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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