Loading...
PMT15-00874 I City of Menifee Permit No.: PMT15-00874 29714 HAUN RD./ MENIFEE, CA Type: Residential Addition . MENIFEE Date Issued: 04/08/2015 PERMIT Site Address: 29375 CASTAWAY CT, MENIFEE, CA Parcel Number: 333-393-005 92585 Construction Cost: $4,243.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 338' SOLID INSULATED ALUMAWOOD PATIO COVER WITH ELECTRICAL 2 FANS, 3 Work: POSTLIGHTS Owner Contractor JANET&DARREN DICKEY GUTTERS N COVERS CONSTRUCTION INC 29375 CASTAWAY CT' 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92585 RIVERSIDE, CA 92508 Applicant Phone: 9516728022 SEAN DARE License Number: 945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Fee Description ON Amount f$1 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $298.00 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_Templale.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 force and effect. Code:The Contractor's License Law does not apply to an owner of a property License C'''l��Ias��1s��—V-,> _License No. _ who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 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. 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 efp I 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'//www.leainfo.ca.gov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier_Q Property Owner or Authorized Agent Date Expires of 1U� 1 Policy# q�/��u 6��� 1� DL & Phone# I�V a -�7G� ❑ By my Signature below, certify to each of the following: am the property Name of Agent 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 construction. I authorize representatives of this city or county to enter the above- ❑ I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not emolov any persons in any manner so as to become subject to the y� J workers' compensation laws of California, and agree that if I should become �—� to hlF 1-26, subject to the workers'compensation provisions of Section 3700 of the Labor Properly Oworized A ent Date Code,I shall forthwith comply with those provisions. City Business License# Date; i?- 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, AYES 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 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ,[p 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 AYES 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, '[p 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 jpYES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL�EPOR'f ING. compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERT NER ORA THOR18 AGENT not intended or offered for sale.(Section 7044, Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, _ -`- provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF M L ®I EE PLCKNo: 29714 Haun Road Date: Date: Menifee, CA 92586 4 �S Phone: (951)672-6777 Amount: Amount: 8,p Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit 3 TYL To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R: Prors� Assessor's Parcel Number: 3 Z, - 2CI� .Off PrjecVTenanllt/Name- _ Unit#: 'l J Floor#: hEmail : a No ` Fax No. PropertyaLs, Unit Number Zip Code Owner lJ Address: Name: o e_ �r Fax No. Applicant Addre Claireji I Ju Unit Number Zip Cod q Email Address: h Name: 6 Contractor Ad r s:c f City I St ZipC van o tractor 0:0r3f5M No. Contractor's City a f lifo is License No. Classification: Number of Squares: Square Footage Description of Work: V i 1 j' �„ CJNS Cost of Wofk:$ Applicants Signature / Date: ` > Tp Be.Completed By.City Staff Only", Indicate As R-Received or N/A-Nat 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 1 Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 81/:x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for else.services aver 400 AMP ❑ Floor Plan ❑ SWctural Framing Plan&Detaits ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate I I New Construction Alteration' Addition* MeanslMethods Work Type: I Repair' Retrofit' Revision to Existing PermiC 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 all Geo-tech. Haz.Zone y At Project Construction Sprinkiered that apply: Coastal Zone Completion: Type(s): C Of O Noise Zone lRequired? YES or NOListed 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 Special Case:Bldg. Ofndal Apt.oval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permit Specialist City Planning I Civil Engineering EPWM-Admin Transportation Mgmt. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY cl� ,t �� d VA rn C o' it r. T C7 -G p � > > Z T 6 ` rn 25.. ErW Q n z < pma N I r D m I N v rn v � i3, � CD a 3 CD o W K m C1 c m o p om � � mm C- CD M m � m � yh � y 0 PM C7q C