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PMT15-00896 i I City of Menifee Permit No.: PMT15-00896 29714 HAUN RD. Type: Residential Alteration ?`' MENIFEE, CA 92586 MENIFEE Date Issued: 0 4/0 912 01 5 � PERMIT I� Site Address: 28140 SUN CITY BLVD, MENIFEE, CA Parcel Number: 335-331-013 92586 Construction Cost: $4,000.00 - Existing Use: 1 &2 Family Residence Proposed Use: Description of 182sf SCREENED PATIO CONVERSION W/6-NEW WINDOWS W/DRYWALL INTERIOR FILL-IN Work: FOR EXISTING POST/BEAM CONSTRUCTION I NO NEW ELECTRIC. RIVCO PERMIT BZ402438 APPROVED 2-INSPECTIONS, FRAME AND FINAL Owner Contractor VIVIAN WALLING MARQUIS ASSOCIATES INC 28140 SUN CITY BLVD P 0 BOX 454 a MENIFEE, CA 92586 WILDOMAR, CA 92595 Applicant Phone: 9517576803 MARQUIS ASSOCIATES INC License Number: 856889 P 0 BOX 454 WILDOMAR, CA 92595 Fee Description; Oft Amount c�17 Inspections not specified 258 258.14 �R FEE = f � r xx ;r,. .,?. . . . _ 4, SMIP RESIDENTIAL 1 1.00 $287.14 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,rpl 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 e!14 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 License No. who builds or improves thereon, and who contracts for the projects with a Expires Signature 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 1 have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# 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:htti),//www.leginf_Q.m.QoILI_cglaw.htmi. permit is issued.My workers'compensation insurance carrier and policy number are: `C, Fyr� Property caner or uthorize Agent Date Carrier�l/"P 39 Expires 7/�//l/ S Policy# nll 4 5 7 / P' Ny�� Phone# 7SI—�5 / 6� 3 916 my Signature below, I certify to each of the following: I am the property Name of Agent J C 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 I' one-hundred dollars($100)or less) with all applicable city and co rdinances and state laws relating to building construction.I authoriza.r sentatives 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 identified proef t e in, purposes. shall not employ any persons in any manner so as to become subject to the G workers' compensation laws of California, and agree that if I s ecome J f5 subject to the workers'compensation provisions of Sectio 0 of the Labor G..Property Owner or Authorized Agent Date Code,I shall forthwith comply with those provision i' �` -iry hre-Bvsss License# Date; �J Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION h 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, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURECONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES gry0 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION --,`FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address an NO 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 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, 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 HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law (Chapter 9 (commencing with INFORMATION GUIDE AND THE SCAQMD PERMITTING Section 7000)of Division 3 of the Business and Professions Code)or that he or g 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 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) HAOZARDOUSTIMOANER 505 R'INGD 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole compensation,will do( )all of or( ) porting of the work, and the structure is PROPERT N THORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETY PERCHECK MIT/PLAN APPLICATION YLA, �"Menifee DATE q PERMIT/PLAN CHECK NUMBER TYPE: [I COMMERCIAL IDENTAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN SUBTYPE: []ADDITION ffALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 7� v L G/U.t/ d 0— Z7-iv,, r/O 3-L ID Z 6TO Y✓l PROJECTADDRESS Z rYf �/6q /�S�T.J//2✓ Ci /�/l�/,/� rC/.tJ C/F- ASSESSOR'S PARCEL NUMBER 7 '7`7 ' %!� ' 615 / LOT TRACT ZGO� OWNER NAME I/ f i9'-'.Z/ GCJ,47 6Z/422/(- � 22 ADDRESS r /JD✓D PHONE EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME UI .n c=OWNER BUILDER? 0YES©N6- BUSINESS NAME /`�� /!,� -�5vc'ii¢- / P S �Li✓� ADDRESS7/j©suev��f PHONE �.S/- ( s7�-�jt��eg� Q @ qEMAIL CONTRACTOR'S STATE LIC NUMBER pSGj 8 U l LICENSE CLASSIFICATION VALUATION$ ODD. OJ ,,. FT ` p Z. L SO FT -- m APPLICANT'S SIGNATURE DATEIP / t� CM STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT CASH OCHECKN OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT ".'.CASH "%CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZEDLETTER O YESC' NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www,cit yo finenifee,us Inspection Request t ine.951-246-6213 4/9=15 28140 Sim City Bcdevard,Sun City,CA-Google Maps To see all the details that are visible on the Goode screen, use the "Print" link next to the map. 40 � i 1 1 4 o, r � o _ tAWs./lmaps.google.com/maps?dg=optperm&output=classic 1/2 J . c � f . \ a j �r % a x� & ' g 3 ±/\ as a *_ V_ t - / � . � � q r UV ► ) � f/ ! LLJ \ k - 2. 2f ; UA LA, ZD 72 � o - + � CL E � b 3� & 7 J ! f usa ƒ B ± , % fQ-v«