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PMT18-03717 City of Menifee Permit No.: PMT18-03717 29714 HAUN RD. Type: Residential Addition 1 MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 0 713 012 01 8 PERMIT Site Address: 32525 BRADLEY RD, MENIFEE,CA Parcel Number: 360-340-002 92584 Construction Cost: $4,659.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL SOLID ALUMAWOOD PATIO COVER Work: 240 SQ FT WITH 1 FANS,4 LEDS; 1 SWITCH Owner Contractor KRISTEN BAXTER GUTTERS N COVERS CONSTRUCTION INC 32525 BRADLEY ROAD 1622 ILLINOIS AVE SUITE 14 MENIFEE,CA 92584 PERRIS,CA 92571 Applicant Phone:9519280098 GUTTERS N COVERS CONSTRUCTION INC License Number:945952 1622 ILLINOIS AVE SUITE 14 PERRIS,CA 92571 Phone:9519280098 Fee Description DIV Amount lSl Receptacle, Switch, Outlet R Fixture 9 156.00 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 7.80 $332.45 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 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_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 70001 of Division 3 of the Business and n I am exempt from licensure under the Contractor's State License Law for Professions Code art my license is in full force and effect. the fallowing reason: License p/a/ss t/ License No.`7 �� By my signature below l acknowledge that,except for my personal residence Expires `/ 0Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.)cannot legally sell a structure that 1 have built as an owner-builder if it has not been constructed in its entirety by ' D 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 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 37GO of the Labor Code,for the performance of work for which tvs.Av.leeinfo.ca.eov/calaw.html. this permit isissued. Policy# N/q/ 1rA(PZ_- &3 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 n By my signature below 1 certify to each of the fallowing: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 / p application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and stale laws relating to /�� building construction.I authorize representatives of this city or county to Polfcyg �Z. 3 Expires 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, O 1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 8 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith camp it" these provisions. �1 r// Will the applicant or future building occupant handle haiardous material or Applicant t_Al7�l- f all r h� -5/3t /�O mixture containing a hazardous material equal to or greater that the Date amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes 14No 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 Quality Management heconDistrict(SCAQM tionor See permitting from checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY D Yes rQN0 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Cavil Code) D Yes 7140 OWNER BUILDER DECLAMATIONS I have read the Hazardous Material information Guide and the SCAQMD Permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that 1 am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License laced nextr the to thereaso pp icable hem(s) by the hazardous material reporting. chsiness and I have placed next to the applicable that r(Section permit "'a' D o �� / Business and Professions Code).Any city or county that requiresa permit to ( �;� Date (J ! 6 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 fRRP) 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 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 7031.5 by residence or childcare facility to be RRPaertified firms and comply with an Applicant for a 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 D1,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 wwwena.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-SOG-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a DAn EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or Improves the properly provided that the improvements are not Intended or offered for Certified Frm 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. D No EPA Lead-Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions AAACode:The Contractor's State License Law does not apply to an owner of If your project does not comply with EPA RRP rule please rill out the RRP ,,in VW Acknowledgement. BUILDING & SAFETY PCRIVIIT;PLAN CI-IFCK APPLICATION MENIFEE ,u.olr�c k Sane w .i DATE: G� PERMIT/PLAN CHECK NUMBER I PLANNING CASE NUMBER TYPE: O COMMERCIAL 59-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 SQUAREST DESCRIPTION OF WORK PROJECT ADDRESS 5�j �� ZIP ASSESSOR'S PARCEL NUMBER �p LOT TRACT OWNER NAME rf G�JCIa ,� ADDRESS 3Qfv5 Pi 2z r.1441 of Men* PHONE —y.8;�'/�37 k - EMAIL Building 0 APPLICANTNAME �Y`�Y —7 UL 30 NIB ADDRESS (Q C� �� Ise P � / G5 // ^rI PHONE "�CIR EEMAIL Kutot KUul G GU CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME V-zpl 12V ADDRESS { �il y 1 ve 171) 7PHONE �r.J f �2/p �(�/"�J�, G�EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION $ G 5 SO FT ZI/OU L SQ FT APPLICANT'S SIGNATURE DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE SIAJ INVOICE TOTAL �32 GREEN SMIP OWNER BUILDER VERIFIED O 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.cityofmenifee.us ENIF �o COL I 8 QP� 101 I ,, QQ eaw �e� �,,,rr• AP yes c5m_ City of Menifee �e Bullding Dept. JUL 3 u 2018 Receives . I0 KRISTEN BAXTER —ALUMINUM PATIO COVERS 32525 BRADLEY RD. y� �ZX2S�= �4D MENIFEE, CA92584 951-296-8137 NOT TO SOLE VALUATION