PMT16-01620 City of Menifee Permit No.: PMT16-01620
29714 HAUN RD. Type: Residential Addition
<ACCELA__? MENIFEE, CA 92586
MENIFEE Date Issued:
05124/2016
PERMIT
Site Address: 32795 KENDAL CT, MENIFEE, CA 92584 Parcel Number: 372-310-002
Construction Cost: $3,200.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 15'x 25'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
RYAN NEWPORT GUTTERS N COVERS CONSTRUCTION INC
32795 KENDAL COURT 19069 VAN BUERN BOULEVARD#114
MENIFEE, CA 92584 RIVERSIDE, CA 92508
Applicant Phone: 9516728022
REBECCA HALL License Number:W962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE,CA 92508
Fee Description City, Amount ISl
Receptacle,Switch, Outlet&Fixture 1 116.00
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 5.80
$290.45
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 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_Template.rpl Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
with a licensed contmctor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractors State License Law for
Professions Code and my license Is in full force and effect. the following reason:
License Class Z Uc s No. �S (O Z By my signature below I acknowledge that,except for my personal residence
Expires 6-1-30-i k 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
D I hereby affirm under penalty of perjury one ofthe 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 workers 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 ww i6Vo.c4ovfcaIaw.htmL
this permit is issued.
Policy# Date
1 have and will maintain workers compensation insurance,as required by PRO OWNER OR AUTHORIZED AGENT
section 3700 ofthe Labor Code,for the performance ofthe work for which D By my signature below I certify to each ofthe following:I am the property
this permit is issued.My workers compensation Insurance carrierand 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
r with all applicable city and county ordinances and state laws relating to
Carrier .Ltl buildin cant cdon.I authorize representatives of this city or county to
Policy# Expires 1-Z—iitn ent he bol id tified property for inspection purposes.('this section need not to be completed is the permit is for one-hundred Date �' I
dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation I ws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers mpensation provisions of Section 3700 ofthe Labor
Code,I shall rt ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
^_V- A mixture containing a hazardous material equal to or greater that the
Applicant Date amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAILU o SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes No
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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY DYes �No
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) a Yes 0No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Cod 5ection 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous materia ort g.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 c�WY (�
Business and Professions Code).Any city or county that requires a permit to T�� a No Date J IJU
construct,alter,improve,demolish or repair any structure,prior to its PROPERTYOWNER' IZE ENT
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 ofthe The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she Is exempt from 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
a 1,as owner ofthe 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.eav/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractors 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. o 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.
BU
ILDING i SAFETY PERMIT/PLAN CHECK APPLICATION
y i
_.
Menifee
DATE 05/23/2016 PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL QRESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME EIPOOLISPA []SIGN
SUBTYPE: ❑✓ ADDITION []ALTERATION []DEMOLITION []ELECTRICAL []MECHANICAL
[-]NEW []PLUMBING ❑RE-ROOF-NUMBEROFF�S�d R
DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID,375 SOFT.W71{Ig&§"Rept.
MAY 2 4 2016
PROJECTADDRESS 32795 KENDAL CT.MENIFEE,CA 92584
ASSESSOR'S PARCEL NUMBER 5Q-COD LOT TRACT
PROPERTY OWNER'S NAME RYANNEWPORT
ADDRESS 32795 KENDAL CT.MENIFEE,CA 92584
PHONE (928)379-0001 EMAIL
APPLICANT NAME RE13ECCA HALL
ADDRESS 19069 VAN BUREN BLVD#114-247,RIVERSIDE,CA 92508
PHONE (951)672-8022 EMAIL
CONTRACTOR'S NAME SEANDARE OWNERBUILDER? ❑YESQNO
BUSINESS NAME GUTTERS N COVERS CONSTRUCTION INC.
ADDRESS 19069 VAN BUREN BLVD.#114-247, RIVERSIDE,CA 92584
PHONE (951)672-8022 EMAIL
CONTRACTOR'S STATE LIC NUMBER 945962 LICENSE CLASSIFICATION B
VALUATION $ $3,200.00 SO FT 375 L SO FT
APPLICANT'S SIGNATURE DATE
dL 1 Vito-, .6�7>•. +1 ojt�n}$t dap, </ �.�v, �l 1 � �i {,mf -fii S"f �� + � b`E'i'"'Kc) � y� 'Sf �+
t`.,•i;s 4Lf ts.'Vlif .5h34 fL tuf.Ytie iK,x ..f.��a �di.�,.�+-.u.li �T�%...di:2d 3,�`ma.3,�_:s�,.�-.r+'!c._..kjE��..�5~.}I�i1°.�...�,t� 1JI .� a7.fa°.e.0.F.�..
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BURRING PLANNING ENGINEERING FIRE GREEN — SM1P
INVOICE �yy PAID AMOUNT /� 1
AMOUNT �O• n.LAS '✓CASH ' CHECK# OCREDITCARD VISAIMC
PLAN CHECK FEES PAID AMOUNT 6 CASH ='CHECK# '%�CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER .0 YES �%' NO
City of Iblenifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request line 951 246-6213
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q0 Building & Safety PECTION REQUIRED
MAY 2 4 2016 W
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Received U.
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CITY OF MENIFEE 7 C \
BUILDING AND SAF TYDEFARTMENT
PLAN APPROVAL
REVIEWED BY )Ito
DATE
'Approval of these plans shall not le construed o be a perma for,or an
approval of,any violation of any pr visions of th federal,state or city V
regulations and ordinances. This s t of approve plans must be kept on tt}� 1
jobsite until completion.
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