PMT16-00911 City of Menifee Permit No.: PMT16-00911
29714 HAUN RD. Type: Residential Addition
�A_CCELX.' MENIFEE, CA 92586
MENIFEE Date Issued:
03/29/2016
PERMIT
Site Address: 25301 JUNO ST, MENIFEE, CA 92586 Parcel Number: 339-361-020
Construction Cost: $2,700.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 13'x 18'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN& 1 LIGHT
Work:
Owner Contractor
TINA&DON MORENCY GUTTERS N COVERS CONSTRUCTION INC
25301 JUNO STREET 19069 VAN BUERN BOULEVARD#114
MENIFEE, CA 92586 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 Oft 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 1.0o
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 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_Perm1l 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 perjurythat 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 �� icense N /ysz/4 By my signature below I acknowledge that,except for my personal residence
Expires ` lzol(a Signature in which Imust 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 copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure 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 nf .a. ovcalaw.htmL
this permit is issued.
Policy# Date Z' 2
PROP Y NE R AUTHORIZED AGENT
Wr-h.ve and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below l certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information 1 have provided is correct.I agree to comply
CC�� � r with all applicable city and county ordinances and state laws relating to
Carrier Jf�L,.,fir., �'�o �, Q. ( building construction.I authorize representatives of this city or county to
Policy# IN1(..O Expires �z �J `(n eft rt eaho identified property for inspection purposes.
T
(This section need not to be completed is the permit is for one-hundred Date •Z�'• ((p
dollars($100)or less PROPE O UTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker'sWompensation provisions of Section 3700 of the Labor
Code,I shall mply with those provisions. 7 Will the applicant or future building occupant handle hazardous material or
3 Applicant Date 2S^Ite mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FALURIVSECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ANo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND OVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($1013,00D),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(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY O Yes 00
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 Y`LNo
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's License Law for the reason hazzardou
s)indicated below by the hazardous
Health al Safely Code,Section 25505 and 25534 concerning
u
hs material repo ng.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 r�Yes ❑No .
Business and Professions Code).Any city or county that requires a permit to Date 'z�.��n
construct,alter,improve,demolish or repair any structure,priorto its pROPERTV OWN R R THORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP1
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 licensum 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-certtfled 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
❑1,as ownerof the property,or my employee with wages as theirsole 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.epa.eovAead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractor's 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. o No EPA Lead-Safe Certified Firm is required for this project bemuse:
O I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.
& SAFETY PERMIT/PLAN CHECK APPLICATION
' 'Menifee
DATE 03/29/2016 PERMIT/PLAN CHECK NUMBER 1
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION [:]DEMOLITION ❑ELECTRICAL [-]MECHANICAL
❑✓ NEW ❑PLUMBING [:]RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER 234 SQ.FT. 1 FAN, 1 LIGHT
PROJECT ADDRESS 25301 JUNO ST.MENIFEE,CA 92586
q,�Q C�jzY gfAfetyMenifee
ASSESSOR'S PARCEL NUMBER J_7-1- 7j(91-0aO LOT ct,,;I�i15Yj'9 S
PROPERTY OWNER'S NAME TINA&DON MORENCY
ADDRESS 25301 JUNO ST.MENIFEE,CA 92586 PHONE (951)679-1835 EMAIL Received
APPLICANT NAME REBECCA HALL
ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME GUTTERS N COVERS CONSTRUCTION INC.
ADDRESS 19069 VAN BUREN BLVD.#114-247, RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACTOR'S STATE LIC NUMBER 945962 LICENSE CLASSIFICATION B
VALUATION$ $2,700.00 SO FT 234 L SO FT
APPLICANT'S SIGNATURE DATE 3 •Z0) - 16
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP
INVOICE 'A pgiD AMOUNT
AMOUNT -�S 00:11 . CASH CHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# :%CREDIT CARD 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 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
irwcqjA/
u� U
LEDGER & TRACK La
INSPECTION REQUIRED
City of Menifee
Building & Safety Dept
MAR 2 9 2016
Received
I �
I
�3 D CITY OF WNIFEE
- - - -�
Ig PLAN APPROVAL '
REVIEWED BY 31� I/lV
DATE
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
I regulations and ordinances, This set of approved plans must be kept on the
jobsite until completion.
TINA & DON MORENCY ALUMINUM PATIO COVER
25301 JUNO ST. 234 SQ.FT. SOLID
MENIFEE, CA92586 1 CEILING FAN
951-679-1835 1 LIGHT
NOT TO SCALE VALUATION $2700