PMT14-01933 a
City of Menifee Permit No.: PMT14-01933
29714 HAUN RD. Type: Residential Addition
�
'�uGCE7.,l�` MENIFEE, CA92586 I
MENIFEE Date Issued: 07/24/2014 77
9
PERMIT
Site Address: 28918 CAPANO BAY CT, MENIFEE, CA Parcel Number: 388-060-006
92584 Construction Cost: $2,100.00
Existing Use: 1 &2 Family Residence Proposed Use: '..
Description of INSTALL SOLID ALUMAWOOD PATIO COVER
Work:
Owner Contractor
CAROLYN TWYMAN GUTTERS N COVERS CONSTRUCTION INC
28918 CAPANO BAY COURT 19069 VAN BUERN BOULEVARD#114
MENIFEE, CA 92584 RIVERSIDE, CA 92508
Applicant Phone: 9516728022
CARMEN MARQUEZ License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE, CA 92508
Fee Description QtV Amount I$1
Deck/Patio, non-standard 1 133.00
SMIP RESIDENTIAL 1 1.00
$162.00
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_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, 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 Cod9jand my license is in full force andyffect. Code:The Contractor's License Law does not apply to an owner of a property
License Classf2 _License o. Oc�'- who builds or improves thereon, and who contracts for the projects with a
Expires 'I /(®Signature licensed contractors)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure under the Contractors'State License Law for the
❑ 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 entirely by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
t,action 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'//www.Iednfo.c@.gov/GaIaw.htmI.
permit is issued.My workers'compensation insurance carrier and policy number are:
15!_�` Property Owner or Authorized Agent Date
Carrier , �7
Expires .^! Policy#
- 1� - ` ,� �q�.�n�-77❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent I'f J171/b Phone# �0((L( ! s>" owner or authorized to act on the property owner's behalf. I have read this
(This section need not be corn led If the permit is for
one-hundred dollars($100)or less) application and the information I have provided is correct. I agree to comply
with all applicable city and county ordinances and state laws relating to building
construction.I authorize representatives of this city or county to enter the above-
El I certify that in the performance of the work for which this permit is issued,I identified property for the 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 Property Owner or Authorized Agent Date
Code,I sh II forthwith comply with those ,pvisio
/ U K City Business License#
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, 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 ONO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there is a construction lending
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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO 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 reasons)indicated below by the checkmark(s)I have placed []YES 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, ❑NO 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 or DYES 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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SECTION OTE 5505AL ff 255331'IAND 25534 CONCERNING
El1, as owner of the property, or my employees with wages as their sole
compensation,will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or Improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY O 1Villi171►ll'EE PLCK No: Permit No:
3
29714 Haun Road Date: Date: ( )1
cit
Phone: (951)672-6777
Menifee, CA 92586 Budding & Safety Dept. ount mount:
Fax:(951)679-3843 JUL 2 4 2M Ck#: Ck#:
Building Combination Pei keived
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R:
Property Addreess:/� C 0 �A �0 `2A Y Assessor's Parcel Number.
Project/Tenant Name:C, ��A9��� Unit#: Floor#:
Name: C rr'0�1' A/ y E'L7 A� PI�gnQ No.�7c�- %sue Fax No.
Property —Add
ress:
Owner a Uni77t�`!!N''umber Zip Co
Email Address:
Name: ry� Phone No. Fax No.
Applicant Address: Unit Number Zip Code
Email Address: t S 1� r - ( t i ^n
Name Ppnei,lo 1,p�O�72.. Fax No.
Contractor Address: City a Slat Zip Code
'� c) c �� t 2. , t"?
on ractor s i y usiness Icense o. Contractor's City State of California License No. Classification:
Number of Squares:
Square Footage 2—
Description of Work: -J Q("i L 4C/dot -.,t/V �o C CJv-R Cost of Work:$ O _
Applicant's Signature Date: L
2
7Fij 6eCompleted By City'Staff'Only ,
indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan
❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Foundation Plan Crass Section ❑ Structural Calculations
❑ ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate1-1 New Construction Alteration' Addition' Means/Methods
Work Type: RepaiP Retrofit' Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg. Code Occupancy Group Indicate Indicate if Indicate all Geo-tech. Haz.Zone
At Project Spdnklered YES or NO that a
Completion: Construction pply: Coastal Zone
Type(s): C Of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit]Spacial case:Beg.
CfficialApp..1
Expedite Project(s): Child Care City Project Green Building I I Landmarkl I Affordable Housing
For Staff Use Only
Building/Safety I Permit Specialist City Planning Civil Engineering EPWM-Admin I Transportation Mgml, I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
= I
I
� C
i
-4.
C � o
yv
IT
Sb
movol
v
O a rrl T
93 o
— —
o
v � T
a ED
aAJ �ET
a
CD
- op (D co
rn
a f (Docmmw
fFFICE COPY w
� o
sar