The URL can be used to link to this page

PMT16-03554 City of Menifee Permit No.: PMT1 6-03554 29714 HAUN RD. <A-CCELA-> MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 11/0212016 P E R M I T SliteAddress: 25298 ROCKING HORSE CT, MENIFEE, Parcel Number: 358-540-033 CA 92584 Construction Cost: $3,900-00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL LATTICE ALUMAWOOD PATIO COVER-13X16&12.6X25 SOLID PATIO COVER&4 POST Work: LIGHTS Owner Contractor LARRY ORTEGA PATIO GUY ALUMAWOOD CONTRACTOR 25298 ROCKING HORSE CT 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 Descriptlon Qtv Amount Receptacle, Switch, Outlet&Fixture 4 131.00 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 6.55 $306.20 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for constmction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA.Bldg_Perrnit-Ternplate.rpt Page 1 of 1 DATE 42 PERMIT/PLAN CHECK NUMBER TYPE: 0- COMMERCIAL fRESIDENTIAL Q MULTI-FAMILY 0 MOBILE HOME Q PQQL/SPA 51ON SUBIYPL: UAL)UIIIUN UALIERATION OUEMOLMON C) ELEC-iRICAL OMECHANiCAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES__ DESCRIPTION OF WORK 1 .3 p Y, 16 Lj--F�i e— .2 ,to")( a,�, s r� L 4 LU rn�q W bt2) 1 0 (ILVEX &,,,7- LIWAT6 PROJECTADDRESS ASSESSOR'S PARCEL NUMBER 4jq 0 - LOT TRACT OWNER NAME A) ADDRESS 9g <, t),e'-j< t 0 4- PHONE R3 9 9 EMAIL APPLICANT NAME 4,1 - 7 ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDER? OYESVWd— BUSINESS NAME 77 ADDRESS L/// t?7 Ce� 0,)A�C-A�& , =— --I . — . PHONE 9 44MAIL C C r)-a ah 4aM C , �Q )14 . CONTRACTOR'$STATE LIC NUMBER LICENSE cLAssiFiCAmON VALUATION$ 6A SC,'T L SQ FT APPLICANT'S SIGNATURE DATE l(:9 DEPARTMENT DISTRIBUTION SMIP CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN INVOICE AMOUNT PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH ()CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO CIL NUMBER NOTARIZED LETTER 0 YES 0 NO Iva City Of Menifee LICENSED DECLARATION I hereby affinn 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 and my license is in full fo Code:The Contractor's License Law does not apply to an owner of a property 'I) License No.I who builds or improves thereon, and who contracts for the projects With a License Class /: -, 1p V Expiresia-- 1") (eignature 7—UA n licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION o I am exempt from ficensure under the Contractors'State 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:http,lh�.leginfa.m.gov/calaw.htmi permit is issued.My workers'compensation insurance carrier and policy number are: Carrier- Property Omer or Authorized Agent Date Expires 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 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 construcrion.Athorize representatives of this city orcounly,to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I identi f r e inspection 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 iAtlon 3700 of the"bui Property OwAr'orAuthorized Agent Date Code,I shal)forthwith comply with those provisions. ��J City Business License 0 10 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, OYES OCCUPANT HANDLE A HAZARDOUS MATERIALORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES n49---RQ—UAL 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 []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICAnOR.. —SROM-THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address QNEr DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS 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 DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5.13usiness 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, 11��IL? 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 Low(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 anyApplicant for a permit subjects the applicant to 0��THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than(S500).) CODE SECTMKO 35115A0 25533 AND 25534 CONCERNING JOUS 0 1, as owner of [he property, or my employees with wages as their sole HAZARD R LIAEPOi�TING. compensation,will 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 \1J 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). LM qj, t." 4 -PL6 _q bL- I b i'AX16 I 10�E LEDGER & IRACK INSPEC-fjoN REOUIR City of Menifee Building & Safety Dept. NOV 0 2 2016 Lw 54b IR oi . lAn Received RyYP00IFEE C-",' LDING AND SAFETY DEPARTMENT REVIEWED BY )ATE QN tO *Approval of these plans shall act be conitrued to�p a permit for, ;r a' awoo approval of,any violation of any p;j�visjons of the 6edeae`or �ty 1,the regulations and ordinances. This set of approved plans must be k� j oi jobsite until completion. rj i�,k) o en Will 4+.D r-TAP n �4opze c--T . Cch. V�nIEN ) F E Gy A, b yvt'. S 0 %S wirk COMP.INDIL344o AUW�p