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PMT18-03605 City of Menefee Permit No.: PMT18-03605 29714 HAUN RD. r MENIFEE, CA 9258E Type: Residential Addition MENIFEE MENIFEE Date Issued: 07/20/2018 PERMIT Site Address: 29609 GLENNEYRE WAY,MENIFEE, CA Parcel Number: 364-380-039 92584 Construction Cost: $3,954.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 10'x 34'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,3 LED LIGHTS Work: Owner Contractor SARA HANSEN GUTTERS N COVERS CONSTRUCTION INC 29609 GLENNEYRE WAY 1622ILLINOIS 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 Oft 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_Bidg_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 a 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 Class 9 Ucense No.`�I (o2- gymy signature below l acknowledge that,except formypersonal residence Expires `k�Signature in which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I 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 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 websge: by Section 37GD of the Labor Code,for the performance of work for which this permit is Issued. p/ /'� wvmi.leginfo.ca.goy/calaw.html. Policyl$ V (ss/s/IPZ---� %� Date )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 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: r application and the information I have provided is correct.I agree to comply rip Carrier /agt7 n67/ /ltbl�I�/C F/7 Ci with all applicable city and county ordinances and stale laws relating to /� / 2� �1 building construction.l authorize representatives of this city or county to PolicyR // ` Z✓ta3 Expires� / /9 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 o I cerUfy that in the performance of the work for which this permit is issued. O 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE K worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthvirth comply/w�ith those provisions. ^�� ,tom/-/ Will the applicant or future building occupant handle hazardous material or Applicantl�{s'/17p� f ��r�� OatecY/�O mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes "a UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant requires permit for[he construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District construction t(SCtionor See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENLI' ayes ,e.LN0 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) D Yes rgMo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of Iherebyaffirmunderaw for thalty ofe perjury that lam exempt from the California Health&Safety Code,Section 25505 and 75534 concerning Contractors License laced next re the applicable Item(ed owby the hazardous material reporting. checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 ps D 0 Business and Professions Code).Any city or county that requires a permit to L �- �� Date pjY construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORAUTHORIZEDAGENT 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(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRPI 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 70325 by residence or childcare facility to he RRP-certified firmsand comply with than Applicant fora 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 al,as owner of the property,or my employee with wages as their sale 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-BOM24-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a a 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 said 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 CCoontrtr�a-ctorr''ss/�State Liceentse Law does not apply to ant owner ooJf ap�Q If your project does not comply with EPA RRP rule please fill out the RRP hAbe V' ueac ' �/1�.�. !V C�'V�-i✓� Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: C COMMERCIAL "ESIDENTIAL U MULTI-FAMILY 0 MOBILE HOME C POOL/SPA C SIGN SUBTYPE: O ADDITION C ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING C RE-ROOF NUMBER OF SQUARES`�/ DESCRIPTION/OAF WORK l r// )' u j .i y� ` '. ,0,05 PROIECTADDRESS 2 W / (slenr re An�q ZIP 6,�wenifee �q I In ASSESSOR'S PARCEL NUMBER p(,(- J� �✓ 1 LOT TRACT OWNER NAME r ' Nn se r lL ADDRESS ��{�77 - Y� qz�A Received PHONE �/G/�-�� ,3 / EMAIL APPLICANT NAME / O/// J7f �7 -7 ADDRESS / d f Ve PHONE J �Z� /O EMAIL CONTRACTOR'S NAME lL OWNER BUILDER? O YES C NO BUSINESS NAME �els jC�7✓C�/-S ADDRESS O ` / �YJr/I S / / „ e rrr - 2.5-71 PHONE9z� -�(/�� ,//EMAIL CONTRACTOR'S STATE LIC NUMBER �'�-� /KJC� LICENSE CLASSIFICATION VALUATION$ e'33r2/_/ SO FT 3 D L SQ FT APPLICANT'S SIGNATURE DATE ::�7 DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL 1 3 \. LA5 GREEN _ SMIP 1— OWNER BUILDER VERIFIED C YES C No DRIVERS LICENSE# NOTARIZED LETTER C YES C NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF City of Menifee Building Dept. .EDGER & TRACK JUL 19 2018 INSPECTION REQUIRED Received OSHA APPROVED LADDER REQUIRED AT FINAL INSPECTIO C 2 C21 I. o , CITY OF MENIFEE BUILDING AND SAFETY DEPART ENT PLAN APPROVAL / w REVIEWED BY W�' 1i �Q) DAT 'Approval of these plans shall not be constru d to'be a permit tor,or an \ approval of,any violationof any provisions o the federal,state or city regulations and ordinances. This set of appro ed plans must be kept on the jobsite until completion. \' 1 u = % tom 1I , 'ZG(kOoG Cs�142vjhc�.e �Y�� ?��1�7 Sa Ct &V�leChed G2D (F i Tc:) SC'M