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PMT15-01963 i i 1 City of Menifee Permit No.: PMT15-01963 { 29714 HAUN RD.MENIFEE, CA Type: Residential Addition CFI MENIFEE Date Issued: 0711312016 PERMIT Site Address: 29546 GREENBELT CIR, MENIFEE, CA Parcel Number: 333-550-049 92585 Construction Cost: $3,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTAL 377 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 3 POST LIGHTS Work: Owner Contractor '.. GERMAN MUNOZ PATIO GUY ALUMAWOOD CONTRACTOR 29546 GREENBELT CIR 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92585 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 ,O�t Amount Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $288.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee. Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit_Template.rpt Page 1 of 1 h City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code a my license is in Nil ce fe$ ('} 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 Z)IS Signatur 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 ❑ 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' 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:htto'//www.leciinfo.m.Clov/calaw.html. permit is issued.My workers'compensation insurance carver and policy number are: Carrier , /D 14 �- Property Owner or Authorized Agent Date Expires `1 — -'M Policy#0�0 64 El 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 cons tr ion.I authorize representatives of this city or county to enter the above- ❑ 1 certify that in the performance of the work for which this permit is issued, I ide f e property 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 f Section 3700 of the Labor property Owner or Authorized Agent Date Code,I shall forthwith comply with those pro isi G City Business License# O 3 J744 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 OC PANT 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 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 Lender's Address O FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS 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 ❑YES 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, LIM 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 INFeI61ATION 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 O 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 TERIAL�EPORtING. compensation,will do( ) all of or( ) porting of the work, and the structure is PROPE O NER ORAUTUQRIZED 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). BUILDINGAPPLICATION AMenifee DATE - / - is PERMIT/PLAN CHECK NUMBER PM 16' OIg6 3 TYPE: COMMERCIAL RESIDENTIAL Ce MULTI-FAMILY O MOBILE HOME C% POOL/SPA :) SIGN SUBTYPE: ADDITION 0 ALTERATION C DEMOLITION *11E TRICAL C MECHANICAL -, NEW ') PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK / A bD E PROJECTADDRESS E w / (yam ASSESSOR'S PARCEL NUMBER �J �CjSp LOT L+ i TRACT T4I i V-� OWNERNAME m ADDRESS SAAXE969791 PHONE Rsi- a , � 7 EMAIL APPLICANT NAME D j D Arri N I ADDRESS TK_ PHONE 9 6-) — _% Gl� / EMAIL CONTRACTOR'S NAME OWNER BUILDER? C> YES O-IgO BUSINESS NAME C #k D8 g � ADDRESS PHONE -h 161 333 •D D J L, EMAIL pd V• Corn CONTRACTOR'S STATE LIC NUMBER R7a, 839 LICENSE CLASSIFICATION 6 VALUATION $ b SO FT�,/ 577 , L SO FT APPLICANT'S SIGNATUR DATE 7 • WEE. - - - - -. .- - .. DEPARTMENT DISTRIBUTION y JAI CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE PAID AMOUNT AMOUNT ".'CASH CHECK 0 '>CREDIT CARD VISA/MC EOWNEPRLBUILDER AN CHECK FEES PAIDAMOUNT CASH %CHECKs `%CREDIT CARD VISA/MC VERIFIED ':'YES (? NO DLNUMBER NOTARIZED LETTER YES C 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 City of Menifee Building & Safety Dept. 33, JUL 13 2015 e ' to MCI s , f © �0 LEDGER & TRACK INSPECTION REQUIRED 1 R n ,, aN�sRacl�� 4HT' "1 r l JeLecrawnab6=: ( BUILDD1 2 SAFETY DEPARTMENT rL/-%I'Y APPROVAL 14a�eb,�_ Da DATE 'Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of tf p Weral,state or city r Idons and ordinances. This set of approved plans must be kept on th,�a� J. until completion. �+..,a✓w.sc� .a.i�ru ' "ie'1 1 ' d1U� - � � � � C'U►1'1'1r+1GTl3 f'J.P10-O �uG' ZS ld�2f3 gE�mATI YYlt,tnlO2 io9uYAUM410"b C r �N� a95� (p gE'�1� LLT' G`RC�� WIIM goldcr� A}eCerck $ YYIEN I L C— y`1U�r'ri� 1• CA. Raba Gq 92,s� 85 nn�: Sure4q *t %%3'! 3S WDrk cbMP.ho-3gao 4sD, lac bBSitl 7