The URL can be used to link to this page

PMT15-01990 City of Menifee Permit No.: PMT16-01990 '^��,, 29714 MENIFEE, C 92 Type: Residential Addition �hG1..A?" MENIFEE, CA 92586 s s�an�P MENIFEE Date Issued: 07t14I2015 PERMIT Site Address: 29713 TIERRA SHORES, MENIFEE, CA Parcel Number: 340-470-005 92584 Construction Cost: $5,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'x 13 LATTICE, 11.5'x 15.5' LATTICE, AND 13'x 16 SOLID ALUMAWOOD PATIO COVER Work: WITH 1 FAN Owner Contractor MYRON DULIN PATIO GUY ALUMAWOOD CONTRACTOR 29713 TIERRA SHORES 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92584 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 Amount is Rece'tacle.S itC ' u et `Fi. tare 1- s'f 0 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 P =S ll $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_Bltlg_Permit_Template.rpt Page 1 of 1 i 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 an my license is in full fo nJ'ejF�� Code:The Contractor's License Law does not apply to an owner of a property License Class License No. rah jj�5 ,��,.b', -- who builds or improves thereon, and who contracts for the projects with a Expires nature L.�J�� l..' - licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from licensure under the Contractors'Stale 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 must have resided far at least one year Section 3700 of the Labor Code, for the performance of work for which this Y prior to completion 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 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.govicalaw.htmi. permit is issued.My workers'compensation Insurance carrier and policy number are: Carrier n ,� Property Owner or Authorized gent Date Expires L" Policy# ac(A 7 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 stale laws relating to building construct' n 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 iderkllfe pr party 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 provision Section 3700 of the Labor Code, I shall forthwith comply with those provis' n Property wner or Authorized Agent Date Date; \ lica ' _/ L/—/ �pp City Business License# t; WARNING: FAILURE TO SECURE WORKER 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, ❑YES O OUPANT HANDLE A HAZARDOUS MATERIAL OR DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST, AND ATTORNEYS FEES O 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 APRMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address ROM THE SOUTH COAST AIR QUALITY MANAGEMENT ONO,_— ROM (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 A W YES LL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE IN 10D0 FEET OF THE OUTER BOUNDARY OF A WITH Any city or county that requires a permit to construct, alter, Improve, demolish, BE WITHIN 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)or Division 3 of the Business and Professions Code)or that he or ❑yES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any aH CKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to &N(T_�UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than ($500).) CODE, SECTIO /i5505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS M ER/(/�L REPOR3ING. compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPE I.ER OR AUT RTZ H __ not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply4o 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). II i BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ��i Menifee DATE PH sqt;, PERMIT/PLAN CHECK NUMBER ' - Q aQ TYPE: Q COMMERCIAL '�✓R�SIDENTIAL ^ MULTI-FAMILY C, MOBILE HOME <: POOL/SPA 0 SIGN SUBTYPE: C%ADDITION :"'EL ALTERATION C,DEMOLITION ECTRICAL MECHANICAL CO NEW C% PLUMBING Ci RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK M 3 I E . t ) ' 'b" LA-rr1u:F-, l4 PROJECT ADDRESS ) A ASSESSOR'S PARCEL NUMBER Nb-YnO -CO LOT TRACT OWNER NAME )� ADDRESS C 3 tNi F PHONE EMAIL APPLICANT NAME ADDRESS S4 G PHONE 9sl- ,�i��y � EMAIL CONTRACTOR'S NAME I—fT-� /�m �� 5 OWNER BUILDER? '.:7 YES i-116 BUSINESS NAME V pA%bI = e__ E S ADDRESS �/ 7� PHONE 9s/- 3 !) • �V S EMAIL q rncl D L CONTRACTOR'S STATE LIC NUMBER g*� a$3 9 LICENSE CLASSIFICATION VALUATION$ SO SQ FT (ri31�� L SO FT C APPLICANT'S SIGNATURE DATE 3' IS CITY5TAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN — SMIP INVOICE PAID AMOUNT AMOUNT i CASH ""CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT ,';CASH CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED "" YES NO OIL NUMBER NOTARIZED LETTER 0 YES 'I NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 � L 8' ems" City of Menifeo s dint' & Safety Dept. Nyt t / 6 JUL 14 2015 � eta;• , Received m�4a ram , 'Dr-A 1 &LEDGER & TRAC 0 INSPECTION REQUI E. ; L old eLacmte, c—MY OF MENIFEE _ t9l DEPA RT PLAN APPROVAL REVIEWED BY W 1 DATE oleP1 , *Approval of these plans shall not be construed to be a pet fc or an approval of,any violation of any provisions of the federal,state c city regulations and ordinances. This set of approved plans must be pt on the jobsite until completion. G i 1- -!1, 5-n '1 f1 �C.diy}Cu� i�r lnr-b a=�d6S , r .�. �� ,p9yy ALpmq�,q�,.myRD�J 17 U L �nl 1W1h %L en QkC-Ir-eAc 4168 Ian �. Qasb� 9Yl ENl F E'c, �.� o�d'• Sure+j45R13.1 %'y tObrk cDmP:M& St4a 2s K►t)ioc b85Yt 7