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PMT15-01058 S City of Menifee Permit No.: PMT15-01058 29714 HAUN RD. 1, CCFi MENIFEE, CA 92586 Type: Residential Addition s swm a MENIFEE Date Issued: 04/24/2015 PERMIT Site Address: 28637 PLANTAIN ST, MENIFEE, CA Parcel Number: 333-491-006 92584 Construction Cost: $10,385.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 3 SOLID ALUMAWOOD PATIO COVERS,9'X16',20'X20', 9'X20'WITH ELECTRIC 1 FAN, 4 Work: POSTLIGHTS, 2 LIGHTSTRIPS Owner Contractor ROBERT MEDINA TRADER DAN'S INC 28637 PLANTAIN ST 840 S ROCHESTER AVE STE C MENIFEE, CA 92584 ONTARIO, CA 91761 Applicant Phone: 9093900555 CHANTEL CAGLE License Number: 517575 TRADER DAN'S INC 840 S ROCHESTER AVE STE C ONTARIO, CA 91761 Fee Description Qtv Amount Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $309.00 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_Bidg_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 n my license is in full force and effect---- Code:The Contractor's License Law does not apply to an owner of a property License Cl ss License No. S77�J�� who builds or improves thereon, and who contracts for the projects with a Expires ( Signature licensed contractors)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATIO ❑ 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. 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 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is ecfion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http'//www.leainfo ca.gov/calaw.html. ermit is issued. /M�y workers'compensation insurance carrier and policy number are: Carrier ( r�7 Property Owner or Authorized Agent Date Expires. I Policy#f. �'�`,�1',M) Ob � ti hone# (/4 G 0�701 q` 4' �// ❑ By my Signature below, I certify to each of the following: I am the property Name of Agentc�t,���f A 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 con�huction. u hQQrize representati�8, f this city or county to enter the ab ve- ❑ I certify that in the performance of the work for which this permit is issued, ,,,AAAffentif pert,f r the inspecti pu oses. 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 provisi of j!on 3700 of t 0 Labor Property Owner or Authorized r nt ate Code, I shall forthwit comply with those p visio (/JJt City Business License# Date; l Applicant; WARNING: FAILURE TO SECURE ORKERS' 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 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 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑ P{STRICT(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 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 ❑YES 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 ¢1 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) r' CODE SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I'?EPOR'tING, compensation,will do ( )all of or( ) porting of the work, and the structure is PROP TY NER R AUTHOR END AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, - provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). I I ' 1 I I S Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL -: ESIDENTIAL <% MOLTI-FAMILY Ct MOBILE HOME C% POOL/SPA C%SIGN SUBTYPE: AABDITION CC',ALTERATION C,DEMOLITION O ELECTRICAL C; MECHANICAL O NEW PLUMBING 0RE-ROOF-NUMBER OFSQUARES I I i r c �� ` � DESCRIPTION OF WORK `L x L(�/ , QQ O C may/_ ✓� 2 �i hf�}rt PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT '1, TRACT 3f455 OWNER NAME ADDRESS P Latod 0� z r CQ..Q. cl'ZS> z� PHONE &19) p5'� EMAIL APPLICANT NAME c'k ADDRESS RR PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES BUSINESS NAME ,SCc�vl/nLSL� ADDRESS(�/.("�(�.',{��/��Q K(T'�/� ! - 9 11_7(Q PHONE `tCQ V-t. �.J ©S5� EMAIL CONTRACTOR'S STATE LIC NUMBER S1 LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATURE DATE C iCITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN Co SMIP b 35133 INVOICE �wo PAIDAMOUNT a AMOUNT L.�CASH ECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH i+CHECKh 11 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES :% NO DL NUMBER NOTARIZED LETTER OYES :; NO City of Menifee Building& Safety Department 29714 HGun Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-5213 OWNER fDbih fVtl ADDRESS CITY ZIPLILSS�-L PHONE LOT NO. TRACT APN CONTRACTOR � 7 ROOMS N' COVERS PROPOSED ADDITION(S) 4 -4 840 S ROCHESTER AVE #C 10 qVo �3 lv) ONTARIO, CA 91761 _�tX ��t X2O' q1 x 2_01 SaL� LIC. B-517575 909-39070555 V-Lh' em PaS WORK COMP �Ul ICW GROUP WSA5000386-05 J EXP6/14/2015 2GYSI t pS A� 1 C� Q i k VI M c v v rn r- W N 16 e n v O y D z X X 4 a o „ Rt ro SO, � W A D do A, D a N a m W a N N v s a mCD r D C7 9 to a �Q�Ic �CC <D o N 2 V m CCDD s moo v z CL o --i 7a n rr� Dv m rn : '-� o v o Zy STREET CA c- rty