PMT15-02278 City of Menifee Permit No.: PMT15-02278
29714 HAUN RD,
'WOMILMENIFEE, CA 92586 Type: Residential Addition
ki MENIFEE Date Issued: 08/06/2016
PERMIT
Site Address: 29609 CATANO RD, MENIFEE, CA 92584 Parcel Number: 339-261-007
Construction Cost: $2,900.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL NEW 12'x 2T SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
JAMES&JESSICA REIS PATIO GUY ALUMAWOOD CONTRACTOR
29609 CATANO ROAD 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 Qt-y Amount($1
Building Permit Issuance 1 27.00
Dec tior*rtn:=standa.
GREEN FEE 1 1.00
$278.00
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee. Except as otherwise stated, a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA Bldg_Permit_Template.rpl Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and y license is In full f ceZa.p�.ef(ecl. Code:The Contractor's License Law does not apply to an owner of a property
License Class License No 66 Z$^' who builds or improves thereon, and who contracts for the projects with a
Expiresiv&b l ignature _ 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
❑ 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. built as an owner-building If it has not been constructed in its entirety by licensed
Policy ha
contractors. I understand that a copy of the applicable law, Section 7044 of the
11 ve 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'tlwww.ieginfo.ca.Qov/calaw.html.
permit is issued.My workers'compensation insure ce carrier and policy number are:
p -,� Property Owner or Authorized Agent Date
Carrier 1/0I,/ )
Expires ! _Policy#
❑ 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
constructs . 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 ide tifie pr perty for the inspects n 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 pmvisio f Section 3700 of the Labor grope Owner or Authorized Agent Date
Code,I:.shall forthwith comply with those ovi io
;-% /� City Business License#
Date; _ ^ � Applicant • t.�(l _
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, []YES OCCU ANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE URE 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
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
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 (STRICT(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 WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: (THIN 1000 FEET OF THE OUTER BOUNDARY OF A
^S'
Any city or county that requires a permit to construct, alter, improve, demolish, O WSCHOOL?
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 I HAVE READ THE HAZARDOUS MATERIAL
provisions of the Contractor's State License Law (Chapter 9 (commencing with
Section 7000)of 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 C _1ST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) HOD RDOU3TMAT 5L5ff 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation,will do ( )all of or ( )porting of the work, and the structure is PROPE E U HORIZ NT
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).
�r
APPLICATION& SAFETY PERMIT/PLAN CHECK
Menifee
DATE `J '� PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL ()<E IDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA '0 SIGN
SUBTYPE: 0 ADDITION 0 ALTERATION '0 DEMOLITION 0 ELECTRICAL 0 MECHANICAL
O NEW 0 PLUMBING C% RE-ROOF-NUPI'R OF SQUARESDESCRIPTION OF WORK }-� /V
Fad
PROJECTADDRESS 9 to Q Z) QAb Qn
ItY O of Menifee
SafetV De t.
ASSESSOR'S PARCEL NUMBER 3, - QkDU _l-)Q71 LOT TRACT AUG 0.6 2915
OWNER NAMEjqfn
ADDRESS (� EMecelved
PHONE ` prj_ Q �-/ EMAIL CQ C rn
APPLICANT NAME ^^ r/vj
ADDRESS /-1' G.
PHONE 9s1- .��y— ; EMAIL
CONTRACTOR'S NAME i4b I+rn "T-r.s'1"1,
OWNER BUILDER? %YES irPo'6
BUSINESS NAME & UV rag
c1-
ADDRESS X6rE J
PHONE qs/- 33 • L�US EMAIL q mA D L M
CONTRACTOR'S STATE LIC NUMBER B ag 3 9 LICENSE CLASSIFICATION
VALUATION $ All p- 'SQ L SO FT
APPLICANT'S SIGNATURE Yt) DATE - z_I
r�
DEPARTMENT DISTRIBUTION _ CITV OF MENIFEE eU SINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN , SMIP
INVOICE ^^ PAIDAMOUNT
AMOUNT O� :: CASH CHECK N ra CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT : CASH CHECK It :%CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES <: NO DL NUMBER NOTARIZED LETTER OYES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd, Menifee, CA 92586 951-672-6777
www.cityofinenifee.Lis Inspection Request Line 951-246-6213
y D' LEDGER & TRACK 13O s°'l
I�IPECTION REQUIRE 4D
X x x x C�
5 SDL1.►) -6- ,
City of Menifee
w ,Te Oullding & Safety Dept.
AUG 0.6 2015
Received
3� y Q
-LCcrA 1 e, F4P4
"A-nag • 16 A91 D D �•
_ CITY OF MENIFEE
1 TMENT
PLAN APPROVAL
REVIEWED BY 38 , DATE
*Approval of these plans shall n'of�e con rued to be a permit for,or an
approval of,any violation of any provisio of the federal,state or city
regulations and ordinances. This set of a roved plans must be kept on the
jobsite until completion. 7-4
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