PMT18-02364 City of Menifee Permit No.: PMT18-02364
29714 HAUN RD. Type: Residential Addition
-�CCELA? MENIFEE, CA 92586 yp
MENIFEE Date Issued:
05/15/2018
PERMIT
Site Address: 29436 LONGLEAF ST, MENIFEE, CA Parcel Number: 333-501-018
92584 Construction Cost $5,825.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 234 SF LATTICE AND 287 SF SOLID ALUMAWOOD PATIO COVER WITH 1 FANS,4 LED
Work: LIGHTS
Owner Contractor
EDWARD KING GUTTERS N COVERS CONSTRUCTION INC
29436 LONGLEAF STREET 1622 ILLINOIS AVE SUITE 14
MENIFEE,CA 92584 PERRIS, CA 92571
Applicant Phone:9519280098
TIERRE AGUIRRE License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
1622 ILLINOIS AVE SUITE 14
PERRIS,CA 92571
Fee Description City Amount($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
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 70W)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effeecctt./ '� the following reason:
License Class License No. "' 1 By my signature below I acknowledge that,except for my personal residence
Expires ZA�Aignature ( ���:ter ^hich I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell 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 workers 70"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 Cade,for the performance of work for which wwnv.leeinfo.ca.eov/calaw.html.
this permit ls isgugd. s ^ �r
PolicyN V(J�� -Ll�� Date
O I have 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 ❑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 owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
v/ /��� /�rzh//�L G / ��G with all applicable city and county ordinances and state laws relating to
Carrier Tj �/ building construction.I authorize representatives of this city or county to
Policy N L z 'es C1�� enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N
worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall fa hJwith�coomnply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant - r� Date mixture containing hazardous material equal to or greater that the
�— amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes 9wo
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 Duality Management theistrict
modification
permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airlines
Qua
CONSTRUCTION LENDING AGENCY ❑Yes ovNo_.
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 boundary of a school?
(Section 3097 Civil Code) o Yes 0160—
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
te
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ha;ardous ma rial reporting.s D
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(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 licensure receiving compensation for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or compensation
facility o beork that disturbs
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($S00). managers who do the paint-disturbing work themselves or through their
❑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.eoa.eoy/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 D 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 project 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.
MENIFEE
New. Better. Best.
DATE IGJ PERMIT/PLAN CHECK NUMBER 9 vv
TYPE: 0 COMMERCIAL ESIDENTIAL O MULTI-FAMILY U MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O ME12041OWenifee
EW O PLUMBING O RE-ROOF-NUMBER OF SQUARES Building Dept
DESCRIPTION OF WORK
nC 2 ZJa \c L S
PROJECTADDRESS / G�J� CQ) Q as ceive
ASSESSOR'S PARCEL NUMBER �j�j-��- �� LOT TRACT
OWNER NAME '�L.f vv�V `'[,( p /� �/
ADDRESS d� 1 �Q �t (Q � 'PAC.._ %Z� p q
PHONE ��I �_ �.1-IYj EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES 0
BUSINESS NAME
ADDRESS tp 2 � 1� -� '(✓� "Ci✓ 9 �'r
PHONE qS ) QZT OCR 7V EMAIL
CONTRACTOR'S STATE LIC NUMBER `/ 01(O Z LICENSE CLASSIFICATION
VALUATION$ 4SRZS SO FT 15ZI L SQ FT
APPLICANT'S SIGNATURE __DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP
INVOICE 'Jj PAID AMOUNT
AMOUNT :/( OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Dept
29714 Haun Road I Menifee, CA 92586
951-672-6777
City of Menifee
Building Dept.
LEMrp & TRACK MAY 1 5 2018
INSP C oQ4 REQUIRED' Received
MIMMUN
o 0
CITY OF MENIFEE
BUILDING AND SA DEPARTMENT 1
PLAN APPROVAL
L St -�P-
REVIEWED BY
DATE 0
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
( jobsite until completion.
2qq36 1,M(Aleaf S+ r� Szl LA La6v , a,,1-R-a4
1M ya�e CAR a 25$�j ► �a�n u coo S
Gutters N Covers Construction Inc.
1622 Illinois Ave Suite 14
Perris, CA 92571
Office:951-928-0098 Fax:951-928-0094
Clyde Dare Jr. President of Gutters N Covers Inc.authorize Amber Collins to pull Patio Cover Permits on
behalf of Gutters N Covers.
Thank you,
Clyde Dare Jr. (President)
Gutters N Covers Inc.
951-928-0098
1/9/2018
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