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PMT16-01443 City of Menifee Permit No.: PMT16-01443 _ 29714 HAUN RD. Type: Residential Addition �ACCECA> MENIFEE, CA92586 MENIFEE Date Issued: 0 510 912 01 6 PERMIT Site Address: 29220 OAK CREEK RD. MENIFEE, CA Parcel Number: 340-442-012 92584 Construction Cost: $3,600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 16'x 25' SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,3 LIGHTS, 1 SWITCH Work: Owner Contractor COLLIN LAVIN PATIO GUY ALUMAWOOD CONTRACTOR 29220 OAK CREEK ROAD 41197 GOLDEN GATE CIR STE 108 MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone:9513330056 LOIS MONTINI License Number: 872839 PATIO GUY ALUMAWOOD CONTRACTOR 41197 GOLDEN GATE CIR STE 108 MURRIETA,CA 92562 Fee Description Qtv Amount($) Receptacle,Switch,Outlet&Fixture 6 141.00 Building Permit Issuance 1 27.00 Deck/Patio,non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 7.05 $316.70 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_E ldg_Per nit-Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penally 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 fo tA ff p Code:The Contractor's License Law does not apply to an owner of a property License Class Code No. "f Av4z ! who builds or improves thereon, and who contracts for the projects with a Expires Iffi-gnalure licensed contractor(s)pursuant to the Contractors Slate License Law). WORKERS'COMPENSATION DECLARATION ❑ lam 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:http://www.leginfo.m.gov/Calaw.htmi. permit is issued.My workers'compensation insurance cartier and policy number are: Gamer `/��;,f roperty Owner or Authorized Agent Date Expires _ Policy# El 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 slate laws relating to building construction.Athorize 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 identif y f r e inspection urposes. shall not emolov 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 tion 3700 of the Labor Owerty er orAuthorized Agent Code,I shal forthwith comply with those provisions. prop Q ' Date Date; Applicant;8 // City Business License# YY �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 ($900,000), 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 8.Ng---E=gUAL 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION.. �ERgM-THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address EtW 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: NBE QOL N 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, 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 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 ❑ I_JINDER-THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(5500).) CODE, SECTIO 25505,25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS M RIAL REPORYING. compensation,will do( )all of or( )porting of the work, and the structure is PROP R A 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). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION - Menifee DATE —` PERMIT/PLAN CHECK NUMBER TYPE: :% COMMERCIAL 0,14ESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: " ADDITION O ALTERATION C,. DEMOLITION O ELECTRICAL O MECHANICAL C EW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK S OL, L,LIlY7 S 14 PROJECFADDRESS ASSESSOR'S PARCEL NUMBER (D L44a, O�Q LOT TRACT OWNER NAME r ADDRESS PHONE ` - �� - D E,M^AIILL- Build my Of Safety Dept Menifee APPLICANT NAME l� v YV ADDRESS PHONE EMAIL Received CONTRACTOR'S NAME C S OWNER BUILDER? 0 YES P%NU- BUSINESS NAME U V ADDRESS L4 I I 2sw:,�Icj-� - asloa PHONE R�1- 333 _bf� — EMAIL m r_zn4rbc:6r cbM CONTRACTOR'S STATE LIC NUMBER �� p� �39 LICENSE CLASSIFICATION VALUATION$ SO FT 4b D L SO FT APPLICANT'S SIGNATUR DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 1� SMIP INVOICE PAID AMOUNT AMOUNT Flo' 7O ,� �O OCASH ''CHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department29714 Houo Rd. Menifee; CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Uj M U. LW�Lb - INSPECTION REQUIRE U. 0 r i city of nifee Building & Sfety Dept. gE�DeuT GDiZI� 1 MAY 0� 2016 � I�ls,aH-r• �I ' �R00 ved ILI ■ e IF I J u.osa�n,r ' 310 bD CITY Or MENIFEE _ _ BUILM",lG AND SAFE'TV DEPARTMENT KE S I D �N CIA&APPROVAL REVIEWED SY '� AT *Approval of these plans s II not be cons' ;T to be a pemnit foVtn approval of,anyo any provisions of the federal,stateoregulations and ridir,mce This set of approved plans mustbekt e jc' bsite until completion. . b1� CF 9 j ■ Y 19411ch GD LL.IJed LA V i a gqy A1.ti�i+gifup4V , C�P,L G 14 u)Prk c brn hasm;40 AZL06C