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PMT18-01452 City of Menifee Permit No.: PMT18-01452 29714 HAUN RD. �i0.CC6LA > MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 0 312 912 01 8 PERMIT Site Address: 29730 PEBBLE BEACH DR, MENIFEE, Parcel Number: 336-122-016 CA 92586 Construction Cost: $2,620.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'x 20' SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor TERRY AYER GUTTERS N COVERS CONSTRUCTION INC 29730 PEBBLE BEACH DRIVE 1622 ILLINOIS AVE SUITE 14 MENIFEE, CA 92586 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 gty Amount($1 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 $168.65 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_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 perjurythat 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 Iicensure 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 rise By my signature below l acknowledge that,except formy personal residence Expires Signatur in which l must have resided for at least one year priorto completion of improvements covered by this 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 Code,for the performance of work for which www.leainfo.ca.zov/calaw.html. this permit is issued. Policy�# Date rbrhave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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 owners behalf.I have read this numberaar\e: `L 1__ t application and the information I have provided is correcL'I agree to comply Carrier `y0"t10hA1 `1 QYJ f�i�tf f IY'P_ with all applicable city and county ordinances and state laws relating to p / 2 building construction.I authorize representatives of this city or county to Polity# y'K ubC4�10 7�7(0✓ Expues 7�1a' 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, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation lay,s of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subjecttothe v rkers mpensation provisions of Section 3700 of the Labor Code,I shall hwith ith thos revisions. �7 Will the applicant or future building occupant handle hazardous material or a r Date 1 ( mixture containing a hazardous material equal to or greater that the Apple amounts spe don the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o 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($100,00D),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(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin./es CONSTRUCTION LENDING AGENCY o 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 cuter bounda fa school? (Section 3097 Civil Code) o Yes OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the haz ous m ial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to OY / ✓//J i � �.� / Date 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(RRP) License Law(Chapter 9(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 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 or childcare facility to be RRP-certified firms and comply with an Applicant fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eca.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not Intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that It was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this pmject because: o I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: 3' 0��1� PERMIT/PLAN CHECK NUMBER �$— PLANNING CASE NUMBER TYPE: O COMMERC�IAL " ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN SUBTYPE: VADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLU 1MBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK \u_W) CCVC( Z�GO S PROJECTADDRESS -Zg13C) I£ 5toCVi ZIP ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME `T'PXY � ADDRESS y� \\ t_ �) Dr. Mwi�e 2`^810 City Ot MeniTee PHONE G 51 - �y�l- �y t,Z EMAIL aundina De Pt. APPLICANT NAME q CY %Y_e ADDRESS PHONE EMAIL Received CONTRACTOR'S NAME OWNER BUILDER? O YES )bN0 BUSINESS NAME OAkCrS CoVerS -71 ADDRESS 22-- =j)_,n01S efrlS 91S PHONE gJl -Ci2`Z7 -po98 EMAIL CONTRACTOR'S STATE LIC NUMBER to2 LICENSE CLASSIFICATION VALUATION$ 2LP20 SO FT 'zBO L SQ FT gg APPLICANT'S SIGNATURE �— DATE �29 �1V CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN l— SMIP 1 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 ENIFE City of Menifee Building Dept. CITY OF MENIFEE MAR 2 9 2018 BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL 'eceived REVIEWED BYS �✓Io� IS DATE II 1-iACK Approval of these plans shall not be construed tohea permit for,oran �F, UPS.� �. approval of.any violation of any provisions a the federal,state or city regulations and ordinances. This set of appro plans must be kept on the jobsite until completion. LLML 3 PL ZO — r 1IS I 2 '�ebbleeac�,�� 1�1 x 2v - 2Lil- goospud l'Y1r°i�'ly•��� I �i Z�� 'N a "cle c,�fY't c a•t T �I�i 2�u ���� NOT TOSCWLE � j 20