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PMT15-00881 I City of Menifee Permit No.: PMT16-00881 MENIFEE, EE, C 92 Type: Residential Addition 1 MENIFEE, CA 92586 3 MENIFEE Date Issued: 04/08/2015 1 i I i PERMIT Site Address: 28800 MAHOGANY TRAIL WAY, Parcel Number: 333-680-051 MENIFEE, CA 92584 Construction Cost: $4,600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 600' SOLID ALUMAWOOD PATIO COVER WITH ELECTRICAL 3 FANS 6 POST LIGHTS Work: Owner Contractor _ DANIEL BIHR PRO INSTALLATION 28800 MAHOGANY TRAIL WAY 43043 CAMINO CARUNA MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone: 7142348652 JONATHAN COLONNA License Number: 895950 PRO INSTALLATION 43043 CAMINO CARUNA TEMECULA, CA 92592 Fee Description Oft Amount ISl ��eGepta le,Switch sOotlF�piture�a, �� sa�` 1�z � 9"'� ��. ,56.Q0 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $318.00 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 rid my license is in full fo an eft. Code:The Contractor's License Law does not apply to an owner of a property License Class //V License No (J who builds or improves thereon, and who contracts for the projects with a Expires—iL-7-azi Signatur licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPEN ATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the hereby affirm under penalty of perjury one of the following declarations: following reason: ave 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 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 gov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier n Property Owner or Authorized Agent Date Expires �i7 ZOl olicy#�6 Q7�7 Z z�� ❑ 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- 0 1 certify that in the performance of the work for which this permit is issued,I identified p arty 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 1 rd�erty Owner or Authorized Agent atl e Code,I shall forthwith comply with those provisions. O�/ N— City Business License# ✓� Date; D 1 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 I� ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES �`0 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 0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 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 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 DYES 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 KNO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the HAZARDOUS MATERIAL I EPORI'ING. property, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work, and the structure is PROPERTY NER-Of�AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X ZIA who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION it "Menifee DATE PERMIT/PLAN CHECK NUMBER "I C'g) TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑ POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUUM``BER/OFSQUARES L DESCRIPTION OF WORK ,SO .�92ziid SO/�/C qdL v Gp�/C./' IJOO Ko - vj+- I` kc$g PROJECTADDRESS p ASSESSOR'S PARCEL NUMBER �'J'1pD ��5' LOT ''i"� TRACT 2 c NQ LO OWNER NAME l2ec,,eq ` ADDRESS oZ % re,/ PHONE '9V-6.Jy- 7 f C// EMAIL APPLICANT NAME ADDRESS PHONE `EMAIL CONTRACTOR'S NAME V`p '�.� V\IOL�� OWNERBUILDER? ❑YES NO BUSINESS NAME ADDRESS Lo0qS 6I Vv N' V`O PHONE 7l7 - Z3��I�Z �-7z)E�MAIL CONTRACTOR'S STATE LIC NUMBER 89�J LICENSE CLASSIFICATION VALUATION$ (!)Q SO FT Cp Q-Q L SQ FT APPLICANT'S SIGNATURE DATE S'" / DEPARTMENT DI7ENGINEERIIN:G ' 7jCI TY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLAFIRE GREEN SMIP j//� 5 '� INVOICEPAIDAMOUNTAMOUNT £)CASH CHECK It <%CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT CJ CASH if CHECK It C.CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES :) NO DL NUMBER NOTARIZED LETTER C' YES '% NO C t, Cepo-tn n: 247j-' HRun Rd_ f f>if2e. 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