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PMT16-02398 C6ty of Menifee Permit No.: PMT116-023983 29714 HAUN RD. Type: Residential Addition '(�CCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 07/26/2016 PIE RJA � T Site Address: 28214 ROCKY COVE DR, MENIFEE, CA Parcel Plumber: 333-400-002 92585 Construction Cost: $4,604.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 555 SF SOLID ALUMAWOOD PATIO COVER WITH 1 FAN,2 LIGHTS, 1 GFI OUTLET, Work: INSTALL GROUNDING ROD FOR POOL Owner Contractor ALEXANDER SAUCEDO GUTTERS N COVERS CONSTRUCTION INC 28214 ROCKY COVE DRIVE 19069 VAN BUERN BOULEVARD#114 MENIFEE,CA 92585 RIVERSIDE,CA 92508 Applicant Phone:9516728022 KRISTY HENDRICKSON License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE,CA 92508 Fee Description ,Qtv Amount($) Receptacle, Switch, Outlet&Fixlure 4 131,00 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 6.55 $306.20 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 slated,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 Templatespt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ 1 am exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of fallowing 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 it Professions Code anLmy license is in full force and effef, /� which I must have resided for at least one year prior to completion-o License Clas License�iV . "I �1 Z improvements covered by this permit, I cannot legally sell a structure that I have ' built as an owner-buildin if it has not been constructed in its entire b licenser Expires Signature contractors. I understand that a copy of the applicable law, Section 7044 of the WORKERS'COMPENSATION DECLA TION Business and Professions Code,is available upon request when this application is submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one the following declarations: h0o://www.lecinfo.ca.aov/calaw.html. I have and will maintain a certificate of consentt of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date 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, I certify to each of the following: I am the propery ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behalf. I have read this 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 compll permit is issued.My workers'compensation insurance canter and policy number are: with all applicable city and county ordinances and state laws relating to buildinc ��,, ^ n/) construction.jyaul orize representatives of this city or county to enter the above. Carrier identified UYl.fcf� identified Flpetyforthei spec 0 purposes. Policy# Expires_ 3 i�- Date �l S Property ner orAuthpsized Agent J�(This section need not be completed if the permit Is for City Business License# ✓� �� one-hundred dollars-PI 00)or less) ❑ I 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 a 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 forthwith comply with those provisions. 1 DYES vJ NO - Applicant, (e—� `�/I I� 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 guid SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ❑YESO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the�fines used 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 DYES 1�`N0 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&Safely Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous materi I re orting. OWNER BUILDER DECLARATIONS DYES �0 M 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's �l/ Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWI IER 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(RRP] 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 licensed 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 Iicensure 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 EPA's Renovation Program visit: ❑ I, as owner of theproperty, or m ern to employees with wages as their sole �v'epa.gov/lead or contact the National Lead Information Center at Y P Y 9 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 properly, 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 purpose of sale). Firm Certification No.: ❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm 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 & SAFETY PE RMIT/P LAN CHECK APPLICATION 414 Menifee DATE PERMIT/PLAN CHECK NUMBER (� TYPE: []COMMERCIAL gptSIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION —]DEMOLITION []ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK `� .�1 of Menifee f Gl r - / 7 PROJECTADDRESS 2 2 ,'Q-,,�..yy�� f `7 / ASSESSOR'S PARCEL NUMBER � IAW -C QL- LOT TRACT ReceiVed OWNER NAME ADDRESS 162- 1 Z `Qi L//�� ZSKS F�, PHONE C I5` 2,' A 1:2f;G\\ EMAIL APPLICANT NAME N E1 , ADDRESS II © 9 7�C`l`IVj \V \Ve- ide PHONE �T"7� ��L/'[�)l_�J�TL EMAIL �CP�✓eXS� •CCY9�/ CONTRACTOR'S NAME �-�LR7CTC-Y5 �}Q.l'S OWNERBUILDER? ❑YES NO BUSINESS NAME ADDRESS PHONE \L N EMAIL Li CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ c�1 SQ FT L SQ FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY 4 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT 0CASH 0 CHECK It OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I OCASH OCHECK# 0 CREDIT CARD 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.cityofinenifee.us Inspection Request line 951-246-6213 L � GER & TRACK o� INSPE TIER REQUIRE CL C� O i w � �C n er I C C I LL LL. a City of M nifee Building & Sa ty De t. ' OF MENIFEE JUL 2 6 2016 DING AND SAFDEPAR7P ««"i ROC@I Od N APPROVAL 'SEWED BY 'I Ids �lp DAFE al of these plans shall not be construed to be a permit for,or an of,any violation of any provis is and ordinances, This set ol approved plans must b kept on the ttil completion. U: 2' 2)L1 C�rbuv,d V-Q,C�