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PMT16-01752 City of Menifee Permit No.: PMT16-01752 29714 HAUN RD. Type: Residential Addition .'5;\CCEL/_> MENIFEE, CA 92586 MENIFEE Date Issued: 06/07/2016 PERMIT Site Address: 29450 LONGLEAF ST, MENIFEE,CA Parcel Number: 333-500-017 92584 Construction cost: $2,200.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL ALUMINUM PATIO COVER,238 SO FT VNTH 1 CEILING FAN,2 POST LIGHTS Work: Owner Contractor JUAN PONCE GUTTERS N COVERS CONSTRUCTION INC 29450 LONGLEAF ST 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92584 RIVERSIDE, CA 92508 Applicant Phone: 9516728022 MARCIA DAVIS License Number.945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Fee Description OQt r Amount($ 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 stated,a peril 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 Pe"it_Template.rpt 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 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 Classn License No. By my signature below I acknowledge that,except for my personal residence Expires Y / Signature G V 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 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 ,nw,n,,leeinfo.ca.eov/calaw.html. this permit is issued. Policy fl Date PROPERTY OWNER OR AUTHORIZED AGENT D 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 D 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 Carrier 6.0 n�`, j lCLI-17'1 f� with all applicable city and county ordinances and state laws relating to ,�! t / building construction.I authorize representatives of this city or countyto Policy 8 6UY" '?I C t c_Expires 711,.. P enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o l 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 N workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith coM_plyw those provisions. r1 Will the applicant or future building occupant handle hazardous material or Applicanf � �� ,l V„l/� Date LP - I ' �y mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes 00 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 forguideltnes CONSTRUCTION LENDING AGENCY D Yes W',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 t,rfdo 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 Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ] '^, \- - Business and Professions Code).Any city or county that requires a permit to 7",�y y Ijts�� l V,�XA.V� Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED 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 fRRPI 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 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 ❑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.epa.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: 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 PERMIT/PLANAPPLICATIONt. ^ Menefee Received DATE 0610612016 PERMIT/PLAN CHECK NUMBER ?MT- ly - `0115 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,238 SQ.FT.W11 CEILING FAN,2 POST LIGHTS PROJECT ADDRESS 29450 LONGLEAF ST.MENIFEE,CA 92584 ASSESSOR'S PARCEL NUMBER 333 500 - 01 't84 LOT TRACT PROPERTY OWNER'S NAME JUAN PONCE ADDRESS 29450 LONGLEAF ST.MENIFEE,CA 92584 PHONE (562)644-2323 EMAIL APPLICANT NAME MAARCIA DAVIS ADDRESS 19069 VAN BUREN BLVD.#114-247, RIVERSIDE,CA 92508 PHONE (951)672-8022 EMAIL CONTRACTOR'S NAME SEAN DARE OWNERBUILDER? YES©NO 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$ $2,200.00 SQ FT 238 L SO FT APPLICANT'S SIGNATURE -�� r/� L.� .N,L. { �.V ,lJ� DATE G.' 2- ��Jr'�'ury.4` �o-A7atilN��� a h, DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE AMOUNT PAID AMOUNT 'v CASH 'CHECK# -CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH '='CHECK# CREDITCARD V15A/MC OWNER BUILDER VERIFIED OYES NO DL NUMBER NOTARIZED LETTER YES '0' NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee 'din & Safety Dept. JUN 0 7 2016 ' EDGER & TRACK MSPEGTION REQUIRED Received 1 j Q U i-Cy 01 NAEMFEE L1J O,1G MID SAFETY 1EPARTMEN T V w A> PRO'j;aL LL LL ©AT \� nl ci these olans shall no,.be cocst,ued to he a permit for,or an ,, aroval of,am;:iotation of am{p„wisions of the federal,state or city rc. j'atiops and ordinances. This set of approved plans must be kept on e joos,te until completion. L� �v s� \O clnc� �� ��v�ivu�v��ct 'c�C�v2✓ ZcigcDo kN\unn�t-1 LWJ ?� 5�� e�j�l Z3Z3 �0 j 1 c zzs�i _