The URL can be used to link to this page

PMT16-00343 City of Menifee Permit No.: PMT16-00343 29714 HAUN RD. Type: Residential Addition <ACCELX. MENIFEE,CA 92586 MENIFEE Date Issued: 02/10/2016 PERMIT Site Address: 28823 FIRST STAR CT, MENIFEE, CA Parcel Number: 364-220-009 92584 Construction Cost: $2,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID 310 SO FT ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS Work: Owner Contractor ROBIN JONES GUTTERS N COVERS CONSTRUCTION INC 28823 FIRST STAR CT 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 QQt Amount ISl Receptacle,Switch,Outlet&Fixture 2 121.00 Building Permit Issuance 1 27.00 Deck/Patio,non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $289.65 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 othenvise 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 ❑ lam exempt from licensure under the Contractors'State License Law for thE fallowing reason: I hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence it Professions Cade an license is in full force and effect. which 1 must have resided for at least one year prior to completion of ny License Class License No. improvements covered by this permit, I cannot legally sell a structure that I have Expires Signature built as an owner-building if it has not been constructed in its entirety by Ilcensec contractors. I understand that a copy of the applicable law,Section 7044 of thE WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application N submitted or at the following Web site: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: http:/Iwww.leainto.ca.aov/calaw.html. 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 Date Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. Property Owner or Authorized Agent Policy# �P By my Signature below, I certify to each of the following: I am the propertt I have and will maintain workers' compensation insurance, as required by Towner or authorized to act on the property owner's behalf. I have read thiE section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to compll permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildinc I construction.I authorize representatives of this city or county to enter the above. Carrier S2c-tcr-k� �v� identifie party for the iryspe`tion purposes. Policy#S4(_lio ma Expires LJ LIJ16 2 � / ) Date Zn2�% ZCO Flops ner or Authorized Agent (This section need not be completed if the permit is for one-hundred dollars($100)or less) City Business License# HAZARDOUS MATERIAL DECLARATION ❑ 1 certify that in the performance of the work for which this permit is issued,I shall not employ any persons in any manner so as to become subject to the Nil the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. y� / � DYES `)�NO Applicant; ate; [U SC/ Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAOMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the posed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES f NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous mat a repc)rti OWNER BUILDER DECLARATIONS ACdYES O I hereby affirm under penalty of perjury that I am exempt from the Contractor's T Date l License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OVIINER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, Improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more Information about EPA's Renovation Program visit: www.epa.govAead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation, will do( )all of or( ) porting of the work, and the structure is 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 ❑An EPA Lead-Safe Certified Renovator w111 be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not intended or offered for sale.If,however, Certified Firm Name: 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 Firm Certification No.: purpose of sale). ❑ 1, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Finn is required for this project because: contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION _ F Menifee Z DATE PERMIT/PLAN CHECK NUMBER ((JV fit' TYPE: [:]COMMERCIAL &ESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION [—]ALTERATION [:]DEMOLITION ❑ELECTRICAL [-]MECHANICAL fGNEW [:]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES /\ ( �J DESCRIPTION OF WORK ii !I - PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME G ADDRESS Gt, CA p PHONE EMAIL APPLICANT NAME ADDRESS \qUr' ,Q- ,\ I(l v PHONE �� ULJ�� EMAIL CONTRACTOR'S NAME StIeQ(-�- �('Q— OWNERBUILDER? ❑YES O BUSINESS NAME ADDRESS \qUnC� rA I('Q.(\ ZI'J L,J�-LJ PHONE �� 2 ?�GZZ _ p� f EMAIL I'-7 CONTRACTOR'S STATE LIC NUMBER -S�((} l !!\\ LICENSE CLASSIFICATION E VALUATION$ ZSO U SQ FT /V L SQ FT APPLICANT'S SIGNATURE C-� DATE DEPARTMENT DISTRIBUTION _ I CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE PAID AMOUNT AMOUNT OCASH OCHECK# OCREDfT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 C C7 N aO� N W � w n LEDGER & TRACK A1°',",PECTION REQUIRED City of Menifee Building & Safety Dept. FEB 10 2016 Received J-1 Y OF f0.FNIFEE ":,.LLAN6 AND SA ETY DEPARTMENT ""'_1N APPROVAL R cVIEWED BY �aI10I((0 DATE 'Qooroval of these PlanASO,, I not be construed to be a permit for,or an i,C. nv:d of,any violaticeons of the federal,state or city reps:iations and ordinances. This set of approved plans must be kept on the joosite until completion. t ' L Q _ M J 3s, 1 r