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PMT15-01572 I City of Menifee Permit No.: PMT15-01572 29714 HAUN RD. �t6r,-E .A> MENIFEE, CA 92586 Type: Residential Addition j MENIFEE Date Issued: 0610912015 ' PERMIT i Site Address: 29269 EL PRESIDIO LN, MENIFEE, CA Parcel Number: 340-550-020 92584 Construction Cost: $3,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 22' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN AND 1 SWITCH Work: Owner Contractor MARIO STEWART CALIFORNIA SHOWCASE CONSTRUCTION 29269 EL PRESIDIO LANE 1507 MARLBOROUGH AVE MENIFEE, CA 92584 RIVERSIDE, CA 92507 Applicant Phone:9516820208 ANGELA GOODMAN License Number: 912352 CALIFORNIA SHOWCASE CONSTRUCTION 1507 MARLBOROUGH AVE RIVERSIDE, CA 92507 Fee Description ON Amount($) Building Permit Issuance 1 27.00 �'De`�4klf'a�'I`ono �,a" aftt�t+�` ..� •„ �� .,� '1 .. 3:0 m�amwoww 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 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 Codge(,�+a�nd my license is in full force and ffect. Code:The Contractor's License Law does not apply to an owner of a property License Class 15 Licens o. 2 Z who builds or improves thereon, and who contracts for the projects with a Expires io'3 '15 Signature (n01.k—p licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for the reby affirm under penalty of perjury one of the following declarations: following reason: 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 is 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 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:htt�'//www Iecinfp ce pov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carriers-T�-TC �' 11N (,J� t�I.L�Np t' Property Owner or Authorized Agent Date Expires t ( 1 Policy#'I(DZ-1 JZ I p El By my Signature below, I certify to each of the following: I am the property Name of AgentT �uLTEI 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- 0 1 certify that in the performance of the work for which this permit is issued,I i tifed propertIfor inspection purpos,s. 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 provi ions of S ction 3700 of the Labor Property Ov6er or Authorized Agent Date Code,I shall forthwith comply with those ro is ions. Date;W �� q Applicant; City Business License#q I Z3SZ 1 L� 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 ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES AND 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 A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ; NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS C 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, NO 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 DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any �1 CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to 0 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 H OUS MATERIAL f EPORYING. compensation, will do( )all of or( ) porting of the work, and the structure is P OP R OW R OR HORIZED AG 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 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 & . • APPLICATION F Menifee DATE 'Jo .q• S PERMIT/PLAN CHECK NUMBER TYPE: ':?COMMERCIAL * RESIDENTIAL C MULTI-FAMILY O MOBILE HOME 0 POOL/SPA O SIGN SUBTYPE: C.ADDITION 6.ALTERATION 0 DEMOLITION ELECTRICAL c:1 MECHANICAL ','., NEW C. PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK ' -22 _ f}- m s Y C Lo l cQI -I-jFQn~F (.l)1 PROJECTADDRESS Z EI L ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME 0(YI D-t 1/I lR)(_rf C ,�--pp Ity o Menifee ADDRESS Z� _C0q E( (C.Vk(�(I L� L(1 Building & Safety Dept. PHONE 2 3$2' 01 _)(P EMAIL APPLICAN NAM Zd ° � ISE-S- E all ADDRESS I 0-7 MQr r (9o-e • eceove PHONE 90q, 5(p-]• -773 EMAIL CC. Co bVJC -LXb- 1 CONTRACTOR'S NAME OA( 1 r nick- 6 u-,e_ OWNER BUILDER? �C)YES eNO BUSINESSNAME CCU(( . (ti 1L cc +ra_CfIbY1 ADDRESS (o (- M-, C .Y. D-1 PHONE q�I � � -t�Zc7S EMAIL CONTRACTOR'S STATE LIC NUMBER q IJ_�5Z Q LICENSE CLASSIFICATION VALUATION$ c� SOFT 3©(.�� L SO FT APPLICANT'S SIGNATURE �i}`�� DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP INVOICE PAID AMOUNT AMOUNT '-.CASH %CHECK# '%CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH %CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED DYES C. NO DLNUMBER NOTARIZED LETTER 0 YES ") NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinernfee.us Inspection Request Line 951-246-6213 LEDGER St TRACK INSPECTION REQUIRED Building & SfetyCity of Safety e Dept. JUN 0 9 2015 LJ Received Cw I I 1 I2� K Z2' (3c>aa) jp1Lu(,A,9 r,0L)D 5, s-rt.I �.G s ()L- o ",T +� G�vG2 LL)� L=sL'6CIWA C-n L �- F F{n) �t,ight +Ste�i"rc�f 1 -2- 2(99 E t P L) L n - IAcAifc t CAA g2S6-+ j cg26) Si5 -- 5 5C14 CI' i CITY QF MENIFEE BUILDIi G AN AFETY DEPARTMENT Z . PLAN A PRCIV L REVIE ED BY ( Q p Imo_ DATE *Approval f hese plans shall not be construed to be a permit for,or an approval o I y violation of any provisions of the federal,state or city regulationsja d ordinances. This set of approved plans must be kept on the /L\ jobsite unti c mpletion.