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PMT16-01753 City of Menifee Permit No.: PMT16-01753 29714 HAUN RD. Type: Residential Addition 'tXCCELA_ MENIFEE, CA 92586 MENIFEE Date Issued: 0 610 712 01 6 PERMIT Site Address: 29881 AVENIDA DE REAL, MENIFEE, CA Parcel Number: 336-243-011 92584 Construction Cost: $2.200.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL ALUMINUM PATIO COVER, SOILD,200 SO T. NO ELECTRICAL.LATTICE 56 SO FT Work: Owner Contractor LILY CHI GUTTERS N COVERS CONSTRUCTION INC 29881 AVENIDA DE REAL 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 ON Amount 1E1 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 $168.65 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_aldg_Permk_Templale.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). Chapter!)(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure underthe Contractors State License Law for Professions Code and my license is in full farce and effect. the following reason: License Class License No. % r. ^ By my signature below l acknowledge that,except for my personal residence Expires_Signature �J in which l 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 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 wvnv.leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date a I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which D 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 /j with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy#6,50--ID V/ 061.L Expires Z 0 enterthe 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 I certify that in the performance of the work forwhich 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 compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply w' those provisions. ^^ Will the applicant or future building occupant handle hazardous material or a Applicant��'Y�,(`l a.1/YA Date O- /' mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑yes yvo 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(SCAOMDr mods permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY D Yes dAo 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) ❑Yes "a OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors 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{ep ling. Business and Professions Code).Any city or county that requires a permit to A4 D No �1 Q bl , Date (P construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR A ORIZED 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 fRRPJ 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 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.eiia.gov/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 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. o 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 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. APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK I JUN 0 7 2016 Men IC' DATE 06/06/2016 PERMIT/PLAN CHECK NUMBER To l4 ��15 TYPE: ❑COMMERCIAL QRESIDENTIAL []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,200 SQ.FT. NO ELECTRICAL, LATTICE 56 SQ.FT. PROJECT ADDRESS 29881 AVENIDA DE REAL, MENIFEE,CA 92594 aG} �S ASSESSOR'S PARCEL NUMBER 33ti -Z q 3 - D V I LOT 'tJ 1 TRACT let PROPERTY OWNER'S NAME LILY CHI ADDRESS 29881 AVENIDA DE REAL, MENIFEE,CA 92584 PHONE (951)422-6904 EMAIL APPLICANT NAME MARCIA DAVIS ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92508 PHONE (951)672-8022 EMAIL CONTRACTOR'S NAME SEANDARE 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 SO FT 200 L SO FT APPLICANT'S SIGNATURE h I0A I, �C Gk p,,CO DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT I I I OCASH GCHECK# OCREDITCARD VISAIMC PLAN CHECK FEES PAID AMOUNT O CASH n-CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED YES G NO OIL NUMBER NOTARIZED LETTER .4 YES G NO City of idlenifee Building&Safety Department 29714 Haun Rd. A4enifee, CA 92586 951-672-6777 www.cl"finenifee.us Inspection Request Line 951-246-6213 City of Menifee LEDGER & TRACK Building 6 Safety Dept. INSPECTION REQUIRED SUN o 7 2016 Received e� n. o U v, w � � U U. U. O s ITY OF MENIFEE �UDING AND SAFETY DEPARTMENT 'I.iN APPRO' AL REVIEWED BY `Arc; :al of these p!acs to be a permit for,or an af,;; PVJI Jf,anp VfOiiCldl o'd4'(voov wi s of the federal,state or city r.�g. ,unos and urd;^ances. This sct of approved plans must be kept on the w_ ui ;ii ccmpleGon. ,O(C)IICV Zvi bb2 ��wc10.�e 2ert t zc)0t9cj fi %s cm I V,A °tS I Li ZZ 4Fioo �� I TO SC4Lt