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PMT14-02917 it :MENIFE:E nifee Permit No.: PMT14-02917 D. Type: Residential Addition 92586 Date Issued: 1 013112 01 4 s�meso�m�a PERMIT Parcel Number: 340-403-016 Site Address: 29860 ROCK ROSE CT, MENIFEE, CA 480.00 92584 Construction Cost: $1, Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 160 SQ FT ALUMAWOOD PATIO COVER WITH ELECTRICAL 1 FAN Work: Contractor Owner GUTTERS N COVERS CONSTRUCTION INC CESAR HERNANDEZ 19069 VAN BUERN BOULEVARD#114 29860 ROCK ROSE CT RIVERSIDE, CA 92508 MENIFEE, CA 92584 Phone: 9516728022 Applicant KRISTY HENDRICKSON License Number:945962 GUTTERS N COVERS CONSTRUCTION INC - 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Q Amount Fee Description ;,6,;; , 2 .a e 4t 1 27.00 Building Permit Issuance , 1.00 GREEN FEE $278.00 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and Ing operations being ied on er when in ordinance of from Menifee.tExceptlas otherwise stated,a perrmiitt for construction under which nowork ion of the ime ced within sng Cod,or of ix ordinance other months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. Page 1 of 1 irmit Template.rpt 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 Professions Code n.0 my license is in full force and effect. contractors to construct the project(Section 7044, Business and Professions License Class License No. ' Code:The Contractor's License Law does not apply to an owner of a property Expires C l ' Signature CGw` who builds or improves thereon, and who contracts for the projects with a R.�`tG licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION 1-1followin r empt 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I am9 a sonfrom licensure under the Contractors'State License Law for the I have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of work for which this By my signature below acknowledge that, except for my personal residence in permit is issued. which I must have resided for at least one year prior to completion of Policy# improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-building if it has not been constructed in its entirety by licensed contractors, I❑ I have and will maintain workers' compensation insurance, as required by Business and Professions Code,s that a pa a lab epy of euponl request when this appicable law, Section lication ation Is section 3ssu of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http�//www lealnfo ca gov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier "' /j/) Property0wnerorAuthorized Agent Expires —7 d Policy# c (�1 f®�� �7. Date Name of Agent Phone# ❑ 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 ❑ I certify that in the performance of the work for which this permit is issued,I construction. I authorize representatives of this city or county to enter the above- shall not employ any persons in any manner so as to become subject to the identified prop rt fort a inspection purposes. workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Property Owi;l r or Authorized Agent 1 Date Date; >/ Applicant; City Business License# WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND HAZARDOUS MATERIAL DECLARATION CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, WILL THE APPLICANT OR FUTURE BUILDING DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A ARDOUS CONSTRUCTION LENDING AGENCY /f O EQUALR TO ORTAINING GREATERHTHAN THE AMOUNITS I hereby affirm that under the penalty of perjury there is a construction lending SPECIFIED ON THE HAZARDOUS MATERIALS agency for the performance of the work whichINFORMATION GUIDE? this permit is issued (Section 3097 Civil Code) Lender's Name WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICQ UIRE Lender's Address ATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT OWNER BUILDER DECLARATIONSNO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAMES License Law for the reason(s)indicated below by the checkmark(s)I have placed next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A DYES Any city or county that requires a permit to construct, alter, improve, demolish, NO WILL THE PROPOSED BUILDING OR MODIFIED FACILITY or repair any structure, prior to its issuance, also requires the applicant for the ,< SCHOOL? permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensors and the basis for the alleged exemption. Any OYES INFORMATION GUIDE AND THE SCAQMD PERMITTING violation of Section7031.5 by any Applicant fora permit subjects the applicant to CHECKLIST. I UNDERSTAND MY REQUIREMENTS a civil penalty of not more than ($500).) UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY ❑ I, as owner of the properly, or my employees with wages as their sole CODE SECTION 25505 25533 AND 25534 CONCERNING compensation, will do ( )all of orwork, HAZAdDOUS MATERIAL IEPORI'ING. and the structure is not intended or offered for sale.(Section 7044 Business and Professions Code; PROPERT WNNE55pp The Contractor's State License Law does not apply to an owner of a property ,Cy//O UT ORIZED GENT /�L.Y✓/ who, through employees' or personal effort, builds or improves the property, x / provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCKNo: Permit No: 29714 Haun Road I, Date; Date: Menifee, CA 92586 Ib --bill Phone: (951)672-6777 Amount: Amounn �� Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit Isl To Be Completed By Applicant Legal Description: 1 Planning Case: F: L: Rt: R Property Addre� 4 ' /�flL.- Assessor's Parcel Number. ��O' 2 L40 Qk ProjecUFenant e: K n Z Unit#: Floor#?' Name: c � Owner P N unit Number Property gtldress J 'J (, "�CT� Q ' Zip Cod Email A dress: Name: Phone No. Fax No. Applicant Address: Unit Number Zip Code Email Address: Name: Contractor Address: kid * 10 City & Sta Zip rNoontractor s Ity B n � e - Contractor's C' t�t ( ifo License No. Classification: Number of Squares: ) Square Footage Description of Work: j '^)�r M i Cost of Work:$ Applicant's Signature Date: o e Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully tlimens'..oned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on ad only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 v,x 11) ❑ Foundation Plan El Structural Calculations ❑ Cross Section ❑ Plumbing Plan El Single Line diagram for also services over 400 AMP ❑ Floor Plan El Structural Framing Plan 8 DetaVs ❑ Shorin Plan g ❑ Sound Report-Residential Class Code: Indicate New Constmction Alteration' Addition` Means/Methods Work Type: Repair' Retrofit` Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: It Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate ii YES or NO Indicate all Geo-tech. Haz Zone At Project Construction Sprinklered that apply: Coastal Zone Completion: 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 Elea Vehicle Charger Landmark Seismic Retrofit special case:Bldg. OlfiaalA .oval Expedite Project( City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safely Permit Specialist I City Planning I Civil Engineering EPWM-Armin Transportation Mgmt. I Roof Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY rn v < a m Z ® O - 2LD Z rn 0 J ^ N o r D m o a v _ Z 91 arn a o c in y Asa a N a � o kn 34. rn day � N � d � B � m x o o p -? m � � � Z tq � ` et © m ° y 3 I © c s r ca z c D m