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PMT18-04066 City of Menifee Permit No.: PMT18-04066 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Addition MENIFEE MENIFEE Date Issued: 08/1 612 01 8 PERMIT Site Address: 30911 LAJOE ST, MENIFEE, CA 92584 Parcel Number: 360-465-015 Construction Cost: $6,429.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 12'x 30'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,6 LED LIGHTS,2 SWITCHES Work: Owner Contractor DEEDEE KAUFMAN GUTTERS N COVERS CONSTRUCTION INC 30911 LAJOE STREET 1622 ILLINOIS 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 ON 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 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_Bldg_Permil_Templale.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 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 D I am exempt from Ifcensure under the Contractors State License Law for Professions Code an my license is in full force and effect. the following reason: License Class Ucense No.`�/ 02— ///. /�G By my signature below I acknowledge that,except for my personal residence Expires '7 �(�SignaWre in which l 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 0 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 Relations as provided for this application is submitted Drat the following website: by Section 3700 of the Labor Code,for the performance of work for which this permit Is issued. G/ p� wvnv.leeinfo.ca eov/calaw htm1. Pnlfcyg_ V h1rALP-Z3&3 Date ]rlhave and will maintain workers 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:I 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: !�, �7 r application and the information I have provided is correct.I agree to comply Carrier �f/ /19/ jl14b1k_ y C+ `11-e with all applicable city and county ordinances and stale laws relating to /Z229 building construction.l authorize representatives of this city or county to Policy ff l/9 �2. 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 01 certify that in the performance of the work for which this permit is Issued, O I shall not ample v any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 8 �JJ worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,IshalI forthwith comply with those provisions. 2� Will the applicant or future building occupant handle hazardous material or Applicant L 4 '0b /-f aC I/hi Date�CY'//� 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 15 0 Yes "a UNLAWFUL,AND SHALLSUB7ECT 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 the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast AirManagement heconDistrict(SCtionor See permitting from checklist IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for astguidelines Qua CONSTRUCTION LENDING AGENCY oyes 'erNo 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 Civil Code) D Yes p-hlo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l 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 Z550S and ZS534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous material reporting.Business and Professions Code).Any city or county that requires a permit to PA'(es ° construct,alter,improve,demolish or repair any structure,prior to its — Date issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP) 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 Ifcensure napre-1978 paint pai i receiving compensation for most work that disturbs and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms pain comply with than Applicant fora permit subjects the applicant[oacivil penaltyof not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their 01,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 wwsv.eoa.eovAead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors Stale License Law does not apply to an owner of a oAn EPA Lead-Safe Certified Renovatorwill 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 Rum 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 I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions �LCode: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 }�-{,. — 11•A� - ►f_ _ Cggv Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER Q(J& GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL O-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 SQUARES DESCRIPTION OF WORK ,,;V / �p OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES ONO PROJECTADDRESS 309�� f�oe Sf ZIP ILY Of enl ee ASSESSOR'S PARCEL NUMBER go ^Lkjq5- LOT TRACT Building De OWNER NAME Je�j P ADDRESS ®/� PHONE ��J��p� � EMAIL Receive e APPLICANT NAME l� Ale rllr?5 ADDRESS /62Z 1�&')olv �/ l �I� 9Wj 1 PHONE a�l `i28' EMAIL CONTRACTOR'S NAME G/ Qlr° � OWNER BUILDER? O YES O NO BUSINESS NAME / Lll 'i(�l eW C f Br ADDRESS �&;Z �// /�l �%j'll Z7.4 PHONE `"/ JJ �?op EMAIL CONTRACTOR'S STATES LLIIC NUMBER qy,��a LICENSE CLASSIFICATION O3 VALUATIONS SO FT L SO FT APPLICANT'S SIGNATURE ( �Z-�^� —_ DATE 9�_I` DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL I GREEN SMIP (� 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 92586 (951)672-6777 www.cityofmenifee.us 1 CITY OF MENIFEE City of Menifee BUILDING AND SAFETY DEPARTMENT Building Dept. PLAN; APPROVAL AUG 16 2018 RF,., . y _Mw Received DATE LEDGER & TRACK 'Apa=.aioiNzstpians shall not beconstr dtobeapermitfor, 6 INSPECTION REQUIRED appr, of of,any violation of any provisions the federal,state or ci regu.�:tcns and ordinances. This set of appri ved plans must be kept ct po jobsi:e unf:l completion. N IDA O Lc0's l�'= Swi4ec�f 11 sa e sk &0 46 SO\a zTP a 4w'ked Z�7ans b0 I �f \4q-A0` q