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PMT15-01887 i City of Menifee Permit No.: PMT15-01887 29714 HAUN RD.MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 07/07/2015 PERMIT Site Address: 25675 RIDGEMOOR RD, MENIFEE, CA Parcel Number: 339-331-005 92586 Construction Cost: $3,700.00 ' Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 37 SOLID ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor ENRIQUETA PAREDES PATIO GUY ALUMAWOOD CONTRACTOR 25675 RIDGEMOOR ROAD 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92586 MURRIETA, CA 92562 Applicant Phone: 9513341765 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRI ETA, CA 92562 Phone: 9513341765 Fee Description Qtv Amount l$1 ece cIA. it a °Fitt re. 0, 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_Bidg_Permlt_Templale.rpl Page 1 of 1 i City Of Menifee LICENSED DECLARATION 1 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 licens5RR� sions License Class Lice Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon and who contracts for t/ �iP he projects with a ExpvesLD ,,J ,� (,signature licensed contractors)pursuant to the Contractors State License Law), 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' 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 must have resided for at least one year prior to completion of Section 3ssu of the Labor Code, for the performance of work for which this improvements covered b this permit, I cannot legally sell a structure that I have permit is issued. P Y P 9 Y 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 l3---rhave and will maintain workers' compensation insurance, as required by Bus inesy d 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 sub E or f Ilowing Web site:htto�//www leginfo ca gov/calaw html. permit is issued My workers'compensation insnce carrier and policy number are: _ - Carrier �N D✓�� //�� ,�1 n rop _er or ut ooze Agent Date Expires `)�'� J (:7 Policy# 19 / Name of Agent Phone# ❑ By my Signature below, I certify to each of the following: I am the property 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 constructi n. 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 ide tiff d� ;operty 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 become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provfyns'' Property Owner or Authorized Agent Date Date; . '-7— "7—L pelican' City Business License# 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 OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE 'MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES Q710 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 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name ❑YES A-PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Q" O 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 AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(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, ❑lNII- 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 AYES 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 L4NO_�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 HAZARDOUSMAT RIAL REPORTING, compensation, will do( ) all of or( ) porting of the work, and the structure is PROP�FR Eg�p- -� THOR ED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; i / //�/A�Ue+, 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). I BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE — — 45 PERMIT/PLAN CHECK NUMBER — g TYPE: O COMMERCIAL *-RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA C%SIGN SUBTYPE: 0 ADDITION 0 ALTERATION O DEMOLITION Cd-ELECTRICAL 0 MECHANICAL t9'I�EW OPLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS - m ASSESSOR'S PARCEL NUMBER - - LOT TRACT OWNER NAME S Building & Safety pept ADDRESS PHONE q S j- 'aD j-"q $ y r EMAIL JUL 0 7 201 APPLICANT NAME A;)-rj lV ADDRESS w/ �, Received PHONE Igi- 3�y- � / � � EMAIL CONTRACTOR'S NAME M 7 - L OWNER BUILDER? :%YES 'mnrer BUSINESS NAME ADDRESS (�C� ^ �I/ *" PHONE '{ J '- 333 -�lJ�f�j EMAIL m CONTRACTOR'S STATE LIC NUMBER g 7 0lg39 LICENSE CLASSIFICATION VALUATION $ qrl DD SO FT �� LSQFT ��++ APPLICANT'S SIGNATURE 1 DATE - /J OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ` INVOICE PAID AMOUNT AMOUNT a1 - pr'�$ 0CASH <%CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES C% NO City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-6 72-6 77 7 ww .wv.cityo fineni fee.us Inspection Request Line 951-246-6213 n 7�L x . FA U ao J sort < w ILL City of Menifee Building & Safety Dept. eur �C.ta L1-610 JUL 01 2015 Received la ' -kGcro.te, FA(.l fa ' )A WAM WC 3 l D ZD CITY ENIFEE _ TMENT PLAN APPROVAL I ,� REVIEWED BY *Approval of these plans shall not be construed to be a permit f06aad 1 approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. 1(`fl D�2 bMrz0L17rt1E1� ZNRO 3bi - -7y wn�r' 4+.or -TA r-a uL 911a,&' r40i Q u KZE S tiiIq-)9 4ennO.CffeC-y-C g It aSly � 4� � i� 1 DDR '1'"�r'ic • C �r� sba 9 E n" ®rod'• Sure.-}�y � 5ai31 3s "M i=N G >= E C fl work cdr,�:r� gta� � �I�ac