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PMT18-01525 City of Menifee Permit No.: PMT18-01525 29714 HAUN RD. Type: Residential Addition 494CCELA? MENIFEE, CA 92586 `° _19S"t" ' MENIFEE Date Issued: 0 410 312 01 8 PERMIT Site Address: 26055 PALM BREEZE LN, MENIFEE,CA Parcel Number: 335-520-078 92586 Construction Cost: $3,800.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 12'X 20' SOLID ALUMAWOOD PATIO COVER WITH 1 FAN,4 RECESSED LIGHTS Work: Owner Contractor SONDRA HULL GUTTERS N COVERS CONSTRUCTION INC 26055 PALM BREEZE LANE 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 2X Amount 1$1 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_Permit_Template.rpt 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 Contractors State License Law for Professions Code and my license Is In full force and effect the following reason: License Class nse qy5, q Z By my signature below l acknowledge that,except formy personal residence Expires I� 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 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 workers 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 websim by Section 3700 of the Labor Cade,for the performance of work for which www.leeinfo.ca.eov/calaw.htmL this permit Is Issued. Policy If Date �� PROPERTY OWNER OR AUTHORIZED AGENT 1 11.and will maintain workers compensation insurance,as required by 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 fallowing: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 numberaar\e: 1_ application and the information I have provided is correct.1 agree to comply "' 10hQ1 �QYJI'l�tf [ lY'P_ with all applicable city and county ordinances and state laws relating to Cartier p 11 building construction.I authorize representatives of this city or county to �I�Policy# ��,�ta 7�J�3 Expires � 10' 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 errolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation ion of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subjea ricer's 6mpensation provisions of Section 3700 of the Labor Code, with "° ith rhos rovisions. Will the applicant or future building occupant handle hazardous material or t Date 1 (� mixture containing a hazardous material equal to orgreater thatthe Applic amountsspe don 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 UPTO 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 forguide.l,in�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 baunda f a 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 J1azousm lal reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 j 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 Contractors 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 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 oil,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 1-900-424-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 respomible 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-Builderwill 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. D 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. yw� Menifee DATE:3APR2018 PERMIT/PLAN CHECK NUMBER — TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL GoNEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION of WORK ALUMINUM PATIO COVER, SOLID, 240 SQ.FT. W/ 1 CEILING FAN AND 4 RECESSED LIGHTS PROJECTADDRESS 26055 PALM BREEZE LN ZIP 92586 ItY of Menifee ASSESSOR'S PARCEL NUMBER 3W -C&D-0 10 LOT TRACT OWNER NAME SONDRA HULL ADDRESS 26055 PALM BREEZE LN MENIFEE, CA 92586 PHONE 310-994-5739 EMAIL w eaA .I APPLICANT NAME ADDRESS 1622 ILLINOIS AVE. STE 14. OERRIS, CA 92571 PHONE 951-928-0098 EMAIL CONTRACTOR'S NAME SEAN DARE OWNER BUILDER? O YES NO 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$ 3800 SO FT 240 L SQ FT APPLICANT'S SIGNATURE &�'' \ / / DATE 3APR2018 CLTYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER ACCEPTED BY: BUILDING PLANNING ENGINEERING FIRE PERMIT FEE SMIP GREEN PLAN CHECK FEE I INVOICETOTAL OWNER BUILDER VERIFIED D YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES C NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us t Ps` LEDGER & TRACK INSPECTION REQUIRE l _ 2_ o of Menifee __.�.._.BulT71n Pt. -- € I 0 12 APR 0 3 2018 Received : I o T O AENIFEE au AND SAFETY DEPARTMENT .I.___i_�- APPROVAL I . MEWED BYS TLM DATE ! r ;,,,proval of these plans shall not be construed to be a permit tor,Oran 1,113mval of,any violation of any provisions of the federal,state or city .,gulations and ordinances. This set of approved plans must be kept on the / 5� �• r jobsite until completion. i ZC OG. P4lwt gy-neze-Ln., S.k,6, aqo� w/ Sto -q9(/ 9 �35 Sc cc U�,(tr