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PMT18-01305 City of Menifee Permit No.: PMT18-01305 29714 HAUN RD. Type: Residential Addition <ACCEUA MENIFEE, CA 92586 MENIFEE Date Issued: 03/23/2018 PERMIT Site Address: 32581 HAYDEN RD, MENIFEE, CA 92584 Parcel Number: 360-311-007 Construction Cost: $5,549.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL ALUMAWOOD PATIO COVER WITH 2 FANS&6 LEDS Work: Owner Contractor JOHN ARMSTRONG GUTTERS N COVERS CONSTRUCTION INC 32581 HAYDEN ROAD 1622 ILLINOIS AVE SUITE 14 MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9516728022 GUTTERS N COVERS CONSTRUCTION INC License Number:945962 1622 ILLINOIS AVE SUITE 14 PERRIS,CA 92571 Phone:9516728022 Fee Description QtV 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_Permit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed cantractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and D 1 am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full fo ce and effect the following reason: License Class nse . CI�s� g m signature below I acknowledge except Y Y 8 g p V Personal residence Expires I� Signatur 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 legallysell a structure that I have built as an owner-builder if it has not been constructed in its entirety by D 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 ofself-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.leginfo.ca.eov/calaw.html. Policy# Date &Xltave 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 0 By my signature below I 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 own eh behalf.I have read this number are: 1- r 1 application and the Information I have provided is correct.l agree to comply Carrier `y0.�10Y1Q1 �ICt Y)[ll�U f 1Y'P with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to / Policy# V� r,Y](,p 7.� Expres c �1Q' 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 0I certify that in the performance of the work for which this permit is issued, Ishallnotemnlov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation la s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the rkers mpensation provisions of5ection 3700 of the Labor Code,Ishall hVA ° ith thos rovislons. Will the applicant or future building occupant handle hazardous material or Applic t -Date 17 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 0 Yes o 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 require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District See permitting mchecklist IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airlines Q./ua CONSTRUCTION LENDING AGENCY ❑Yes � 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 boundaryof a school? (Section 3097 Civil Code) 0 Yes e 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 I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 2550S and 25534 concerning haz 'us m ial reporting. checkmark(sJ I have placed next to the applicable item(s)(Section 7031.5 oy / Business and Professions Code).Any city or county that requires a permit to C spate 1 �l /l I / construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT c YCcc�C`Y—c 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 disturbs paint in a pre-1978 d receiving compensation for most work that and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be R k that fied firms and comply With than 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 01,as ownerof the property,or my employee with wages as theirsole employees.For more information about EPA's Renovation Program visit: compensation,will do( I all of or( I 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-SDD-424-LEAD(5323). Code,The Contractors State License law does not apply to an owner of a 0 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. 0 No EPA Lead-Safe Certified Firm is required for this project because: 0 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 , . MENIFEE DATE: PERMIT/PLAN CHECK NUMBER i 1"' I 9 PLANNING CASE NUMBER TYPE: O COMMERCIAL ID14SIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Muri QT 11w Z y,^? E i_ S PROJECTADDRESS 32 1 HaU Fi�n PA . ZIP Gj S ASSESSOR'S PARCEL NUMBER 310 `b '3 1 1 'd 0) LOT TRACT OWNER NAME hn MS�1-0n ADDRESS 2s¢, O City Building Dept PHONE RSf- �3�-6LIS'� EMAIL APPLICANT NAME tr Ctrs MAR 2 3 2018 ADDRESS Received PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME }�--M ADDRESS 1 �r10 S #� !S CP 925-71 PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER lyy LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATUR DATE z�✓ DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGIlykERING FIRE INVOICE TOTAL14 32� , GREEN SMIP OWNER BUILDER VERIFIED O YES O No DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIK L ED' -R & TRACK iNSPECIFION REQUIRED CM ps w = LA z w N IL r �l d L 6 > �a OR Ss U. o � a � 95 � C) 8 E o a � a C.7 d v City of Menifee Building Dept. �— ►-ta�dev� (Zc� �► =Q�� MAR 2 3 2018 c� = 1✓a� Received Ate cj G zs(iL1 —� 2 Fans b LED 5 l �51 530 ou 5 3 ti1oT -ram Sew�E �zbss� ssuq