The URL can be used to link to this page

PMT16-00379 City of Menifee Permit No.: PMT16-00379 29714 HAUN RD. Type: Residential Addition -CA -> MENIFEE, CA92586 `"' 1"A" MENIFEE Date Issued: 02/12/2016 PERMIT Site Address: 29411 DESERT TERRACE DR, MENIFEE, Parcel Number: 340-170-014 CA 925B4 Construction Cost: $2,020.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 240 SQ FT SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor ROBBY SCOTT GUTTERS N COVERS CONSTRUCTION INC 29411 DESERT TERRACE DR 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 O_yt Amount IS) 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 $168.65 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of enors 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_B1dg_Pemoit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. (� the following reason: License Gass 3 Licens o. 99596 L By my signature below I acknowledge that,except for my personal residence Expires _Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self4mure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,For the performance of work for which www.IeRinfo.ca.Rov/caIaw.htmL permit is issued. Policy# Date ❑I have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,forthe performance of the workfor which ❑By my signature below I certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: 1 ' 1 I application and the information I have provided is correct I agree to comply Carrier ' CFI's N cx NNo l with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# �(.IIi1(11 Expires Za enter the above identified property for inspection purposes. '7 (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less p OWNE OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith corn ith those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant - Date 1? � mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNINCOUNiA0 SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes �INo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes Ir0 1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? �q (Section 3097 Civil Code) ❑Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the reason(s)indicated below by the hazardous Health al Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Ch�azardous material reporti Business and Professions Code).Any city or county that requires a permit to }'yes O No L� construct,alter,improve,demolish or repair any structure,priorto its L Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNFRD AUIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certired firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( I portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800.424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING i SAFETY PERMIT/PLAN CHECK APPLICATION hI Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION []ELECTRICAL El MECHANICAL ff?NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES - DESCRIPTION u'RIIPTION OF WORK S \� l._' �.Y C Q l I ' PROJECTADDRESS Z.0 ASSESSOR'S PARCEL NUMBER 15LIC 1-10-01q LOT TRACT a5a�1- OWNERNAME o. ADDRESS 2 �(- PHONE —3�2 - 7 EMAIL APPLICANT NAME ADDRESS MCD Q/\ PHONE �I��Z U )U- EMAIL CONTRACTOR'S NAME Sea(' �('e-- OWNERBUILDER? ❑YES O BUSINESS NAME ADDRESS C C J\�7 L�V ZO-9 9 PHONE J\ �� ( _ EMAIL CONTRACTOR'S STATE LIC NUMBER 0459(1 LICENSE CLASSIFICATION VALUATION$ SO. L SO FT APPLICANT'S SIGNATURE DATE l2 ,sa)/� s DEPARTMENT DISTRIBUTION I CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN t SMIP INVOICE PAID AMOUNT l� CLASH OCHECKB OCREDIT CARD VISA/MC AMOUNT ' PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKB OCREDITCARD VISA/MC OWNER BUILDER VERIFIED C YES 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.Cityo(menifee.us Inspection Request Line 951-246-6213 City of Menifee (��7 Suilcling & Safety Dept. FEB 12 2016 -j -0 cF � j iieceived LEDGER & TRACK INSPECTION REQUIRED ITY OF MENIFEE UILDING AND SAFETY DEPARTMENT LAN APPROVAL HUUS('l EVIEWED Bj bP DATE Approval of these plans shall not be construed to be a permit for,or an pproval of,any violation of any provisions of the federal,state or city egulations and ordinances. This set of approved plans must he kept on the obsite until completion. V I 15 I I I ip I _ I r