PMT16-03171 City of Menifee Permit No.: PMT16-03171
29714 HAUN RD. Type: Residential Addition
97ACCIEL�� MENIFEE,CA 92586
MENIFEE Date Issued: 09126/2016
P E R M I T
Site Address: 31885 VICTORIA PL, MENIFEE, CA Parcel Number: 360-720-021
92584 Construction Cost: $2,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 220 So FT SOLID ALUMAWOOD PATIO COVER NO ELECTRICAL
Work:
Owner Contractor
LINDA MORLET COVERS N GUTTERS.COM
31885 VICTORIA PL 1159 NEATHERLY CIR
MENIFEE, CA 92584 CORONA, CA 92880
Applicant Phone: 9514888377
CHUCK SPEARMAN License Number: 926009
COVERS N GUTTERS.COM
1159 NEATHERLY CIR
CORONA, CA 92880
Fee Description Qtv 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 bulliding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Exoept 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 BidgPerrnit—Template.rpt Page I of I
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State 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 o I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class DO'N License a. CUIWY3 si
By my signature below I acknowledge that,except for my personal re Idence
Expires Signature inwhicb I musthave resided foratleastoneyear 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 constructed in its entirety by
o I hereby affirm under Pena Ity of perjury one of the following clecla rations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-Insu re for worker's 7044 of the Business a nd 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 La bar Code,for the performance of work for which www.leginfo.cagory/calaw.himl.
this permit is hisued.
Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date
o I have and will maintain worker's compensation insurance,as required by
secrion 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I am the property
this permit is Issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number am: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property for inspection purposes;.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
XI certify that in the performance of the work for which this permit is Issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the workAs compensation provisions of Section 3700 of the Labor a
Code,I shall forth ' c h h se provisions. Will the applicant or future building occupant handle hazardous materl lore
ApplicanoZj6j �= —Date oi A mixture containing a hazardous material equal to orgreater that the
IF - amounts specified on the Hazardous Materials Information Guide?
LAtARNING.FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes 0&
UNLAWFUL,AND SHALL SUBJECr 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 Qua lity Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORN EYS FEES for guidlones
CONSTRUCTION LENDING AGENCY Dyes JsLNo
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) Dyes ANO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I uVerstand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Sa^r Code,Section 25505 and 25534 conc ming
Contractor's License Law for the reason(s)Indicated below by the h d i ria ,port]
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dpzar ous n
,ftes
Business and Professions Code).Any city or county that requires a permit:to Data
construct,alter,improve,demolish or repair any structure,prior to its PROPitpp ER 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP1
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Businws and Profoslons Code)or that he or she is exempt fram licensure 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
a 1,as owner of the property,or my employee with wages as their sole emp loyees.For more information about EPA's Renovation Progra rn visit:
compensation,will do( )allofor( )portion of the work,and the structure Is www.ePa.Rov/Iead or contact the National Lead Inforination Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80G-424-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a ci 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:
a 1,as owner of the property am exclusively contracting With licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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 RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER PMT((o-- 0.!)a
TYPE: COMMERCIAL KESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION 0ELECTRICAL OMECHANICAL
Pa�,b Cov..r ONEW OPLUMBING 0— RE-ROOF-NUMBER OF SQUARES—
DESCRIPTION OF WORK c�ola
Cov-.,-
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME CAAP,
ADDRESS
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL C. J15'c� A r Dq f-b cou'-r-C-4
CONTRACTOR'S NAME Cj*Ver3/\/gd4*r5- OWNERBUILDER? OYESONO
BUSINESS NAME Oo\jv5 Aj
ADDRESS f ti5cl cxv
PHONE cls(- q576 - EMAIL b6-3
CONTRACTOR'S STATE LIC NUMBER cl�cz LICENSE CLASSIFICATION
VALUATION$
SO.FT
LSQFT
APPLICANT'S SIGNATURE DATE
-,Tw
7"28A.I.T4104
DIPART ENT DISTRIBUTION SINESS LICENSE NUMBER
BUILD
DIAM PLANNING ENGINEERING FIRE GREEN SMIP T=
INVOICE PAID AMOUNT
AMOUNT oct.(o'5
7 1 1 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES I PAID AMOUNT I I OC45H 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee 8widing& Scifety Department 29714 Houn Rd, Mlenifee, CA 92586 951-672-6777
wvvvv.cityofmenifee.us lo5pection Request Line 951-246-6213
CITY
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ow,,�ft.e Add,—,
C�ea'5s 1159 ztlierly Cir Corona 92880 * No
C�WCX S2F-A(LMlz,,N Covers N Gutters
951 -488-8377
Slivaluation Total$ Scope 0 work -fl ,-,(
r),5-OD — A`ojmm,)o6d- SL
Wi P nd Sj�ed --1 -5ic>\3 a-A-fA 'pa-I-to Coop(- �,77-^ctft�b Tp Ttfr- PA'i o, a 0 te
110 MPH
Electitcal
Fans 4K ft-�x po-�Fspp'e�lro Cd
q
Post Licjhts ao I
Switches
LED Recessed
Out Lets
Flood Lights
Planning Requirements ATTxAtn
Include properly line
Show Max Post Spacing LEDGER & TRA 'K
ATT
INSPECTION REQU REI�,
City of Menitee
Building & Safety Dept.
OF MENIFEE
SEP 2 6 2016
DEPARTMENT
City Inspect ion UOVAL Received
Requirernents
Light Fixtures Mui�bwucd) BY
Track&Leader Required
Leve I 904Fi I Fan 01),n
not be mnstrued to be a permit fo or
Of allY PrOAsions of the federal,state ol c
- This set Of approved plans must be k pt on the
finances
V1, ck(W\a-