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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 J. 13r / n 1L o Lij House, 0 L___... _.� rF MENIFEE j e 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. Dt�uMmurn rci cojer zR30s VJMCC'j 60 -lxc , SoiV'� , Yyti McMl°(ee, CA 9is9 1 3 FQ4s 1�09 zg9 c)?S5 3sr-�� _618