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PMT16-01621 City of Menifee Permit No.: PMT16-01621 29714 HAUN RD. Type: Residential Addition <A_CCFR:A_ MENIFEE, CA 92586 MENIFEE Date Issued: 05/24/2016 PERMIT Site Address: 29098 MISTY POINT LN, MENIFEE, CA Parcel Number: 333-330-022 92585 Construction Cost: $2,400.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 20'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN, 1 OUTLET, 1 SWITCH Work: Owner Contractor MELINA SARTY GUTTERS N COVERS CONSTRUCTION INC 29098 MISTY POINT LANE 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92585 RIVERSIDE, CA 92508 Applicant Phone:9516728022 REBECCA HALL License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92506 Fee Description Oft Amount I51 Receptacle,Switch, Outlet&Fixture 3 126.00 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 6.30 $300.95 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 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.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License law). I hereby affirm under penalty of perjury that 1 am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Iicensure under the Contractors State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class Lic s o. KX4 5 (D Z By my signature below 1 acknowledge that,except for my personal residence Expires 6'1-3O-) 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 in 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 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 this permit is issued. coca i o.c o y/calaw.html. Date Policy If PRO Z -) PRO OWNER OR AUTHORIZED AGENT ' -I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which o By my signature below 1 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.1 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 -[rl buildin constr ct'on.I authorize representatives of this city or county to Policy# Expires 7-Z3- 1LO ente he bo fd tified property for inspection purposes. N (v (This section need not to he completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit Is Issued, 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If workers compensation I cos of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers mpensation provisions of Section 3700 of the Labor Code,I shall rt ply with those_provisions. Will the applicant or future building occupant handle hazardous material or a A licant Date �' 2.� A mixture containing a hazardous material equal to or greater that the PP I�Jamountr s ecified on the Hazardous Materials Information Guide? WARNING:FAIL to SECURE WORKER'S COMPENSATION COVERAGE IS Oyes ANo 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldellnes CONSTRUCTION LENDING AGENCY o Yes �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) D Yes )6,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 California Health&Safety Cod 5ectfon 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below bythe hazardous mated ort g. checkmark(s)I have placed next to the applicable ftem(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit toes ONO Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER' H 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 MRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Busfness and Professions Code)or that he or she is exempt from Iicensure 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 o I,as owner of the property,or my employee with wages as theirsole 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. u No EPA Lead-Safe Certified Firm is required for this project because: o 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 BUILDING & SAFETY • APPLICATIONri A c". S- $SI€e if DATE 05/23/2016 PERMIT/PLAN CHECK NUMBER ^ TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN SUBTYPE ✓❑ADDITION []ALTERATION [-]DEMOLITION []ELECTRICAL [-]MECHANICAL [-]NEW []PLUMBING [:]RE-ROOF-NUMBEROFSQUARES DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID,240SQ.FT.W/1 CEILING FAN,1 OUTLET, 1 SWITCH PROJECT ADDRESS 29098 MISTY POINT LN.MENIFEE,CA 9258E ASSESSOR'S PARCEL NUMBER .3'fj3 - _)['}�'��aLOT TRACT PROPERTY OWNER'S NAME MELINA SARTY City of Menifee ADDRESS 29098 MISTY POINT LN.MENIFEE,CA 92584 PHONE (951)219-0139 EMAIL APPLICANT NAME RE13ECCA HALL Received ADDRESS 19069 VAN BUREN BLVD#114-247,RIVERSIDE,CA 92508 PHONE (951)672-8022 EMAIL CONTRACTOR'S NAME SEAN DARE OWNER BUILDER? []YES ✓❑NO BUSINESS NAME GUTTERS N COVERS CONSTRUCTION INC. ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92584 PHONE (951)672-8022 EMAIL CONTRACTOR'S STATE LIC NUMBER 945962 LICENSE CLASSIFICATION B VALUATION$ $2,400.00 SO FT 240 L SO FT APPLICANT'S SIGNATURE DATE wg �p` '�^ qI'@ ' i y�', �y ��+,+. ;� �A II`l�"' ,m t ,} -'V 'fll`1 er � 'v"u . �,. J�titjr i$ is_,y s_`.en v.1�i.Y';vx ,�.i,�4 �tl'.�`d , �'i 'yPlYir�. ' ' tS.r ut 3,,...... ?si � �, 'DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE pglD AMOUNT ��]] AMOUNT 3 .-IS CASH uCHECK# CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH CHECK# 3 CREDITCARD LNO OWNER BUILDER VERIFIED '=YES =` NO DL NUMBER NOTARIZED LETTER YES City of IVienifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-5777 WWW.cityofinenifee.us Inspection Request Line 951-246-6213 city of Menifee (L Building & Satety DePt. MAY24MS U ��r�l � TRACK W Lf D'_:,.`, '" Received U INSPEC+3D=+ RWWRED U. ao' u- p �5 5 -4 CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENTPLANAPR 9 O REVIEWED BY-jigot oiaqllV DATE `Approval of these plans shal not ce ccnstrned to be a permit for,or z approval of,any violation of a w provisions of the federal,state or city regulations and ordinances. T is St t o approved p ans must be kep on the jobsite until completion. LA rnP�.cVICt S�� >rvt-cxvvt �� °�D�S 1M �� lln 4 �`<t )-�Ao Sc>l bt = Sex nau Fill - I- oLx4i ek 5�-o t kCkn vilp G1SVl 21oi ovb)q f V C� ( ( C� 5 � v wj, &-.. i� 22�C)