Loading...
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,