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PMT18-01524 City of Menifee Permit No.: PMT18-01524 29714 HAUN RD. Type: Residential Addition 'C7�CCEG/ MENIFEE, CA 92586 MENIFEE Date Issued: 04/03/2018 PERMIT Site Address: 26249 LEOS TR, MENIFEE, CA 92586 Parcel Number: 335-510-038 Construction Cost: $4,263.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 16'x 24'SOLID ALUMAWOOD PATIO COVER WITH 1 FAN,4 RECESSED LIGHTS Work: Owner Contractor GEORGE GABRIEL GUTTERS N COVERS CONSTRUCTION INC 26249 LEOS TRAIL 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 Oft( Amount Receptacle, Switch, Outlet&Fixture 5 136.00 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 6.80 $311.45 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 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_Permil_Template.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect the following reason: License Class 41�� By my signature below l acknowledge that,except formy personal residence Expires )� Signatur in which l must have resided for at least one year pdorto completion of improvements covered by this permit.I cannot Iegallysell 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 wnsent ofself-Insure forworker'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.leeinfo.ca.eov/alaw.html. this permit is issued. Policy# �� PROPERTY OWNER OR AUTHORIZED AGENT Date mrlle and will maintain worker's compensation Insurance,as required by 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.I have read this number are: 1_ } application and the information I have provided is correct.l agree to comply Carrier ,"0.�lOrlk�IQYlil1 �lY'�. with all applicable city and county ordinances and state laws relating to pp building construction.I authorize representatives of this city or county to Poltcy# �1�� mir 2 (0✓77,, Expires � 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 ❑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 rkees rbmpensation provisions of Section 3700 of the Labor Code,Ishall hwfth ti ith thos revisions. Will the applicant or future building occupant handle hazardous material or r Date j r? mixture containing a hazardous material equal to or greater that the Applic amounts spe d on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes 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(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelineess CONSTRUCTION LENDING AGENCY Dyes P 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 baunda fa school? (Section 3097 Civil Code) ❑Yes s 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 Contractor's License Law for the reason(s)indicated below by the Jhazous m ibl reporting. checkmark(s)I have placed neM to the appliahle items)(Section 7031.5 / Business and Professions Code).Any city or county that requires a permit to / '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 Contractor's State EPA RENOVATION REPAIR AND PAINTING IRRPI 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 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-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 o1,as owner of the property,or my employee with wages as their sale 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.epa.gov/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 Contractor's State License Law does not apply to an owner of a o 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 o No EPA Lead-Safe Certified Firm is required for this project because: not built or improved for the purpose of sale. 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. Meniiee DATE:3APR2018 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN SUBTYPE: •O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OFwaRK ALUMINUM PATIO COVER, SOLID, 384 SQ.FT. W/ 1 CEILING FAN AND 4 RECESSED LIGHTS City of Menifen PROJECTADDRESS 26249 LEO'S TRAIL ZIP 928WIng Dept. ASSESSOR'S PARCEL NUMBER -3W' E-)jD '©;j`5 LOT TRACT APR 0 OWNER NAME GEORGE GABRIEL ADDRESS 26249 LEO'S TRAIL MENIFEE, CA 92586 Received PHONE 858-334-3398 ` EMAIL APPLICANTNAME ' I�rev- LtY;P- ADDRESS 1622 ILLINOIS AVE. STE 14. PE IS, CA 92571 PHONE 951-928-0098 EMAIL CONTRACTOR'S NAME SEAN DARE OWNER BUILDER? OYES ONO BUSINESS NAME GUTTERS N COVERS ADDRESS 1622 ILLINOIS AVE.STE 14 PERRIS, CA 92571 PHONE 951-928-0098 EMAIL GUTTERSNCOVERS@OUTLOOK.COM CONTRACTOR'S STATE LIC NUMBER 945962 LICENSE CLASSIFICATION B VALUATION$ 4263 r SQ FT 384 L SO FT APPLICANT'S SIGNATURE DATE 3APR2018 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ► ��7_ CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: �_IfI�JI PERMIT FEE ,• pb SMIP GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED 0 YES O NO DRIVERS LICENSE N NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-6777 www.citvofmenifee.us City of Menifee Building Dept , .na iy :.iiJi,: a <R n RAGK APR 0 3 2018 elceived �Z I 2yJI G � iod M UM M MENIFEENG AND SAFETY DE RTM NT :6 ), PPROVALED BY DATE oitheseplaroshallnotbeeonsW tobeapermitfar,oranf,any violation of any provisiions of a federal,state or city ��JQ" doom V andordmances. 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