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PMT15-01255 City of Menifee Permit No.: PMT15-01255 29714 HAUN RD. Type: Residential Addition ' CCIEL.A� MENIFEE, CA 92586 d MENIFEE Date Issued: 05/13/2016 PERMIT i Site Address: 28363 BRANTLEY CT, MENIFEE, CA Parcel Number: 333-321-011 92585 Construction Cost: $3,350.00 � Existing Use: 1 &2 Family Residence Proposed Use: { Description of INSTALL 365 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 FAN Work: Owner Contractor JOSH&CRYSTAL BAKER PATIO GUY ALUMAWOOD CONTRACTOR 28362 BRANTLEY CT 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92585 MURRIETA, CA 92562 Applicant Phone: 9513330056 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description Qtv Amount l$1 wsox'«W �m L{AY.r��1ET '4`L�ks.�dv y �3.�niJ�.J��MYd�u.1v.bna.ntYv � Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $278.00 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 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`aad 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 License No.� who builds or improves thereon, and who contracts for the projects with a Expires ©- �i nature t t Contractors p (n ,3/S, g _�-�� licensed contractor(s)pursuant to he C actors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 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: 1 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 1 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 ❑ 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:http://w .leginfo ca cov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier �� n�� Property Owner or Authorized Agent '^� Date ' Expires `Y '�—1 Policy# /'i'"�r'U ❑ 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 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- El I certify that in the performance of the work for which this permit is issued,I identif d operty for the inspection purposes. shall not employ any persons in any manner so as to become subject to the /t --�� ). ` -, / ' workers'compensation laws of California, and agree that if I should become / " ` ' '-' - S subject to the workers'compensation provisio C'ppf Section 3700 of the Labor Code,I shall forthwith comply with those rovi i hs. Property Owner or Authorized Agent //yy�].,� y) � Date Date; a.�3�� Applica t; City Business License# 0 ;0�7 N 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 W L 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 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 AYESS A PERMIT FOR THE CONSTRUCTION OR MODIFICATION // FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address 2NO 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 DYES/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, W10 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 Stale 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 H ECKLIST. 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 ffEPORI'ING. compensation, will do ( )all of or ( ) porting of the work, and the structure is PROP T W E O �IZEDA 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). a� a �.s BUILDING : APPLICATION ® ' Menifee DATE = — /—S PERMIT/PLAN CHECK NUMBER pjn5 p1a55 TYPE: %COMMERCIAL f�<ESIDENTIAL C' MULTI-FAMILY O MOBILE HOME POOL/SPA C>SIGN SUBTYPE: t:,ADDITION ':)ALTERATION O DEMOLITION 0 ELECTRICAL :% MECHANICAL &NEW O PLUMBING r, RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK ii 17 • & "-4— ", m4IGt,_0 A-77D ✓E , I oC'_,qW PROJECTADDRESS 5R Q &v/ A E c.T' ASSESSOR'S PARCEL NUMBER �J3�+ 3I�Qu LOT TRACT OWNER NAME $ ADDRESS (1 RIV TA L 1'0�E PHONE 4SI-- 37�5'• aeR9 EMAIL C . GD.►'1 APPLICANT NAME La).S ADDRESS PHONE 5 — — J EMAIL CONTRACTOR'S NAME ES OWNER BUILDER? OYES i4'IG� BUSINESS NAME L) //�� n ADDRESS C' PHONE 9�I ��'D D�(Q EMAIL CONTRACTOR'S STATE LIC NUMBER g� a8 3 9 LICENSE CLASSIFICATION VALUATION $ SO FT 3 6 5 L SO FT APPLICANT'S SIGNATURE I DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION -A UIYOFMENIFELBUSgJFjiJ,J ySE�y;�MBER BUILDING PLANNING ENGINEERING FIRE GREEN 00 SMIP /J7 I�J�.(lj� INVOICE Qp PAIDAMOUNT AMOUNT V OCASH C%CHECK# >CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT CCASH �3CHECK# CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES Ci NO DL NUMBER NOTARIZED LETTER 0 YES ') NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 95.1-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 al N r r S I O I -S =2'T SAh1l� LED(aER & TRAC INSPECTION REQUIRED City of Menifee r Building & Safety Dept. MAY 13. 2015 IL g CITY OF MENIFEE�eceiVed lid AND SAFETY DEpARTMEN JINAPROVAL DATE *Approval of these plans shall not be construed to be a Pe )it for,or an approval of,any violation of any provisions of the federal, ate or city regulations and ordinances. This set of approved plans mu t be kept on the 3d � )'obsite until completion. �ITi � �T• tomeau�H6t� SNRo /- 3 78 • a D8 9r�q r^IiiFa c 8'fa8.i' TOSN c4- I✓R ST4I B4KF t2 MIT A4AM44ui* QA+e c.e.-c�c red 4 sq 13 7 3,s' U)zrk c,DMP:fiDk344kb 4-01OC