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PMT14-02414 i City of Menifee Permit No.: PMT14-02414 29714 HAUN RD. Type: Residential Addition ' iQCEL�t" MENIFEE, CA 92586 sue. xswA� , MENIFEE Date Issued: 0910812014 PERMIT Site Address: 28665 PLANTAIN ST, MENIFEE, CA Parcel Number: 333-491-008 92584 Construction Cost: $5,100.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,4 LIGHTS Work: Owner Contractor LINSEY TAVNNER THE SHADEMAKERS 28665 PLANTAIN STREET 2625 VINE ST MENIFEE, CA 92584 NORCO, CA 92860 Applicant Phone: 9512800040 TIM MORAN License Number: 881600 THE SHADEMAKERS 2625 VINE ST NORCO, CA 92860 Fee Description (3yt Amount IS Building Permit Issuance 1 27.00 GREEN FEE 1 1.007 $303.00 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 slated, 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_Templale.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 g'��a'�o'O who builds or improves thereon, and who contracts for the projects with a Expires 9 3a%-V�a 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 ❑ 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. Policy# built as an owner-building if it has not been constructed in its entirety by licensed 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 action 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http�/Aw leciinfo.ce.gov/calaw.htmi. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier I,iR-P.K SM C `ter eto; Property Owner or Authorized Agent Date Expires 5 'x✓� ' t-'{ Policy# ©L -AI ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Q.>0 c�pr�.'��. 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,I identified property for the 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 Property Owner or Authorized Agent Date Code,I shall forthwith comply with those provisio s. / City Business License# Date; 4-`�'h�� 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, OYES OCCUPANT HANDLE HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES El NO 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 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 I hereby affirm under penalty 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 OYES 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL f EPORfING. compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MFNIFEE PLCKNo: Permit No: 29714 Haun Road City of Menifee Menifee, CA 92586 Building & Safety Dept, Date: Date: � g Phone: (951)672-6777 SEP 0 8 2014 Amount: Amount: 00 Fax:(951)679-3843 Ck#: Ck#: Building Combination Perm�tcel\Jed To Be Completed By Applicant Legal Description: LJVhAVo�� \� Planning Case: F: L: Rt: R: Property Address: Assessor's Parcel Number: -010 Project/Tenant Name: Unit#: Floor#: Name: Phone No. Fax No. Property Address: UnN Number ZiP4 Cotle� Owner 5 1-. -T I,tJ S� z Email Address: Name: Phone No. Fax No. Applicant Address: Unit Number Zip Code .a\02.5 '�Z�w'� Email Address: Name: Phone No. Fax No. �� S�1ae�ty'A S 45\ zoo Contractor Address: I City S e Zip Code Contractor's City Business icense smo_ ContrW City State of California License No. Clamion: Number of Squares: Square Footage \ Description of Work: Cost of Work:$ So�v� Fit_-�N,P.woa F1 k c-OVEv2 'L F0. i `1 > rw Applicant's Signature 6 Date:Ck • 0 - 1 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: i set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Tide 24 Energy(on 8 Y:x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan El Structural Calculations ❑ Single Line diagram for sled.services over 400 AMP ❑ Floor Plan ❑ Structural Firuning Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition" MeanslMethoda Work Type:HRepair' Retrofit' Revision to Exisfing Penril' Required4 YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: If Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate 8 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 Amh.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit Special Case:slag. OfficialA reval Expedite Project(s): Child Care City Project Green B idmarkl I Affordable Housing For Staff Use Only building/Safety Permit Specialist City Planning I Civit Engineering I EPWM-Admin Transportation Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY - - 1p " ?maD'GER & TRACIf City of Menifee Building & Safety Dept. NSPECTION REQUIRED SEP 0 8 2014 CL O Received C) w U U. U. 5 1 - - - a I ,a e Rj S CITY OF MENIFEE BURDING AND SAFFTYXSWRTMENT PLAN APPROVAL REVIEWED BY q I�l DATE 'Approval of these plans shall not be construed to 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 be kept on the jobsite until completion.