `�G Owner ZC( 33 �L —�-�,JL T� Unit Number Zip Code Email Address: ' Name: ` In ne No,_ Fax No. tS t u .p Applicant Address: Unit Number Zip Code Email Address: Name: � Phone No. Fax No. Contractor Address: t 1 ti0-� 71�10 `�t•�(�vZ City �a Sta Zip CodeI 7- cj t' O ontractor s iluulgss t�nn�g o. Contrector's City t �lifor },ip�scree No. � 7 rr�7 S �`O"� Classification: Number of Squares: Square Footage r� Description of Werk:G_ ^^ �y�J u.VCys�DC' ;�� Cost of work:$ Applicant's Signature Date: _'Z To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes sets of 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) ❑ Plat/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for else.services over 400 AMP ❑ Floor Plan ❑ Structural Fraoung Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residenfial Class Code: Indicate New Construction Alteration' Addition' Means/Methods Work Type. Repair' Retrofit' RevisiwltoHsting Permfl' Required? 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 if At Project Indicate S rinklered YES or NO Indicatehaapply: all Geo-tech.Haz.Zone Completion: Construction p that apply: Coastal Zone Type(sj: C Of o YES or NO Noise Zone RequiredT Lis[etl on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commis Amh.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehide Charger Landmark Seismic Retmfii pacial Case:Bldg. OfricalA royal Expedite Project(s): Child Care Ciry Project Green Building Landmark Affordable Housing For Staff Use Only uuildinvl arely I Permit Specialist Cily Planning I Civic Engineering I EPWM-Admin I Transportation Mgmt. I Rent control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY rNott plan Jason Remington to Scale Menif Riptide Dr. Menifee, Ca. 92585 951-522-0410 12' x 24' 288 sq.ft. Solid Alumawood Patio Cover. with (1) ceiling Fan attached to the house and concrete slab. Color: Spanish Brown I Mojave Tan City & menifee Building Safety Dept. p� JUL 2 9 2014 36' INSPECTION h'L' �'�V't'��01 Received 24' IV ❑ ❑ ❑ 12' 01 Y OF MENIFEE RU i.i iNG AND SAFETY DEPARTMENT PL N APPROVAL RE VIEWED ' Z d11/1 DATE *Apc oval of these plans shall not be construed to be a permit for,or an �+ ap,prl vat of,any violation of any provisions of the federal,state or 'ty regul tions and ordinances. This set of approved plans must be ke • v to sr until completion. Driveway r Sidewalk Riptide Dr.