PMT16-02442 City of Menifee Permit No.: PMT16-02442
29714 HAUN RD. Type: Residential Addition
<ACCEUA--> MENIFEE,CA 92586
MENIFEE Date Issued: 0 8/0112 01 6
PERMIT
Site Address: 25625 PAPILLON CT, MENIFEE, CA Parcel Number: 329-380-043
92585 Construction Cost: $4,294.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL ALUMINUM PATIO COVER 416 SOFT 2 FANS, 1 OUTLET& 1 SWITCH
Work:
Owner Contractor
SEAN BEYER GUTTERS N COVERS CONSTRUCTION INC
25625 PAPILLION CT 19069 VAN BUERN BOULEVARD#114
MENIFEE, CA 92585 RIVERSIDE,CA 92508
Applicant Phone:9516728022
TIERRE AMANSEC License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE, CA 92508
Fee Description OQt Amount ISI
Receptacle, Switch,Outlet&Fixture 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 carded 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-Bldg-Permit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
with a licensed contractor(s)pursuant to the Contractors5tate License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class V1Q1r Licen�No. L �oZ By my signature below l acknowledge that,except for my personal residence
Expires 4 Signature ' in which l must have resided for at least one year priorto 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 constmcted 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 www,leRinfo.ca.Rov/alaw.html.
this permit is Issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
ve and will maintain workers compensation insurance,as required by
ion 3700 of the Labor Code,for the performance of the work for which ❑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.I have read this
number ar • application and the information I have provided is correct.I agree to comply
C� i {ry� n, with all applicable city and county ordinances and state laws relating to
Carrier '.� 0.1 �+� ��a� building construction.l authorize representatives of this city or county to
Policy#���0(]In Expires1&211l enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one- undred Date
`do/tjit/$($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
)41Rerti(y that in the performance of the work for which this permit is issued,
/ I shall not emolov any persons In any mannerso as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if(should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall fort"' wmply with those provisions. Will the applicant or future building occupant handle hazardous material or a
� l mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION CO ERAGE IS ❑Yes W
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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY Oyes ❑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) o Yes ❑No
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 California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the ¢az_an ous mater;an/1,�,epotrttiing
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �s D Noo!/`!/V"`.
Business and Professions Code).Any city or county that requires a permit to /v Date ' la.
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(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)orthat he or she is exempt from Iicensure 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
o 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.gov/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 o 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 RAP
Acknowledgement.
BUILDING i SAFETY PERMIT/PLAN CHECK APPLICATION
{ AUG 0 1 2016
Menifee
DATE PERMIT/PLAN CHECK NUMBER 'pYnTtly — 0;�44
TYPE: ❑COMMERCIAL RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE:9ADDITION []ALTERATION [—]DEMOLITION ❑ELECTRICAL ❑MECHANICAL
L-JNEW ❑PLUMBING ❑RE-ROOF-NUM"BERROFSQUARES
DESCRIPTION OF WORK `p�, CX LI b
2'r-ck
2. U
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER LOT TRACT q 4"lS, �
OWNER NAME 2.
ADDRESS /�2. 2 L (�-{- I Y 1 t (g' S
PHONE Fj1 Jpl to 021 b EMAIL
APPLICANT NAME `` rt 1S jj
ADDRESS
p�P V C,L �J 11 -Z� Rl PC •U� Z
PHONE -rSl " 11 EMAIL "y,,
CONTRACTOR'SNAME N OWNERBUILDER? ❑YES❑NO
BUSINESS NAME
ADDRESS
PHONE , 1G� EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION N3-G-t%f\CVCAj
VALUATION S Lj2q� SO FT b L SQ FT
APPLICANT'S SIG NATURE//'711� DATE
CITY STAFF USE ONLY
DEPARTMENTOISTRIBUTION 1 I CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE Q 0 PAIDAMOUNT
AMOUNT JDY' OCASH OCHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-6 71-6777
www.cityofinenifee.us Inspection Request line 951-246-6213
-�lEDQER & TRACK Building&f SMenifee
afety Dept.
".`;49PECTION REQUIRED
AUG 0 1 2016 }-
a.
( @ceaived 0
r ITY OF MENIFEE 0
\. BUILDING AND SAFETY DEPARTMENT Lij
U
APPROVAL
' U.
U.
REVIEWED BY �C—��rT� _� 0
,. DATE
opprova these plans shall no't he construed to be a permit for,or an
app,oval of,an Iolation of any provisft of the federal,state or city
7 regulations and ardi aces. This set of approed�lans must be kept on the
jobsite until completion. N.
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