PMT16-01292 City of Menifee Permit No.: PMT16-01292
29714 HAUN RD. Type: Residential Addition
S�CCEL/? MENIFEE, CA 92586
MENIFEE Date Issued: 0 412 512 01 6
PERMIT
Site Address: 29642 NORTHSHORE ST, MENIFEE, CA Parcel Number: 340-490-033
92584 Construction Cost: $4,200.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 400 SQ FT ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS, 5 LIGHTS
Work:
Owner Contractor
JOEL JOHNSON GUTTERS N COVERS CONSTRUCTION INC
29642 NORTHSHORE ST 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 gtv Amount l$1
Receptacle, Switch, Outlet&Fixture 7 146.00
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 7.30
$321.95
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 building 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 Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for ti
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 a y license is in full force and effect. which I must have resided for at least one year prior to completion
License Class Lice a improvements covered by this permit, I cannot legally sell a structure that I ha%
Expires `4/Zo Ito Signature built as an owner-building if it has not been constructed in its entirety,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 following declarations: htt •Avwt .. i fo. o calaw.html.
I 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 `Z-Zi-r(o
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: 1 am the proper
)�Y[ have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behalf. I have read th
section 3700 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 buildir
,, construction.I auth rize representatives of this city or county to enter the above
Carrier &&o r`,L,7 ✓lu 61--p— identir a he-iaspection purposes.
Policy# 5L X (❑SC(At)(o Expires '712 3 I hb Date Z- 2rq-16
Property errorAuthorizedAgent ` �J
(This section need not be completed if the permit is for City Business License# �j�
one-hundred dollars($100)or less)
❑ I certify that in the performance of the work for which this permit is issued,I
HAZARDOUS MATERIAL DECLARATION
shall not employ 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 become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts pecIII don the Hazardous Materials Information Guide?
Code,I shall f h "th omply with those provisions. DYES.1 NO
Applicant; Date; 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 forguideli as
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YESNO
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 oute
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YESry '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 ,DYES ❑❑-N1O
I hereby affirm under penalty of perjury that I am exempt from the Contractor's / Date
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 IRRP1
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 licensure 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:
❑ wvvw.epa.gov/lead 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 Fro Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
F'
& SAFETY PERMIT/PLAN CHECK APPLICATION
L5
��""'Menifein
DATE 04/25/2016 PERMIT/PLAN CHECK NUMBER 1� �r/"1
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME POOL/SPA []SIGN
SUBTYPE: []ADDITION ALTERATION []DEMOLITION []ELECTRICAL []MECHANICAL
❑✓ NEW []PLUMBING [_]RE-ROOF-N UMBER OF SQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID,400 SQ.FT.WI FANS AND 5 LIGHTS
PROJECTADDRESS 29642 NORTHSHORE ST.MENIFFEE,,,CAA 92584
ASSESSOR'S PARCEL NUMBER 5{O,LVgo -10y55% LOT Q TRACT 9% 2`Y7
PROPERTY OWNER'S NAME JOEL JOHNSON
ADDRESS 29642 NORTHSHORE ST.MENIFEE,CA 92584
PHONE (619)333-9173 EMAIL
APPLICANT NAME SEAN DARE
ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACTOR'S NAME SEANDARE OWNERBUILDER? []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 $ $4,200.00 SQ FT 400 L SQ FT
APPLICANT'S SIGNATURE , DATE
DEPARTMENT DISTRIBUTION too
OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREENtA" SMIP
INVOICE G�
AMOUNT �� 1 PAID AMOUNTi CASH =CHECK# '-CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0 CASH G CHECK# --CREDiTCARD VISA/MC
OWNER BUILDERVERIFIED '='YES 0 NO DL NUMBER NOTARIZED LETTER C YES 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
City of Menifee DGER & TRACK
Building & Safety Dept. INSPECTION REQUIRED
APR
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CITY OF MENIFEE
BUILDING AND SAFETY EPARTMENT
PLAN APPROVAL 1(0
P,LVIEWED BY DATE
�pNarwal of these plans shall no,he c nstrued to be a permit for,or an �
a, •.:n :ai a,an; iol :ion of any prow ions of the federal,state or city
re,• •Mons and ordinances. This set i approved plans must be kept on the
jouv:e unni ron: ietron.
3= OSTLI& -T
= C£tLlrJGk`�-AtJ
= Utu06r LC-HT 71 IUEvJi��
JOEL JOHNSON ALUMINUM PATIO COVER
29642 NORTHSHORE ST. 400 SQ.FT. SOLID
M ENIFEE, CA 92584 2 CEILING FANS/ 2 LIGHTS
619-333-9173 3 POST LIGHTS / 2 SWITCHES
VALUATION $4200
NOT TO SCALE
City of Menifee PMT16-00326
2/25/16
[DO NOT PAY— THIS IS NOT AN INVOICE]
VALUATION AND PLAN CHECK FEE
JURISDICTION: City of Menifee PLAN CHECK NO.: PMT16-00326
PREPARED BY: Doug Moody DATE: 2/25/16
BUILDING ADDRESS: 30043 Haun Rd Suite 103B
BUILDING OCCUPANCY: B
BUILDING AREA Valuation Reg. VALUE ($)
PORTION ( Sq. Ft.) Multiplier Mod.
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code mnf
Bldg.Permit Fee by Ordinance W $2,566.37
Plan Check Fee by Ordinance W] $1,668.14
Type of Review: ❑� Complete Review ❑ tructural Only
❑ Repetitive Fee ❑-- _ther
-rcepears ❑ sourly Hr. @
Fee $1,084.29
Comments: Permit Fee $892.37+ Fixture Fee $1674 = $2566.37 x 65%= Plan Check Fee $1668.14 x
65% = Esgil Fee $1084.29 Sheet 1 of 1
macvalue.doc+
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City of Menifee PMT16-00326
2/25/16
APPENDIX
CITY OF MENIFEE D
BUILDING &SAFETY FEE SCHEDULE
MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES
OTY TOTAL
ELECTRICAL
PERMITS
Residential Appliance, up to 1 HP 0 0
Non-Residential Appliances, up to 1 HP 3 348
Power Apparatus(less than 100 HP, KW, KVA,or KVAR) 0 0
Power Apparatus(100+ HP, KW, KVA,or KVAR) 0 0
Solar, Residential or Small Commercial 0 0
Temporary Power Pole 0 0
Services, Switchboards, Control Centers& Panels(up to 400 amps)
SFR 0 0
Non-SFR 1 183
Services,Switchboards, Control Centers& Panels(400+amps) 0 0
Receptacle,Switch,Outlet& Fixture (first one) 1 116
Receptacle,Switch, Outlet& Fixture (ea additional) 89 445
Pole or Platform Mounted Fixtures(first one) 0 0
Pole or Platform Mounted Fixtures(ea additional) 0 0
Swimming Pool/In-Ground Spa 0 0
Meter Reset 0 0
Misc. Permit, Flat Fee, or Hourly as determined by staff 0 0
Inspections not specified (Hourly Rate)
Reinspections (Hourly Rate)
After Hours Inspection (4 hour minimum,OT Hourly Rate)
OVERTIME HOURLY RATE IS 120%OF THE REGULAR HOURLY RATE
PLUMBING PERMITS
Plumbing Fixtures and Vents,fixtures 1-3 (total cost) 3 348
Plumbing Fixtures and Vents(ea additional) 7 35
Grease Interceptor 0 0
Gas System 1 116
Piping/Repiping
Single Family Residential 0 0
Multi Family Residential (first dwelling unit) 0 0
Multi Family Residential (ea additional unit) 0 0
Water Heater 1 83
Solar Water Heating System 0 0
Sewer 0 0
Misc. Permit, Flat Fee, or Hourly as determined by staff 0 0
City of Menifee PMT16-00326
2/25/16
Inspections not specified (Hourly Rate)
Reinspections (Hourly Rate)
After Hours Inspection (4 hour minimum, OT Hourly Rate)
OVERTIME HOURLY RATE IS 120%OF THE REGULAR HOURLY RATE
APPENDIX
CITY OF MENIFEE D
BUILDING &SAFETY FEE SCHEDULE
MECHANICAL, ELECTRICAL& PLUMBING PERMIT FEES
CITY TOTAL
MECHANICAL
PERMITS
Forced-Air or Gravity-Type Furnace or Burner 0 0
Suspended/Recessed Wall/Floor Mounted Heater 0 0
Air Handling/Condensing Units
SFR 0 0
Non-SFR 0 0
Hood Served by Mechanical Exhaust 0 0
Boilers,Compressors, and Absorption Systems 0 0
Misc. Permit, Flat Fee, or Hourly as determined by staff 0 0
Inspections not specified (Hourly Rate)
Reinspections (Hourly Rate)
After Hours Inspection (4 hour minimum, OT Hourly Rate)