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PMT16-02767 City of Menifee Permit No.: PMT16-02767 29714 HAUN RD. Type: Residential Addition <��CcF-L—A> MENIFEE,CA 92586 MENIFEE Date Issued: 08123/2016 P E R M I T Site Address: 27688 MOONRIDGE DR, MENIFEE, CA Parcel Number: 333-251-007 92585 construction Cost: $2,500.00 Existing Use: I &2 Family Residence Proposed Use: Description of INSTALL Tx 3Z SOLID ALLIMAWOOD PATIO COVER VvITH 3 LIGHTS Work: Owner Contractor VICKI RUIZ PATIO GUY ALUMAWOOD CONTRACTOR 27688 MOONRIDGE DRIVE 41197 GOLDEN GATE CIR STE 108 MENIFEE,CA 92585 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 Ply. Amount Receptacle, Switch, Outlet&Fixture 3 126.00 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 6.30 $300.95 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and spedfic,ations 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 Bidg_Pemit Template.rpt Page I of i City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of 0 1, 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 I' . I f Ill IT Code:The Contractor's License Law does not apply to an owner of a property ,V my icense is In.0 o a V8 ? License Class License N who builds or Improves thereon, and who contracts for the projects with a Expires4L.-I�D (ffignature licensed otintractor(s)pursuant to the Contractors State License Law). WORKERS'CQM�PENSATION DECLARATION ci I am exempt from licensure under the Contractors'State License Law for the following reason: D I hereby affirm under penalty of pedury one of the following declarations: 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 0 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,llwww.lealnfo.o.covtmiaw.htmI permit is issued.My workers'compensafian insurance carder and policy number are: Carrier C� roperty er or Authorize gent Date Expires Policy. — —b&���/ D 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply (This section need not be completed if the permit is for with all applicable city and county ordinances and state laws relating to building one-hundred dollars(Si 00)or less) construction.y4thorize,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 idenIny f r a inspection urposes.. shall not enrol any persons in any manner so as to become subject to the workers'compensation laws of California, and agree that if I should b ?-19-11S Date subject to the workers'compensation provisions of iAfion 3700 of the L-aDor Property Owner orAuthorized Agent Code,I shal forthwi comply with those provisions.J -7 4q Date; 7/-4S,Applicant; —11 City Business License# WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION 1�0­MpENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND WILL THE APPLICANT OR FUTURE BUILDING CIVIL FINES Up TO ONE HUNDRED THOUSAND DOLLARS ($-I oo,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 gNe---rQUAL TO OR GREATER THAN THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS CONSTRUCTION LENDING AGENCY INFORMATION GUIDE? I hereby affirm that under the penalty of pedury there is a construction lending 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 Nam DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION- -SfeWTHE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address D*e'— DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIOMS PRINT NAME, I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES 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, P2�io or repair any structure, prior to its issuance, also req�ires the applicant for the P=iofile a signed statement that he or she is licensed pursuant to the 0 with I HAVE READ THE HAZARDOUS MATERIAL n of INFORMATION GUIDE AND THE SCAQMD PERMITTING p s the Contractor's State License Law(Chapter 9 (commencing Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES CHECKLIST, I UNDERSTAND MY REQUIREMENTS she is exempt from ficensure and the basis for the alleged exemption. Any HE STATE OF CALIFORNIA HEALTH AND SAFETY violation of Section 7031.5 by any Applicant for a permit subjects the applicant to a civil penalty of not more than($500).) 0 1, 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 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 who, through employees' or personal effort, builds or impmves 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). BUJL0lNG & SAl-ElY .PERMlf/PLAN CHECK APPUCATION jr DATE PERMIT/PLAN CHECK NUMBERPM TYPE: CCOMMERCIAL CIRESIDENTIAL OMULTI;FAMILY OMOBILEHOME OPOOL/SPA CSIGN SUBTYPE: 0ADDITION UALTERATION 0DEMOLITION 0ELECrRICAL OMECHANICAL QNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ I DESCRIPTION OF WORK '7-x 54 S,04-lb oza6,q —I�Ahaa�-E LigAFT-5 PROJECTADDRESS ASSESSOR'S PARCEL NUMBER 00'+ LOT TRACT 1 -1'7qO OWNE ADDRESS 142) !3uildi:nllg a Saielty De )t. PHONE qMAIL APPLICANT NAME AUG 2 3 2016 ADDRESS PHONE /7 lo-5 - EMAIL CONTRACTOR'S NAME JdAm �LztL) OWNERBUILDER? OYESONO BUSINESSNAME qCj:2�,C�) �� ADDRESS -'41119!7 >_&4ja, EMAIL MAWdObCOA ho&? (fo M PHONIE69 a CONTRACTOR'S STATE LIC NUMBER 3 9 LICENSE CLASSIFICATION VALUAAT,!ON" -4,s--n� SC.FT L SQ F-i APPLICANT'S SIGNATURE Oy DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN smip I I - I INVOICE -wo -qa PAIDAMOUNT .6LCD - 0 CHECK It 0 CREDIT CARD VISA/MC AMOUNT 1 51 1 'boo - CASH - PLAN CHECK FEES PAID AMPPNT I 1 0 CASH 0 CHECK# C CREDIT CARD VISA/MC L.2WNER BUILDER VERIFIED 0 YES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 kin A,ie�7ijk!e- CA92585951-672-C.,71T �-jRecjiAcscLme9512-'C.62.1.3 Nb Of Menifee C" CL Bulldingy& Safety Dept. 0 LP b !AUG 2 3 2016 totr LIJ Received 0 0 IF "ga : L I —tEDGER & TRACK INSPECTION REQUIRED D-)14/7L!' 3 40 AbauT.' (1DAA3 0 ILI ISM-pr I g a Ll -k6=qic ' 0914T� V)AW Am bg 2 L E .DEIARTMENT REVIEWED BY 2D—A—TE LD dtobea gphj*ran *Approval Of these plans shall not be construmed to be ape appi oval of,any vWtion of any provisions of the federmal, ity �approved plans must be It t on the regulations pnd ordinances. This set of jobsite until completion. I M- L),DN ]aj-ba e & -7j IbM60LOACk X/0-0 L4 I tort%-M. 4+.D 1—jx r-Z� jUe—*9,TAKv.J V Ic-K I 411 �* e 9 9, ot 1b L U 1\) CA 'R r" 4 ZO,1371 Q�-T C�--wr:MM31jaeb ju�wr- ...