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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 > 0 e-Kv-e-ff LL LL 0 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. P/t LiA wq�� )(VQ,vk,�kce-) C A- q LSY4 �Ij V-v�- ss�� m6 L�?5,-2H � 0,t