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PMT18-03607 City of Menifee Permit No.: PMT18-03607 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 07/20/2018 PERMIT Site Address: 24240 DEPUTY WAY, MENIFEE, CA Parcel Number: 358-560-003 92584 Construction Cost: $1,684.00 Existing use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 1 T LATTICE PATIO COVER, NO ELECTRICAL Work: Owner Contractor BARBRA VANPELT GUTTERS N COVERS CONSTRUCTION INC 24240 DEPUTY WAY 1622 ILLINOIS AVE SUITE 14 MENIFEE, CA 92584 PERRIS,CA 92571 Applicant Phone:9519280098 AMBER COLLINS License Number: 945962 GUTTERS N COVERS CONSTRUCTION INC 11622ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Fee Description QQt Amount I$) Building Permit Issuance 1 27.00 DecklPatio, non-standard 1 133.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 6.65 $168.66 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 carded 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_Pennd Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION properly who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty or perjury that l 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 o I am exempt from licensure under the Contractor's State License Law for Professions Cade an my license is in full force and e/ff"eect_ the following reason: License class g�/ License No.`'7 �2- Rymysignature below i acknowledge that,except formypersonal residence Expires ��.X1 �(�Signature in which l must have resided forat leastone year prlarto 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 l 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 applicatian is submitted or at the following welistle: by Section 37DO of the Labor Code,for the performance of work for which this permit is qissued. / -� sys•Av.leeinfa.m.gov/calaw.html. Policy If 1 hl�Z3&3 Date ;i have and will maintain workels compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which 0 By my signature below 1 certify to each of the following:I am the property this permit is issued.My workels compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: / r y p application and the information I have provided is correct.I agree to comply Carrier ��f� n�� l/�ih/�/, %�' //l 1..� with all applicable city and county ordinances and stale laws relating to ,+ V/ � building construction.I authorize representatives of this city or county to Poltryft V G/ Z✓2� 3 5'- Expires � 126)O 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 01 certify that in the performance of the work for which this permit is issued, Q 2r�,CQ 1 shall not emola any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the workels compensation provisions of Section 3700 of the Labor Cade,I shall forthwithmmpIpith those provisions. G �Z'' Will the applicant or future building occupant handle hazardous material or ApplicantL�/s7bp� f �� /hi Date6�3r//V 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 ❑Yes "a 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 IN SECTION T3 THE COST OF COMPENSATION,CODE,INTE,DAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060FTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES farguidelines CONSTRUCTION LENDING AGENCY oyes ,crNo 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 ptlp OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of Iherebctoesmunse Law fort of peson(s)Inry that lam exempt bytherom e California Health&Safety Code,Section 25595 and 25534 concerning Contmctor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(section 7031.5 psk� D 0 �1 /lX'�i Business and Professions Code).Any city or county that requires a permit to ( ��- ( Date V/[ tl 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 fRRPI 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-]97B and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compensor ation re facilityfmost RRPthat disturbs paint In pre-39ply [h an Applicant for a permit subjects the applicant[oacivil 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 o 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.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-BOO.424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a oAn 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 Omer-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 I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions ACode: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 6Ji-'t_ _ L r�`� 6_ f f_ 1j a VeO Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE V11 dJ1LDlfa�-t6'S'4P.NT1 i DATE: !q//9 PERMIT/PLAN CHECK NUMBER - 05tRO PLANNING CASE NUMBER TYPE: O COMMERCIAL O-RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: QLADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK minuet Azt7a 0v�1' LqW6e C // ��/j// IImo�``' PROJECTADDRESS �l171 16 � L'2,'J1U LA1� ZIP —�cyy�.2�� ^� D enifee ASSESSOR'S PARCEL NUMBER �,f6' F5L20 -w J LOT TRACT Building OWNER NAME ' 11- JUL ADDRESS C'�7-'a PHONE _�� , -&77 f 52G / EMAIL Vxecey, 've APPLICANTNA/M-E e'z/; L ADDRESS /' (J Z �/�,/ GIIbl. PHONE �l qlz —06 EMAIL rx� CONTRACTOR'S NAME / �- OWNER BUILDER? O YES ONO BUSINESS NAME , �l�J I/ 0� -IS ADDRESS C� ./,��; �// e e fr/s �17/ PHONE G15J CfZ��t'fyn�(y/� �EJMAIL CONTRACTOR'S STAT/E'LIIC NUMBER LICENSE CLASSIFICATION VALUATION$ SQ FT frr L SQ FT c/ APPLICANT'S SIGNATURE ATE 7 DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING- ENGINEERING FIRE INVOICETOTAL GREEN 1 _ SMIP r OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92566 (951)672-6777 - www.cityofinenifee.us ENIF City of Menifee Building Dept, JUL 19 2018 LEDGER & TRACK OSHA APPROVED INSPECTION REQUIRED Received LADDER REQUIRED AT C= FINAL INSPECTION M C7 CITY OF MENIFE BUILDING AND AFETY DEPARTMENT PLAN APPROVAL REVIEWED BY �_ DATE 'Approvai of these plans shail not be cons rued to be a permit for,or an approval of,any violationof any provisions of the federal,state or city regulations and ordinances. This set of ap roved plans must be kept on the jobsite until completion. Q • niuuu aAUV-A�6�/ 51Z