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PMT14-02809 City of Menifee Permit No.: PMT14-02809 _ MENIFEE, EE, C 92 Type: Residential Addition 'fix"-tC��.1. MENIFEE, CA 92586 sum rsa`m�M MENIFEE Date Issued: 1 0/2 212 01 4 PERMIT Site Address: 29489 BREEZEWAY CT, MENIFEE, CA Parcel Number: 333-710-037 92585 Construction Cost: $5,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 20X10&6X12 SOLID ALUMAWOOD ATTACHED PATIO COVER WITH ONE FAN Work: INSTALL 30' GAS LINE&30' ELEC. LINE FOR FUTURE FIRE PIT Owner Contractor WAYNE&SHARON METZGER JAMIE AVILA LANDSCAPE 29489 BREEZEWAY COURT 27171 WICKERD RD MENIFEE, CA 92584 Applicant Phone: 9517575964 JAIME AVILA License Number: 838428 JAMIE AVILA LANDSCAPE 27171 WICKERD RD MENIFEE, CA 92584 Fee Description QY Amount Plumbing Fixtures and Vents, fixtures 1 116.00 Plumb n' i t tes''`and VenT' fxtutes'� Building Permit Issuance 1 527.00 GREEN FEE 1 1.00 $510.00 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_Templ ate.rpt Page 1 of 1 City Of Menifee p,• 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 to ct. Code:The Contractor's License Law does not apply to an owner of a property License Class C'L—I License lei who builds or improves thereon, and who contracts for the projects with a Expire*tT C[ Signal licensed contractor(s)pursuant to the Contractors State License Law). K WORKERS'COMPE S 0 ECL ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 1 hereby affirm and penalty of perjury-one 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. p-� / r Policy# Q 1 f/ o Vl / '� built as an . I understand if a has not been constructed in its entirety by licensed y �-- -<-�-o--�� contractors. I understand that a copy of the applicable law, Section 7044 of the �14. 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.Iggin—fo-m gov/palaw.html. permit is issued.My workers'com ensation insurance carrier and policy number are: Carrier / / /Property Owner or Authorize gent Date Expires 19 [ Policy# 0r �f K'P Phone ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent�IJfA 2cQ� 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 authoriz tatives 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 identife or tl�a in pec ion oses. 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 1� subject to the workers'compensation provisions of S, b0r r e 0, Agent D tS e� Code,I shall forthwith comply with those provi ' Business License#�/i/ T✓(9Le S5_ ���,p k Date;-fin �M Apph WARNI G: FAIL E T SECURE KERS' x HAZARDOUS MATERIAL DECLARATION COMPENSATION CO V RAG S UN FUL, AND SHALL SUBJECT AN EMPL YE O CRIMINAL PENALTIES AND CIVIL FINES UP TO O HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES 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 JVNOEQUAL 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 'M 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 AYES 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 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 lnyES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I4IEPOOING. compensation, will do( )all of or( ) porting of the work, and the structure Is PR IZEDAGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's Stale License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MEI's I FER PLCK No: Permit No: City Of Menifee 4il-07 29714 Haun Road Building & Safety De Pate: Date: Menifee, CA92586 Ljl Phone: (95172-6777 OCT 2 2 2014 Amount: Amount' v p Fax:(951)679-3843 Ck#: Ck#' Received Building Combination Permit I S To Be Completed By Applicant Legal Description: \ ,y Planning Case: F: L: Rt: R: Property Address: Assessor's Parcel Number. aJ/Project/TenantName: Unit#: Floor#: Name: - 104 2aCJ phone No 2 _s Fax No. OwnerProety Address: Unit Number Zip Cod e Email Address. - Name: _ Pho a No. Fax No. Applicant Address J 1, `Y Unit Number Zip Code Email Address: Name: A Phone No. �� Fax No. Contractor Addres n CityI n fe Sc Zip ode Contrac ors City Business Ice se o. Contractor's City State or C ifoni icense No. Clasalficali a v Number of Squares-. 6 I'0 C0 _ rg k Square Footage IV x Description of Work: /' a I` Cost of Work:$ / 1 7 Applicant's Signature 1 )v Dale: "� " ' £ To Be Completed By:Clty Staff Only;;, ndicate As -Receivetl or WA-Not Applicable 5 Completes sets of fully dim ebi drawn to sale plans which include: - 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/:x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan El Structural Calculations ❑ Single Line diagram for elac.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition" MeanslMethods Work Type: Repair- 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 Indicate if Indicate all Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C or o YES or NO Noise Zone Required? j 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 5paclal case:emg- Otri royal Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing Far Staff Use Only Building/Safety Permit Specialist City Planning I Civil Engineering I EPWM-Admin I Transportation Mgmt. I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY G cr4le t t'za5�r rC O M City o Menifee J/ I Building & Safety Dept. T 1 L 15. J9 wx OCT Z, 2014 i 4°/e d 2 j L% CITY OF MENIFEE BUILDING AND SAFETY DOWWOTC� 92S�s PLAN APPROVAL REVIEWED By zz i ti ATE LEDGER & TRACK INSPECTION REQUIRED *.goproval of these plans shail 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.