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PMT16-03330 City of Menifee Permit No.: PMT16-03330 29714 HAUN RD. Type: Residential Addition 4q%CCIEL�� MEN IFEE, CA 92586 MENIFEE Date Issued: 10/1112016 P E R M I T Site Address: 26326 RIM CREEK PATH, MENIFEE,CA Parcel Number: 360-670-003 92584 Construction Cost: $3.851.00 Existing Use: I &2 Family Residence Proposed Use: Description of INSTALL 14"x 28'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,3 LED LIGHTS, 1 GFI OUTLET Work: Owner Contractor JOSE MACIAS GUTTERS N COVERS CONSTRUCTION INC 26326 RIM CREEK PATH 1622 ILLINOIS AVE SUITE 14 MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9516728022 TIERRE AMANSEC License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 1622 ILLINOIS AVE SUITE 14 PERRIS,CA 92571 Fee Description Div Amount 1$) Receptacle, Switch, Outlet&Fixture 6 141.00 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 7.05 $316.70 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and spedfications 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 cemmenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA__Bldg_Permit Template 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). Chapterg(commencing with section 7000)of Division 3 of the Business and n 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: UcenseClass T-1-66KWJ- UcenseNo. 0116qb 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 prior to completion of improvements covered by this permit.I ca nnot lega Ily sell a structure that I WORKER'S COMPENSATION DECLARATION have built as a n owner-builder if it has not been constructed in its entirety by a I hereby affirm under pena Ity 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 a nd Professions Code,is available upon req uest when compensation,issued by the Director of Industrial Relations as provided for this applimlion is submitted or at the following website: by Sectlion 3700 of th e Labor Code,for the performance of work for which this permit is issued. www.Ieginfo.ca.gov/caIaw.htmI. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ave and will maintain worker's compensation insurance,as required by /1,02tion 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 carner and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy If I<3CA Expires Ci t/ enter the above identified property for inspection purposes. (This section need not to be completed is the permit i1r one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT a I certify that in the performance of the work for which this permit is issued, Ishallnotemol any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If worker's compensation laws of Califunnia,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 Date 0/11 mixture containing a hazardous material equal to or greater that the Applicant , I amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVEI(AGE IS o Yes c;No UNLAWFUL,AND SHALLSUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit forthe 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 SECrION 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) ciYes csNo 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 oYes ci 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,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 fRRPl 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 receiviing 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 mom 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 employees.For more Information about EPA's Renovation Program Visit: compensation,will do I )all of or I )portion of the work,and the structure Is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-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. a No EPA Lead-Safe Certified Firm is required for this project bemuse: in 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. I 11001,24viluumildwri'll Men ifee DATE la %%\ku PERMIT/PLAN CHECK NUMBER TYPE: OCOMMERCIAL NZ RESIDENTIAL CMULTI-FAMILY OMOBILEHOME 0 POOL/SPA 0 SIGN SUBTYPE: OADDITION C)ALTERATION ODEMOLITION 0ELECTRICAL CIMECHANICAL ��NEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK F1 PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME ADDRESS 2632 to mtm�ef cj� 2sv�nnlll(99 �,' &Safety DO A. PHONE ()5, ,6 6�)� EMAIL SO ng APPLICANT NAME OcT 112016 ADDRESS Received PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDERZ 0 YES \NC) BUSINESS NAME (Q*,(3 ADDRESS lb22- Z(,Un� 4�e- Z��kclg PHONE 951 97-S 0099 EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ SO FT L SO FT LAELL_lQVT'S SIGNATURE D AT I L0 LLL� CITY STAFF USE ONLY DEPARTMENT DISTRIBUTfON BUILDING PLANNING ENGINEERING FIRE GREEN SMIP CITY OF MENIFEE BUSINESS LICENSE NUMBER INVOICE AMOUNT Pf�,JC ') 1 0 CASH 0 CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZEDLETTER 0 YES 0 NO City of Menifee Building&Sojety Oepertment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee-Lis Inspection Request Line 951-246-5213 Ile EEDGER & T-RAVeR >CL NSPECTION REQUIRED 0 L) LIJ 0 U. UL 0 - La C9 City of Me rif, 1,�,�lldjng & Saf�ety Deept. — OCT 11 2116 RIG( elvad CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL REVIEWED BY ilOkIn D ATE *Approval of these plans shall not be construed tc be a perm r,or an approval of,any violation of any provisions of the -ederal,sta e or cit-/ regulations and ordinances, This set of a roved�ilans must )e kept on the jobsite until cc etion. N,Q�ke_ CP qzs�N '3 bt-b NbT TOS�H-(E7 Aj-(bF3-