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PMT18-03718 City of Menifee Permit No.: PMT18-03718 D. MENIFEE, EE, C 92 Type: Residential Addition MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 07/30/2018 PERMIT Site Address: 32527 BRADLEY RD, MENIFEE, CA Parcel Number: 360-340-002 92584 Construction Cost: $4,600.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL SOLID ALUMAWOOD PATIO COVER 360 SO FT WITH 2 FANS,6 LIGHTS,2 SWITCHES Work: Owner Contractor KRISTEN BAXTER GUTTERS N COVERS CONSTRUCTION INC 32525 BRADLEY ROAD 1622 ILLINOIS AVE SUITE 14 MENIFEE,CA 92584 PERRIS, CA 92571 Applicant Phone: 9519280098 GUTTERS N COVERS CONSTRUCTION INC License Number:945962 1622 ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Phone: 9519280098 Fee Description Qtv Amount I$) Receptacle, Switch,Outlet&Fixture 10 161.00 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 8.05 $337.70 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 carded 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.rpl 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 D I am exempt from licensure under the Contractor's Stale License Law for Professions Code an my license is in full force and e/ff"eect._ the following reason: License Clla/ss License No.`7 �� By my signature below I acknowledge that,except for my personal residence Expires `� Signature in which I must have resided for at Teas[one year prior to 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 entirely by ❑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 providedfor this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. wwcv.leeinfa.ca.gov/calaw.html. Policyq V is f h1M6oZ._-2&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 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 rflm Carrier l j�i`U/ y c f1 re with all applicable city and county ordinances and stale laws relating to / ')9 building construction.I authorize representatives of this city or county to PolicyR ��/ G 2'✓ta3 Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred dollars($10D)or less Date PROPERTY OWNER OR AUTHORIZED AGENT n I certify that in the performance of the work for which this permit is issued, J"_r sq I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSER O r95J worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 370D of the Labor Code,I shall forthwith comply/w�ith those provisions. Will the applicant or future building occupant handle hazardous material or Applicant)�^h717p�( 0��/�� Date��c.J-�/�O mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECUREWORKER'S COMPENSATION COVERAGE IS aYes "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 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 nYes ,D o 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 )3AG OWNER BUILDER DECLARATIONS 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 I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractor'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 pjYes Business and Professions Cade).Any city or county that requires a permit to Date V/LU 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 FIRM 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 a pre-1978 and the basis 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 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 el,as owner of the property,or my employee with wages as their safe 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/fead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of 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 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 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,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 RRP rule please fill out the RRP Ur _ ►a_ _ a V Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ' MENIFEE DATE: �30�( � PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL O RESIDENTIAL 0 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 OFWORK (��I�(�✓IIJ7uh� C/VU/`G V�/V�rl' �� OCCUPANCY GROUP CONSTRUCTION pTYP-E Q SPRINKLERS 0 YES O NO PROJECT ADDRESS )LI I�7r�CLfGvy 21P ASSESSOR'S PARCEL NUMBER LOT TRACT Cj of Menife9 ,/ Building OWNER NAME �! ADDRESS /err/ JUL 3 0 2018 PHONE��- '/�,�S 1 )� +EMAIL APPLICANT N /'AME vC107 J ADDRESS 6/,7 Il /7r//SAvc, O f-rlS PHONE / EMAIL CONTRACTOR'S NAME OWNER c� �. /Clid� OWNER BUILDER? O YES 0 NO BUSINESS NAME //�77(J( lye/ 1J Y �GJP�S �j ADDRESS 1(azz � ��1iXX�)CI�S ��r� r PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER q4J5 '7�P LICENSE CLASSIFICATION r3 VALUATION$ UL U SQ FT L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY I DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE i INVOICETOTAL .6D GREEN SMIP OWNER BUILDER VERIFIED OYES 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 F:'ty ` .� I� ENIFE 1 y� /I Q tr N �nl i. fn t Iv O DI r b r ENIFEF. _NT cz ANDED 6Y these p a's • „ p c ateor city ,any v'ol bekeptonth1and ora "ilcoT°'' KRISTEN BAXTER S ALUMINUM PATIO COVERS 32525 BRADLEY RD. liU 360 SQ.FT. SOLID MENIFEF, CA92584 2 FANS, 6 LIGHTS 951-296-8137 2 SWITCHS €�u�a�r u"� u��• sa a � VALUATION $4600