PMT15-01931 City of Menifee Permit No.: PMT15-01931
29714 HAUN RD.
/ MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 0 710 8/2 01 5
PERMIT
Site Address: 29848 PEACOCK MOUNTAIN DR, Parcel Number: 340-402-003
MENIFEE, CA 92584 Construction Cost: $1,978.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 12'x 18' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
ERIC GONZALEZ GUTTERS N COVERS CONSTRUCTION INC
29848 PEACOCK MOUNTAIN DRIVE 19069 VAN BUERN BOULEVARD#114
MENIFEE, CA 92584 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 Oft Amount
e e
� S.MM ?
Building Permit Issuance 1 27.00
t. ec Qb fo rion;s d etl ` B j°rv110M
GREEN FEE 1 1.00
$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 building 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 underwhich 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_Permil_Templatespt 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 Class_4�> License No. O foZ who builds or improves thereon, and who contracts for the projects with a
Expires-I/y 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
$$ I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
srection 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http'//www leginfo ca dov/calaw html.
permit is issued.My worker's'(compensation insurance carrier and policy number are:
Carrier��%CV`r�I i2U Nt'G�"c).n S� o d7(/ Property Owner or Authorized Agent Date
Expires ' )l Policy# u 'IJ77
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
(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-
0 1 certify that in the performance of the work for which this permit is issued, I identified ro arty fort 'asp n 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 U C
subject to the workers'compensation provisions of Section 3700 of the Labor property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provis
T City Business License#
Date; J�- � 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 OR A
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
GUIDE LINES
OWNER BUILDER DECLARATIONS
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 []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, )DNO 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 OES 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($500).) CODE, SECTION 25505 25533,AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL itEPORTING.
compensation,will do( )all of or( )porting of the work, and the structure is PROPERTY NER ORA IZEDAGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or Improved for the
purpose of sale).
Sfcu l L+v1 na+UDfta
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• SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER - Q
TYP : ":"'COMMERCIAL O RESIDENTIAL O MULTI-FAMILY MOBILE HOME C> POOL/SPA "SIGN
SUBTYPE: i:?ADDITION Ci ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL City p
Building Menifee
C% NEW C PLUMBING ' IO RE-ROOF-NUMBER OF SQUARES �}/- 'n 9 & Safety Dept.
DESCRIPTION OF WORK IOW -Cover • I r ' 8 2015
PROJECTADDRESS C )nUjrrBj0 � ived
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNERNAME 1 Z
ADDRESS I %�� L,
ff
PHONE ��I —q�3� Vj"R J EMAIL
APPLICANT NAME SfanrV
ADDRESS jqDJOCI 1bffjfh r - v .IA Z�S
PHONE 051—LoQg- 'SoD. EMAIL
CONTRACTOR'S NAME OWNER BUILDER? OYES NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER gy5gQg— LICENSE CLASSIFICATION
VALUATION$ f q o s SO,FT L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 1
INVOICE PAID AMOUNT
AMOUNT I % CASH 'a CHECKN '...`CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT :) CASH ':::'CHECK p ':>CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED %YES +:) NO DL NUMBER NOTARIZED LETTER '01 YES `' NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-677 7
www.cnyofinenifee.us Inspection Request Line 951-246-6213
G LEDGER & TRACK _ N
MPECTIQN REQUIRED .
of Menifee
Building City
& Safety Dept.
JUL 082015
Receiv
0
0
CITY OF MENIFEE
UILDING AND SAFETY DEPA TMENT U[q
. ROYAL Ll—
REVIEWED BY t j�'
DATE
'Approval of these plans shall not be construed to b a permit for,or an
approval of,any violation of any provisions of the fe eral,state or city
regulations and ordinances, This set of approved pl s must be kept on the {R�
jobsite until completion.
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100 � �