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PMT18-03960 City of Menifee Permit No.: PMT18-03960 29714 HAUN RD. Ar MENIFEE,CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 0811312018 PERMIT Site Address: 31310 MYSTIC LN,MENIFEE, CA 92584 Parcel Number: 372-271-030 Construction Cost: $6.600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 19 x 40'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,6 LED LIGHTS,1 OUTLET, 1 Work: SWITCH Owner Contractor JOHN MORENO GUTTERS N COVERS CONSTRUCTION INC 31310 MYSTIC LANE 1622 ILLINOIS AVE SUITE 14 MENIFEE,CA 92584 PERRIS, CA 92571 Applicant Phone:9519280098 AMBER COLLINS License Number:945962 GUTTERS N COVERS CONSTRUCTION INC 1622ILLINOIS AVE SUITE 14 PERRIS, CA 92571 Fee Description O_yt Amount ISI 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 building 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 vrilhin 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_eldg_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 contractors)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 Code an my license is in full force and effect. the following reason: License C/llass i License No.`7 �� By my signature below I acknowledge that,except for my personal residence f Expires `7Signature in which l must have resided for at leastone year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that 1 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 workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relatlons 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 svvnv.leeinfo.ca.eov/calasv.html. this permit is issued. p/��7367,3 Policy 0-V1 h/�AILPLJI/—� Date 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 l certify to each of the following:)am the property this permit is issued.My workers compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: r application and the information I have provided is correct.I agree to comply Carrier 4A¢§17&71 11401lwy Gyre with all applicable city and county ordinances and state laws relating to /�� building construction.l authorize representatives of this city or county to Policyg Ex pires 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 o I certlfy that in the performance of the work for which this permit is issued, �L 2J"_r5A I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 9 0%rJ� workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 370D of the Labor Code,I shall forthwith comp those those provisions. 2�� rt�// Will the applicant or future building occupant handle hazardous material or Applican[j�/Y)�� f ��r�� Date��W/`O 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 6.No UNLAWFUL,AND SHALLSUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicanlor 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 for guidelines CONSTRUCTION LENDING AGENCY oyes ,EYNo 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) ❑Yes -Rpi OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)Indicated below by the California Health&Safety Code,Section 25SOS and 2SS34 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous materlal reporting. Business and Professions Code).Any city or county that requires a permit to sixes O o C-- Date L (} issuance,construc also alter,improve, applicantsh for pair any hepermit to a shoedor to PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant far the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI 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 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 property owners and property than($50D). managers who do the paint-disturbing work themselves or through their ol,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 sole.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of 0An 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. ❑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 7D44,Business and Professions 111LLLCode:The Contractors 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 6 - _ au(A< aVea Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: /` p PERMIT/PLAN CHECK NUMBER -Q GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 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 r /J r�/f �/ (,( veg ' C S r C City of Menifee OCCUPANCYGROUP n CONSTRUCTION TYPE SPRINKLERS OYES ONO PROJECTADDRESS 3�3)p �� / J�, ZIP q2w �I ASSESSOR'S PARCEL NUMBER ' a"'IJ]- "1� j LOT TRACTReceive a OWNER NAME oh a 1Vje1'1'ent9 ADDRREEySSS,� PHO/�/��/�:) 933- Cog33 EMAIL APPLICANT NAME /✓�� r)owlls ,�-y- ADDRESS 4-2 161 PHONElpaw EMAIL CONTRACTOR'S NAME / (��-L� k'r OWNER BUILDER? O YES ONO BUSINESS NAME ADDRESS (,��7/'I�I PHONE -/GO OP q<� EMAIL /CONTRACTOR'S STATE LIC NUMBER " L/5%a LICENSE CLASSIFICATION VALUATION$ LuL SQ FT yaa L SO,FT APPLICANT'S SIGNATURE,, DATE /O CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL ,Q 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)672-6777cTM of www.cityofinenifee.us /�� MENIFEE PA)e C09ief Qf />/Ot /Tins P�� CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT City of Menifee PLAN APPROVAL Building Dept. AUG Uq 2018 REVIEWED EY DATE Received 'Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion. Yly �L LEDGER &TRACK INSPECTION REQUIRE f: \� — Ai ` l0 i ? o— L.0 � O u.. , 9� aCz44-K 3131� ��5fi� Ln � �i001� s�PS��d or� Menthe Cf9 0/zsV 2V-&5 �0 U-,Z5