PMT16-02813 City of Menifee Permit No.: PMT16-02813
29714 HAUN RD. Type: Residential Addition
<A_CCiEjLjA_> MENIFEE, CA 92586
MENIFEE Date Issued: 0812612016
PERMIT
Site Address: 29726 ELMSWOOD CIR, MENIFEE, CA Parcel Number: 364-380-027
92584 Construction Cost: $4,126.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL ALUMAWOOD PATIO COVER 414 SOFT 2 FANS SOLID
Work:
Owner Contractor
LAWERENCE STUTLER GUTTERS N COVERS CONSTRUCTION INC
29726 ELMSWOOD CIR 19069 VAN BUERN BOULEVARD#114
MENIFEE,CA 92584 RIVERSIDE,CA 92508
Applicant Phone:9516728022
TIERRE License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
19069 VAN BUERN BOULEVARD#114
RIVERSIDE, CA 92508
Fee Description city Amount($
Receptacle,Switch, Outlet&Fixture 2 121.00
Building Permit Issuance 1 27.00
DeddPatio, 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 6.05
$295.70
The issuance of this permit shall not prevent the building official from thereafter requidng 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.BIdg2errnitTerr1p1ate.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of El 1, as owner of the property an exclusively contracting with ficensec
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7D44.Business and Profession:
Professions Code,?5d my license is in full and effe Code:The Contractor's License Law does not apply to an owner of a properb
License Cie License No. M
!ap�--.g -) . . _7% who builds or improves thereon, and who contracts for the Projects with i
Expires / r — Signature - licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
0 1 am exempt from licensure under the Contractors'State License Law for th.
0 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that. except for my personal residence h
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion c
Section 370O.of the Labor Code, for the performance of work for which this
permit is issued. improvements covered by this permit, I cannot legally sell a structure that I hav,
Policy# built as an owner-building if it has not been constructed in its entirety by license-
contractors. I understand that a copy of the applicable law, Section 7044 of th.
0 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application 1
section 3700 of the Labor Code. for the performance of the work for which this submitted or at the following Web site:http:/A�.leginfo.ca.aov/calawhtm]
permit is issued.My workeni'compensation insurance carder and policy number are:
15�a Property Owner crAuthonzed Agent
Carder quo dk,_� 191?-AO)LP—P Date
Expires -7 3Zd'
Policy#
0 By my Signature below, I certify to each of the following: I am the propert
Name of Agent Phone# owner or authorized to act on the property owners behalf. I have read IN
(This section need Dot be completed if the permit is for application and the information I have provided is correct. I agree to compi
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to buildin
construction.I authorize representatives of this city or county to enter the above
[3 1 certify that in the performance of the work for which this permit is issued,I identified property for t4e inspection purposes.
shall not emoloy any persons in any manner so as to become subject to the
workers'compensation laws of California, and agree that If I should become
subject to the workers'compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Property O�vnflr orAuthorized Agent Datd
Date; Applicant; City Business License#
1 7
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE kUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, OyES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES KNO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is Issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address _XN 0 DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS " GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed []YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BF WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve. demolish, _;�No SCHOOL?
or repair any structure. prior to its issuance, also requires the applicant for the
permit to rile a signed statement that he or she is licensed pursuant to the
provisions of the Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or []YES INFORMATION GUIDE AND THE SCAOMD PERMITTING
she is exempt from ficensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to _z.
,�,ONO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING
13 1. as owner of the property, or my employees with wages as their sole Hk5ftOUS MATERIAL AEPOf�YING.
compensation,will do( )all of or( )porting of the work, and the structure is PROPERYYPV/NER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply 4o an owner of a property X
who, through employees' or personal effort, builds'or improves the property,
provided that the Improvements are not intended or offered for sale.If.however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or Improved for the
DurDOSe Of q.1.1
WIVIenifee
kx
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION JAafety Dep-Vtz
Menifee Received
DATE PERMIT/PLAN CHECK NUMBER mT1 Lf 13
TYPE: 0 COMMERCIAL 'K/RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN
SUBTYPE: OADDITION OALTERATION �DEMOLITION �� ELECTRICAL OMECHANICAL
)(NEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_
DESCRIPTION OF WORK �Hja zrc�
PROJECTADDRESS 2cl-+U ft�zv-�ke-, OR q IE5�4
ASSESSOR'S PARCEL NUMBER 3104 - W- 02-1 LOT 615 TRACT 504 *1'1—3P
OWNER NAME !aAtjc\e,,,e-
ADDRESS 29.1-2�O Q�,r T'fy-v\�QM C%4 (12:r�
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? OYESONO
BUSINESSNAME QA�
ADDRESS U-2 -a\lw6� A--\t ��(4 VLI(Vit) 09 Q2SJ:T
PHONE 9-SI EMAIL GV-Ut0nC0MU5QCIJL4iCC)k--C6M
CONTRACrOR'S STATE LIC NUMBER 2 LICENSE CLASSIFICATION
VALUATION$ 2110 SQ FT Li I Lt LSQ
APPLICANT'S SIGNATURE DOTE
—1—11 - �-91
CfTY STAFF USE ONLY
DEPARTMENT DISTRIBUTION SMIP CITY OF MENIFEE BUSINESS LICENSE NUM ER
BUILDING PLANNING ENGINEERING FIRE � GREL F
INVOICE 4&qy_ 1 Q I PAIDAMOUNT
AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH (DCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 No DILNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Depot tment 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
Lic,,os'�;#945962
Datealblib Source: Start Datq: Approximate Completion Date:
f 1 5))
'�Iamelpfwcvc,Ncce, —sTu Legp h Q 2,13 —!a qo�- CDDAKSM
I
'\ddress:2-q'�ZJ2 J�LMSVL)t)od cj-p— cit, H tPzf-t,- Zip:
:Iatio Type: V-'�Colid Color — 8' Post (Standard/Included)
—IRP —Lattice —S
V-�,0' Post (*ddftkmaf$2-64a)
M) I Story
"rojection: Length: 232 Attachment:- 2 Story
Fiberglass Columns I All Columns Come
8 N 1 8' $3501ea 10 3N 8' $385/ea 8'@ 8,,X 18' $400/ea 8' $440/ea
0' $385/ea 10' $425/ea 10. 0' $425/ea 10 IN 10' $470/ea in Primer Only
Round Smooth Square Smooth Will Need Painting.
CIA Check Credit Card Add=3% Financing
$ $ $ $
Quote Price
———————-- — —————— — Pat
Size Sq.Ft.
Fan Beam $150 City.
Post Lights $50
Customer to Supply Own Fans i Post Lights City.
Outlets $75
City.
Switches $75
City.
Columns
—————-- Permit Services Fees City
Permit Services fees are in additionto City Permit Fees
Other — —QiY
lotes: SubTotal- 2.)a
Balance Due: City Pennit
EDE R SIDE
;ET BACK?t.-REA R- Fee
To be
eed HOA Approval: E] yes Eino Determined
Legal Information
Final Payment Must Be Made Upon Completion or $10.00 Per Day Late Fee Will Apply.
o assure prompt installation without ricurring additional charges,the following is the responsibility of the buyer:
ans and post lights need to be present at time of installation or customer will be responsible for a$200 trip charge for installation at a later date.
areas are not clear for installation, the buyer is subject to a$65 per hour charge for the installation crew to clear area to perform services requested.
uyeris must notify security guard/gate personnel of contractor's need to gain access to the community/residence for installations.
or their own protection,children,pets and other subcontractors must keep away from areas under improvement,
�ricacucr requars;Buyer to give 72 hours notice when rescheduling an installation and a trip charge of$100 will be applied to the balance due if the contractor arrives at the Buyers Residence and
�mable to perforrin an installation due to an unprepared or inaccessible residence.
TList be nvadein tirefom of a cashiers check or money order. Buyer will be financially responsible for all debts incurred
City of Menifee
k("ing & Safety Dept.
AUG 2 6 2016
Received
LEDGER & K
ASP N REQ JIRED
CITY OF MEN HE
BUiLDING AIS D SAFETY DEPARTMENT
PLAN APPRO JAL 7
REVIEWED B
E
*Approval of these pla if shall not be construed tobe for,or an
approval of,arlyViOlat!Dn of any provisions of the federal,Slate or city
regulations and ordin nces. This set of approved plam must be kept on the
jobsite until completi n.
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