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PMT17-04133 City of Menifee Permit No.: PMT17-04133 29714 HAUN RD. Type: Residential Addition A- _L > MENIFEE,CA 92586 MENIFEE Date Issued: 1 1/2112 01 7 PERMIT Site Address: 24086 DEPUTY WAY,MENIFEE, CA Parcel Number: 358-550-004 92584 Construction Cost $5,200.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 372 SQ FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 3 FANS Work: Owner Contractor ROBERT CONTI GUTTERS N COVERS CONSTRUCTION INC 24086 DEPUTY WAY 1622ILLINOIS AVE SUITE 14 MENIFEE,CA 92584 PERRIS, CA 92571 Applicant Phone: 9516728022 HEATHER NAREY License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 1622ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Fee Description ON Amount(51 Receptacle, Switch, Outlet&Fixture 3 126.00 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 6.30 $300.95 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_Permil_Templale.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I herebyaffirm under with a licensed contractor(s)pursuant to the Contractors State License Law). penalty of perjury I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and o 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 111 rrcense Class Li No ``3- tp2 By my signature below l acknowledge that,except for my personal residence Expires I Signature in which l must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I have built as an owner-builder If it has not been constructed in its entirety by ❑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 selftinsure for worker's 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 wehsite: by Section 3700 of the Labor Code,for the performance of work for which sywwle¢info.ca.eov/calaw.hbnl. this permit is Issued. Policy# Date o 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 ❑By my signature below l certify to each of the following:I am the property this permit is issued.My worker's compensation Insurance carrier and policy owner or authorized to act an the property owner's behalf.1 have read this numberaare: \ { N 1 application and the information I have provided is correct.I agree to comply `�ICi 6m\ Q17\1\�I 4 F 1'��2.. .-L-yiC' with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy#via w c i)(P2 6-A Expires -7 125 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 I /ems o I certify that in the performance of the work for which this permit is issued, O-a— r t shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# �(// worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to th corked compensation provisions of Section 3700 of the Labor Code,Ishall hw� #omply with se provisions. �7 Will the applicant or future building occupant handle hazardous material or Applim Date II N ( / mixture containing a hazardous material equal to or greater that the amounts spied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes eiTlo UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building construction the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR oast Airant require Managpermiement enor t Ditrict(uctionormodlficatlonfrom South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air quality Management District(SCAOMDJ7 See permitting checklist for guidelin3s CONSTRUCTION LENDING AGENCY 0Yes 1 hereby affirm that under the penalty of perjury there is a construction WIII 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 houn,OarV of a school? (Section 3097 Civil Code) oyes VNO OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCADMD 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 Heal &Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 h ardou aterlal reporting. Business and Professions Code).Any city or county that requires a permit to ' iso_ Date 1 1 1 construct,alter,improve,demolish or repair any structure,prior to its OPERTY 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 IRRPI License Law(Chapter9(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 he 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 I,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.eoa.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 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. ❑No EPA Lead-Safe Certified Finn is required for this project because: o I,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 till out the RRP Acknowledgement. MONO Menifee DATE PERMIT/PLAN CHECK NUMBER TI') TYPE: 0 COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW`` O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS $ b)A q 2 � ASSESSOR'S PARCEL NUMBER LOT 4 TRACT OWNERNAME T 060 COr ADDRESS PHONE EMAIL APPLICANT NAME C((11 yUy'k;C)jP (ati ADDRESS ) 1 65 Ave sL1A­r LA F 1S 4C lq 12517 PHONE "ls' -9 Zy_(50g13 EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME U S ADDRESS 1 2 NY)O S e Iq P6-61S CA g257 PHONE EMAIL N CpU�' rQJ CO Y'7 CONTRACTOR'S STATE LIC NUMBER q L4 S"q Le' _ LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATURE -� ATE_. DEPARTMENT DISTRIBUTION I_ CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I� SMIP INVOICE PAID AMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED C YES O NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO 'icy u/PileriJ;=&Buitclinq;c _,,;;a;`yuepartmel't2"l/;` I;luu,7 ;io- P 9>1-6ll_-67i. mow c menifee.Ils Inspec::Iiu' Ne:yuetsT Cine )ST-2^V::-n Jl °' 1() ° P 79Y 5- --- r/I Z of Mendee City Building Dept. Nov ------ O Received 0 w LEDGER & TRACK LL pEr fY ,. .OF IVIENIFEE , DING AND SAFETY DEPARTMENT F 3 0'_`.,fJ1 APPROVAL � ': i=l�lED BY01 DATE croval of these plans shall not be construed to he a permit for,or an ��c,avalof n vio t' ­Wisions of the ledera regulations and ordinances. This set of approved plans must be kept on the Na 7b jobsite until completion.