PMT15-02537 City of Menifee Permit No.: PMT15-02537
29714 HAUN RD. Type: Residential Addition
MENIFEE, CA 92586
MENIFEE Date Issued: 08/19/2016 _
PERMIT
Site Address: 31762 VICTORIA PL, MENIFEE, CA Parcel Number: 360-700-016
92584 Construction Cost: $4,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 435 SO FT SOLID ALUMAWOOD PATIO COVER MELECTRICAL 2 FANS
Work:
Owner Contractor
AARON RICO PATIO GUY ALUMAWOOD CONTRACTOR
31762 VICTORIA PLACE 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
MURRI ETA, CA 92562
Fee Description My. .Amount is
eG,�e t�Gle,a+yb/I,tc�rh,'1 � .a 1'g 1
Building Permit Issuance 1 27.00
�DecW,�P�a�id nQn'standar - - :1... 33YOU'�
GREEN FEE 1 1.00
$283.00
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 bulliding 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 a my license is in full four a d ff t Code:The Contractor's License Law does not apply to an owner of a property
License Class /_� License No. ZS � � who builds or improves thereon, and who contracts for the projects with a
Expires(O•6 D Cfgnature - 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# 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:htti),I/www.leoinfo.gg.govlcalaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
n/ Property Owner or Authorized gent Date
Carrier (/�
Expires licy#�`
❑ By my Signature below, I certify to each of the following: i am the properly
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 stale laws relating to building
construction. a thorize 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 identi y f r t e inspection urposes.
shall not any persons in any manner so to become subject to the
compensation
workers'compensation laws of California, and agree that if I should become �
subject to the workers'compensation provisions of i4ion 3700 of the Labor Property Ow er or Authorized Agent Date
Code,I shal forthwith comply with those provisions. J 1
O ^/ 4q
//C'
O 19 City Business License#
Date; J 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, ❑YES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES g3 1 QUAL 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
- _FRA THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address OYde' DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
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 DYES WILL 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, NL?
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 Stale License Law (Chapter 9 (commencing with
Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES 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 ❑E L�THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) HAOZDARDOU3 M 2RIAL5�tEPOR�ING D 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole
compensation, will do ( )all of or( )porting of the work, and the structure is PROP R A GE
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
• MH kTjIffMWAk1K4jj NUJ[N[_&j I •
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A&Menifee
DATE PERMIT/PLAN CHECK NUMBER 17� Oa53-7
TYPE: O COMMERCIAL <>�SIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION " DEMOLITION O ELECTRICAL O MECHANICAL
(: 61EW O PLUMBING :i RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK r> (_ („ w o 0
PROJECTADDRESS tp I
IRS f t4 ij4 G 4isvq
ASSESSOR'S PARCEL NUMBER ��W �� LOT �a TRACT '
OWNER NAME 4 '(-
ADDRESS ry (r,/�
PHONE '/ S' ' �, • �9S`9 EMAIL
APPLICANT NAME ^^
ADDRESS /7' G
PHONE 9s1. ,��y_= � EMAIL
CONTRACTOR'S NAME OWNER BUILDER? OYES "IU-
BUSINESS NAME �j�rr\ LJ c7-
ADDRESS pAi, — If-- E �O
PHONE 957_ 33 - baS EMAIL
CONTRACTOR'S STATE LIC NUMBER B") ag.3 9 LICENSE CLASSIFICATION
VALUATION$ It SO FT L SO FT c
APPLICANT'S SIGNATURE DATE 9 �J9 - ,_>
CITY STAFF USE ONLY A,
DEPARTMENT DISTRIBUTION ,�q CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I V_ SMIP
INVOICE rxn^Oo PAID AMOUNT
AMOUNT � �• ✓ L> CASH Ci CHECKH 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH .iCHECKq CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED DYES 0 NO DLNUMBER NOTARIZED LETTER YES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menefee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
L
DGER RACK
I ECTIQN REQUIRE ' �� x
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City of Menifee
Building & Safety Dept.
AUG 19 2015
® Received
>, aS
CI f'Y OF MENIFEE
8�J1LDiA WENT ,
PLAN APPROVAL
REVIEWED E30 It
DX E
3 Atpproval of these plans shall not he construed to be a permit fOf`df'1n
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 io
jobsite until completion. /q
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