PMT18-00039 City of Menifee Permit No.: PMT18-00039
29714 HAUN RD. Type: Residential Addition
<ACCELR MENIFEE, CA 92586
MENIFEE Date Issued: 01/04/2018
PERMIT
Site Address: 29305 WILDCAT CANYON, MENIFEE, CA Parcel Number: 351-250-018
92587 Construction Cost: $5,800.00
Existing use: 1 &2 Family Residence Proposed Use:
Description of INSTALL ONE(1)13'X 37'SOLID SURALUM PATIO COVER WITH 3 FANS
Work:
Owner Contractor
EDWARD CORTEZ GUTTERS N COVERS CONSTRUCTION INC
29305 WILDCAT CANYON 1622 ILLINOIS AVE SUITE 14
PERRIS,CA 92571
Applicant phone:9516728022
HEATHER NAREY License Number:945962
GUTTERS N COVERS CONSTRUCTION INC
1622 ILLINOIS AVE SUITE 14
PERRIS, CA 92571
Fee Description City Amount($I
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.D0
General Plan Maintenance Fee-Building 1 6.65
$294.65
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 eldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts forthe 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 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractofs5tate License Law for
Professions Cade and my license is in full fo ce and effect the following reason:
license Class Anse 945'q O2— By my signature below l acknowledge that,except formy personal residence
Expires 1Ll Signatur in which l must have resided for at least one year prior to completion of
Improvements covered bythis 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 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 website:
by Section 3700 of the Labor Cade,for the performance of work for which
this permit is issued. www.leginfo ca.eov/calaw.htmi.
Policy# Date
ave 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 o 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 on the property owner's behalf.)have read this
number are- L 1_ r � application and the information I have provided is correct.T agree to comply
Carrier `yrr[\OhLll �IQY)ll l-yf e f_L iy-f, with all applicable city and county ordinances and state laws relating to
p 1 1_-2 building construction.I authorize representatives of this city or county to
Policy# �1�Lo C.QI to -n ty:/Expues �110• 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
o 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#
worker's compensation la s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the porker's mpensation provisions of Section 370D of the Labor
Code,1 shall hwith " ith thos revisions. Will the applicant or future building occupant handle haurdous material or a
Applic / r Date If11
(7 mixture containing a hazardous material equal to or greater that the
amounts spe ' d on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS O Yes VIS
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($100,000),IN occupant requires permit for the construction or madiFlration from South
IN SECTION ON TO
06 OF
LABOR CODE,INTERTION,DAMAGESAND
FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist
IN SEC710N 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin'/es
CONSTRUCTION LENDING AGENCY Dyes; Pam°
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency far the performance of the work which this permit is issued outer bouncia fa school?
(Section 3097 Civil Code) ❑Yes
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
the permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that lam exempt from
Contractor's license Law for the reason(s)indicated below by rom the
California Health&Safety Code,Section 25505 and 25534 concerning
haz ous m n"reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 or'
Business and Professions Code).Any city or county that requires a permit to - i
construct,alter,improve,demolish or repair any structure,priorto its o �-Oatu
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(ARP)
License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation far most work that disturbs paint In a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compenor sation
nforfacili most
to work
FIR that disturbs
ifted painIcomplywlth
than
n($S 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
ol,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.aov/lead or contact the National Lead Information Center at
not intended or offered forsale.(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 aAn 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:
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 fill out the RRP
Acknowledgement.
BUILDING & SAFETYPERMIT/PLAN CHECK A• • • 7u`�A
DATE: PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL 0 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
I�
DESCRIPTION OF WORK J10 CC �j 1 3 �Cns
PROJECTADDRESS 2g3M- W %'OCA comi2n ZIP �'1 :5O
ASSESSOR'S PARCEL NUMBER ii LOT TRACT
OWNER NAME (�
ADDRESS .Z � �V Il G:T on l`Fln inn' ^"o
PHONE q04 EMAIL
APPLICANT NAME NQr-
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME J }'S OWNER BUILDER? O YES ONO
BUSINESS NAME `\jco
ADDRESS 1 -ZZ V'C �-irif-IG /! r` GZ .rS-7
PHONE 4151 ' C{ZB-W93 EMAIL 171.�11`CY°� 1,01�✓' J �.
CONTRACTOR'S STATE LICNUMBER ���-q �y'Z LICENSE CLASSIFICATION
VALUATION$ J boo) J SQ FT L SQ FT qq,,
APPLICANT'S SIGNATU DATE `I V
CITY STAFF USE ONLY _
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE II NOTARIZED LETTER 0 YES C NO
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0' "'a1G AND SAFETY DEPARTMENT
. .jATE
rmi'for,or an
f,OA :,•: jar.rs!cnsc r; federal,siateorcity
/(1 \\i,� a; rn and ordinances. This set of approved plans must be kept on the
�\� jobsite ntil completion.
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