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PMT15-01254 Ili i City of Menifee Permit No.: PMT15-01254 .�.+�� '�-y, 29714 HAUN RD. Type: Residential Addition ' '�i76CE1.,A> MENIFEE, CA 92586 I eo`"°"'°"""w k` MENIFEE Date Issued: 05113/2015 PERMIT Site Address: 29157 MOJAVE TR, MENIFEE, CA 92585 Parcel Number: 333-431-016 Construction Cost: $2,900.00 Existing Use:. 1 &2 Family Residence Proposed Use: Description of INSTALL 324 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 LIGHTS Work: Owner Contractor ALEX ANGELLAR PATIO GUY ALUMAWOOD CONTRACTOR 29157 MOJAVE CT 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92585 MURRI ETA, CA 92562 Applicant Phone: 9513330056 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 M U RRI ETA, CA 92562 Fee Description ON Amount S.',.LGeptaCe ,SWISC hOut et. tiUfEe.il;�`,'sat`� xm�.�?`.,,s �5�a.3'.sks'`� �1r,xw5u..x:�.:s. Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $283.00 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 i 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 a my license is in full force an effect. Code:The Contractor's License Law does not apply to an owner of a property License Class License No. 7 who builds or improves thereon, and who contracts for the projects with a Expires .&Q 4—Signature �//�0 7 licensed contrador(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 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,/Avww.leoinfo.m.Clov/calaw.html. permit is issued.My workers compensation insurance carrier and policy number are: 1m Ol A Property Owner or Authorized Agent Date Carrier �'.nL// �( n ''-t J,,�,r,�// Expires "7 '� —� �O Policy# /"f'�'�l/ c-t�0�7l 17 ❑ By 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 lit 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- 0 1 certify that in the performance of the work for which this permit is issued,I identif d operly for the inspection purposes. 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 becomeG ( — subject to the workers'compensation proviski f Section 3700 of the Labor Property Owner or Authorized Agent Date Code,I shall forthwith comply with those ovi i s. .y/�.,,� City Business License# D�1 Date; �d. �3� ' Applies t; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION �F COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WJLL 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 X MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES n N6 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 0 DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDELINES 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 ❑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 A Any city or county that requires a permit to construct, alter, improve, demolish, l,, 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 []YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any nECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to N UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOU MATERIAL I EPNMNG. compensation, will do ( )all of or( ) porting of the work, and the structure is PROP W E O O IZ D A ENT not intended or offered for sale.(Section 7044,Business and Professions Code; - The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement Is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). APPLICATION& SAFETY PERMIT/PLAN CHECK Menifee DATE - - PERMIT/PLAN CHECK NUMBER 0 — O a1✓ TYPE: '-' COMMERCIAL C�IDENTIAL 0 MULTI-FAMILY t:; MOBILE HOME O POOL/SPA •0 SIGN SUBTYPE: C%ADDITION O ALTERATION O DEMOLITION O ELECTRICAL -) MECHANICAL C NEW ;M PLUMBING :i RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK / �( O A, .y� sfT's PROJECTADDRESS / 7'y��I' �/j� Vic � f ASSESSOR'S PARCEL NUMBER P)- >>- �'/1�� LOT 100 TRACT OWNER NAME G �' ADDRESS / s7z PHONE 95y- 73a _ ?37�Q� EMAIL APPLICANT NAME ADDRESS PHONE /- EMAIL CONTRACTOR'S NAME /�i� A � U �� OWNER BUILDER? ()YES &-NO- YK- q BUSINESS NAME ln F ES/ ADDRESS q11 27 cl zxh ,9A) .4 &— C &- x74, 9dSl7� PHONE 9451- 6 a5L EMAIL CONTRACTOR'S STATE LIC NUMBER '-9?`� 3 LICENSE CLASSIFICATION VALUATION$ SO,FT _4 LSQFT APPLICANT'S SIGNATURE - r DATE CITY STAFF USE ONLY _=t DEPARTMENT DISTRIBUTION CITY MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP to 74q INVOICE Q p PAID AMOUNT AMOUNT p� OCASH 0CHECK# 0CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0 CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES `.:% NO DLNUMBER NOTARIZED LETTER YES i- NO City of Menefee Building& Safety Department 29714 Houn Rd. Menefee, CA 92585 951-672-6777 www.cityofinenifee.Lis Inspection Request Line 951-246-6213 'f' L Ito• �� . Dear �RAC;K AQT x LDUER � , as 'gPEG�lD RQUIR 8 � so • ' bL of M�ifee Building & Safety Dept MAY 13.2M5 Y OF MENsaved DR ��. , BUILDING AND SAFETY DEP TMENT AN APPROVAL REVIEWED BY DATE r ^ 'Approval of these plans shall not be construed to e a permit ,of an f�' asf,any violation of any provisions of the regulations and ordinances. This set of approved f ans must be kept on the 1177DN ` + aq DZ) lobsite until completion. E ENC�' k760WMsk S14110 ea e—+DrS r-ZD etc grya&3� �w U 454mamb* A L.�-�C AN ELLA �2 Y ► - �a, y u gaidc,.s Oil cw-cAe cue YYIENIr- tG , C A onq: Sure-�y sgts, 3s U)Jrk `, b85'Yi 7