PMT17-00379 City of Menifee Permit No.: PMT17-00379
29714 HAUN RD. Type: Residential Addition
�AACCELA? MENIFEE,CA92586
MENIFEE Date Issued: 02/09/2017
PERMIT
Site Address: 27910 LEXINGTON CT, MENIFEE, CA Parcel Number: 335-091-011
92586 Construction Cost: $4,700.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of INSTALL 23'x 8'SOLID ALUMAWOOD PATIO COVER,2 OUTLETS
Work:
Owner Contractor
DONALD HATFIELD GUTTERS N COVERS CONSTRUCTION INC
27910 LEXINGTON COURT 1622 ILLINOIS AVE SUITE 14
MENIFEE,CA 92586 PERRIS, CA 92571
Applicant Phone:9516728022
SEAN DARE License Number:945962
GUTTERS N COVERS CONSTRUCTION INC
1622 ILLINOIS AVE SUITE 14
PERRIS,CA 92571
Fee Description Oft( Amount ISl
Receptacle, Switch, Outlet&Fixture 2 121.00
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 6.05
$295.70
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_Bldg_Permi[_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 1 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 ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class 1B License No. '-7
—.!. � 8y 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 cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by
o 1 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 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 the Labor Code,for the performance of work for which
this permit is issued. www.legmfo.ca.gov/calaw.htmL
Policy# Date
)I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number ; application and the information I have provided is correct.I agree to comply
Carrier C.I..JI\ `�C�,\VfO�j� with all applicable city and county ordinances and state laws relating to
"��`�''' �,��\� �Y,r^rr��a building construction.I authorize representatives of this city or county to
Policy#7,l.a \�%q Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the perm t is for o e-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,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall fort ith.Comply with thus ovisions. Will the applicant or future building occupant handle hazardous material or a
Applican // Date I 'f mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes D No
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($100,000),IN occupant require a permit for the construction or modification from South
IN SECTIONON
3 THE COST LABOR CODE,INTERTION,DAMAGESDATTORNEYS
PROVIDED FOR Coast Air quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR[ODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑No
1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundary of school?
(Section 3097 Civil Code) ❑Yes D No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item hazardous material reporting.$)(Section 7031.5 oyes D 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(FIRM
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-certified firms and comply with
an Applicant for a perm it subjects the applicant to a civil penalty 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
❑1,as owner of the property,or my employee with wages astheir 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.eoa�g_ov/lead/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 Contractors State License Law does not apply to an owner of a in 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 because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLANAPPLICATION
A,J,,kMenifee
DATE 02/09/2017 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL []MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [-]ELECTRICAL [-]MECHANICAL
❑✓ NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ALUMINUM PATIO COVER X2,SOLID, 184 SQ.FT.,242 SQ.FT.(426SQ.FT.TOTAL)
City of Menif
2 OUTLETS
Building & Safety Dept.
PROJECTADDRESS 27910 LEXINGTON CT.92586 PER 0 9 2f 7
ASSESSOR'S PARCEL NUMBER �35- - )%% LOT TRACT
PROPERTY OWNER'S NAME DONALDHATFIELD HeceIVE d
ADDRESS 27910 LEXINGTON CT. MENIFEE,CA 92586
PHONE (951)301-6264 EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME SEAN DARE OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME GUTTERS N COVERS CONSTRUCTION INC.
ADDRESS 1622 ILLINOIS AVE.#14, PERRIS,CA 92571
PHONE (951)928-0098 EMAIL ^GUTTERSNCOVERS@OUTLOOK.COM
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION B
VALUATION$ $4,700.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN — SMIP
INVOICE PAID AMOUNT
AMOUNT �f.! O CASH O CHECKq O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd, Menifee, CA 925B6 951-672-6777
www.citycfinenifee.us Inspection Request Line 951-246-6213
LEDGER & TRACK City of Safety
Pt
e
Building
INSPECTION REQUIRED
FEB 0 9 2017
cj* Y OF MENIFEE Received Q
BUILDING AND SAFETY DEPARTMENT O
PLAN APPROVAL U
\ W
REVIEWED BY DATILL
U
�C Approval of these p tans shall not onstrued to be a permit for,or an \ V'-
approval of,any violation of a4 rovisions of the federal,state or city
regulations and ordinance'
rdinanc TThis set of approved plans must be kept on the f.
• ob untiicompletion. '
I
, �/e
Ir
y
DONALD HATFIELD ALUMINUM PATIO COVER X 2
27910 LEXINGTON CT a 184 SQ.FT. SOLID
MENIFEE, CA 92586 �,� 242 SQ.FT. SOLID
541-297-6307 2 OUTLETS
NOT TO SCALE VALUATION $4700