PMT16-03400 City of Menifee Permit No.: PMT16-03400
29714 HAUN RD. Type: Residential Addition
<A_CCEL:A'> MENIFEE, CA 92586
t-11�Me� MENIFEE Date Issued: 10117/2016
P E R M I T
Site Address: 31832 RUXTON ST, MENIFEE, CA 92584 Parcel Number: 360-591-019
Construction Cost: $3,775.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 403 SQ FT SOLID ALUMAWOOD PATIO COVER WIELECTRICAL 2 FANS, 2 OUTLETS
Work:
Owner Contractor
DON KUHN GUTTERS N COVERS CONSTRUCTION INC
31832 RUXTON ST 1622 ILLINOIS AVE SUITE 14
MENIFEE, CA 92594 PERRIS, CA 92571
Applicant Phone:9516728022
DREW DUNPHY License Number.945962
GUTTERS N COVERS CONSTRUCTION INC
1622 ILLINOIS AVE SUITE 14
PERRIS, CA 92571
Fee Description Qtv Amount($
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 therealter requiring the wrrection of errors in the plans and
specifications or from preventing buillding 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�Bldg_PerrWitTemp1ate.rpl: 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 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:
License Class Lice se o. fy By my signature below I acknowledge that,except for my personal residence
Expires T Signature in which I must have resided for at least one year prior to completion of
Q improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
a 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 forworker's 7044 of the Business and Professions Code,is available upon requestwhen
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
this permit is issued. www.leginfo.ca.goy/calaw.litmi.
Policy# Date
9khave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which n 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 a nd policy owner or authorized to act an the property ownees behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier �:f%,yj Val, with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# !r&V —16f&IOW6 Expires 7-11iL 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
o I certify that in the performance of the work for which this permit is issued, ();5F:;AV;I
I shall not employ any persons in any manner so as to become subject to the C17Y BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workees compensation provisions of Section 3700 of the Labor
Code,I shall forth ith I 'th hos visions. 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 SEC13RE W16RIKER'S COMPENSATION COVERAGE 15 ciYes 9RNo
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 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 Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY uYes callo
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) a Yes OPO
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous terial reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 uYes
Business and Professions Code).Any city or county that requires a permit to
construct,alter,improve,demolish or repair any structure,prior to its Date .7'Ac
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTH(5-Rl2EqGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING 11111P)
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 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-certffled firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
o 1,as owner of the propeft or my employee with wages as their sole employees.For mom information about EPA's Renovation Program visit:
compensation,will do( )all of or( I portion of the work,and the structure Is www.epa.goy/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 Contractoes State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,th rough employees'or persona I 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 bu rclen 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 beca me:
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 your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
0,11HUN 1i All
""Menifee
DATE PERMITITLAN CHECK NUMBER Fmltc�03,I
TYPE: 0 COMMERCIAL 'WESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOLISPA 0 SIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL CMECHANICAL
-XNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES-
DESCRIPTION OF WORK
PROJEcrADDRESS
ASSESSOR'S PARCEL NUMBER -!5ql- LOT TRACT
OWNERNAME aln
ADDRESS O�:,V rV�eV_�_k �-4�4e_
'41 EMAIL
PHONE ;0 6%
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDEL? OY5�kl_No
BUSINESS NAME (0&46
ADDRESS A\-f _-t�jq PII Ckll' Ca'-5-7-1
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VAUJATION$ M 3:1� SOFT �03 LSQFT
APPLICANT'S SIGNATURE DATE
NEEFSEONLY
DEPARTMENT DISTRIBUTION ra SMIP CITY OF MENIFEE BUS16J�Cgk§qlk
BUILDING PLANNING ENGINEERING FIRE GREEN
INVOICE PAIDAMOUNT
AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED 0 YES 0 No OIL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building & Safety Deportment 29714 HaUn Rd. Menifee, CA 92586 951-672-6777
wwDv.cityofimer?Il Inspection Request Line 951-246-6213
TPL 1 �1
311
city of Menifee
Building & Safety Dept.
RAUt
OCT 17 2016 LED""
Received INcWN A REQUIl."
CITY OF MENIFEE
BUILDING AND SAFE 'Y DEPARTM
PLAN APPROVA L
'0000
REVIEWED BY]'
*Approval of these p1m
approval of,any violatwo q
regul2tions and
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