PMT14-02723 City of Menifee Permit No.: PMT14-02723
_ MENIFEE,
EE, C 92 Type: Residential Addition
'�%rd�CEl..l�.`' MENIFEE, CA 92586
MENIFEE Date Issued: 10/09/2014
PERMIT
Site Address: 29761 MARITIME WAY, MENIFEE, CA Parcel Number: 333-582-025
92585 Construction Cost: $7,400.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 770 SO FT LATTICE ALUMAWOOD PATIO; 3 POST LIGHTS
Work:
Owner Contractor
ROY WEST PATIO GUY ALUMAWOOD CONTRACTOR
29761 MARITIME WAY 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92585 MURRIETA, CA 92562
Applicant Phone: 9513330056
LOIS MONTINI License Number: 872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description Pity Amount 1$1
eel to le Switch lei&cF t Cu e x �' 26 0
a� -
Building Permit Issuance 1 27.00
42 ag o ,st ,111 a 66.0
GREEN FEE 1 1.00
$288.00
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 fny license is in full force and effe, Code:The Contractor's License Law does not apply to an owner of a property
License Class License No. C_x it �i
who builds or improves thereon, and who contracts for the projects with a
.. _ �
Expires � ��J ri ,�`,Signature f�'U�-2..1�-:-"7"��---- 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
y 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 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:http'//www.leginfo.ca.govicalaw,html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier �
7��. Property Owner or Authorized Agent
Date
��"� G7
Expires "� �� - Policy# J/
❑ 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
construct! n.I a thorize 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 rop y'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 �, � - -- " /L Z,/C,t
subject to the workers'compensation provisions (.Section 3700 of the Labor Property O er or Authorized Agent Dale
Code,I shall forthwith comply with those pro 'sio s
- City Business License#
Date; [/ `�-� Applicant;
WARNING: FAILURE TO SECURE WORKERS' a 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 ORA
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
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 ❑YES 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 reasons)indicated below by the checkmark(s)I have placed DYES 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 ❑YES 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 ($500).) CODE SECTION IOAN 25505RIAL I�E5533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation, will do( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCK No: Permit No:
PPh-T1 Z3
29714 Haun Road Date: Date:
Menifee, CA 92586 City of Menifee I,�
Phone: (951)672-6777i"udlrlrl & SafetV Dept, Amount: Amount:
Fax:(951)679-3843 2 �Y
OCT 0 9 2014 Ck#: Ck#:
2-'S
Building Combination PIIPPOt,ivo
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number:
a�7 i t= 333- g2 - d � S
Project/Tenant Name: Unit#: Floor#:
Name: = Phone No. % , Fax No.
Properl
Owner42 I"�
y Address: — Unit Number Zip Code
Email dress
Name: Phone No. Fax No.
!`' /
Applicant Address: Unit Number Zip Code
Ema"I Addre
1 Q
a Pone yo. F x No.
Contractor Add re L/V ^ _ _ L� -774 State Zip odes.
ontractor s ty usmess License No. Contractor's City State f Calif '
Nu rJp c Se No. Classification:
mber of Squares: 6,
Square Footage
Description of Work: S641A,64
e�V=S C� L �D Cost of Work:$
Applicant's Signature _ D te: 7
. To Be Completed By CityS 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 ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Sharing Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' MeanwMethods
Work Type: Repair' Ld Retrofit' Revision to Existing Permit' 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 Indicate all Geo-tech.Haz.Zone
At Project Indicate S rinklered YES or NO
I Construction p that apply: Coastal Zone
Completion: Type(s): Colo Noise Zone
Required? YES or NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board I ILandmark Comm. I Planning Comm.Zoning Administrator
Fee Exempt: City Project I JElec,Vehicle Chairgerl I Landmark Seismic Retrofit pedal Case,8 dg.
ORicialA roval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist City Planning Civil Engineering EPWM-Admin I Transportation Mgmt. I Ren[Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
lar '
- 01
t
IL
(_ —Jrl OLL
LEDUE
SPECTION REQUIR U
City of Menifee
Building & Safety Dept.
/ Z) OCT 0 9 2014
7 Received
91
F ME WEE _
PLAN APPROVAL Q
REVIEWED BY t °9 1...1
DATE
'Approval of these plans shall not be construed to be�eflfiit fo or an
approval of,any violation of any provisions of the federal,state o city
regulations and ordinances, This set of approved plans must be pt on the
jobsite until completion.
Mlgw) 0 0/YJf
5m6OWN61� =NCO Lvo'li - �t U- d 7 CD 4��r�iit~�
CD 1DSUY 4UM144�D
C-�5 T _ 4l1 ch 9o►de,n 4Fe C.
INc
' C.ilES�a 3agl,yoq
J
s;
Gi '