Loading...
PMT16-02690 City of Menifee Permit No.: PMT16-02690 29714 HAUN RD. <A-CCFJ-A—> MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued, 08/1712016 P E R M I T Site Address: 29616 ROCK CANYON RD, MENIFEE, CA Parcel Number: 34OA61-009 92584 Construction Cost: $1,840.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 230 SQ FT SOLID ALUMAWOOD PATIO COVER NO ELECTRICAL Work: Omer Contractor JOE TAYLOR GUTTERS N COVERS CONSTRUCTION INC 29616 ROCK CANYON RD 19069 VAN BUERN BOULEVARD#114 MENIFEE,CA 92584 RIVERSIDE, CA 92508 Applicant Phone:9516728022 KRISTY HENDRICKSON License Number.945962 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Fee Description Ply Amount 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 $168.65 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 builicling 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_l31dg_PermtLTernpIate.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION 11 1 am exempt from licensure under the Contractors'State License Law for the I hereby affirm under penalty or pedury 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 an y license i.a in full force and effe which I must have resided for at least one year pror to complefion--o Uoens,��Tt Lic Nsq&Z improvements covered by this pennit,I cannot legally sell a structure that I have Expires Signature_ lf,�Ct�MIJAJrJU&,, built as an owner-building if it has not been constructed in its entirety by licensec contractors. I understand that a copy of the applicable law, Section 7044 of the ]ON DECLA�XTION Business and Professions Code,is available upon request when this application I! El I hereby affirm under penalty of pedury one of the following declarations submitted or at the following Web site: I have and will maintain a certificate of consent of self-insure for workers: hftplAvww.leciinfo.ca.gov/calaw.html. 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# 0 By my Signature below, I certify to each of the following: I am the propem 0 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owners behalf. I have read thi- 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 compif permit is issued.My workers'compensation insurance carrierand policy number are: with all applicable city and county ordinances and state laws relating to buildini; I construction.�auttlorize representatives of this city or county to enter the above. Carrier-SCUALhA i0(247a a identified' p y,for the I specticp purposes. P%9 — s -710 ke 67 Date Policy tcyb L.0 Expire —-a 000�2�_ 1 1 Property O(Vner�oi­Autharlzed Agent (This section need not be completed if the permit is for one-hundred dollars($100)or less) City Business License# D 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(he 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 Applicant,_K�(�e Will the I led use of the building by the applicant or future building occupant require a permit for the construction or modification from South %IG: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guid Ii 0 ES kines N SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Y NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS pr ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Wilithepr 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 �PNO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQUID 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 26534 concerning 3097 Civil Code) hazardous materill re orting. OWNER BUILDER DECLARATIONS DYES A I hereby affirm under penalty of pedury that I am exempt from the Contractor's aLPndAirk,0JA1 Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OW14ER 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,after, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING fRRPl 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-certified finme;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 EPA's Renovation Program visit: www.epa.govAead or contact the National Lead Information Center at 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 FI 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 purpose of sale). Firm Certification No.: 0 1, as owner of the property an exclusively contracting with licensed 0 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 improves thereon, and who contracts for the projects with a BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 4"' Menifee DATE PERMIT/PLAN CHECK NUMBER EMU , 096v TYPE: 0 COMMERCIAL 0 RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME OPOOL/SPA CSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK AIL)M J9CjjC) Crwe_rs no _ _ _ , �__- - 1 11. 5- xo?o — 4— 1 PROJECTADDRESS 1016 kDcr- O(IVA�uv) r6no I 6N j ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ( j 0)�� ja [f)r ADDRESS (,p lip F—C)ft V\ M,0&�.z , q7_68q PHONE �3 "ELAIL APPLICANTNAME bnc.�;fi� 9--en0(r1C_vsoA ADDRESS JQWC) aVd 4- 11q 01V C04 PHONE EMAIL CONTRACTOR'S NAME G OWNER BUILDER? OYES VNO BUSINESS NAME ADDRESS SGk Ry Lj � PHONE q- 191 -V].a EMAIL CONTRACTOR'S STATE LIC NUMBER L) LICENSE CLASSIFICATION VALUATION$ q 0 SQ FT L SO FT APPLICANT'S SIGNATURE DATE 077 STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAIDAMOUNT I I I(Ot-&5 AMOUNT I I 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 JU city ot Menifee EBuilding & SaWr5eP�'-'—j AUG 17 2016 i Received I 1 02 ;-EDGER & TRACK PECTION REOUIRED ary OF MEN IFEE BUILDING At ID SAFETY DEPARTMENT PLAN APPRC VAL REVIEWED 0 DATE *Approval of these pl, is shafl:;-�� onstrued to be a permit for,or an appi oval of,any viola .9 flo"38,Kilvagle regulations and ordin ni )wyrqqdjMtjjpt on the jobsite until completi n. 70,f� 'ickL-1 loy— Poo M Pw+lu Cir—)v-cr Jc]LPIU 2L>c-K I( .S K-Lc" Z- 2 3c-, 9< NA en I P-e-, C!A L4 ri x to goo Laft� 1� (o 2-L,,- L4'-1 1�s - 3 19 P-0 7-140 SOL-� (N:,, e-1'Cc+t-tCa. t lq�qc -