PMT18-03290 City of Menifee Permit No.: PMT18-03290
29714 HAUN RD. Type: Residential Addition
G MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 07/02/2018
PERMIT
Site Address: 25726 WILDERNESS WAY, MENIFEE, CA Parcel Number: 358-520-002
92584 Construction Cost: $7,800.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 12'X 44'ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS
Work:
Owner Contractor
JAMES WATKINS GUTTERS N COVERS CONSTRUCTION INC
25726 WILDERNESS WAY 1622 ILLINOIS AVE SUITE 14
MENIFEE, CA 92584 PERRIS, CA 92571
Applicant Phone:9519280098
AMBER COLLINS License Number:945962
GUTTERS N COVERS CONSTRUCTION INC
1622 ILLINOIS AVE SUITE 14
PERRIS,CA 92571
Fee Description QQt Amount 1E1
Receptacle, Switch,Outlet&Fixture 2 121.00
Building Permit Issuance 1 27.00
Deck/Patio,non-standard 1 133.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Building 1 6.65
General Plan Maintenance Fee-Electrical 1 6.05
$296.70
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 Mantles.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 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code an my license is in full force and effect. /�, the following reason:
License C/lla��ss License No.`'7 r 02- By my signature below 1 acknowledge that,except fermy personal residence
Expires `7 Signature in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this Fermii.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
❑1 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 website:
by Section 370D of the Labor Code,for the performance of work for which sysysv.leeinfa.ca eov/taiasv.html.
this permit is iiss7sue_d./-p/_�/-� /�
Policy# U�l I11L AIIP(�3&3 Date
1t,�h PROPERTY OWNER OR AUTHORIZED AGENT
'have 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 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: n/ r application and the information I have provided is correct.I agree to comply
' y�' /rl�v with all applicable city and county ordinances and stale laws relating to
Carrier �Rf/�/4�1 ll�ih/�/
�p / ,1 3 �
building construction.I authorize representatives of this city or county to
Policy# !// 6 Y'Z✓25- Expires / )np 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 certlfy that in the performance of the work for which this permit is issued, � "'�
I shall not emolav any persons In any manner so as to became subject to the CITY BUSINESS LICENSE# O%55
worker's compensation laws of California,and agree that if I should became HA7ARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comp those those provisions. 2� tl/, Will the applicant or future building occupant handle hazardous material or a
Appiicanty,4/J7in/-f �lhIthi Date�/30//O mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes A-Nc
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 DO LLARS($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 forguidelines
CONSTRUCTION LENDING AGENCY aYes ,i:tpo
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 agencyfor the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) oyes p.Np
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
Contrayaffirmunse Law for the reson(s)ry a[lam exempt by rom
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License placed
to the applicable
ftecated elowby the hazardous material reporting.
chsiness and
I have placed next to the applicable that r(Section permit ?�'gs o o ��_
Business and Professions Code).Anycity or county that requiresa permit to l � —_� pate l(7
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(FIR
License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Cade)or that he or she is exempt tram licensure receiving compensation for most work that disturbs paint in a pre-1978
and the bass 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 pmctices.This Includes rental property ownersand property
than($500). managers who do the paint-disturbing work themselves or through their
Ol,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.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 Contractor's State License Law does not apply to an owner of a 0An 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. o No EPA Lead-Safe Certified Firm is required for this project because:
o 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7D44,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 RAP rule please fill out the RRP
Jaa_ _ _ rr(A� _ 1f_ _ , • av Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER �V�O�J
PLANNING CASE NUMBER
TYPE: O COMMERCIAL 9HRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS �J /�y! J�/�[�i�J �/1 ZIP
ASSESSOR'S PARCEL NUMBER 6J�V�p �� LOT _ TRACT
OWNERNAME Q
ADDRESS 24e j
PHONE EMAIL
APPLICANT NAME -
ADDRESS fi / ff'! 925-71
PHONE EMAIL
CONTRACTOR'S NAME f 0Ve, J OWNER BUILDER? O YES O NO
J
BUSINESS NAME I do C�t�j
ADDRESS &392
�1 // Q/ ec-5uleI ~
PHONE � %U EMAIL
CONTRACTOR'S STATE LIC NNU�``UM �J��NUMBER �p L �y LICENSE CLASSIFICATION
VALUATION$ �/SW SQFT ��,�D LSQFT'�//�f Q�
APPLICANT'S SIGNATURE DATE
:CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: �j.�. CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL C� .10
GREEN SMIP a
OWNER BUILDER VERIFIED O YES 0 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
NIF
LEDGER & TRACK
INSPECTION REQUIRED
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City of Menifee
LcJlding Dept.
JUL 0 2 2018 a'
cm
Received VLu
CI rY OF MENIFEE I,7
B ILDING AND SAFETY DEPARTME T
PL N APPROVAL
R VIEWED
'Approval of thes plans shall not be construed to be a permit for,or n
approval of,any v' Men of any provisions of the federal,state or ci
regulations and or inances. This set of approved plans must be kept n the
jobsite until comp ebon,
NEW
-- CL I
JAMES WATKINS ALUMINUM PATIO COVER
25726 WILDERNESS WY. 628 SQ.FT. SOLID
MENIFEE, CA92585 2 FANS
808-277-2937 VALUATION $7800
NOT TO SCALE