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
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Ps` LEDGER & TRACK
INSPECTION REQUIRE l
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of Menifee
__.�.._.BulT71n Pt. --
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12 APR 0 3 2018
Received
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AENIFEE
au AND SAFETY DEPARTMENT
.I.___i_�- APPROVAL
I . MEWED BYS TLM
DATE
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;,,,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
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