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PMT16-01445 City of Menifee Permit No.: PMT16-01445 29714 HAUN RD. Type: Residential Addition <;k6MLA—> MENIFEE,CA 92586 MENIFEE Date Issued: O6/09/2016 PERMIT Site Address: 26805 HUNTER RIDGE DR, MENIFEE, Parcel Number: 360-472-046 CA 92584 Construction Cost: $2,800.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 15'x 20'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN Work: Owner Contractor DAVID NORTON PATIO GUY ALUMAWOOD CONTRACTOR 26805 HUNTER RIDGE DRIVE 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92584 MURRI ETA,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 City Amount I51 Receptacle, Switch, Outlet&Fixture 1 116.00 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 5.80 $290.45 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_Pernit Templatexpt 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 ago my license is in full fo aAd If t Code:The Contractors License Law does not apply to an owner of a property License Class License No. �/ J who builds or improves thereon, and who contracts for the projects with a Expires.?�{ gnafure licensed contractor(s)pursuant to the Contractors State 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:hftp*//cacao.leginfo.m.govLicglaw.html. permit is issued.�My workers'compensation insurance carder and policy number are: Carrier ' �/ ) (�j,�/ I Pmperty Owner orAuthodzed Agent Date Expires " r Policy# f ❑ 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. 1 agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state 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 identi y f r e inspection urposes. shall not compensation any persons f any manner so r to become subject to the —/9 workers'compensation laws of California, and agree that if I should become b /7 subject to the workers'compensation provisions of lion 3700 of the Labor Property err or Ow Authorized Agent Date Cade,I shal forthwith comply with those provisions. Q —7 � �y/( /n //� City Business License# `i' 1' Date; Y 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, DYES OCCUPANT HANDLE 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION_. OM -THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address LPNtT 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 OYES WILLTHE 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 Any city or county that requires a permit to construct,alter, improve,demolish, nNOv DL? 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 ❑t)10 11NDEl�THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(5500).) CODE, SECTIO 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS M RIAL I';EPOR�ING. 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). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE Lj-q ' PERMIT/PLAN CHECK NUMBER - \� TYPE: O COMMERCIAL `>,RCSIDENTIAL O MULTI-FAMILY " MOBILE HOME O POOL/SPA —SIGN SUBTYPE: i ADDITION O ALTERATION O DEMOLITION (YrE ECFRICAL O MECHANICAL O NEW O PLUMBING 0, RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK v - F PROJECFADDRESS 5 ASSESSOR'S PARCEL NUMBER . L0 LOT TRACT ' OWNER NAME {� ADDRESS g PHONE ( 9,- 48 • D 13 a, EMAIL cuy Of Manitge 9 Safety Dept. APPLICANT NAME at ADDRESS C r MAY 0 9 2016 PHONE a`l I .• 33 ��, �O rJ EMAIL CONTRACTOR'S NAM�E �. —� OWNER BUILDER? G YES 4-N(5 BUSINESS NAME ADDRESS D - PHONE qsl-- '�� '-Dp EMAIL G • G CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ D D SO FT ?)bD L SQ FT (� APPLICANT'S SIGNATURE DATE ..- Ti isI It' DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE pglD AMOUNT AMOUNT OCASH %CHECK# :%CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH C;CHECK# +%CREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER C YES C NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofineoifee.us Inspection Request Line 951-246-6213 ram T �i, .EDGER & TRACK _- a ! -E SPECTION REQ UIRED City of nifee Building & S fety Dept. ►�`"`aT• C�'a(�L E MAY 0 2016 f e 6 � ib ` — �d& ssa-n>Dgv ` (` D-b efftOF MENIFEE l _ UIIDING AND SAFETY DEPART ENT Q iREVIEWED BY 1 DATE ■ 16 b, 'Approval of these plans shall not bzrrc u to be a permit for,or an approval of,any violation of any provisions of he frderal,state or city e regulations and ordinances. This set of appro d plans must be kept on the jobsite until completion. l � IS f.}jyy'ryi r_{ i�yg't .��,:�5^ jn'IX- `'1 cy7C' Di �� KV/Yti7y�.i�ILi�.3.Ti�=i� 177 1D Pry I l�U 411 R't told inn 4k oil { q. '?a-1 b K 1 N 1 L ure+4 aa113"1 t-S b85'q!7 -