PMT15-01325 i
City of Menifee Permit No.: PMT15-01325
29714 HAUN RD, Type: Residential Addition
MENIFEE, CA 92586 j
MENIFEE Date Issued: 05/18/2016
1
PERMIT
Site Address: 26050 SUNNY SIDE CT, MENIFEE, CA Parcel Number: 360-531-038
92584 Construction Cost: $5,400.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 559 SO FT SOLID ALUMAWOOD PATIO COVER WITH ELECTRICAL 2 FANS, 2 LIGHTS
Work:
Owner Contractor ,
CHRIS FARRELL PATIO GUY ALUMAWOOD CONTRACTOR
26050 SUNNY SIDE CT 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 9513330056
LOIS MONTINI License Number: 872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description qty Amount i$)
Building Permit Permit Issuance 1 27.00
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_eldg_Permit_Template.rpt Page 1 of 1
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City Of Menifee
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LICENSED DECLARATION 9
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 y license is in full for and ej{ec Code:The Contractor's License Law does not apply to an owner of a property
License Class�License N jO S who builds or improves thereon, and who contracts for the projects with a
2 D , /7 t
Ex ires 'w� //--i nature / licensed contractors pursuant to the Contractors State 'P �A t License Law),
9 OP
WORKERS'COMPENSATION DECLARATION
❑ 1 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'
compensation,issued by the Director of Industrial Relations as provided for by By my signature below acknowledge that, except for my personal residence of
which must have resided for at least one year prior to completion of
Section 3 of the Labor Cade, 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://www.IeQ!nfo.ca.gov/calaw.html.
permit is issued.My workers'compensation inns rraqqqance carrier and policy number are:
Carrier '�/ �/ �]'AeZl /,,r� / / Property Owner or Authorized Agent Date
Expires / ^.. 'l Policy# 142)(�e,l1JO� )/7
Cl 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
constructs i.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 iden iFle operty for lh mspe tion purposes.
shall not compensation
any persons in any manner so r to become subject to the G%S�
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of S ct n 3700 of the Labor
Code, I shall forthwith comply with those provisi s. Property Owner or Authorized Agent �G7 'yf Date
Date; Applicant;
City Business License# ®✓✓J 1
�. �
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, DYES 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 QNO"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 DYES MIT 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 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-WtfHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, EtO 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 (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any Qk}ECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to IW 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 MA IAL I EPOR�ING.
compensation, will do ( )all of or ( ) porting of the work, and the structure is PROP E OR AUT ORIZED 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).
SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION
Menifee
DATE --I a�I S PERMIT/PLAN CHECK NUMBER 1- ► 117-013a5
TYPE: COMMERCIAL lr�ESIDENTIAL C% MULTI-FAMILY ', MOBILE HOME O POOL/SPA C SIGN
SUBTYPE: ADDITION J ALTERATION DEMOLITION fi ELECTRICAL C MECHANICAL
,-<EEW '% PLUMBING RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ISX y3 ,41- f}GDobb MwD
Aws L/ A17-Z
PROJECT ADDRESS 1 L C-r 1a
ASSESSOR'S PARCEL NUMBER ' - I^� LOT �� TRACT
OWNER NAME ,4 EL
ADDRESS jvrv)4S lb — / Ej�t
PHONE / - SPY EMAIL m
APPLICANT NAME A) 14;
ADDRESS J•t
PHONE 3 -J7 b� EMAIL
CONTRACTOR'S NAME / OWNER BUILDER? YES f'? �O
BUSINESS NAME D v Jl
ADDRESS I �/V E �6 / � S(0
PHONE 7 d - Pzt,33 _ Z)D151 EMAIL
CONTRACTOR'S STATE LIC NUMBER S 1 a a R9 LICENSE CLASSIFICATION
VALUATION $ ^ SQ FT 5. , /9� L SQ FT .ry
APPLICANT'S SIGNATURE M41' DATE S I"/ •�
CITYSTAFF USE ONLY
DEPARTMENT DI5TRIBUTION 0� �� CIT'OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE pglD AMOUNT
AMOUNT %CASH C%CHECK# CCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CiCASH �JCHECK# CREDITCARD VISA/MC
OWNER BUILDERVERIFIED % YES 0' NO DLNUMBER NOTARIZED LETTER YES NO
City of Menifee Building & Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-5213
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MAY 18 2015
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BU�ILUINU- ANU SUETY DEPARTMENT
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REVIEWED B 05 11
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3 O /Approval of these plans.shall not be construed to be a permit for,or 21
approval of,any violation of any provisions of the federal,st iry
regulations and ordinances. This set of approved plans musttt c the
jobsite until completion.
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