PMT18-00875 City of Menifee Permit No.: PMT18-00875
29714 HAUN RD. Type: Residential Addition
<A—CCEL/? MENIFEE, CA 92586
MENIFEE Date Issued: 02128/2018
PERMIT
Site Address: 29205 LAKE HILLS DR, MENIFEE, CA Parcel Number: 333-382-018
92585 Construction Cost $5,299.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 240 SO FT ALUMAWOOD PATIO COVER W/ELECTRICAL 6 LED'S&2 FANS
Work:
Owner Contractor
STANLEY WILLIAMS GUTTERS N COVERS CONSTRUCTION INC
29205 LAKE HILLS DR 1622 ILLINOIS AVE SUITE 14
MENIFEE, CA 92585 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 Oft Amount I$1
Receptacle, Switch, Outlet&Fixture 8 151.00
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 7.55
$327.20
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_Perrnit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
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 ❑1 am exempt from licensure under the Contractor's State License Law for
Professions Code and my license Is in full fo a and effect. the following reason:
License Class nse g9S'Q Z
By my signature below I acknowledge that,except formY Personal residence
Expires_ )6 Signatur inwhich l musthaveresided 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
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 Code,for the performance of work for which
this permit is Issued. www.legmfo.ca.eov/calaw.html.
Policy# Date
cave 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 o By my signature below I 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: ` 1- } j \ L_ application and the information l have provided is correct l agree to comply
Cartier `v0.Tt�hp1 �1QY)tl li'if r V -_ with all applicable city and county ordinances and state laws relating to
p II 11 building construction.I authorize representatives of this city or county to
Policy# \PK UJ C,r*Mo _ �O Exp res �(t a enter the above Identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
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#
workers compensation Ia. s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the rkers hmpensation provisions of Section 3700 of the Labor
Code,I shall 'hwith " ith thus revisions. Will the applicant or future building occupant handle hazardous material or
Applic -Date 1 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 oyes o
UNLAWFUL,AND SHALL SUBIECTAN 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 require a permit for the construction or modification from South
IN SECTIODITION N
3 THE COSTLAB OF OR CODE,INTERETMADATTOGES AS ROVIDEOS Coast Air Quality Management District(SCAQMD)7 See permitting checklist
IN SEC170N 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin./es
CONSTRUCTION LENDING AGENCY 0Yes �
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 outerbouncia fa school?
(Section 3097 Civil Code) ci Yes
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
e th
I hereby affirm under penalty of perjury that I am exempt from permitting checklist.I understand my requirements underthe State of
Contractors License Law for the reason(s)indicated below
rby om the
California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYz aus m ral reports
Business and Professions Code).Any city or county that requires a permit tong
'pate
construct,alter,improve,demolish or repair any structure,prior to its 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(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 be RRP-certiried 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
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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ci 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:
ci 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 Ucense 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.
l
BUILDING • SAFETY PERMIT/PLAN APPLICATION
DATE: PERMIT/PLAN CHECK NUMBER " _009 5
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION 0 ALTERATION 0 DEMOLITION O ELECTRICAL O MECHANICAL
O NEW 0 PLUMBING 0.RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF a V
u� IA16 LF to U LAD's -Z w-:,
11 l
PROJECTADDRESS ZCI ZOS L ck 4 U)S Dr ZIP
ASSESSOR'S PARCEL NUMBER LOT TRACT ��Lc>s
OWNER NAME ✓}QYl`'ek 1� S
ADDRESS `L92O5 LaLe I his air >, ee ZS S
PHONE ab9-q35- "299L4 EMAIL
APPLICANT NAME N(l
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME DlJfr
` \ S OWNER BUILDER? 0 YES ONO
\
BUSINESS NAME tP's V CO % Ct -7
ADDRESS //
Z lllmGIS !�I A- Car C ,\ 25 O(,1"1 1
PHONE g51 -92$- 00 '
9P EMAIL VtYSI1vCDVtY5 �c)L. C6PI
CONTRACTOR'S STATE LIC NUMBER q L45 -H(per LICENSE CLASSIFICATION 1✓
VALUATION$ S Zq'I
SQ FT O L SQ FT /I
APPLICANT'S SIGNATURE '� - DATE Z l
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE axi•4aII-V SMIP I— GREEN I
LOWNER
CHECK FEE INVOICETOTAL
BUILDER VERIFIED O YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO
.» r
TRACK
' r MINI EE
DING AN SAF
NT
r-PRO AL
G
I "!5eseplans hall not be onstruedtobea permit for,oran
�iolalion f any prov sions of the federal,state ore'
a c ordinance . This set f approved plans must be k
:.�n�cletion.
I I (z 1
a ~
00
L `1q v 12,1
l '~
City of Menifee
Building Dept.
FEB 2 8 2018
Received
�Qe2 Ct� °tZSgs �/ ZUjOqSSO\ gki-c), (-V\cj
qC)q 935 -499y N D -To enC7 ro L&b zEDo5