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PMT16-02963 City of Menifee Permit No. PMT16-02963 29714 HAUN RD. <A—CCIELA> MENIFEE, CA 92586 Type: Residential Addition MENIFEE Datelssued: 09/0712016 P E R M I T Site Address: 28835 SHERBORN CT, MENIFEE, CA Parcel Number: 336-520-014 92584 Construction Cost: $3,764.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 408 SQ FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 2 FANS,2 POST LIGHTS Work: Owner Contractor XAVIER SANCHEZ GUTTERS N COVERS CONSTRUCTION INC 28835 SHERBORN CT 19069 VAN BUERN BOULEVARD#114 MENIFEE, CA 92584 RIVERSIDE, CA 92508 Applicant Phone:9516728022 SEAN DARE License Number: 945962 GUTTERS N COVERS CONSTRUCTION INC 19069 VAN BUERN BOULEVARD#114 RIVERSIDE, CA 92508 Fee Description Qtv Amount 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_13k1g_Perrn1t—Temp1ate.rpt Page 1 of I City Of Menifee LICENSED DECLARATION I hereby affimn under penalty or perjury that I am licensed under provisions of 0 1, as owner of the property an exclusively contracting with ficense( Chapter 9(commencing with sectlon 7000)of Division 3 of the Business and contractors to construct the project(Section 7044,Business and Professioni Professions Code.#ro my license is in full a and effee Code:The Contractor's License Law does not apply to an owner of a propert License Clas� License No. who builds or improves thereon, and who contracts for the projects with i' Expires IV ZZq Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKER&COMPENSATION DECLARATION 0 lam exempt from licensure under the Contractors'State License Law forth, D I 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 ii 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 3700.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 If 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, 11 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application I section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:hUpi//www.leginfo.ca.ao-vLcalaw.html. permit is issued.My workers'compensation Insyrance carrier and policy number are: Carrier a CIU/ AO)LiZ-P Property Owner or-Authorized Agent Date Expires 7 Policy#15 Name of Acient & Phone# 0 By my Signature below, I certify to each of the following: I am the propert owner or authorized to act on the property owner's behalf. I have read thl (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 bulklin construction.I authorize representatives of this chy or county to enter the abovc 0 1 certify that in the performance oi the work for which this permit is issued,I identified pro dy for Idle inspection purposes. shall not employ 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 she forthwith comply with those provislo Property Ownor orAuthorized Agent D a J Ilk I (/ Applicant; City Business License# 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 HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE '< MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES NO 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 4NO 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 DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, __;0VO SCHOOL? 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 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 DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure 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 �;,EAO UNDER THE STATE OF CALIFORNIA H EALTH AND SAFETY a civil penalty of not more than($500).) CODE. SECTION 25505 '15533 AND 25534 CONCERNING El 1, as owner of the property, or my employees with wages as their sole HAZARDOUS TERIAL AEPORYING. compensation,Will do( )all of or( )porting of the work, and the structure is Pi )WPER;�p ER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply io 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 Purpose of sale). Barrington Heights Homeowners Association 31608 Railroad Canyon Road Canyon Lake, CA 92587 Office: (951)244-0048 Facsimile: (951) 244-0520 Email: batTington@avalonweb.com Website: www.i-nybal-ringtonlioa.com August 5, 2016 Bertha Sanchez 28835 Sherborn Court Menifee, CA. 92584 Notice of Architectural Application Approval RE: Account#129-54. 2883� Sherborn Court Architectural Application =1 Dear Bertha Sanchez: We are pleased To inforni you thlu your Architectural Application was rcvie%�cd by the Architectural Control Committee and \\as approN ed for aesthetics only, as submitted. As a reminder, you may not deviatle froin the approved Architectural Application. Should additions or changes be required N oil must subinit a new Architectural Application. This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on any property other ihan that of the applicant. This approval is related solely to the items reserved for approval by the CC&Rs in accordance with the Rules and Regulations. The approval does not extend to the quality of work performed by your architect or contractor, or to any structural engineering, soils engineering. or site gradinga and draina.ge design. You are urged to obtain the semice of a licensed professional �'or consultation as needed. This appro\al is based on aesthetics only. Please be advised that this approval does not re lie\e \Ou from obtaining any neressary building permits from the governmental agencies. Work must be completed by December 5. 2016. Please submit tile Notice of Completion form upon completion of your improvement in order for Lis to close \.our file. The form may be found online at www.myloarringtonholl.com under "Homeowner Forins". Should you have any questions and/or concerns. please do not hesitate to contact our office, Sincerely, Architectural Control Committee As Agent for the Board of Directors City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of 0 1, as owner of the property an exclusively contracting with license( Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044,Business and Profession: Professions Code,p_q my license is in full fWe and effec Code:The Contractor's License Law does not apply to an owner of a propert, License Clas License No' who builds or improves thereon, and who contracts for the projects with i Expires Signature licensed contractor(s)pursuant to the Contractors State Licianse Law). WORKERS'COMPENSATION DECLARATION [I I am exempt from licensure under the Contractors'State License Law forth, 0 1 hereby affirm under penalty of pedury 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 entiretyby license contractors. I understand that a copy of the applicable law,Section 7044 of In, 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�//www.IeQinfo.ca,goy/calaw.html. permit is Issued.My workers'compensation insurance carder and policy number are: Carrier 151 ) 6!i 6-�-p Property Owner or Authorized Agent Date Expires 7 -3/L- Policy# 3we A ' 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 owner's behalf. I have read thil (This section need not be completed if the permit is for application and the Information I have provided is carrect. I agree to compi one-hundred dollars(5100)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 0 1 certify that in the performance of the work for w1flch this permit is issued,I identified property for the inspection purposes. shall not employ 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�niir or Authorized Agent Date, Date; Applicant; City Business Ucense 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, EIYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ;, <NO EQUAL TCr OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of pedury 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address 4NO DISTRICT(SCAOMD)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 OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITH]N 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construcl,alter. improve, demolish, --:RNO 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 CIYES INFORMATION GUIDE AND THE SCAOMD PERMITTING she is exempt from licensure 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 .�,00 UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION 25505, 25533,AND 25534 CONCERNING IJ 1. as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORI ING. compensation,will do( )all of or( )poding of the work, and the structure is PROPER7 Ov1NER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply qo an owner of a property X who. through employees' or personal effort, builds'or improves the property. provided that[he improvements are not intended or offered for sale.If.however. the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the Purpose of sale). BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �"'Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: tf OMMERCIAL611ESIDEN�T CMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: )k ADDITION OALTERATION 0DEMOUTION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES- DESCRIPTION OF WORK LA05�jd I iAuA s�� akk�w -z -Ffqw s -z PROJECTADDRESS ASSESSOR'S PARCEL NUMBER �51� 15>00014 LOT Oq 4� TRACT ;LCI 0-7 D- OWNERNAME '��,>CAVJCkjt2- ADDRESS PHONE EMAIL APPLICANT NAME G9 ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDERZ OYES\NO BUSINESS NAME czmk(s ADDRESS 'Pe-VV�- Q PHONE EMAIL U CONTRACTOR'S STATE LIC NUMBER qt-k<S 9�o LICENSE CLASSIFICATION L VALUATION$ 3—+�O(A SO FT L SQ FT APPLICANT'S SIGNATURE DATE I DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT AMOUNT 1 1 1 OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Sojety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 wwvv.cityofmenifee.us Inspection Request Line 951-246-6213 Z-- Y)Q'Y V)C)"r Y-I Q'-� -�> - I 1:nGFR 9, IRACK INSPECTION REQUIRED 2 Q'CITY OF MENIFEIE -CIT ANDJrA F L I I PLAN APPROVAL REVIEWED BY DA7"-." "Approval of these plans sha�! rstrupd to be a permit for,of ;n approvil of,any violation ol if 011'�ro''I'le;0041.A;iit J, regula!ions and ordinance Sul! J �.ppfiulked PianS M61 te Kep-,cil the jobsite until completion.F Avow City of Menifee Building & Safety Dept. SEP 0 7 2016 Received 040 121 39 P t c9x:- 'Lk4- CVA C�2-!5'BH NOT -TC)4C-)C(qCE zp,3 qsU-+