The URL can be used to link to this page

PMT16-03018 City of Menifee Permit No.: PMT16-03018 < -bCEL- 29714 HAUN RD. Type: Residential Addition A A�' MENIFEE,CA 92586 MENIFEE Date Issued: 0911212016 P E R M I T Site Address: 29952 LOMOND DR, MENIFEE, CA 92585 Parcel Number: 333-730-026 Construction Cost: $10,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 2 LATTICE PATIO COVERS, 1)925 SQ FT IN BACKYARD,2)180 SQ FT IN FRONT, Work: W/ELECTRICAL 4 LIGHTS, 1 SWITCH Owner Contractor ROY WEST PATIO GUY ALUMAWOOD CONTRACTOR 29952 LOMOND DR 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 Qtv Amount Receptacle, Switch, Outlet&Fixture 5 136.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 6.80 $312.45 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of effors;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 constructilon 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 BidgPennit-Ternplate.rpt Page I of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of 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 pmject(Section 7044,Business and Professions Professions Code aW my license is in full f P If Code:The Contractor's License Law does not apply to an owner of a property X�04z License Class License No. 0§ who builds or improves thereon, and who contracts for the projects with a Expiresjr e-Z)Q i gnature -1�kF licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION E3 1 am exempt from ficensure under the Contractors'State License Law for the El I 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 entilrety 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*/AWAV-Ieqinfb.m.ciQxtolaw.htmi. perrnit is issued.My workers'compensation insurance carrier and policy number are: Carder Property Owner or Authorized Agent Date Piolicy# Expires:: q Name of Agent Phone# El By my Signature below, I certify to each of the following: I am the property 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 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 identil r a inspec ion urposes. 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 tion 3700 of the Law. Property Ow4er"orAuthorized AgeW 0 Date Code,I shal)forthwith comply With those pro, isions. City Business License# ?6-744 Date; 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, []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... —F-R9M-THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address UTfvcF DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS 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 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, QZ2--SeflUOL? 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 []YES 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(he applicant to 0 lj��THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(S500).) CODE SECTIOU 1 25533 AND 25534 CONCERNING 0 1, as owner of the property, or my employees with wages as their sole �ODOUS M RI REPOWtING. compensation,will do( )allofor( )porting of the work,and the structure is DROP R A GE not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State Ucense 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 OF improved for the purpose of sale). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ""' menifee DATE qzz PERMIT/PLAN CHECK NUMBER TYPE: 000MMERCIAL &RESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION 0DEMOUTION OELECTRICAL O- MECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 49'lol9 Lig=)C% )� 4LLAMA,4X5bDh P4-nD P-bl),GK �—j LI%MTS SIA-�, TT-r-- )-4 PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT" TRACT 3"o6-c-�, OWNERNAME C5 �40-,y- ADDRESS QqC??,57,g Z/ PHONE ,6,26-/�S:y- /C/�) l/ EMAIL APPLICANT NAME ADDRESS S A d-� PHONE (�� 3.3 EMAIL CONTaAiI3-oRs'NAME OWNER BUILDER? 0 YES ONO BUSINESS NAME 4xi ADDRESS J-///9 -4/1 a -� . ('174 PHONE 3-33—(--')6 q;�,A EMAIL Abj4ml',LIZ 444U )OM04 14C:t" & CONTRACTOR'S STATE LIC NUM13ER ?,345� LICENSE CLASSIFICATION VALLIATION$ 1t1)e-)Cjr) SO FT L SO FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDiNG PLANNING ENGiNEERImG FiRE I GREEN SMIP INVOICE PAID AMOUNT AMOUNT 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LET-TER 0 YES 0 NO City of Menfee Building & Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777 www.cityofmenifee.Us Inspection Request Line 951-246-6213 A. IC-6 SQM2 Lin< City of Menifee Buiiding & Safety DI tftm- SEP 2016 ORAuu- LEDGER IRED Received —5 �MSPEOON REGO CITY U4TT NT BUILDING A 11) Si'-%FETY DEPARTME, t�PPR V PLAN APPR VAL Ito it �i I & I 1,1V REVIEWED DATI 'Approval of these itiuedtoj)eap�fmitforcran �,n c approvalof,anyvii Ps the federal,state'or city pool r7usliMM.... — 40 -auggthpk;�ntwjthe a urmi completim Lor' n n C�j D P, "r"m 4 kv—%laosoltra. � X11P.,O f to - L 6 q , I � a,1-/ � 0-8%OM F09UV'44,0MROA #A� Lso :R " 9S �, Lt) rntw%jb Dk - rn C-- F L-E C