PMT14-03049 i
City of Menifee Permit No.: PMT14-03049
29714 HAUN RD.
Gf�E�..l�h.' MENIFEE, CA 92586 Type: Residential Addition
c�Atmt"." MENIFEE Date Issued: 1111712014
PERMIT
Site Address: 26043 DEER RUN ST, MENIFEE, CA Parcel Number: 360-522-001
92584 Construction Cost: $2,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 312 SO FT SOLID ALUMAWOOD PATIO COVER,WITH ELECTRICAL 2 FANS
Work:
Owner Contractor
CHARLES& KARI HARRIS OMEGA BUILDERS
26043 DEER RUN ST 29980 MOONDANCE WAY
MENIFEE, CA 92584 MENIFEE, CA 92586
Applicant Phone: 7142635575
SHANE TULLOS License Number: 963275
OMEGA BUILDERS
29980 MOONDANCE WAY
MENIFEE, CA 92586
Fee Description Qtv Amount f$1
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$283.00
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 Cod 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 1 '✓ License Ng. O'1 Ca S2—?5— who builds or improves thereon, and who contracts for the projects with a
Expires _ 1 Y' Signature J �— licensed contractors)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.
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
❑ 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.leciinfo.ca.gov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier Property Owner or Authorized Agent Date
Expires Policy#
❑ 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
construction.I authorize representatives of this city or county to enter the above-
I certify that in the performance of the work for which this permit is issued,I identified : p f r the inspection purposes.
hall not emnlov any persons in any manner so as to become subject to the y
workers' compensation laws of California, and agree that if I should become ( (�• 1 /
subject to the workers'compensation provisions of Section 3700 of the Labor grope caner or Authorized Agent Date
Cade,I shall forthwith comply with those provisions. ``_
ppp'��t City Business License# b J 2
Date; I I I I y 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, AYES OCCUPANT HANDLE AHAZARDOUS 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 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 []YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable tel(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($500).) CODE, SECTION
E S ION 25505RIAL f�E 5533 G AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole
compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Stale License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE I 11 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL '. RESIDENTIAL () MULTI-FAMILY O MOBILE HOME 0 POOL/SPA OSIGN
SUBTYPE: X ADDITION ()ALTERATION O DEMOLITION CI ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOF
APPLICATION NAME 14EGA av, ( J 1
DESCRIPTION OF WORK Pos,otQ vew-
PROJECTADDRESS Z(o o l 3 tLee✓ r41^
ASSESSOR'S PARCEL NUMBER LOT I �J1 TRACT 30b(04
OWNER NAME -7
ADDRESS uol 3 I� vL,
[y C_
PHONE , `p ?- - (a ' R- • I/-To EMAIL
APPLICANT NAME L 40.
ADDRESS 2 `I / get,
PHONE I ( N- EMAIL
CONTRACTOR'S NAME Vl Al 2_ TU If u OWNER BUILDER? O YES O Mm
BUSINESS NAME 0 PA976A I bv-S
ADDRESS Q O c�(''I 1, 4 /
PHONE 3 -FS- -7 5— EMAIL A e 9"QA 1 �..�
CONTRACTOR'S STATE LIC NUMBER �l �Z•7 'r LICENSE CLASSIFICATION
LI7
VALUATION$ / O Q SO,FT 3 Z L SO FT
APPLICANT'S SIGNATURE "� DATE fT M
OTY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIIFFEEE'BUSINESS
LILICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP I 0 Jl0"J OC
INVOIC
AMOUNT g',�� PAID AMOUNT C;CASH CHECK ii CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT p�O 1.3 CASH <I CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES NO LICENSE NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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UNITED DURALUME PRODUCTS INC.
350 S RAYMOND FULLERTON CA.92831
PH.714 773 4011 FAX 714773 1879
8777734011 887 773 1879
RESIDENTIAL PATIO COVER
QUOTE. �t', ORDER F� CONFIRMATION
REQUESTED
NAIE NAINE
ADDRESS ADDRESS
CITY CITY STATE 7JF
PH. FAX
ORDER DATE PICK UP DATE P.O.#
WHITE BROWN
A X B X G X CAMEQ OTHER .. ._—
Pen Type 9" W Tri Pan Type V W 7,V Pan Type 0' W Tit V Miter
Lagirm 1112" 2' Lattice 1112" 2' 1LattirA 1112` 2' Corbel
Past Heigh Post Height_„` Fort Height Scallop
Si"Plate¢ Side plates I Sioo Plalas VuWem
Beam Type_ Ream Type Beam Type Hanger Gasket
Hearn Length _ Beam Length Boam Length_ B"Steel C 8eem
Raper Length Rater Length Rafter Length _ Fora pownspotn
Fascia Wrap Fasca Wrap Faasla Wrap Exrr»Elhows
RaR1a Trails Refler Trails Rafter Trolls E.ha Fleshing y____
Skyliles Skylitee Skylltes Base Plates Hans _
Please draw a diagram in the space provided.Make sure you show all dimensions and list any erhra materials you may need
ALL CANCELFO OROF.RS SUBJECT TO 20Y RESTOCKING CHARGE
SIGNATURE
Omega-Builders
Patio Covers
Menifee, CA 92586
CA LIC # 963275
714-263-5575 / 714-852-2039