PMT16-00501 City of Menifee Permit No.: PMT16-00501
29714 HAUN RD. Type: Residential Addition
�AACCELA> MENIFEE, CA 92586
MENIFEE Date Issued:
02/29/2016
PERMIT
Site Address: 29283 BOURIS DR, MENIFEE, CA 92584 Parcel Number: 364-340-031
Construction Cost: $4,700.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTAL 408 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS
Work:
Owner Contractor
RANDY&LISA DELEON GUTTERS N COVERS CONSTRUCTION INC
29283 BOURIS DR 19069 VAN BUERN BOULEVARD#114
MENIFEE,CA 92584 RIVERSIDE,CA 92508
Applicant Phone:9516728022
REBECCA HALL License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE,CA 92508
Fee Description gly Amount f91
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
General Plan Maintenance Fee-Electrical 1 6.05
$295.70
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_Bidg_Permil_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'Stale License Law for if
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
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
Professions Code an y license is in full force and effect. which I must have resided for at least one year prior to completion
License Class ft Lice 1lUo. � � Z. improvements covered by this permit,I cannot legally sell a structure that I hat
Expires ` 1 Zo Ito Signature I// built as an owner-building if it has not been constructed in its entirely by license
contractors. I understand that a copy of the applicable law. Section 7044 of 0
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one of the fallowing declarations: htt r.le ' fo. ov/calaw.html.
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 2-7-1-t(o
Section 3700 of the Labor Code, for the performance of work for which this t
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the proper
JAI have,and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read th
section 370D 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 comp
permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildin
construction.I auth prize representatives of this city or county to enter the above
Carder So,N44 j-nnti.Q- identifie he-inspection purposes.
Policy# 5LSJC. fQFrlotp(e Expires 71131 /fa Date -1- 2-6-lb
Properly dl Authorized Agent
(This section need not be completed if the permit Is for
one-hundred dollars($100)or less) City Business License# /
❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emo1DV any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or e
workers'compensation laws of California, and agree that if I should became 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 f ith omply with those provisions. DYES+O
Applicant; Date; 2-2'`7-- t(n 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(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YES,-NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed 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 ❑YESr)�'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 material reporting.
OWNER BUILDER DECLARATIONS L -,' El NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's �� Date 2--2q-I&
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY NER 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 Iicensure 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
❑ 1, 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 will 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 properly 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
Iirpnead mnfmrtnrtO numi rant in the r.nntmrtnre Cfnta I ironed I awl If vour nmiect does not comniv with EPA RRP rule nleasa fill rod the RRP
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4?-
�11Meniee DATE PERMIT/PLAN CHECK NUM nTBER r 1 I0-OII�J/��
I
TYPE: ❑COMMERCIAL jo RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL
NEW ❑PLUMBING [-I RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK A1UM\1\01fy\ CC-JJ 0
� C
PROJECTADDRESS G -17Z
ASSESSOR'S PARCEL NUMBER LOT ("J 1 TRACT
OWNER NAME r•
ADDRESS Z -
PHONE EMAIL
APPLICANT NAME L c ti ti
ADDRESS
C14 ZSUB
PHONE !Sj (D- Z- 'aoZ Z EMAIL
CONTRACTOWSNAME ;V%
OWNERBUILDER7 ❑YES❑NO
BUSINESS NAME 1
ADDRESS(yVA QC1A &Veeo �AA -Z lZ` k C Z9/�j
PHONE 1 S� 1P Z- O OZ-C_ [J �jEMAIL
(y
CONTRACTOR'S STATE LIC NUMBER -1 S- (6L LICENSE CLASSIFICATION
VALUATION$ N�Ob SQ FT '-/0e, L SQ FT
APPLICANT'S SIGNATURE DATE 1-76-1G
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION SMIP 100
CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I
INVOICE PAID AMOUNT
AMOUNT g5• I I OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
t�t
9s� e f
LEDGER & TRACK of menifee
INSPECTION REQIJQ i g & Safety Dept.
FEB 2 9 2016
Received
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED BMn
DATE Q
'Approval of these plans shall not be construed to be a permit r,or an A (1
approval of,any violation of any provisions of the federal,state r city
regulations and ordinances. This set of approved plans must bE kept on thee
jobsite until completion. ^n\
RANDY & LISA DELEON ALUMINUM PATIO COVER
29283 BOURIS DR N 408 SQ.FT. SOLID
MENIFEE, CA92584 2 CEILING FANS
760-373-0382 VALUATION $3600