PMT16-00853 City of Menifee Permit No.: PMT16-00853
29714 HAUN RD. Type: Residential Addition
<A-CCEL/ MENIFEE,CA 92586
MENIFEE Date Issued: 0 312 212 01 6
PERMIT
Site Address: 29897 WESTLINK DR, MENIFEE,CA Parcel Number: 340-110-014
92584 Construction Cost: $3,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 286 SF SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL
Work:
Owner Contractor
JORGE COLMENERO GUTTERS N COVERS CONSTRUCTION INC
29897 WESTLINK DRIVE 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 GQyt Amount IS1
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 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_Permil_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)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and O 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 Class�r License N . DNS :7_ By my signature below I acknowledge that,except for my personal residence
Expires 41 Z.DI Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit I cannot legallysell 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 fallowing declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-imsure for workers 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 issubmitted rat the following website:
by Section 3700 of the Labor Code,for the performance of work for which ,,,,,;_'a w-h I.
this permit is issued. �=�\F f
Pol�icy# PROPERTY OW AU HORIZED AGENT Date
G I have and will maintain workers compensation Insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which D 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 owners behalf.I have read this
number are: application and the information I have provided is correct I agree to comply
with all applicable city and county ordinances and state laws relating to
Cartier_St o err.La A 61 h Di building ruc. n.I uthorize representatives of this city or county to
Policy# SL,UI� t ,[,�Iboln Expires��Z3�1{,e enter[ ea ei nti d property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date 3 •ZZ-1.o
dollars($300)or less PROPERTY NER A RIZED AGENT
O I 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 CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers cempensation provisions of Section 3700 of the Labor
Code,I shall forthwith co ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant rQ Date 'S'Z.Z-- It, mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAIL E TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes .Cato
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 forguideli es
CONSTRUCTION LENDING AGENCY ❑Yes Zo
I 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?
(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
California
Contractor ha
s License Law for the reason(s)indicated below by the aTdealth&safety Code,Section 25505 and 25534 concerning
u zardous material re rtin .
checkmark(s)I have placed next to the applicable item(s)(section 7031.5 dyes O No
Business and Professions Code).Any city or county that requires a permit to Date •L2•I(o
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNS OR ORIZED AGENT
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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-certified 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( )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 Professlons
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 & SAFETY PERMIT/PLAN CHECK APPLICATION
I_
Menifee
DATE 03/22/2016 PERMIT/PLAN CHECK NUMBER `Q
TYPE: []COMMERCIAL ✓❑RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: [-]ADDITION [—]ALTERATION []DEMOLITION [—]ELECTRICAL [-]MECHANICAL
❑✓ NEW ❑PLUMBING FIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER,286 SQ.FT.,SOLID,ATTACHED,NO ELECTRICAL
PROJECTADDRESS 29897 WESTLINK DR.
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME UORGECOLMENERO City &SaietyDept.
ADDRESS 29897 WESTLINK DR.MENIFEE,CA.92584 MAR 2
PHONE (951)269-8398 EMAIL
APPLICANTNAME REBECCAHALL Receive
ADDRESS 19069 VAN BUREN BLVD.#114-247.RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ❑YES9N0
BUSINESS NAME GUTTERS N COVERS
ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACTOR'S STATE LIC NUMBER M962 LICENSE CLASSIFICATION B
VALUATION$ $3,500.00 SO FT 286 L SQ FT
APPLICANT'S SIGNATURE DATE I. ZZ.
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CRY OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP \�
INVOICE 11ww PAIDAMOUNT 1_GG „ O
AMOUNT � , �J � U15H OCHECK# CREDR CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECKR O CREDIT CARD VIBA/MC
OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
s '
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LEDGER & TRACK
I8 INSPECTION REQUIRE;
a
PI.Ils a"@94Ws for ly 01 01
pgrrit ii181t$-" Ud
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City of Menifee
Building & Safely Dept. L `
�\(w It MAR 2 2 2016 u J
Received
CITY OF MENIFEE 1
BUILDING AND SAFETY DEPARTMENT p�
PLAN APPROVAL
REVIEWED BY PATE
'Approval of these plans s a no e c d to be a permit for,or an
approval of,any violation of any provision of the federal,state or city
lations and ordinances. this set of a roved plans must be kept on the
Pmr-w pl
psite until completion.
JORGE COLMENERO ALUMINUM PATIO COVER
29897 WESTLINK DR. 286 SQ.FT. SOLID
M ENIFEE, CA 92584 NO ELECTRICAL
951-269-8398 VALUATION $3500
NOT TO SCALE