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PMT16-00971 City of Menifee Permit No.: PMT16-00971 29714 HAUN RD. Type: Residential Addition �!- ccEL/? MENIFEE,CA 92586 MENIFEE Date Issued: 04/01/2016 PERMIT Site Address: 30651 CARRIAGE HILL DR, MENIFEE, Parcel Number: 364-290-043 CA 92584 Construction Cost: $4.500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'x 41'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,3 LIGHTS Work: Owner Contractor DAVID TIET GUTTERS N COVERS CONSTRUCTION INC 30651 CARRIAGE HILL DRIVE 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92584 RIVERSIDE, CA 92508 Applicant Phone:9516728022 SEAN DARE License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Fee Description OQt t Amount($) Receptacle, Switch, Outlet&Fixture 5 136.00 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 $304.65 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_Permit_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 ❑I am exempt from[!censure under the Contractor's State License Law for Professions Code and my license is in full force and effect. / the following reason: License Class \� License No. By my signature below I acknowledge that,except for my personal residence Expires.-i q l/((, Signature S=_::�- in which I most 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 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 www.leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date 16 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,forthe performance of the work forwhich JVBy my signature below I 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 I have provided is correct.I agree to comply Carrier cu t��\-'VA G 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#'-kd-1 OT-I CYJ(O Expires � z 31 enter the above Identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred " ,\ Date dollars($300)or less PRO NER O AUTHORIZED AGENT 0 1 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# worker's 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 comply with Choose provisions. Will the applicant or future building occupant handle hazardous material or Applicant ���/"� Date /AtOft kil' mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑yes YJo 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 forguidelines CONSTRUCTION LENDING AGENCY ❑Yes 'rNo 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) 0 Yes Npo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous mated reporting. s ❑No Business and Professions Code).Any city or county that requires a permit to Date (f 0 construct,alter,Improve,demolish or repair any structure,priorto its PROPERTY O OR AUTHORIZED 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(RRP) 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 exemptfrom 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 ❑1,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.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. ❑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 70440 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 42'• BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Y'_': Ali 'Menifee DATE 04/01/2016 PERMIT/PLAN CHECK NUMBER TYPE: []COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION []ELECTRICAL ❑MECHANICAL ❑✓ NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID,492 SQ.FT.W/2 CEILING FANS&3 CEILING LIGHTS PROJECTADDRESS 30651 CARRIAGE HILL DR.MENIFEE,CA 92584 ASSESSOR'S PARCEL NUMBER 'bLA- .no - n!A.� LOT TRACT PROPERTY OWNER'S NAME DAVID TIET Building & Safety Dept. ADDRESS 30651 CARRIAGE HILL DR. MENIFEE,CA 92584 APR 0 1 PHONE (619)325-9644 EMAIL APPLICANT NAME REBECCA HALL Received 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$ $4,500.00 SO FT 492 L SQ FT APPLICANT'S SIGNATURE DATE U _.._ TFV CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAID AMOUNT 1 .. AMOUNT UOCASH OCHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I 0CASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES <, NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, C4 92586 951-672-6777 www.citycfinenifee.us Inspection Request Line 951-246-6213 6- 1 /0 au` ,' 2' © 0 LEDGER & Ft"A-G % INSPECTION REQUIRED City of Menifee Building & Safety Dept. _m APR 01 2016 CITY OF MENIF E i jj C01V0d BUILDING AND AFETY DEPARTMENT PLAN APPROV I REVIEWED BY €( DATE i `Approval of these plans shall n t be construed to be a permit for,or an j approval of,any violation of an provisions of the federal,state or city ' regulations and ordinances. Th set of approved plans must be kept on e jobsite until completion. © fGH7 = � R &AIQ6—FAQ � DAVID TIET ALUMINUM PATIO COVER 30651 CARRIAGE HILL DR. -�f 492 SQ.FT. SOLID MENIFEE, CA92584 2 CEILING FANS 619-325-9644 3 CEILING LIGHTS VALUATION $4500 NOT TO SCALE