The URL can be used to link to this page

PMT16-03019 City of Menifee Permit No.: PMT16-03019 29714 HAUN RD. Type: Residential Addition ":A�LX> MENIFEE, CA 92586 0-,A N.4.k, MENIFEE Date Issued: 0911212016 P E R M I T Site Address: 29187 GUAVA ST,MENIFEE, CA 92584 Parcel Number: 333-623-003 Construction Cost: $4,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 480 SO FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 3 LIGHTS Work: Owner Contractor CHRISTOPHER NICASIO PATIO GUY ALUMAWOOD CONTRACTOR 29187 GUAVA ST 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($1 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 $300.96 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 Bldg_PerrniLTernplate.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of 13 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 ago my license is in full fmba� " Code:The Contractor's License Law does not apply to an owner of a property License Class License Nck.I —_ who builds or improves thereon, and who contracts for the projects with a Expires(L2-6 6) tgtgnature_GW�� licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION 0 1 am exempt from licensure under the ContractorsState License Law for the 0 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 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:htti),/Iwww.IeQinfo.�.goy[calaw.htmI permit is issued.My workers'compensation insurance carrier and policy number are: Carder Property Owner or Authorized Agent Date Expire Policy, Name of Agent Phone# 0 By my Signature below, I certify to each of the following: I am the property owner or authorized to act an the property owners behalf. I have read this (This dection 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_(S100)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 identifi y t e 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 9 subject to the workers'compensation provisions of tion 3700 of the L.... Property Ow&r'or Authorized Agerit' 0 Date Code,I shal)forthwi T comply with those proi isions. -744 4S1 Applicant; I City Business License# Date; 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 A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE. INTEREST,AND ATTORNEYS FEES n4la--MUAL 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 E]YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION... _.FReM-THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address 1:1`�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 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. PE2--septaw 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 CIYES 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 0��THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than CS500).) CODE, SECTIO 25505,25533 AND 25534 CONCERNING El 1, as owner of the property, or my employees with wages as their sole RDOUS M RIAL REPO ING. compensation,v011 do( )all of or( )porting of the work,and the structure is 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 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 9 k PERMIT/PLAN CHECK NUMBER TYPE: OCOMMERCIAL *RESIDENTIAL OMULTI-FAMILY OMOBILEHOME 0 POOL/SPA 0 SIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL SINEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES- DESCRIPTION OF WORK )4 L-LIM'14&V 6'0 'b,.Aq 77 Z� 31) PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME v ADDRESS b PHONE EMAIL APPLICANTINAIME ADDRESS S21 PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? 0 YES *NO BUSINESS NAME ADDRESS -7/!//Iqq� PHONE (9S-1),333 o526 EMAIL A 6-4/n CONTRACTOWS STATE LIC NUMBER LICENSE CLASSIFICATION 46 VALUATION$ 1-1,36CD SQ FT L SO FT I APPLICANTS SIGNATURE DATE OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION Cl"OF MENIFEE BU51NESS UCEN5E NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT AMOUNT wi 1( 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK N OCREDITCARD VISAIMC OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menfee Building&Safety Deportment 29714 HoLin Rd. Allenifee, CA 92586 951-672-6777 www,cityofmenifee.us Inspection Request Line 951-246-6213 W-wffi� i-ns LnL x x X U 7) (.EDGER & I NISPECTION RE ea c—zr L477E city Ot meniieo Bulidirig & SafetY 0% SEEP I 1 2916 q Receivec, LpprS� r7 ilwamn' A L4 �))bD-V-1f.c I*L) DEPARTMENT I V)I w F D DATE L FDAT 3.JO4 r Oran -i W roran I'ga"wr6ty ',, :;,'�IOV�1'1�111MLIU 12,1011111 pr-V.4q XA I�o -0 4+p e--TA r-D q aAj 0 Hirri 0 SCIV ALUMA 4 o cm oj* nWr di Loark clbmp.tmDtSjj4eb A-atoit 17