PMT16-03606 City of Menifee Permit No.: PMT16-03606
29714 HAUN RD.
-�A—CCELA-> MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 11103/2016
P E R M I T
Site Address: 30355 LAMPLIGHTER LN, MENIFEE, CA Parcel Number: 364-260-026
92584 Construction Cost: $3,324.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID ALUMAWOOD PATIO COVER 360 SOFT 1 FAN&2 POST LIGHTS 1 SWITCH
Work;
Owner Contractor
EDWIN CALANANG GUTTERS N COVERS CONSTRUCTION INC
30355 LAMPLIGHTER LN 1622 ILLINOIS AVE SUITE 14
MENIFEE,CA 92584 PERRIS, CA 92571
Applicant Phone: 9516728022
CLYDE DARE 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
$306.20
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA BidgPermit-Template.irpt Page 1 of 1
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
,._�kMenlfee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL \4ESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL
�46EW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_
DESCRIPTION OF WORK WA I �AAAA VmRt) aw
PROJECTADDRESS UjmoiQ2A.-_�,E� uv) Ot26bg
ASSESSOR'S PARCEL NUMBER taV LOT 2-64 TRACT '30%j 2Z
OWNER NAME Ccutl v) cm 0,
ADDRESS
PHONE 3 3 EIM A I L
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME GN6�� OWNERBUILDER? OYESONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 016 LICENSE CLASSIFICATION
VALUATION$ SO FT �3bO LSQFT
)_Cf� DATE
CiTYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GIEN SLIP
INVOICE PAIDAMOUNT
AMOUNT I 3Ck�2 (2 1 OCASH OCHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZEDLETTER 0 YESO NO
6611
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penaltyof perjurythat I am under provisions of with a licensed contractor(s)pursuant to the ContractonState License Law).
Chapiter!)(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractoes state License Law for
Professions Code and my license is In full force and effect. the following reason:
License Class "Of License No. By my signature below I acknowledge that,except for my personal residence
Expires 3'o'��'�7 Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION!�;7 have built as an 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 workers 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 th e Labor Code,for the performance of work for which
this permit is issued. www.Ieginfa.ca.gov/caIaw.html.
Policy# Date
u I have 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 u By my signature below I certify to each of the followilng:I am the property
this permit is Issued.My workees compensation Insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
Carrier _&F-C c.,7LI2�� ,-1,4 with all applicable city and county ordinances and state laws relating to
— building construction.I authorize representatives of this city or county to
Expires 7 -117 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date 7
dollars($100)or less PRC15rAY OWNER OR AUTHORIZED AGENT
c I certify that in the performance of the work for which this permit is issued
Ishallnotempi any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 0_3�,;�r
workerrs compensation laws of California,and agree that if Ishouldbecome HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith c9pply with those provisions. VAII the applicant or future building occupant handle hazardous material or a
2 mixture containing a hazardous material equal to or greater that the
Applicant A; Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI E TO SECURE WORKER'S COMPENSATION COVERAGE IS 0yes No
UNLAWFUL,30E)s HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES /pl�
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(SCAQM D)?See penmitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes—AD
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 bou clary of a school?
(Section 3097 Civil Code) 0 Y,w!lo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe 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 aYe
Business and Professions Code).Any city or county that requires a permit to Date 11,VY7
construct,a Iter,improve,demolish or repa ir any structu ne,prior to Its
issuance,also requires the applicant for the permit to file a signed statement PROP ERTY O)�KR OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPJ
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting RIP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from Rcensure 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 perim it subjects the applica nt to a civil pena Ity 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 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.eria.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 o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through em ployees'or persona I effort,bu ilds or improves the
property provided that the improvements a re not intended or offered for Certified Firm Name:
sale.If,howeverthe building or improvement is sold within oneyearof 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 Contractoes State License Law does not apply to a n owner of a If your project does not comply with EPA RRP rule please fill out the RAP
Acknowledgement.
city of Menifee
Building & Safety Dept.
NOV 0 3 2016 >
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LEDGER & TRACK
INSPECTION REQUIRED
CITY OF MENIFEE
BUILDING AN40 S��Ty DEPARTMENT
PLAN
REVIEWED BY
DATE
*Approval of these plans shall not be construed to be a permit IK or an
approval of,any violation of any provisions of the fedeal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
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