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PMT17-03760 City of Menifee Permit No.: PMT17-03760 29714 HAUN RD. Type: Residential Addition <ftA=M 1 MENIFEE, CA 92586 °e'""^" A— MENIFEE Date Issued: 10/19/2017 PERMIT Site Address: 25608 SOLELL CIR, MENIFEE, CA 92585 Parcel Number: 329-380-025 Construction Cost: $7,945.00 Existing Use: 1 &2 Family Residence Proposed use: description of INSTALL 12'x 46 SOLID ALUMAWOOD PATIO COVER VNTH 3 FANS,4 LED LIGHTS,VNTH 1 FAN Work: AND 4 LED LIGHTS ON 10'x12'FREESTANDING PATIO COVER Owner Contractor ALECIA SOUTHERLAND GUTTERS N COVERS CONSTRUCTION INC 25608 SOLELL CIRCLE- 1622ILLINOIS AVE SUITE 14 MENIFEE, CA 92585 PERRIS, CA 92571 Applicant Phone: 9516728022 MARCIA DAVIS License Number: 945962 GUTTERS N COVERS CONSTRUCTION INC 1622 ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Fee Description Olt t Amount($) Receptacle, Switch, Outlet&Fixture 7 146.00 Building Permit Issuance 1 27.00 Deck/Patio, non-standard 1 133.00 Inspections not specified 25 25.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee-Building 1 6.65 General Plan Maintenance Fee-Electrical 1 7.30 $347.95 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 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). Chapter9(commencing with section 700D)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 '. License No. q,V \\ � , By my signature below I acknowledge that,except for my personal residence Expires I Signature /"i Js J A /I/t V I in which l must have resided for at least one year priorto completion of 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 o 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 for workers 7044 of the Business and Professions Cade,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[ode,for the performance of work for which this permit is issued. www.leeinfo.ca.eov/calaw.html. Policyfi 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 ❑By my signature below l 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 are: ��JJ application and the information I have provided is correct.I agree to comply Carrier-4 (110/t771ala b l + l + G/ F, 41AQ with all applicable city and county ordinances and statelaws relatingto r building construction.I authorize representatives of this city or county to Polity#�(A) h�P.2�oxpires �11 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 PROPERLY OWNER OR AUTHORIZED AGENT in I certify that in the performance of the work for which this permit is issued, Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,Ishaall forthwith comply with those prevision. q Will the applicant or future building occupant handle hazardous material or Applicant ?�� VtG]ate V � `� mixture containing a hazardous material equal to or greater that the �r amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes �a'pl0 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($10D,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 permitting checklist IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY oYesa I hereby affirm that under the penalty of perjurythere 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 bcun ary of a school? (Section 3097 Civil Cade) o Yes a OWNER BUILDER DECLARATIONS 1 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(s)(Section 7031.5 -hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to `des No �1.' .-)'t (CL CA Vjn Date_I lire/I � issuance,als alter,improve, applicantsh for pairanmit ruche a signedprior its PROPTERTY OWNER OR AUTHORIZED AGENT J + 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(RRPI 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 permit 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 o 1,as owner of the property,or my employee with wages as their sale 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.aov/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 o 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: in 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 RRP rule please fill out the RRP Acknowledgement. BUILDING • SAFETY PERMIT/PLAN CHECK APPLICATION Melllfec' DATE PERMIT/PLAN CHECK NUMBER TYPE: 0 COMMERCIAL RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION 0 DEMOLITION Ci ELECTRICAL O MECHANICAL EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK � co) off, Mx-vial �7 h L � 5 V� y PROJECTADDRESS L e ( ✓ 00,512>6 ASSESSOR'S PARCEL NUMBER �3W-1!2)5 LOT TRACT OWNER NAME �7 W ec a S o l' ADDRESS G5625 8j Sole& Q r . \ 9 2 PHONE q5 f Z;)--7 --:T3SCj EMAIL APPLICANT NAME Building 8&Sefe yy DeIp ADDRESS OCT 2017 PHONE ,^, \\ EMAIL �, CONTRACTOR'S NAME (y�,( (3 Iv OWNERBUILDER? LES 0 etj BUSINESS NAME 7 ADDRESS / Z Z t°Y ✓ L5 C.ls:7/ PHONE 1t l 9 Z 0C9 EMAIL N LCJV�. CJ�d'-g� IL CpVI-I CONTRACTOR'S STATE LIC NUMBER Q`7 S "7 bZ. LICENSE CLASSIFICATION VALUATION $ -�49 LI S SQ FT Sy D L SQ FT APPLICANT'S SIGNATURE ---� DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 1 SMIP INVOICE //��GG PAID AMOUNT �J,�� Q AMOUNT •"1J ;�tTS�• -15 0CASH 0CHECK# C?CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECKN 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES O NO ULY of AAer6fne Budding K 50j<-V rrrl?W Z7/;tI;luun RO. .V 30tipe, C.=i i11�8ti 951-v J_0l7/ �Iwmr.rliY'ufrnemjer.us lnspe( loo Ar..ILresr LLr).? -)11 "'A' ,SQL; o INSPECTION REQUIRED (e << c���r n CITY OF MENIFEE m BUILDING AND SAFETY DEPARTMENT 0 PLAN APPROVALH —C7 O�J � REVIEWED BY 10 City of MMenlfee DATE uilding & safety Dept. 'Approval of these plans shall not be construed t e a permit for,or a OCT 14 M17 approval of,any violation of any provisions a federal,state or regulations and ordinances. This set ved plans must be pt on they Re ce I Ve jobsite until completion. / -64 rZ- yo- �zar,��Ve2;3�avr�rviy �:P�e�s i9l ecia Sou:t- ievla o 25(ObS SolzU L./- 91©1�SoLicj �v'a�idched MeO. �-t-{ Clot DIZS�� Far t S �1GF0 s N �7 7oSC