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PMT16-00895 City of Menifee Permit No.: PMT16-00895 29714 HAUN RD. Type: Residential Addition <A_CCEL/> MENIFEE,CA 92586 MENIFEE Date Issued: 03/28/2016 PERMIT Site Address: 27469 PARTRIDGE CT, MENIFEE, CA Parcel Number: 331-310-035 92585 Construction Cost: $4,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 2-SOLID ALUMAWOOD PATIO COVERS 1)210 SQ FT 2)224 SQ FT, NO ELECTRICAL Work: Owner Contractor CURT&YVONNE BEOHM PATIO GUY ALUMAWOOD CONTRACTOR 27469 PARTRIDGE CT 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92585 MURRIETA, CA 92552 Applicant Phone: 9513330056 LOIS MONTINI License Number.872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA, CA 92562 Fee Description 01t rr Amount($1 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 GREEN FEE T 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $168.65 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_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 aV my license is in full fold ayd IT I Code:The Contractor's License Law does not apply to an owner of a property License Class License N i./n ' J who builds or improves thereon, and who contracts for the projects with a Expires gnature (Z; 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 entirely 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:htto•Ilwww.leainfo.m.Clovlmlaw.htmi permit is issued.My workers'compensation insurance carrier and policy number are: Carder Property Owner crAut orized Agent Date ExpiresTI I 'P1olicy# ❑ 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 stale laws relating to building construction. thorize representatives of this city orcaunty to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I idenlif y f r e inspection urposes. shall not emplo any persons f any manner so as to become subject to the compensation workers'compensation laws of California,and agree hat if I should become subject to the workers'compensation provisions of lion 3700 of the Labor Property Ow er or Authorized Agent Date `J Code,I shal forthwith comply with those provisions. Q � p (7 S Applicant; City Business License# Date; O 7 IN 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 HANDLE A 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION... Lender's Address � ��RGM-THE SOUTH COAST AIR QUALITY MANAGEMENT I�T� 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 WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable flem(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, NqR--86qOQL? 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)of Division 3 of the Business and Professions Code)or that he or OYES 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 ❑q2__UNDER-THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(5500).) HAOZDARDOUB M RIAL R 5533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sale 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 Contractors 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). iiBUILDING & SAFETY PERM IT/PLAN CHECK APPLICATION Menifee ld�wlDATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL -- RE IDENTIAL 0 MULTI-FAMILY C MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: 0 ADDITION O ALTERATION O DEMOLITION O ELECTRICAL 0 MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF W K /r / / L LJ /J-] o77D vE AID E4 EC /C PROJECTADDRESS j, / � - 1'�r,�� ASSESSOR'S PARCEL NUMBER J!'' J10 LOT 4LJ TRACT ✓ 16 PROPERTY OWNER'S NAME D E /// ADDRESS (� LEL/ IT PHONE - g37- EMM_AIIL. ,F APPLICANT NAME //�� oz D/L ADDRESS /-7 G PHONE :51- -3s EMAIL If CONTRACTOR'S NAM (J OWNER BUILDER? 0-YES S? BUSINESS NAME 7 U V `J J- ADDRESS l JI 7(� / 7� PHONE G �/ e �� '�� EMAIL a� Urr10+ ,D ('•CQ/Y) CONTRACTOR'S STATE LIC NUMBER �` �J a�� LICENSE CLASSIFICATION VALUATION$ SOFT �/D� `� L SQ FT APPLICANT'S SIGNATUR DATE �1 2L •l 10 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I V`' SMIP ' INVOICE �n AMOUNT � L`✓ PAID AMOUNT O CASH O CHECKN O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH C%CHECKN O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 y I' 1 L4I 57 City of Menifee W Building & Safety Dept. CAD H I JE- MAR 2-8 2016 L_ Received 1 li IIk�Is rO�NT_• / I LEDGER & TRACK 411111111111, "'--O-ub? 4I NSPECTION REQUIRED 01 7' IE� I� bN Gi c rCITY i [3llILD niN E _ F'L4NPROVAL REVIFWED B DATE $� •a..,, a of these plans Tall not be construed to be a permit for,or an ai'a, , 9. f,any violation f;$q*isions of the federal,state or city 3 reguiai:ans and ordinanc . TFis set of approved plans must be kept on the iob,re until completion, i2�� 11 tiCh Fr O �+arneow�4►+Z 1.MRD "' � U4:Z:r-I- '- eI ni=t om_► �` �-.� ry` 1 - . 1•,q(jv e., ,rff s - -- •V W 111h gold %Q+e C►rdie 44 168 = 1 wDrk _� J yoazs�f