PMT16-01944 City of Menifee Permit No.: PMT16-01944
29714 HAUN RD.
<ACCEL/> MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 0 612 312 01 6
PERMIT
Site Address: 29228 CRESCENT BAY CT, MENIFEE, Parcel Number: 333-431-027
CA 92585 Construction Cost: $4,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 498 SF SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,2 POST LIGHTS, 1 OUTLET
Work:
Owner Contractor
EMILY PECORARO GUTTERS N COVERS CONSTRUCTION INC
29228 CRESCENT BAY COURT 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 City Amount($1
Receptacle, Switch,Outlet&Fixture 5 136.00
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 6.80
$311.45
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 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
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class se o 41SY9 By my signature below l acknowledge that,except for my personal residence
Expires �'I-�iD -��OSignature 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 DECLARATIO 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 worker's 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 submi ad or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which ,,y,�,,,y.le info.ca. o cola .html.
this permit is issued.Policy#
Date (0-23-kQ
V(have and will maintain workers compensation insurance,as required by PROPERTY OW O HORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑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�p , y p� with all applicable city and county ordinances and state laws relating to
c building construct" .1 authorize representatives of this city or county to
Policy# JwC jDo: (0 Expires � � �_ enter t o idenified property for inspection purposes. 7 rr__
(This section need not to be completed is the permit is for one-hundred Date In-Z3 -I W
dollars($100)or less PROPER OWNER OR ANHORIZED AGENT
0 I certify that in the performance of the work for which this permit is issued,
I shall not emoloy 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 c mpensation provisions of Section 3700 f the Labor
Code,I shal a rw[h co ply whh those provisions. ���3/-(1(J Will the applicant or future building occupant handle hazardous material or a
Applicant I - Date t•' cam- mixture containing a hazardous material equal to or greater that the
� amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAI RETO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes Xlo
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($10D,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 forguidelines
CONSTRUCTION LENDING AGENCY ❑Yes C 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) 0 Yes O,LNo
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&Safety Cade,Section 25505 and 25534 concerning
hazardous material
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 repo ling.
Business and Professions Code).Any city or county that requires a permit toes 0 No
Date_&^z3"'1�
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN U 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(RRP)
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 chlklmre 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($SDO). managers who do the paint-disturbing work themselves or through their
a 1,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.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a 0 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. 0 No EPA Lead-Safe Certified Firm is required for this project because:
a 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.
BUILDING & SAFETY • APPLICATION
T
-_t''\/enifee
DATE 06/22/2016 PERMIT/PLAN CHECK NUMBER Q
TYPE: []COMMERCIAL ❑� RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA [—]SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL El MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER,SOLID 498 SQ.FT.W/2 FANS,2 POST LIGHTS, 1 OUTLET
Build:. enitee
9 8, Safety Dept.
PROJECTADDRESS 29228 CRESCENT BAY CT. MENIFEE,CA 92585 JU
ASSESSOR'S PARCEL NUMBER 33-3.ct31- CQ'j LOT T ,�q
PROPERTY OWNER'S NAME EMILYPECORARO eCE)ive d
ADDRESS 29228 CRESCENT BAY CT.MENIFEE,CA 92585
PHONE (909)915-8376 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 OWNER BUILDER? ❑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$ $4,500.00 I Sq FT 498 L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT AMOUNT UCHL-{ O LA95
OCASH OCHECK# vCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cltyofinenifee.us Inspection Request Line 951-246-6213
LEDGER & TRACK
INSPECTION REQUIRED
O
t—
m
F] N
U
Ity of Menife6 pa
n Buil ling & Safety Dept.
JUN 2 3 2016
x U
eceived 3
0
9
H Q
® �*
a
CITY 0 MENIFEE
DEPARTME14T
PLAN APPROVAL
REVIEWED By
00
o 'Approval of these plans shall not be construed to be a permit U r,or an o
d approval of,any violation of any provisions of the federal,state or city
a U cwo� regulations and ordinances. This set of approved plans must be kept on the w
>,N o, jobsite until completion. .a
41 vy � Na .
N bi VJ V
O N "