PMT15-01889 i
City of Menifee Permit No.: PMT15-01889
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 07/07/2015
PERMIT
Site Address: 30998 YOUNG DOVE ST, MENIFEE, CA Parcel Number: 360-451-014
92584 Construction Cost: $6,500.00 ',
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 14'x 51'SOLID ALUMAWOOD PATIO COVER WITH 3 FANS
Work:
Owner Contractor
STEVE BRAUND PATIO GUY ALUMAWOOD CONTRACTOR
30998 YOUNG DOVE STREET 41197 GOLDEN GATE CIR STE 108
MENIFEE, CA 92584 MURRI ETA, CA 92562
Applicant Phone: 9513330056
LOIS MONTINI License Number: 872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Phone: 9513330056
Fee Description Q�t rr Amount isl
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$288.00
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
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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 and y license is In f once a d ffg t.
5 „ Code:The Contractor's License Law does not apply to an owner of a property
License Class�License who builds or improves thereon, and who contracts for the projects with a
Expires(o9 D ,! ('ignature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ 1 am exempt from Iicensure 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' gy my signature below 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
Section 3700 of the Labor Code, for the performance of work for which this p on of
permit is issued. Improvements covered by this permit, I cannot legally sell a structure that I have
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 Y 1 pave and will maintain workers' compensation insurance, as required by Susines 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 it E /0 Mowing Web site:http://www leginfo ca qov/calaw html
permit is issued.My wryo-r�kerns'compensantion ins rance carrier and policy number are:
Carrier (� ✓'S'"1 ��- H � Prop rT owner or Authorized Agent
Date
Expires `Y 'J� / �7 Policy
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
construction.I authorize representatives of this city or county to enter the above-
❑ I certify that in the performance of the work for which this permit is issued, I ideppptifi d��/property for the inspection purposes,
shall not emolo any persons f any manner so to become subject to the
compensation
workers' compensation laws of California, and agree that if I should become
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized A
Code,I shall forthwith comply with those prov ins' P rh' gent Date
`7 City Business License#
Date; / `� ,�Applican
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 i-MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES F7'f60 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
Lender's
Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
der's Name ❑YES �A-PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address / FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
p'NO 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: WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, ❑IND��BE BE ?
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 Iicensure 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 LgNC 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 HAZARDOUS MATERIAL REPORTING.
compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPER OWN TI:rTHORl ED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Slate 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).
In
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AMenifee
DATE PER CHECK NUMBER $3 - B
TYPE: 0 COMMERCIAL �SIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN
SUBTYPE: 0 ADDITION 0 ALTERATION 0 DEMOLITION MtLECTRICAL 0 MECHANICAL
"EW O PLUMBING C: RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK A D -7D
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNERNAME e /fJ
ADDRESS a bGA R
- City of Menifee
PHONE qs►- s(n tYJ - 71 (A37 EMAIL
APPLICANT NAME JnAyri AD,
ADDRESS Received
PHONE 3 - 7 EMAIL
CONTRACTOR'S NAME /J / OWNER BUILDER? DYES
BUSINESS NAME [) n
ADDRESS t 7t E 9 56�
PHONE 9 '�' - 3 "DDS EMAIL
CONTRACTOR'S STATE LIC NUMBER R 7 a g 3 g LICENSE CLASSIFICATION
VALUATION$ SQ FT rJ l!I L SQ FT ^ /
APPLICANT'S SIGNATURE '7 DATE ( '
DEPARTMENT DISTRIBUTION _ CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ` SMIP
INVOICE PAID AMOUNT ^yam
AMOUNT C'p OCASH C%CHECK# UCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT iCASH C CHECK# GCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES ; NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
LEDGER & TRACK
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Building & Safety
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Rull DING AND SAFE C ARTMENT
'EVIEWED BY
3 oZ r "Approval of these plans shall not be construed to baMi?foi or an
• approval of,any violation of any provisions of the fed ,st5te oi city
regulations and ordinances. This set of approved plans must beIt on the
fobsite until completion.
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