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PMT15-01016 City of Menifee Permit No.: PMT16-01016 29714 HAUN RD. Type: Residential Addition MENIFEE, CA 92586 s sswc P MENIFEE Date Issued: 04/21/2015 PERMIT Site Address: 29892 SEA BREEZE WAY, MENIFEE, CA Parcel Number: 340-500-025 92584 Construction Cost: $2,600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'x 25'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN, 2 LIGHTS Work: Owner Contractor - DONALD BENSON CLASSIC ALUMAWOOD COVERS 29892 SEA BREEZE WAY 39450 BONAIRE WAY MENIFEE, CA 92584 MURRIETA, CA 92563 Applicant Phone: 9512942804 DAVID ABEEL License Number: 986793 CLASSIC ALUMAWOOD COVERS 39450 BONAIRE WAY MURRIETA, CA 92563 Phone: 9516748533 Fee Description Qyt Amount is R.,�.� .Yh� 'S1 e�& .r;.:, Building Permit Issuance all e _ _ 1 27.00 nc0 ;taxdaPdy � r � � GREEN FEE 1 1.00 $288.00 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 building 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 Code and my license is-in full-force andeffect. uou e. I ne L;ontractor s Manse o s not applyproperty License Class Licens o. 6793 who builds or improves thereon, and who contracts for the projects with a Expires /-/J Signatu 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 must have resided for at least one year prior to completion of Section 3 of the Labor Code, for the performance of worn for which this im rovements covered b tr 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 ❑ 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.leginLo,ca.aov/calaw,html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner orAuthorized Agent Date Expires Policy# Name of Agent Phone#_ O By my Signature below, I certify to each of the following: I am the property 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- certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. hall not emolov 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 Authorized Agent Date Code, I shall forthwith comply with those provl ionss�.;� Date; t(— yt - �6— Applicant; "'" City Business License# 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, OYES 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 ❑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 EYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ❑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 EYES 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 EYES 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($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING El 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044, Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X ' who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). APPLICATION Menifee DATE " 2 — /� PERMIT/PLAN CHECK NUMBER TYPE: C;COMMERCIAL t'RESIDENTIAL -' MULTI-FAMILY CMOBILEHOME 0 POOL/SPA 0 SIGN SUBTYPE: ; ADDITION C ALTERATION Q DEMOLITION ; ELECTRICAL MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES ,( DESCRIPTION OF WORK U Mw�Od O F¢ kL 6 f> ).T� � f,0AJ 2- PROJECT ADDRESS B FZ ,5 cck Ne e e Z e / ASSESSOR'S PARCEL NUMBER _C)36 LOT TRACT OWNER NAME p,J a ( L?Q OSo,J City Of Menifee Build? pt. ADDRESS Z 8 p Z ,�� re e z e c /- L PHONE ps-/ -ss3 - As/.s EMAIL APPLICANT NAME _Pa.JI,, Q I„(, l (� n /C�Z Receive 2- 6 Z S ADDRESS .9 /_ .Z LA 6,17 k eA j p ( �e-e— S9 !� PHONE 909 - 7,?Z - 9 L? 6 p EMAIL CONTRACTOR'S NAME PNO50,1JE OIZ{} H P}AJF( OWNER BUILDER? •L% YES O BUSINESS NAME Lfs;fG LJ✓ZL4 wean COJ1tf4S' ADDRESS 3 yso /3 oov ?e t e u-�o4- 7-( M ZJ-6.3 PHONE fo7y- R--S75 EMAILCG SS^((-)}&J✓kgo-'Wt)ajekfe6144. ,4.q CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION © -Z VALUATION$ 2- 00 SO,FT Z.S—© L SQ FT r APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE I CW PAID AMOUNT AMOUNT o.CASH «CHECK# <i CREDITCARD VISA/MC LOWNER N CHECK FEES PAID AMOUNT G CASH %CHECK# OCREDIT CARD VISA/MC UILDER VERIFIED 0 YES NO DL NUMBER NOTARIZED LETTER '.i YES 0 NO City of Menifee Building& Safety Department 29714 Hann Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-5213 Owner: Contractor: Donald & Penny Benson Classic Alumawood Covers 29892 Sea Breeze Way 39450 Bonaire Way Menifee Ca. 92584 Temecula Ca. 92563 951 553-9515 951 674-8533 City of Menifee Building & Safety Dept. LiJ �^ APR 2 1 2915 C) LEDGER & s RACK INSPECTION REQUIRED9, eceived LL FRaF'% 9 CITY OF MENIFEE V BUILDING AND SAFETY DIEPARTMEN PLAN APPROVAL Q 7 REVIEWED BY a *Approval of these � ATE / plans shall not be construe ,"a -4 approval of,any violation of any provisions of t"federal, tote or ci y regulations and ordinances, This set of a an obsi(�uotil completion; approved plans must be kept on the o 0 fo fa � to �_ a��as _ 13AcK, ELECTIZ:r- -AL, S o I'. A 0 Loma oho l� t p•^ I F 4N z. C5,h4-S o�5n SC1 1'�