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PMT16-01770 City of Menifee Permit No.: PMT16-01770 29714 HAUN RD. Type: Residential Addition �CCE6?' MENIFEE, CA 92586 MENIFEE Date Issued: 06108/2016 PERMIT Site Address: 29604 PLEASANT PASEO CV, MENIFEE, Parcel Number: 333-560-008 CA 92585 Construction Cost: $4,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 455 SO FT SOLID ALUMAWOOD PATIO COVER WIELECTRICAL 2 FANS,3 LIGHTS, 1 Work: SWITCH Owner Contractor PETE HAYES GUTTERS N COVERS CONSTRUCTION INC 29604 PLEASANT PASEO CV 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92585 RIVERSIDE, CA 92508 Applicant Phone:9516728022 REBECCA HALL License Number.945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Fee Description Qtt r Amount($) Receptacle, Switch,Outlet&Fixture 6 141.00 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 7.05 $316.70 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 thereunderwhen 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_Bidg_Permit_Template.rpt Page 1 of 1 k,ILy VI IVieflllee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for 0 I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence Professions Code an y license is in full force and effect. which I must have resided for at least one year prior to completion License Class�Lice o.r Z improvements covered by this permit,I cannot legally sell a structure that I hai Expires `/l Zo Ito Signature built as an owner-building if it has not been constructed in its entirety by license contrectors. I understand that a copy of the applicable law, Section 7044 of 0 WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: h0 .Ie i fo. ov/calaw.html. I have and will maintain a certificate of consent of self-insure for workers' _ compensation,issued by the Director of Industrial Relations as provided for by Date 2-7-5-r(o Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, 1 certify to each of the following: I am the proper �"I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read th section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comp permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relafing to buildin �+ construction.I auth dze representatives of this city or county to enter the above Carrier JP.Nu.y�_�a 4nn ident� he-Iaspection purposes. Policy# SL k)e Expires '712 31 j fo Date 2- 71,-16 Property er or Authorized Agent C(This section need not be completed if the permit is for City Business License# n� one-hundred dollars($100)or less) ty to ❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or E workers compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall tth omply with those provisions. ❑YES.. NO Applicant; Date; Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelt as SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YESNO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES OYES r .. CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there Is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. OWNER BUILDER DECLARATIONS �'ES ❑NO I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date 2-2q- & License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY NER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5.Business and Professions Code: Any city or county that requires a permit to construct, alter,improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRPI or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licansed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law(Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPNs Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: the building or improvement is sold within one year of completion, the Owner- Builder Will have the burden of proving that it was not built or improved for the Firm Certification No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed El No EPA Lead-Safe Certified Finn is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDINGAPPLICATION DATE 06/08/2016 PERMIT/PLAN CHECK NUMBER 1"\�� O'ri D 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,455 SQ.FT.W/2 CEILING FANS,3 LIGHTS, 1 SWITCH PROJECTADDRESS 29604 PLEASANT PASEO CV.MENIFEE,CA 92585 ASSESSOR'S PARCEL NUMBER 333 Cog LOT 9S TRACT PROPERTY OWNER'S NAME PETE HAYES ADDRESS 29604 PLEASANT PASEO CV.MENIFEE,CA 92585 PHONE (760)662-9100 EMAIL APPLICANT NAME REBECCA HALL ADDRESS 19069 VAN BUREN BLVD.#114-247,RIVERSIDE,CA 92508 PHONE (951)672-8022 EMAIL CONTRACTOR'S NAME SEAN DARE OWNERBUILDER? ❑YESQNO 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$ $4,300.00 SQ FT 455 LSQ FT //-- APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER ` BURRING PLANNING ENGINEERING FIRE GREEN \ SMIP INVOICE 21( „�lQ PAID AMOUNT AMOUNT ;70%k ' l I - CASH :•CHECK# -CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT C CASH .0 CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED =AYES O NO DLNUMBER NOTARIZED LETTER O YES u NO City of Menifee Building&Safety Deportment 29714 Hour;Rd.Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951 246-6213 Z 2V LEDGER & TR CK r3� MSPECTION RE UIRED 1S` I v C ^ �I ity of Menifee iI Building & Safety Dept. 1� ' JUNK 0 8 2016 Received CITY OF 11�ENlFEE tftm BUILDING AND SAFETY •,EPARTrdIENT Mau PLAN APPROVAL REVIEWED BY co(rslllo V *Anprovalofthese ilar approval of,an,;riglm , .•, , . r gubrinnq and ordir ce, _ O jobs!te , until cow;e i„ . . F 2Gb�lal 1'I2 �f�{ 1�ccSeO 0��_ ftg e Nzo—k%t-c I C K 9 I� sC)\'%kA tIt ��sl �i} (� Z ' rA Past Li 5v 1 V'� V�ci 66 Z IjCJU I�lil i i r� n �rn,r r=