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PMT15-01152 i City of Menifee Permit No.: PMT15-01152 29714 HAUN RD. Type: Residential Addition 'cACCMAA MENIFEE, CA 92586 c.A 3'4.° MENIFEE Date Issued: 05/01/2015 PERMIT Site Address: 26973 HANFORD ST, MENIFEE, CA Parcel Number: 360-412-010 92585 Construction Cost: 2 5 50.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 432 SO FT SOLID ALUMAWOOD PATIO COVER WITH ELECTRICAL 2 CEILING LIGHTS Work: AND 2 POST LIGHTS Owner Contractor CHRIS CLAWSON PSLQ INC 26973 HANFORD ST 28910 RANCHO CALIFORNIA RD MENIFEE, CA 92585 #206 Applicant Phone: 9517954260 LUIS BENTIVENGO License Number: 919885 PSLQ INC 28910 RANCHO CALIFORNIA RD #206 TEMECULA, CA92590 Fee Description Otv Amount 181 Building Permit Issuance 1 27.00 d k/ -atip'_• n� � afa � �' rt} ' -� a 133f00� GREEN FEE 1 1.00 $293.00 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 Code 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 t License No. who builds or improves thereon, and who contracts for the projects with a Expires 7- I b Signature licensed contractors)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'Slate 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 PoI'icy,# 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 requestwhen 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:We'//www.leoinfo.ca.gov/caiaw.htmi. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier „ // Property Owner or Authorized Agent Date �./�'-V A q (� �Q Expires �— I Policy It p - ,, tD�._�(,� ��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 cit and county ordinances and slate laws relating to building construction.I a t i e epresentatives of this city or county to enter the above- CyI certify that in the performance of the work for which this permit is issued, I identified p erty o the spection urposes. (shall not emoloy 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 o Section 3700 of the Labor Property Owner r Authorized Agent Date Code, I shall forthwith comply with those provisi s. / ✓ City Business License# a >> 7 a Date; �r_ ( 15 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 ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES -p'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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address frNO 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)1 have placed ❑YES 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 Any city or county that requires a permit to construct, alter, improve, demolish, �O 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL fAEPO�ffING. compensation,will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OA,! 1 1RIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). 4_- Vienifee DATE S— — I PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL BRESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/$PA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL [_]NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK ,S 25 ce Z PROJECTADDRESS A jt?le ASSESSOR'S PARCEL NUMBER /�31Q0 431 - 00 LOT - TRACT ag 30 3 OWNERNAME aI M`; C16LW56n ADDRESS q rA + MMiree CA q95G PHONE cf5►- 51,4-5c(o41 EMAIL APPLICANT NAME WI ' �I/ qv ADDRESS 8'gQ�o / 22.ncha Ca.Q. Q c�!- PHONE �, 4 5=IJ� EMAIL WIS C� 1XG lce.[&n CONTRACTOR'S NAME ,pI Ws p� Bc o OWNERBUILDER? ❑YE$❑NO BUSINESS NAME �C1�f/C� y��1/1�� IrJ ^ ADDRESS '� V-41 IlA IlJ ��` ✓�-`E/ • (� C.f 1 PHONE q5/ W51Q5 D EMAIL CONTRACTOR'S STATE LIC�)NUMBER MgM5 LICENSE CLASSIFICATION VALUATION$ (/ FT3OZ L SO FT` APPLICANT'S SIGNATURE DATE l - 1) CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION go CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN100 SMIP 15d INVOICE //� 0 PAID AMOUNT AMOUNT I� 0CASH CCHECK# -CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT C)CASH OCHECK# CCREDIT CARD VISA/MC OWNER BUILDER VERIFIED t%YES Cz NO DL NUMBER NOTARIZED LETTER 0 YES C NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.citycf,nenifee.us Inspection Request Line 951-246-6213 Plot plan Chris Clawson 26973 Hanford St. Not to Scale Menifee, ca. 92585 951-514-5649 432 Solid Alumawood Patio Cover. attached to the house and set in footings. (2) lights on the ceiling (2) lights on the post „iyor ivientT g afety De LEDGER & TRACK MAY 0 1 2015 INSPECTION REQUIRED Received � aED 1 ' Cl i-Y OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL r� NIP REVIEWED B — DATE "AVVroval of these plats si•!i , ^°con,troed t.c be a permit for,or an approval of,any violation of anv p ovr ios of the federal,state or city regulations and ordinances. This set P , eway nv jobsite until completion. ,^ Y era Sidewalk Hanford St.