PMT15-02083 City of Menifee Permit No.: PMT16-02083
29714 HAUN RD.
L MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 07/21/2015
PERMIT
Site Address: 29080 ROCKY POINT CT, MENIFEE, CA Parcel Number: 364-250-032
92584 Construction Cost: $5,000.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 12'x 35' SOLID ALUMAWOOD PATIO COVER
Work:
Owner Contractor
RICK HODGES CLASSIC ALUMAWOOD COVERS
29080 ROCKY POINT COURT 39450 BONAIRE WAY
MENIFEE, CA 92584 MURRIETA, CA 92563
Applicant Phone: 9512942804
DAVID ABEEL License Number: 986793
CLASSIC ALUMAWOOD COVERS
39450 BONAIRE WAY
MURRIETA, CA 92563
Fee Description QQtr Amount l$1 _
Deck/Patio, non-standard 1 133.00
SMIP RESIDENTIAL 1 1.00
$162.00
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 building 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
Professions Code and m license is in full force and effect. contractors to construct the project(Section 7044, Business and Professions
License Class (�—Z Licens Q 7 Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
Expires ^�S— Signatur licensed contractor(s)pursuant to the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'Slate 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'
compensation, issued by the Director of Industrial Relations as provided for by By my signature below acknowledge that, except for my personal residence In
Section 3700 of the Labor Code, for the performance of work for which this which I must have resided for at least one year 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:Lwww leginfo ca gov/calaw html,
permit is issued.My workers'compensation insurance carrier and policy number are:
Camier_S 7_+r(e. r—ur0 Properly 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 stale laws relating to building
construction, 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 identif d property for e inspection purposes,
shall not amble 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 p visi s. Property Owner or Authorized Agent Date
Date; 7 —J 7 — (,- Applicant' City Business License# L
WARNING: FAILURE TO SECURE WORKERS'
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL HAZARDOUS MATERIAL DECLARATION
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, WILL THE APPLICANT OR FUTURE BUILDING
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
LABOR CODE, INTEREST,AND ATTORNEYS FEES MIXTURE CONTAINING A HAZARDOUS MATERIAL
CONSTRUCTION LENDING AGENCY Q,NO EQUAL TO OR GREATER THAN THE AMOUNTS
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
Lender's Name APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
QO 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
next to the applicable Item(s)(Section 7031.5. Business and Professions Code: WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
Any city or county that requires a permit to construct, alter, improve, demolish, �O BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF
or repair any structure, prior to its issuance, also requires the applicant for the SCHOOL?
permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractor's State License Law (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or ES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from licensure and the basis for the alleged exemption. Any t"' 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 HAZAR DUS MATERIAL REPORTING.
compensation, will do ( )all of or ( ) porting of the work, and the structure is PRMOPTYNER OR ORIZED 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).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
-t
( Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: ;:=COMMERCIAL ESIDENTIAL ��> MULTI-FAMILY 0 MOBILE HOME POOL/SPA 0 SIGN
SUBTYPE: ADDITION "'ALTERATION DEMOLITION O ELECTRICAL MECHANICAL
C% NEW " PLUMBING t-r RE-ROOF-NUMBER OF SQUARES City Of Menifee
DESCRIPTION OF WORK 4L dgla.L✓p0 d QOjee W � /� _pf w mgafety D pt.
2 1 2015
PROJECTADDRESS 2 ?b9b 0•;,1 Cf Gj
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME iL. A
ADDRESS 2- (9 a tZ a C,k
PHONE (�S( -5,33 - l Gn(0 EMAIL
APPLICANT NAME AJYC L
ADDRESS 26 B Z5- L-42 `( GR(zCfc ) cpp /hQyu„tC•e�
PHONE FDT- EMAIL '�11
CONTRACTOR'S NAME 4,UVS'01J e Il DR 4 K ,46U iT OWNER BUILDER? O YES .. NO
BUSINESS NAME O L. _< (C. LtJ µLq IA3EZ9 CQcJ .l'
ADDRESS 3? Lf,S-D J?au t o�A e_
PHONE 9-rl - ( 1( -6.s ,?3 EMAIL
CONTRACTOR'S STATE LIC NUMBER �3 LICENSE CLASSIFICATION 6" `Z
VALUATION $ OOC)� SQ FT 4fZ-0 L SQ FT
APPLICANT'S SIGNATUR DATE Z
DEPARTMENT DISTRIBUTION CITY OF MENIFEE SS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP D •3 B3BUSIN
INVOICE
AMOUNT PAID AMOUNTIt
— "i CASH ±'CHECK# "',"CREDIT CARD VISA/MC
PIANCHECKFEES PAID AMOUNT 0CASH +)CHECK# "'CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 'DYES C:i NO DL NUMBER NOTARIZED LETTER C YES NO
City of Menifee Building&Safety Department 29114 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
LEDGER & TRACK O
INSPECTION REQUIRED 0
Owner: Contractor:
Rick & Brenda Hodges Classic Alumawood Covers U
29080 Rocky Point Ct. 39450 Bonaire Way u'
U—
Menifee Ca. 92584 Murrieta Ca. 92563 O
CitMenifee
951533-1610 951 674-8533 Building&f Safety Dept.
JUL 2 1 2015
t=RoNs Received
CITY OF MENIF
BUILDING AN SAF
EIYDEpARTMENT _
PLAN APPRO AL
REVIEWED Y ATE
sQ�Fr
"Approval of ese plans shall not be construed to he a permit for,or an f�zo to
approval of, ny violation of any pro isions of the federal,state or city
regulation and ordinances. This set of approved plans mr�bPkjpt�c he
iohsite u til completion.
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