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PMT16-02687 City of Menifee Permit No.: PMT1 6-02687 29714 HAUN RD. Type: Residential Addition <A_CCELi%�-.' MENIFEE, CA 92586 MENIFEE Date Issued: 0811712016 P E R M I T Site Address: 31051 DURHAM DR, MENIFEE, CA 92584 Parcel Number: 372-472-003 Construction Cost: $5,640.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 605 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 3 FANS, 5 POSTLIGHTS Work: Owner Contractor JESUS ESCUTIA GUTTERS N COVERS CONSTRUCTION INC 31051 DURHAM DR 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92584 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 ON Amount(3) Receptacle, Switch, Outlet&Fixture 8 151.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 13&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 7.55 $327.20 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 stated,a permit for construction under which no work is commenced within six months after issuance,or where the work cummenced is suspended or abandoned for six months,shall expire.and fees paid shall be forfeited. AA B1dg_Perrnit_Tenrp1ate.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION 0 1 am exempt from licensure under the Contractors'State License Law for IN 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 ir Professions Code anqny license is in full force and e which I must have resided for at least one year prior to completion--o License Clasui; !can, improvements covered by this permit. I cannot legally sell a structure that I have "7- built as an owner-building if it has not been constructed in its entirely by ficensec Expires I �Sgnatura TVI contractors. I understand that a copy of the applicable law, Section 7044 of thE .4FU g WORKER&COMPENSATION DECLAR/T;ON Business and Professions Code,is available upon request when this application I- submitted or at the following Web site: D I hereby affirm under penalty of pedury one of the following declarations* I have and Will maintain a carlificate of consent of self-insure for workers; hfti):I/www.leginfo.ca.gov/mlaw.htmi. 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# D By my Signature below, I certify to each of the following: I am the properl� 0 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read thiE 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 perrnit is issued.My workers'campensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to building construction.)aufi�orlze r?presentafives of this city or county to enter the above. CarrierSmiu-,hA ftg:hlia identified � h U ort ei ,,,,Wspec c)n purposes. Dat er�or Authorized Agent Policy#!5LkrJb8 16il Le _Expires -7[ZS[ n e I Property O(vn (This section need not be completed If the permit is for one-hundred dollai;�—($100)or less) City Business License HAZARDOUS MATERIAL DECLARATION El I cerfify that in the performance of the work for which this permit is Issued,1 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. DYES �NO Appficant.*MddVP4Q(-e—. L_, Will the Had use of the building by the applicant or future building occupant require a permit for the construction or modification from South Coast Air Quality Management District(SCAOMD)?See pennitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guid klines N No SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS pr ($100,000), IN ADDITION TO THIE COST OF COMPENSATION, Willthepr osed 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 VNO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm that under the penalty of pedury 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 mated I re Driting. OWNER BUILDER DECLARATIONS DYES MAQ�19 I hereby affirm under penalty of pedury that I am exempt from the Contractor's 'ach CIO-- 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-1 978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-cerllfied firms and comply With she is exempt from ficensure 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 EPRs Renovation Program visit: www.epa.govAead or contact the National Lead Information Center at 0 1, 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 D An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the pmperty, 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 pmving that it was not built or improved for the Firm Certification No.: purpose of sale). 11 1, as owner of the property an exclusively contracting with licensed D 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 who builds or imoroves thereon. and who contracts for the oroiects with a & SAFETY PERMIT/PLAN CHECK APPLICATION "Menifee DATE�_- j t 11((, PERMIT/PLAN CHECK NUMBER TYPE: ORESIDENTIAL " MULTI-FAMILY C) MOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION C)DEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ DESCRIPTION OF WORK Mimi pa±c) C,-) �,c,r -Fn.ns E-5 �ps+b ' ViK PROJECTADDRESS Durbarn Dr. Weriffc- q7SIA ASSESSOR'S PARCEL NUMBER t) j& LOT TRACT OWNER NAME jflsl f S ADDRESS �� I C)51 f) Urho,,n Dr. fflenl_fc_(_� q' 7'09L� PHONE EMAIL APPLICANT NAME fl-endrasw ADDRESS pq F211 r-e-n F)j \j I I w 0,44 PHONE EMAIL CONTRACTOWS NAME OWNERBUILDER? vi 0 YES VNO BUSINESS NAME ADDRESS 'Snf\A� PHONE 9514JIM� J)- EMAIL CONTRACTOR'S STATE LIC NUMBER qq5Cjjjo LICENSE CLASSIFICATION F) VALUATION rDl Ao SO FT (,,2o5 L SO FT APPLICANT'S SIGNATURE —DATE OTYSTAFF USE ONLY UEPAK I MEN IF DISTRIBUTION CITY OF MEN IF EE BUSINESS LICENSE NUM BE R BUILDING PLANNING ENGINEERING FIRE GREEN SMIP I INVOICE PAID AMOUNT 0 CASH 0 CHECK# C)CREDITCARD VISA/Mc AMOUNT otp__Pq I I PLAN CHECK FEES I PAIDAMOUNT I 1 0 CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO OIL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd Merifee, CA-92586 951-672-6777 www.cityofmerifee.us Inspection Request Line 951-246-6213 LEDGER & TRACK PtISPECTION REQUIRED Cl CITY OF MENIFEE 13UILDING AND SAFETY DEPARTMENT PLAN APPROVAL REV IEWED BY **A " - -��-V DATE *Approva I of these plans sl�.a I!�wli �l rnn-.trA to oe a permit for,Oran approval of,any violation of any y I y,..uns otthe federa I,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. pcci-lo Covff 51D51 Durhan L-)Y-. I I v 55 = V 5 MexNi I CA 9 Z50- A rcm:s C1qq - 5�?Ll - PG5W0j/-\tS