Loading...
PMT15-01903 i I City of Menifee Permit No.: PMT16-01903 29714 HAUN RD.MENIFEE, CA 92586 Type: Residential Addition �CEf%A? MENIFEE Date Issued: 07/07/2015 PERMIT a i Site Address: 27778 BLACKHAWK RD, MENIFEE, CA Parcel Number: 336-480-033 92585 Construction Cost: $9,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 1 Tx 42'& 11'x 14' & 1 V x 18'SOLID ALUMAWOOD PATIO COVERS WITH 6 FANS Work: Owner Contractor PETER DOUNG DAVIS BROTHERS PATIO COVERS 27778 BLACKHAWK RD 41309 THORNTON AVE MENIFEE, CA 92585 HEMET, CA 92544 Applicant Phone: 9515268191 GERRY DAVIS License Number: 977816 DAVIS BROTHERS PATIO COVERS 41309 THORNTON AVE HEMET, CA 92544 Fee Description Qtv Amount U Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $304.00 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 Code d y ense is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class(— icense No. 7 2 9(® who builds or improves thereon, and who contracts for the projects with a Expires — --(C Signatures olv) licensed contractor(s)pursuant to the Contractors 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: 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 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 issued. 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 ❑ 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.leginfo.ca.aov/calaw.html. permit is issued,My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires 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 identified property for the inspection purposes. hall 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 Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. City Business License# Date; Applicant;,_� 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 ❑NO 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 ❑YES 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 GUIDE LINES I hereby affirm under penally 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, ❑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 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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING El 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 PROPERTY OWNER ORAUTHORIZED AGENT 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). BUILDINGAAPPLICATION Menifee DATE 7-7-15 PERMIT/PLAN CHECK NUMBER TYPE: []COMMERCIAL ✓ RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN SUBTYPE: [-]ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL NEW PLUMBING [:]RE-ROOF-NUMBEROFSQUARES DESCRIPTION OF WORK Install 11'x 42', 11 x 14, 11'x 1 B'solid alumawood patio covers. Rough electrical 6 ceiling fans. PROJECT ADDRESS 27778 Black Hawk Rd, RomolandrJ - ASSESSOR'S PARCEL NUMBER 336-480-033 LOT 33 TRACT 28720-1 OWNER NAME Peter Doung City of Menlfe Building & Safe opt, ADDRESS 27778 Black Hawk Rd J UL PHONE 951-816-2734 EMAIL APPLICANT NAME e c e l ve ADDRESS PHONE EMAIL CONTRACTOR'S NAME Geral Davis OWNER BUILDER? ❑YES NO BUSINESS NAME Davis Brothers Patio Covers ADDRESS 41309 Thornton Ave. Hemet, CA 92544 PHONE 951-526-8191 EMAIL patiocoverz@yahoo.com CONTRACTOR'S STATE LIC NUMBER 977616 LICENSE CLASSIFICATION C61/D03 VALUATION $ 9,800 SQAFT 814 L SO FT APPLICANT'S SIGNATURE ✓ .n- °' DATE 7 7 15 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE AMOUNT PAID AMOUNT (� � OCgSH OCHECKH OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT CCASH OCHECKR OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES G NO DL NUMBER NOTARIZED LETTER O YES " NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 27778 Black Hawk Rd Romoland CA City of Menifee Buiiaing & Safety Dept. Solid Alumawood Roofs Rough Electrical JUL 0 7 ,2015 ? CL 6# Ceiling Fans tP/L O 25' Received U 14' -♦ + 18" ♦ W 1? t U.. li 11 P/L —No.U. ♦ 11 7 P/L 'LEOG 'I & TRACK 5, �,NSPECTiON REQUIRE t <N 42' 1 House Front �- 11 -► CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL � , REVIEWED BY -,.LVV 5E 'Approval of these plans shall not be construed to be a permit for,or an 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.