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PMT18-03489 City of Menifee Permit No.. PMT18-03489 29714 HAUN RD. 1 MENIFEE,CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 07/13/2018 PERMIT Site Address: 29105 NECTARINE ST,MENIFEE, CA Parcel Number: 333-631-007 92584 Construction Cost: $4,798.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL SOLID ATTACHED 234 SO FT ALUMINUM PATIO COVER WITH 4 LEDS, 1 FAN AND 2 Work: OUTLETS Owner Contractor RANDY NOWELL GUTTERS N COVERS CONSTRUCTION INC 29105 NECTARINE STREET 1622 ILLINOIS AVE SUITE 14 MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9519280098 GUTTERS N COVERS CONSTRUCTION INC License Number.945962 1622 ILLINOIS AVE SUITE 14 PERRIS,CA 92571 Phone: 9519280098 Fee Description City Amount Isl Receptacle,Switch,Outlet&Fixture 7 146.00 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 7.30 $321.95 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 f hereby affirm under penally of perjury that l am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapler9(commencing with section 70001 of Division 3 of the Business and D 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: Ucense C�llfz License No.�7 �2_ By my signature below l acknowledge that,except formypersonal residence Expires `70Signature in which imusthave resided for at least one year priarto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot Iegallysell a structure that I have built as an owner-builder if It has not been constructed in its entirety by D 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 worker'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 sasaa,leeinfo.ca.eov/calaw.hlml. this permit isIsssued,/'p/ -�/'� PolicyN Il I h/l �fT'� Z_30 Date );1 have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which aBy my signature below l 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 owner's behalf.I have read this numberare: �LL r / pp application and the information I have provided is correct.I agree to comply Carrier�Ct�l 91 11w///ll�G Alf-& with all applicable city and county ordinances and state laws relating to /�� building construction.I authorize representatives of this city or county to PoliryN Viz. 3 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($10D)or less 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 O 0 worker's compensation laws of California,and agree that If I should became HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of5ection 3700 of the Labor Code,l shall forthwithcomply/Ilhthose provisions. ��/ ,��// Will the applcant or future building occupant handle hazardous material or Applicant, �Q�nbp��011/h_J Date�/t.J-�/`O mixture containing a hazardous material equal to argrealerlhat the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes ,9.No UNLAWFUL,AND SHALLSUB1ECfAN 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($100,0g0),IN occupant require a permit for theconstructian or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air quality Management hecoDistrict(SCtionor See permitting fro checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airines Qua CONSTRUCTION LENDING AGENCY a Yes �-Na 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 far the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) aYes raAfp OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.l understand my requirements under the State of Contractor's License law for the reason(s)indicated below by the California Heir lth&Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.S 1Nps D o Business and Professions Code).Any city or county that requires a permit to ( ��_ �� Date ! (3 construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OA 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(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 or the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Cade)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 chlrdcare 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 poperty owners and property than($SOD). managers who do the paint-disturbing work themselves orthrough their O1,as owner ofthe property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )allofor( )portionafthe work,and the stricture is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered forsale.(Section 7044,Business and Professions 1-BD0424-LEAD(5323). Code;The Contractor's State license Law does not apply to an owner ofa aAn EPA Lead-Safe Certified Renovator will be responsible forthis 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. D No EPA Lead-Safe Certified Fnn is required for this project bemuse: a I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade:The Contractor's State License Law does not apply to an owner of a Ifyour project does not comply with EPA RRP rule please Bit out the RRP 1_ 014A5_ 6_ ►/_ _ Ij aYeO Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION DATE: iz PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL I'RESIDENTIAL 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 L 9 i� 2 oY Pl-5oc6 PROJECTADDRESS ,w, wgr �. �j� � ZIP - ASSESSOR'S PARCEL NUMBER �� E' ( LOT TRACT OWNER NAME 6 ADDRESS PHONE LYO .363 5yy) EMAIL APPLICANTNAME l�' Gl�inS ADDRESS I I lv J S live PHONE 05) qZ?QJ yC� EMAIL /CONTRACTOR'S NAME la e r :7�Lf OWNER BUILDER? O YES ONO BUSINESS NAME ./_ ADDRESS/ cl 2,Z /ram/ PHONE G�� Vc/`"rFJ EMAIL CONTRACTOR'S STATE LIC NUUMMBER LICENSE CLASSIFICATION 13 VALUATION$ R Q SO FT 42 34 L SQ FT APPLICANT'S SIGNATURE l DATE DEPARTMENT DISTRIBUTION ACCEPTED BY:� CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING 'ENGINEERING FIRE INVOICETOTAL �.J� GREEN SMIP OWNER BUILDER VERIFIED 0 YES O 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.cityofinenifee.ucity of Menifee Building Dept. NIF JUL 1 12018 ®r,r%oivor4 LEDGER & TRACK MSPECTION REQUIRED la t�` W v Lim. u-. CITY c F MENIFEE BUILC ING AND SAFETY DEPA TOE PLAN APPROVAL m a o N Q ;V a REVI WED B DATE rm 1 or or an lans shall not tApproval of the e p rovWe S of the%deral,state or cm1 approvat of.an vi Mon of any p roved plans must be kept oetlr regwa'eons and antes. This set of app ;obsila until c mpletion. 2°II0S Neee!�(a>nvVSA '2 H k�l Vv�eln�Qe aZS ( L-ILE05 I Far, 20u-V16i O1c{GI _ 3U� '_ S�� I NOT Tc� S VrLE2Sw��v�e5