PMT14-02004 f
4
City of Menifee Permit No.: PMT14-02004
29714 HAUN RD. Type: Residential Addition
CCCtM1 A> MENIFEE, CA 92586
MENIFEE Date Issued: 08/04/2014
PERMIT
Site Address: 27074 REDRIVER DR, MENIFEE, CA Parcel Number: 335-500-045
92585 Construction Cost: $2,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 518 SO FT SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
RICHARD CHRISTIE GUTTERS N COVERS CONSTRUCTION INC
27074 REDRIVER DR 19069 VAN BUERN BOULEVARD#114
MENIFEE, CA 92585 RIVERSIDE, CA 92508
Applicant Phone: 9516728022
DREW DUNPHY License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE, CA 92508
Fee Description Qtv Amount
Re ae wi c A ,.
Building Permit Issuance 1 27.00
Deck/P�tip no -s an a d � 30 .
GREEN FEE 1 1.00
S 5
$278.00
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 Code and my license is in full fq ce and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class Licens!DECLA3'10N
7 - who builds or improves thereon, and who contracts for the projects with a
Expires 77 l Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION
❑ 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. _
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
L I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
s'2ction 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto�//www.leginfo.ca.gov/calaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier 5 � � PAlSv(' E'>e' Property Owner or Authorized Agent Date
Expires Policy# PCw-a06'2�^/S'
❑ 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
_ 'f a permit is for application and the information I have provided is correct. 1 agree to comply
This section need not be )or completed th
( p with all applicable city and county ordinances and state laws relating to building
one-hundred dollars($100)or less)
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 or 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 Own f o Authorized ent Date
Code, I shall fort with comply with those4provis! .
�M1 City Business License#
Date; �/ � Applicant;
WARNING: FAILURE TO SECUR 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 ❑NO EQUAL 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 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
OWNER BUILDER DECLARATIONS GUIDE LINES
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 items)(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, El 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
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 OYES 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 25505, 25533 AND 25534 CONCERNING
❑ 1, as owner of the properly, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.
compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY THORIZED 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 OF MENIF1E]E PLCKNo: �y�. ([
29714 Haun Road � I�t{� `
Date: Dater � (q
Menifee, CA 92586
Phone: (951)672-6777 Amount: Amount:
Fax:(951)679-3843 Ck#: Ck#:
al 9,00
Building Combination Permit Cn Is
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: . R:
Property Address: Z 7 0 ter Assessor's Parcel Number. WS -
5 Q7 'o
ProjecUTenant Name: Unit#: Floor#:
� r 'e
Name: RlrkA4C L rb Phis No. _ Fax No.
OwneP4eiroperty
Address: 'l Unit NumberZip Code �a,�-g45
Email Address:
Name: P,j�one N
S� Co"�> `(f(— ro�ar_Ba22 Faz No.
Applicant Address: p06 P fin+ Unit Number Zip Code
Email Address: ((
Name:
v f#X
S A r � P Phone No. Fax No.
Contractor Address: `� J Slat! Zi�Co_d,�
f3vf� y1Gr VC �Qe
Contractor a CIA se No. Contractor' Ci S t62o of California License No. Ciassif lion:
Number of Squares:
Square Footage CO
Description of Work: 1 r ,�yr/UUwt-y7 Al ,b &",r F+n Cost f rk:so
Applicant's Signature
Date.
r
To Be Completed 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 documenis which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gee Tech/Soils Report(on call only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on a V,x 11)
❑ Foundation Plan ❑ Structural Calculations
❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for else.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan S Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate trofit'New Construction Alteration• Addition' Means/Methods
Work Type: Repair' El Re Revision to Existing PermiP 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 YES or NO Indicate allffG -tech.Haz.Zone
At Project Construction Sprinklered that a Istal Zone
PPalCompletion: C Of O e Zone
Type(s) d on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt City Project I Elec.Vehicle Charger Landmark Seismic Retrofit Special Case:Bldg.
OfnaalA royal
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safely Permit Specialist I Cily Planning Civil Engineering I EPWPA-Adni
I Transporlalion Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Z7o7Y 4-1) bV6-9 d,, . (2- gZsss
S w"' vr',�fil t-rl P-174? COW �1 .
LEDGER & TRACK city of Menifee
Building & Safety Dept.
1� FfIIIIRED _
ojVC Received
f-
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Sca
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CITY OF MENIFEE
.BUILDING AND SAFETY DEPA IMENT
PLAN APPROVAL
REVIEWED Bt?lh6o#
lbeke
'Approval of these plans shall not be construed to bapproval of,any violation of any provisions of the feregulations and ordinances. This set of approved pl
Art, Rive-2