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PMT15-02602 I City of Menifee Permit No.: PMT16-02602 29714 HAUN RD. Type: Residential Addition MENIFEE, CA 92586 MENIFEE Date Issued: 08/26/2015 PERMIT Site Address: 31929 BAY LAUREL ST, MENIFEE, CA Parcel Number: 372-463-031 92584 Construction Cost: $2,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 288 SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 LIGHTS Work: Owner Contractor JUSTIN &GRACE WRIGHT PATIO GUY ALUMAWOOD CONTRACTOR 31929 BAY LAUREL ST 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 O_yt Amount l$1 Ge ,. _ I e Building Permit Issuance 1 27.00 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 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 �I 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 In d If t. p Code:The Contractor's License Law does not apply to an owner of a property � License Class_ /_ License No. ZS �rj3 ( who builds or improves thereon, and who contracts for the projects with a Expires to ' L_pignature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 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 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:htt ://w i.leginfo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier `(��,1\/ Property Owner or Authorized Agent Date Expires L' �� Policy# [1 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 construction, a thorize 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 identi y f r t e inspection urposes. 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 of S tlon 3700 of the Labor Code,I shal forthwith comply with those provisions. Property Ow er or Authorized Afge�nts Date CT /(7 /�S City Business License# �+ ✓ ✓� Date; Applicant;o Y 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, E]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 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. Lender's Address eM-THE SOUTH COAST AIR QUALITY MANAGEMENT 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 AYES 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, ql —O �CHCDL? or repair any structure, prior to its issuance, also requires the applicant for the permit to He 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 AYES 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 ❑IY0 ItNDE&._THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTIO 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS M -RIAL REPORTING. compensation, will do ( )all of or ( ) porting of the work, and the structure is PROP R A H6 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- Budder will have the burden of proving that It was not built or improved for the purpose of sale). BUILDING : APPLICATION Menifee DATE — S PERMIT/PLAN CHECK NUMBER "T'x5'0;-j40a- TYPE: O COMMERCIAL *L''RESIDENTIAL « MULTI-FAMILY O MOBILE HOME O POOL/SPA 0, SIGN SUBTYPE: 0 ADDITION O ALTERATION C% DEMOLITION 0 ELECTRICAL MECHANICAL O NEW C! PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK f L ) L) L Mt4 D PROJECTADDRESS S - 2 ASSESSOR'S PARCEL NUMBER LOT �_ TRACT OWNER NAME ADDRESS (y L:A-\k PHONE "I �� - �q� - 3 q y a EMAIL APPLICANT NAME /v� ADDRESS S4 G PHONE 9sl- ,��yJ �� EMAIL CONTRACTOR'S N ME 14 �//']D T S OWNER BUILDER? OYES "T BUSINESS NAME UN/ r C ADDRESS ��4.\\J PHONE 917- 333 . V (0 EMAIL CONTRACTOR'S STATE LIC NUMBER 9 LICENSE CLASSIFICATION VALUATION $ SO FT al� 1Q L SQ FT APPLICANT'S SIGNATURE Ju DATE DEPARTMENT DISTRIBUTION CITY OF M(�[)Ij ELU.SINES)SJ�j�Cj�.NSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP I �/ INVOICE 7p�/��p' PAID AMOUNT AMOUNT O�V ✓ C>CASH "CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT f�CASH C CHECK# is CREDIT CARD VISA/MC OWNER BUILDER VERIFIED "YES 0 NO DL NUMBER NOTARIZED LETTER :7 YES O 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 n r U aEi R & TRACK �:('TION REQUIRED 1 ' // L ` SDL! 7 City of Menifee r cuil"u MQ & Safety Dept. ez 1=cr a&&4Ap,-VTt AUU Z 6 2015 Relceived g ' CITYA�J%ENIFEE r _ -Ljj 1 1NG AND SA DEPARTMENT i D ' a t. DATE *Approval of these p ans snall n �;j! ... approval of,any violation of any p,ovisior.s of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the O jobsite until completion. R - ► as'I, (o9, l y a Q-D►*Frac+Dr-TAFD g'la&�qr S'y s-rl rL-) Ot Qc >r� R! Q !�T h"rrioguy AWmquaoOD CarrFroe�f,cr 1w aY 31 q, 2,q '�j f�.�L!� U'R C— L. ST'• +tit wrri c�. �.o,. qa s b� YYIE N1 r" 491131IS WPIr - c.Dm,f'.NL�2gUaeD A•-OWr b85'Y� 7