PMT16-01584 City of Menifee Permit No.: PMT16-01584
29714 HAUN RD. Type: Residential Addition
4^CCEL/k7 MENIFEE, CA 92586
MENIFEE Date Issued: 05/19/2016
PERMIT
Site Address: 30788 LORING PARK CIR, MENIFEE, CA Parcel Number: 364-300-040
92584 Construction Cost: $6,800.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 600'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,2 POST LIGHTS, 1 SWITCH,AND
Work: 3 STRIP LIGHTS
Owner Contractor
JONATHAN ALAN GALAPON GUTTERS N COVERS CONSTRUCTION INC
30788 LORING PARK CIRCLE 19069 VAN BUERN BOULEVARD#114
MENIFEE,CA 92584 RIVERSIDE, CA 92508
Appllcant Phone: 9516728022
REBECCA HALL License Number.945962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE,CA 92508
Fee Description Qty Amount I51
Receptacle, Switch,Outlet&Fixture 8 151.00
Building Permit Issuance 1 27.00
DecklPatio, 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 7.55
$327.20
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise staled,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit Templale.rpl Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Ilcensure under the Contractor's State License Law for
Professions Co and my license is in full force and effect. �1 the following reason:
License Class License o. ~U�G- By my signature below I acknowledge that,except for my personal residence
Expires L'^'7)-201$r5ignature 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 1
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
D 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 w„�,w 'r Fo ov •alaw.html.
this permit is issued.
Polity If Date
-V<ave and will maintain workers compensation insurance,as required by PROPEA WNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier .Sol Jr.1<vz ['�}1 n with all applicable city and county ordinances and state laws relating to
building construction.Lauthorize representatives of this city or countyto
Policy If i✓C / sy Intl�Q Expires_7.23 • 1 enter the e i nti ed property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred t
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
D I 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#
workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers o pensation provisions of Section 3700 of the Labor
Code,Ishall rx'ih.l h ith-those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date .l� lf� mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILU ETO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes sfN0
UNLAWFU4 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 for guidelines
CONSTRUCTION LENDING AGENCY D Yes 940
1 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) o Yes 34NO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements underthe State of
Contractors License Law for the reason(s)indicated below by the
California Health&Safety Code,Section 25505 and 25534 concerning
hazardous material r ror clog.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 files a No I//
Business and Professions Code).Any city or county that requires a permit to Date_(�'• �n'! '! b
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN RAUTHORIZED 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 Contractors 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 exempt from Rcensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 70315 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
D I,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.eov/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 Contractors State License Law does not apply to an owner of a D 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. D No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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.
f
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
6J4
1
�'Menlfee
DATE 05/19/2016 PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN
SUBTYPE: [Z]ADDITION []ALTERATION []DEMOLITION []ELECTRICAL []MECHANICAL
[-]NEW ❑PLUMBING ORE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID,600 SQ.FT.W/2 CEILING FANS,2 POST LIGHTS AND
1 SWITCH AND 3 STRIP LIGHTS.
PROJECTADDRESS 30788 LORING PARK CIR. MENIFEE,CA92584
ASSESSOR'S PARCEL NUMBER -6UL. - 3(Cp 'OL,�O LOT _ TRACT
PROPERTY OWNER'S NAME JONATHAN ALAN GALAPON
ADDRESS 30788 LORING PARK CIR,MENIFEE,CA 92584
City Of Menifee
PHONE (714)357-1608 EMAIL Building & SafetV Dept
APPLICANT NAME REBECCA HALL
ADDRESS 19069 VAN BUREN BLVD.#114-247, RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL eceived
CONTRACTOR'S NAME SE:AN DARE OWNERBUILDER? ❑YES ✓QNO
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$ $6,800.00 SO FT 600 L SQ FT
APPLICANT'S SIGNATURE DATE 1 (a
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE ^
AMOUNT a PAID AMOUNT 3,,d� CASH ''CHECK# CCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH OCHECK# C CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED %-YES D NO DLNUMBER NOTARIZED LETTER YES 0 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
�10 City of Menifee Al0
LEDGER & TRACK Building & Safety Dept.
INSPECTION REQUIRED MAY 19 2016 O
U
Received W
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``" ►J i3 n
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN��VAL �
REVIEWED BY 15
DAT
'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
regulations and ordinances. This set of approved plans must be kept on
jobsite until completion.
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