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PMT16-03553 City of Menifee Permit No. PMT16-03553 29714 HAUN RD. '[;kCCELA> MENIFEE,CA 92586 Type: Residential Addition MENIFEE Datelssued: 11102/2016 P E R M I T Site Address: 29593 TIERRA SHORES LN, MENIFEE, Parcel Number: 340-480-005 CA 92584 Construction Cost: $5,500.00 Existing Use: I &2 Family Residence Proposed Use: Description of INSTALL 688 SQ FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 2 FANS,5 LIGHTS Work: Owner Contractor JUN CORONADO PATIO GUY ALUMAWOOD CONTRACTOR 29593 TIERRA SHORES LN 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 Ply Amount IS Receptacle, Switch, Outlet&Fixture 7 146.00 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 7.30 $321.96 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing buillding operations being carried an thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced vvithin six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AkBidgPermit—Template.rpt Page 1 of 1 B 0 It F)IN C & -AFF,7Y f FRNI/I I (I JECK'A PPLICATION DATE PERMIT/PLAN CHECK NUMBER P till(o D A,)� TYPE; QCOMMERCIAL VRESIDENTIAL -- MULTI-FAMILY QMQBILEHOME -P 0 SPA -5!- -c 0 Ll , gN SU51YIPL: UAUUIIIUN UACIERATION OULIVIL)LITiON UELECIRICAL IDMECHANI�L. &-IiEW OPLUMBING Q RE-ROOF-INUMBER OF SQUARES DESCRIPTION OF WORK L I 4L L,)mq zt?O I)b 5 4-Ji Lf z-, PR CTADDRESS 9105-9,-� ASSESSOR'S PARCEL NUMBER LOT t65 TRACT OWNER NAME A ADDRESS PHoNE 7�0 0 7 EMAIL APPLICANT NAME A97--Ir A,9 ADDRESS lz PHONE 312) 6' �5 EMAIL ICONTRACTOR'S NAME -4 CRBUILDER? OYES BUSINESS NAME TZ ADDRIESS —r)E A-72E OLAC —&L :�—,o IV PHONE MAIL C C�o )Ur _00MC CONTRACTOR'5$TATE LICNVM.BFR6 LICENSECIASSIFICATION VALUATION$ SQ FT LSQFT APPLICANT'S SIGNATURE DEPARTMENT DISTRIBUTION CITY OF.MENNIFEE BUSINESS"LICENSE NUMBER BUILDING PLANNING EN I FIRE GREEN SMIP INVOIC "r AMOUNT ; PAIDAMOU 0 CASH 0 CHECK# OCREDITCARD VISAIMC EPLAN CHECK FEES PAIDAMOU 0 CASH 0 CHECK 0 0 CREDIT CARD �IISAJMC -- --t OWNER BUILDER VERIFIED 0 YES- 0 NO - DL NUMBER NOTARIZED LETTER 0 YES 0 NO City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or pedury that I am licensed under provisions of 1, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 700D)of Division 3 of the Business and contractors to construct the project(Section 7044,Business and Professions Professions Code a my license is in full fo a d ff I Code:The Contractor's License Law does not apply to an owner of a property License Class_9�r License No. Mp� who builds or improves thereon, and who contracts for the projects with a Expires te-6 D I Iffi-gnature licensed contractor(s)pursuant to the Contractors State License Law). WORIKER&COMPENSATION DECLARATION 0 lam exempt from licensure under the Contractors'State License Law for the EI I hereby affirm under penalty of pedury one of the following declarations: following reason: I have and will maintain a certificate of consent of seff-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 omer-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:http,ll�.leginfo.m.goy/calaw.htmI permit is issued.My workers'compensation insurance carder and policy number are: Carder Property owner orAutharized Agent Date Expire,:� Policy# El 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. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and slate laws relating to building construction.Athorize representatives of this city orcounty to enter the above- EI I certify that in the performance of the work for which this permit is issued,I klentifi y r a nspec on urposes. shall not emiil any persons in any manner so as to become subject to the workers'compensation laws of California,an agreaAhat if I should become c 0� subject to the workers'compensation provis ns of tion 3700 of the..... Property OwAr"Or Authorized Ageiit' 0 Date Code,I she[)forthwith comply with those provi City Business License If 44 Date; Applicant; _1/ 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, EIYES OCCUPANT HANDLE A HAZARDOUS MATERIALORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MDCTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE,INTEREST,AND ATTORNEYS FEES gN9--G7QUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGEN 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.FeWTHE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ONO- DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty of peijury 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, qE2__8eMDL? 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 SCACIMD 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 pennit subjects the applicant to 0 t(I�THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(S500).) CODE, SECTIO 25505. 25533.AND 25534 CONCERNING 0 1, as owner of the property, or my employees with wages as their sole RDOUS M IAL REPORTING. compensation,will do ( )all of or( )porting of the work,and the structure is I 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). ff T bl L L It. 0'6" V7 SOLID LATnen; LEDGER & TRA A. INSPECTION REM k-a—LR-3-S P"'v IL-P'-T-�- - 01 Men01 wk, & < -\4 C- L IL VLwa-mal z4i S601) K% Ll I Y Ull- [VitNIFEE BUILDING Aj:�ffg PLAN APPROVAL —T--- REVIE WED Bye-o��- It DATE 'Approva ofM41ans shall not he construed to be a permit for,or an approvalf'any violation of any provisions of the federal,state or city regulation and ordinances. This set of approved plans must be kept on the job5iteun I completion, �s 61 (, -7 J-61�'J 1"tTID BUY 4UMALCA* Co4mz+pr Wi 3 /�jc--k br�cw'. S U rejej 4-Cal%3-1 IS I C-P U-).Drk