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PMT16-03327 City of Menifee Permit No. PMT16-03327 29714 HAUN RD. Type: Residential Addition <A_CCEt:A_> MENIFEE,CA 92586 MENIFEE Date Issued: 10/1112016 P E R M I T Site Address: 29837 FOX CREEK DR, MENIFEE, CA Parcel Number: 338-340-011 92586 Construction Cost: $6,700�00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 15'x 45'SOLID ALUMAWOOD PATIO COVER WITH 3 FANS, 1 SWITCH Work: Owner Contractor BERT STIEY GUTTERS IN COVERS CONSTRUCTION INC 29837 FOX CREEK DRIVE 1622 ILLINOIS AVE SUITE 14 MENIFEE,CA 92586 PERRIS, CA 92571 Applicant Phone:9516728022 TIERRE AMANSEC License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 1622 ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Fee DescrIptlon 9-ty Amount($1 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 bullicing 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_BldgPermiLTernplate.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and a 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 69-66KCIV&L License No. OK(5Q&2- By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legally sell a structure that I WORKEWS COMPENSATION DECLARATION have built as an ovinier-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and 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 Labor Code,for the performance of work for which www.leRinfO.ca.gOv/UIaw.btml. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ave and will maintain worker's compensation insurance,as required by �,Oettion 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 an the property owner's behalf.I have read this number are: 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 Policv#'SVA I I Expires C1 enter the above identified property for inspection purposes. (This section need not to be completed Is the permit islior one,hundred Date dollars($100)or lew PROPERTY OWNER OR AUTHORIZED AGENT o I 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 become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith c ly with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKERN COM ENSATIONC6VEI(AGEIS ciYes ONO UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TOONE 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 Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY Oyes ONO 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) ci Yes a No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)Indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ciYes a No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT issuance,a lso requires the applica nt 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 IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting[RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compemation for most work that disturbs paint in a pre-1978 and the basis for the alleged exem ption.Any violation of Section 7031.5 by nasidence or childca re facility to be RRPcertiftecl firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes renta I property owners and property than($500). managers who do the paint-disturbing work themselvesor through their a 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.goyllead or contact the National Lead Information 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 bemuse: o 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 you r project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. & SAFETY PERMIT/PLAN CHECK APPLICATION Men if ee 16— DATE PERMIT/PLAN CHECK NUMBER9ml- TYPE: �, COMMERCIAL \RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOLIFSPA 0 SIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION CIELECTRICAL OMECHANICAL 'N,VEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES- DESCRIPTION OF WORK y IVIA�!fa, 3 Tig�s g_SU3I+cv) Eltlifmcnilg Saf9ty I apt. PROJEcTADDRESS 22 -fi"y, C��C_ ooe&p OCT 1 1 2011 ASSESSOR'S PARCEL NUMBER 5.?;05- Nb-Olk LOT TRACT OWNER NAME CA ADDRESS Flf�X rk!:C\-e_ Vk-,O� 1�,E_ C4q C�ZSI��_O PHONE IZ'�JO EMAIL APPLICANT NAME ADDRESS PHONE EMAIL OWNERBUILDER? 0YESVNO CONTRACTOR'S NAME k ti-C, YkMCLVkSe_C BUSINESS NAME r� (cays ADDRESS C19 Cj2_'Sj) PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER C4 Lnqlo2- LICENSE CLASSIFICATION VALUATION$ 61�too SO FT L SO FT _7� /0/ I APPLICANT'S SIGNATURE DATE-J U-21 --a OTYSTAFFUSEONLY Awmmwwl DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP Till INVOICE PAID AMOUNT �3" OCASH OCHECK# 0 CREDIT CARD VISA/MC AMOUNT 30 1 1 PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0—CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER () YES 0 NO City of A4enifee Building& Sofety 0eportment 29714 Houn Rd. Menifee, CA-92586 951-672-5777 www.cityofmenifee.us Inspection Request Line 951-246-6213 LEDGER & TRACK INSPECTION REQUIRED T-2 City of Mcnifi a Fullding & Safety Dept. CITY OF MENIFEE Z MENT OCT 11 2( 6 BUILDING AND SAFE R),(acelvc d PLAN APPROVAL REVIEWEDBY --��k �`l`�\ " DATE *Approval of these plans shall notbe construedtobea peroltforor an Approval of any violation of any provisions of the federal,state of city t of approved plans must be kept on the egulations and orfinances.-This se jobsite until cOmPFet!on' ec6i)(OVe r Zc)%-3-4 fO�,46:ect- JVO r jjt��, SLA3 kicyl Cr- -4 ri )&3 L7 0 5Ctj7_tC cc) .?) )b