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PMT15-00977 City of Menifee Permit No.: PMT15-00977 29714 HAUN RD. 4WCCELA-)' MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 04/17/2015 PERMIT Site Address: 29448 SPRINGSIDE DR, MENIFEE, CA Parcel Number: 340-240-037 92584 Construction Cost: $4,900.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 120 SQ FT SOLID&260 SO FT LATTICE ALUMAWOOD PATIO COVER WITH 4 FOOTINGS Work: FOR LATTICE PATIO Owner Contractor ARMONDO QUIGANO PSLQ INC 29448 SPRINGSIDE DR 28910 RANCHO CALIFORNIA RD MENIFEE, CA 92584 #206 Applicant Phone: 9517954260 LUIS BENTIVENGO License Number: 919885 PSLQ INC 28910 RANCHO CALIFORNIA RD #206 TEMECULA, CA92590 Fee Description Qtty Amount is e lul dlnr era ssU,ande A N , W Deck/Patio, non-standard 1 133.00 � Fi. 3:t . SMIP RESIDENTIAL 1 1.00 $162.00 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_fi dg Permit_Templale.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 Code�nd 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 17 License No. F `� r who builds or improves thereon, and who contracts for the projects with a Expires 7— I tm Signatures licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLAR ION ❑ 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. 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 N-/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:htto'//www.Ieqinfo.ca.aov/caIaw.html. permit is Issued.My workers'compensation Insurance carrier and policy number are: Property Owner or Authorized Agent Carrier S l MT Date Expires ?— I I— Policy# I I `I 3 ¢� G°'J �f r� /❑ By my Signature below, certify to each of the following: am the property Name of Agent Phone# owner or authorized to act on the properly 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 a county ordinances and state laws relating to building construction. I author! rep sentatives of this city or county to enter the above- certify that in the performance of the work for which this permit is issued, I identified property r 6 ins ction purposes. shall not emolov any persons in any manner so as to become subject to the 1-7 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 orA th rized Agent Date Code, I shall forthwith comply with those p S City Business License# Date; �� - 1 -7 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 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 z0 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 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, .Miv0 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 ES 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($500).) CODE, SECTIO 25505 25533, AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS I/� L f�EPORTING. compensation,will do ( )all of or( )porting of the work, and the structure is PROPERTY W ! 'R RAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). iI i iiji Men ee DATE PERMIT/PLAN CHECK NUMBER 16 /7 TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL El MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 5 _ ft tA)t9 f/ �$ i �Ol�e%S PROJECTADDRESS DR. Mety& C/q ASSESSOR'S PARCEL NUMBER 3'{0 ��O •0�1 LOT (0 TRACT a5a5g,� OWNER NAME ( ADDRESS Q'jwy PHONE 9q/U ��D_(� r,Y� EMAIL APPLICANT NAME L n/ b ADDRESS �O Z[.L{// .JGGLC�' 0��� 7e12-h-GC/lL L/T /�Jr9D PHONE 95� � 9378 EMAIL /�J CONTRACTOR'S NAME / /-� 6 OWNERBUILDER? ❑YES❑NO BUSINESSNAME �LU/ �C&7�Z� ADDRESS VC116 &Wko /UGC & ,S h 01 PHONE g5/-7y, -WOe-'I EMAIL CONTRACTOR'S STATE LIC NUMBER /, 91 y LICENSE CLASSIFICATION VALUATION$ Ov FT L SO FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION fw 1� CITY OPfj4�fF�L1 ESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ICVI i�.' INVOICE /,, �JD PAID AMOUNT AMOUNT C CASH %CHECKtl CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT vCASH '":CHECK# Ct CREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Plot plan Armando Quigan° 29448 Springside Dr. Not to Scale Menifee, Ca. 92584 928-580-8023 8'x15' 120 sq. ft. and 10'x26' 260 sq.ft. Lattice Alumawood Patio Covers. Attached to the house and concrete slab. (4) footings Total of 380 sq. ft. I ^,ty of Menifee ng & Safety Dept. LEDGER & TRACK INSPECTION REQUIRED APR 17 2015 Received 5' 24 ❑ 15' ❑ 4 29 8' 10, ❑ )F MENIFEE ANG AND SAFETY DEPARTMENT 1APPROVAL 26' JIEWED �' 4'17LI/S DATE El ,proval of these plans shah not o,,construed to be a permit for,or an proval of,any violation of any p;uvisions of the federal,state or city ,.gulations and ordinances. This set of approved plans must be kept on the )ubsite until completion. Driveway Sidewalk Springside Dr.