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PMT14-03064 I City of Meniffee Permit No.: PMT14-03064 _ 29714 HAUN RD. % MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 11/18/2014 PERMIT I a Site Address: 31898 LIVINGSTON ST, MENIFEE, CA Parcel Number: 360-720-003 ' 92584 Construction Cost: $2,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL DETACHED HEXAGON 8'x 8'ALUMAWOOD PATIO COVER WITH 1 FAN,4 CAN LIGHTS Work: Owner Contractor LINDA WILDS K RAINEY CONSTRUCTION 31898 LIVINGSTON STREET 31914 SEWALT CT MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9512052363 KYLE RAINEY License Number: 975365 K RAINEY CONSTRUCTION 31914 SEWALT CT MENIFEE, CA 92584 Fee Description Qtv Amount($1 Building Permit Issuance 1 - 27.00 e` ti• M a1 38(50 GREEN FEE 1 1.00 $298.00 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_Templatexpt 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�afrd my license is in full force and Oect. Code:The Contractor's License Law does not apply to an owner of a property License Class t,7 License No. who builds or improves thereon, and who contracts for the projects with a Expires --I /( Signature licensed oontractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION � ❑ lam 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 Section 3700 of the Labor Code, for the performance of work for which this which I must have resided for at least one year prior completion of permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have 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 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.ciov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires Policy# lnfBy-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 ertify that in the performance of the work for which this permit is issued,I identified property for the' ection 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 Au horize nt Date Code, I shall forthwith comply with those provisions. City Business License# 0__Z_ t7�G Date;�,�1� _. Applicant; WARNING: FAILURE TO CeI5;511RE 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 A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE �r,�� MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES Eft 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 Lender's Address t0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES 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 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, 0910 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 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).) HOARD ECTUS IOAN 25505�tE5533 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 PROP RTY NER O U O ED 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). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION *01-1 Menifee NOV 9 $ 2014 DATE $j1} 7 14 PERMIT/PLAN CHECK NUMBERRe� TYPE: " COMMERCIAL # RESIDENTIAL O MULTI-FAMILY ^.• MOBILE HOME C., POOL/SPA 0 SIGN SUBTYPE: /ADDITION <?ALTERATION C DEMOLITION `) ELECTRICAL " MECHANICAL ," NEW PLUMBING i',• RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK , .,C©F A4LVMAW�L)D ATIO COVEQ' , .0 S"TAr—,xN.61 V- IL STD WsT A"S Ar4D - c^i Bov oq- ^J. PROJECTADDRESS "SkOI Llw orj ASSESSOR'S PARCEL NUMBER C'JA0-_ja0-003 LOT TRACT OWNERNAME bw1DA IQ) ADDRESS 'StC641(b tkVIN,6Sj0-.3 $•T• PHONE (C&I " - (PS-60 EMAIL APPLICANTNAME e0^'[V-A64_1�, ADDRESS 3}'7jkN %EwaL-r C-T - McIVIV-CC PHONE qS k . 2.US • 2xv'b EMAIL I!\? 269 y40W e1Ar—\ CONTRACTOR'S NAME Ij E 'P_kNhEj OWNER BUILDER? O YES " NO BUSINESSNAME allJI &NJ�IQAOiI" ADDRESS R. PHONE 2->(>,3 EMAIL 1^1 2(o@VAIN • C✓3+'� CONTRACTOR'S STATE LIC NUM13ER LICENSE CLASSIFICATION VALUATION$ ZS00 SO FT L SO FT APPLICANT'S SIGNATURE DATE kLL DEPARTMENT DISTRIBUTION CITY OF MEN�EE{IIF..EE BB��US�IINESS^LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP C5,j!y p (_p INVOICE PAID AMOUNT AMOUNT -)CASH <. CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT "CASH C CHECK# '`?CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES C.% NO DL NUMBER NOTARIZED LETTER YES NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 PERMITNO. P1 ` `_ ()SaS ( SITE PLAN NAME I�� tFv+` -PHONE(`�Sl� ��� 6-35� �. SITE ADDRESS 97, CL ASSESSORS PARCEL NUMBER IV Provide North Arrow REAR PROPERTY LINE L city of Menifee LL NOV 18 2014 0 Received S e � s I — I D D E E 2H� P P R R O 0 P P E E R R T T Y Y L tx(j iT N,ti) L I I N N E CI-Ty OF MENIFEE E BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL REVIEWED ByOran DATE p *Efto � f m h7ap not he construe o approval of,any violation o an ions of the federal,state k city liar �w e>7ia�le it7i roved plans must be kept on the �i:',rrmi+T3Ei?Ace regulations and ordirrdnceS•Thissetofapp jobsite until completion. NOV 18 2014 CiW ct' n " ,Fl�ainir�Daperi;�il d-�QA MIRd Pn 1 nf9