PMT16-01324 City of Menifee Permit No.: PMT16-01324
29714 HAUN RD.
<A_CCii MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 04/27/2016
PERMIT
Site Address: 29388 BOURIS DR,MENIFEE, CA 92584 Parcel Number: 364-310-062
Construction Cost $2.900.00
Existing use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 10'x 28'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,2 LIGHTS, 1 SWITCH
Work:
Owner Contractor
ROBERT CABAL GUTTERS N COVERS CONSTRUCTION INC
29388 BOURIS 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 Descrlotion Q1t V Amount ISl
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_Bidg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
1 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 litensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. � the following reason:
License Class i-Z License No. CO By my signature below I acknowledge that,except for my personal residence
Expires S111irAG Signature In which I must 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 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-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
this permit is issued. www.leainfo.ca.eov/calaw.htmL
Policy# Date
❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By 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
Car �^� � � with all applicable city and county ordinances and state laws relating to
Policy 1Wrp`(�) building construction.I authorize representatives of this city or county to
Policy# \IUVJ Expires C.iJ enter ve identified prop r inspection purposes.
(This section need not to be completed is the permit is or one-hundred Z 1"Date
dollars($100)or less
PROPE R OR AUTHORIZED AGENT
❑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#
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 those provisions. / Will the applicant orfutum building occupant handle hazardous material or a
Applicant Date 2 l mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAIL CU ER'S COMPENSATION CO ERAGE IS ❑Yes 10
1
0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES Will theliinttended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($500,000),IN ion 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(SC ion or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes �440
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 Cade) ❑Yes 11
No
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 material reporti
Business and Professions Code).Any city or county that requires a permit to IF ❑I 1 /
construct,alter,improve,demolish or repair any structure,prior to its Date
PROPER
issuance,also requires the applicant for the permit to file a signed statement AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 litensure receiving compensation for most work that disturbs pain[in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to he ork thartified firms and comply with
than
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.gov/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 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:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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 fir l out the RRP
Acknowledgement.
BUILDING • SAFETY PERMIT/PLAN
• • ( APPLICATION
DATE 04/26/2016 PERMIT/PLAN CHECK NUMBER Q 4
TYPE: []COMMERCIAL ✓❑RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN
SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑✓ NEW []PLUMBING [:]RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID, 280 SQ.FT.W/2 FANS,2 LIGHTS,&1 SWITCH
PROJECT ADDRESS 29388 BOURIS DR.
ASSESSOR'S PARCEL NUMBER 2)ULA- 3%D-Cl4a LOT IC5� TRACT
PROPERTY OWNER'S NAME ROBERT CABAL
ADDRESS 29388 BOURIS DR.MENIFEE,CA 92584 Menife
PHONE (951)719-5977 EMAIL Bulldl% &01 Sa y e
ept.
APPLICANT NAME SEAN DARE APR 2 7 .20
16
ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACFOR'SNAME SEANDARE OWNER BUILDER? ❑YESQNO
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 945962 CC LICENSE CLASSIFICATION B
VALUATION$ $2,900.00 S Fi ZOU LSQFT 7
APPLICANT'S SIGNATURE Y DATE G G
..,vet, 1 t. �. ,.c.� - .,➢., A,..s.,
DEPARTMENT DISTRIBUTION OTY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ( SMIP I Q�C5,J
INVOICE ,,ll PAID AMOUNT
AMOUNT 1.SA O CASH G CHECK# O'CREDTCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT p CASH 10 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES NO DLNUMBER NOTARIZEDLETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 N.aun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request tine 951-246-6213
LEDGER & TRACK
INSPECTION REQUIRED
l
City of Meni ee
Building & Safft Dept.
APR 2 7 1016
ReceiV n.d
Q
9
CITY OF MENIFFF
BUILDING AND SAFETY DEPARTMENT Ica
PLAN APPROVAL
REVIEWED BY -<
DA
'Approval of*Mpuns shall not be construed tobeapetift for,oran
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the USES
jobsite until completion,
So\�d
I V 2. 1�c7ST U�v�1S
ctsc � 5ci-:4�7- I -.,,L D hZS
�0 I 70 SC112\LE \(0&x_e : �2915,