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PMT16-02811 City of Menifee Permit No.: PMT16-02811 29714 HAUN RD. Type: Residential Addition <A_CC_IELX1' MENIFEE,CA 92586 MENIFEE Date Issued: 08/26/2016 P E R M I T Site Address: 28259 LOS CIELOS ST,MENIFEE, CA Parcel Number: 336-211-020 92586 Construction Cost: $1,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL ALUMINUM PATIO COVER 100SQFT SOLID Work: Owner Contractor BRIAN FRICK GUTTERS N COVERS CONSTRUCTION INC 28259 LOS CIELOS 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92586 RIVERSIDE, CA 92508 Applicant Phone:9516728022 TIERRE License Number: 945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD 9114 RIVERSIDE, CA 92508 Fee Description Qtv Amount 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 $168.65 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherv0se stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA Bldg_Perrn1t­Template.rpt Page 1 of 1 City of M nifee Building & S )ety Dept. AUG 2 2016 Received I :DG�:R & TRACK E EC-4W gEQUIRE) A r'"ry OF MENIFEE G AND SAFETY DEPARTMENT N Al"PROVAL PIVIEWEDBY DAI E �vai(lftiMPiOdWInOtbec=ftWtObeaperMftfororan 1,Lit,aj V dINN of any provisions of the WeW,sW or city �)11�'A 12111111111im. IhIS se,of approved Mans must be kept on the A P'�k�V�� 0 C0'j"-V t0c) �(. so�-Zd Wei , Cn QLsis',' �&' Vi5w- S�--e%�� NOT T(�s- cg(;�; City ot Menifee BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION safety Dept. AUG 2 6 201b "Menifee PPRAWlarl DATE PERMIT/PLAN CHECK NUMBER b TYPE: 0 COMMERCIAL �4ESIDENTIAL CMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMCILITION OELECTRICAL OMECHANICAL XNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS ASSESSOR'S PARCEL NUMBER ?>*3(0 6 2-D LOT 70 TRACT 1453 N 2- OWNER NAME t)\'-1 1�fjj C, ADDRESS 2'0'Z�>Cj Ci e,� ',-)k�_n CL3&4 M 9 ZsSLo PHONE '60S q-s-41� EMAIL APPLICANT NAME V,--, V'� CJO,�PA ADDRESS 16Z-L A-\�e_ Sj�_&*fLj V6yv�s CK qZ�5=r/ PHONE % CIS) EMAIL CONTRACTOR'S NAME U OWNERBUILDER? OYES,"O BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER 9(�JS962_ LICENSE CLASSIFICATION VALUATION$ SQ FT LSQFT APPLICANT'S SIGNATURE INQ,� DATE CITY STAFF USE ONLY IJLPARTM%NT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GkEN 5 IP INVOICE PAIDAMOUNT � AMOUNT 151�5. (Of' I OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES , PAIDAMOUNT CASH 0 CHECK# 0 CREDIT CARD ViSA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of AAenifee Building& Sofety Deportmeot 29714 Houn Rd. Meoifee, CA 92596 951-672-6777 www.cityofmenifee.us Inspection Request U170 951-246-6213 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 licensec Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044,Business and Profession! Professions Codepr . �d my license is in full and effec Code:The Contractor's License Law does not apply to an owner of a propert� License Clasq J-_2 License No. 1. :� who builds or Improves thereon, and who contracts for the projects with i Explres_q/,0�7 _ Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION Ei I am exempt from licensure under the Contractors'State License Law for th- D 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 4 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 c Section 3700.of the Labor Code, for the performance of work for which this permit is issued. improvements covered by this permit. I cannot legally sell a structure that I hav� Policy# built as an owner-building if it has not been constructed in its entirety by license- contractors. I understand that a copy of the applicable law, Section 7044 of th, 0 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this applIcation 1 section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:hftpi//www.leginfa.m.aov/calaw.htm]. permit is issued.My workers'compensation insyrance carder and policy number are: C 1�i Property Owner or Authorized Agent Date arrier , )Z�� A?Aa La Expires__7AVd' Policy 1) Name of Agent Phone# 0 By my Signature below, I certify to each of the following: I am the propert owner or authorized to act on the property owner's behalf. I have read th! (This section need D_ol be completed if the permit is for application and the information I have provided is correct. I agree to compi one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to buildin construction.I authorize 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 identified pmpWy for ttie inspection purposes. 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 Section 3700 of the Labor 7 I a praval _T Code,I shall forthwith comply with tho, Props Own r or Authorized Agent DatV Date;—el-'N )'(a_ Aippficar(t,.�"&Z��_ City Business License I � /0 WARN[ : 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, OYES 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 ;, <NO EQUAL 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 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address 4NO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT " DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR QWNER 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 EYES 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. 7;9�0 SCHOOL? 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 I HAVE READ THE HAZARDOUS MATERIAL Provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he of EIYES 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 ,�,00 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING 0 1. as owner of the property, or my employees with wages as their sole HAZAKOOUS MATERIAL AEPOWYING. compensation,will do( )all of or( ) porting of the work. and the structure is PROPER ER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code: The Contractor's State License Law does not apply Ao 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). �AASA- W-se.- P-0- BOX 1107 WuTyieta CA 92564-1107 * 25190 3-fancock Ave. Suite A 951-698-4030 * .TaX 951-698-4469 * yoCanda@sCammgmt.com ww-w.sCammgmt.com * www.facebook.com/51-ANNanagement (We&&V the 9*4e�x Peemzelawd Awe -1987 Sun City Hermosa CCC August 23,2016 Brian Frick 28259 Los Cielos Road Menifee, CA 92586 RE. ArchitecturalApplication Acet. #: 102600241 Property: 28259 Los Cielos Drive Dear Homeowner(s): Thank you for your interest in improving the community and your home. We are happy to announce that upon review of your Architectural Application on August 21, 2016 the Architectural Committee has APPROVED your request to install the patio cover, as stated on your application. All improvements must be completed within 90 days of approval. We would like to thdnk you for your improvement within the Sun City Hermosa CCC. Enclosed you will find a copy of your approved application. By Direction of the Board of Directors, Sincerely, Yolanda Lam,Manager Cerdfied Community Association Manager As Agent for Sun City Hermosa CCC cc: Board of Directors 21024