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PMT18-00835 City of Menifee Permit No.: PMT18-00835 29714 HAUN RD. <XCCEI/? MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 02126/2016 PERMIT Site Address: 30655 RATTLEDANCE WAY, MENIFEE, Parcel Number: 358-481-020 CA 92584 Construction cost: $9,878.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 692 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS, 3 POST LIGHTS, Work: 2 SWITCHES&6 LED'S Owner Contractor CANDACE BOULAIS GUTTERS N COVERS CONSTRUCTION INC 30655 RATTLEDANCE WAY 1622 ILLINOIS AVE SUITE 14 MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9516728022 HEATHER NAREY License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 1622ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Fee Description G�,yt Amount I$) Receptacle, Switch, Outlet&Fixture 13 176.00 Building Permit Issuance 1 27.00 Deck(Patio, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 2.00 General Plan Maintenance Fee- Building 1 6.65 General Plan Maintenance Fee-Electrical 1 8.80 $354.45 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 slated,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 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 D I am exempt from Iicensure under the Contmctor's5tate License Law for Professions Code and my license is in full force and effect the following reason: License Class n9S'Q 2 By my signature below 1 acknowledge that,except for my personal residence Expires )q> Signatur se . g in which l must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered bythis permit.I cannot legallysell 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 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 Code,for the performance of work for which this permit Is issued. www.leeinfo.ca.eov/calaw.html. P�oliccy�y# Date I eye 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- N _L application and the information I have provided is coned.l agree to comply Carrier ly0.'C Q Q�11 L-�—�f f 'Ire- with all applicable city and county ordinances and state laws relating to �pp '2 building construction.Iauthorize representatives of this city or county to Policy# U��,��07�7�0✓ Expres� IQj' 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 D 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 la}}00s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the rkers bmpensation provisions of Section 3700 of the Labor Code,Ishall hwith " ith those rovisions. Will the applicant or future building occupant handle hazardous material or APPIic r .Date 1 l-7 mixture containing a hazardous material equal to or greater that the amounts speofied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes w1r. UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant requires permit for the construction or modification from South IN SECTIONON 3 THE COST OF COMPENSATION,CODE,INTERDAMA D ATTOS AS RNEYS EYSFEES FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelln-/es CONSTRUCTION LENDING AGENCY oYes � 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 for the performance of the work which this permit is issued outer boundaf a school? (Section 3097 Civil Code) oYes o 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 1 understand my requirements under the State of Contractors License Law for the reasons)indicated below by the California Health&Safety Code,Section 25SO5 and 25534 concerning haz ous m ial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ha j`��Business and Professions Code).Any city repair that requires a permit to !n mate issuanceconstruc also alter,improve, applicantemolish for hepermiany t to a signedor Itsstatement 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 IRRPI License Law(Chapter 9(commencing with Section 700D)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 Iicensure 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 compenor sation re for ty to eork thartisturb painico pre-19ply th than Applicant fora permit subjects the applicant toacivil penalty of not more required practices.This includes rental property owners and property than($SOD). managers who do the paint-disturbing work themselves or through their al,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 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 D 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 Firm is required for this project bemuse: ❑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 APPLICATION[[UILDING & SAFETY PERMIT/PLAN CHECK Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL NEW O PLUMBING O RE-ROOF-NUMBER OFSQUARES DESCRIPTION OF WORK u-m L DT PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT ill• OWNER NAME ADDRESS PHONE qyq -�,3 .. O�L.� EMAIL APPLICANT NAME ADDRESS L( �'.� G -Z5 PHONE e'1�1 �1'7 �O� � EMAIL U, QY.S Yv ObI o 3 _k�OC�� CONTRACTOR'S NAME U OWNER BUILDER? O YES ) NO BUSINESS NAME G C l ADDRESS Z lin r 2,rrr 5 PHONE ( ()'�(A1 EMAIL e c CX vk CONTRACTOR'S STATE LIC NUMBER G I �1 (� LICENSE CLASSIFICATION VALUATION$ p) 1 SO.FT L SQ FT APPLICANT'S SIGNATUR DATECITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE ^�� PAID AMOUNT AMOUNT TJ-./ �� OCASH 0CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH ()CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Sufety Oepurtment 29?14 Houn Rd, iYlenlfee, CA 9,'S86 951-6/2-6111 wm1w.city0flnenifee.uslnspection Request Line 951-24r-6213 City of Menifee y �rtj fj�ER & TRACK Building Dept. FEB Z b 2018 Via` C IVed CD QS CmD LLIA Sit JO `yCi: ; MENIFE t r.;:.;..o!t;G AND AFETY DEPA NFL PLAN APPROVAL LC REVIEWED BY R� J�-6 to DATE of these plans shall not be construed to be a permit for,or an at o`,any violation of any provisions of the federal,state or city L1M-a npv IAIt� v a iV�u�n.� kio ,�