PMT18-04373 City of Menifee Permit No.: PMT18-04373
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Addition
MENIFEE MENIFEE Date Issued: 09/05/2018
PERMIT
Site Address: 26283 BRIARWOOD CIR,MENIFEE, CA Parcel Number: 360-671-048
92584 Construction Cost: $7,300.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 16'X 38'ALUMAWOOD PATIO COVER W/ELECTRICAL 5 POST LIGHTS,8 CEILING
Work: LIGHTS, 3 OUTLETS,2 SWITCHES
Owner Contractor
FERNIDAD DAR GUTTERS N COVERS CONSTRUCTION INC
26263 BRIARWOOD CIR 1622 ILLINOIS AVE SUITE 14
MENIFEE, CA 92584 PERRIS, CA 92571
Applicant Phone: 9519280098
SEAN DARE License Number: 945962
GUTTERS N COVERS CONSTRUCTION INC
1622 ILLINOIS AVE SUITE 14
PERRIS, CA 92571
Fee Description Qtv Amount ISI
Receptacle, Switch, Outlet&Fixture 18 201.00
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 10.05
$379.70
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 staled,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.
A0.,BIdg_Permk_Temp1ate.rp1: 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 1 am under provisions of with a licensed contractaf(s)pursuant to the Contractors State License Law).
[hapter9(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 Chas s License No.`s �2_ By my signature below l acknowledge that,except for my personal residence
Expires —/ Signature in which I must have resided for at least 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 entirety by
01 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 or at the following websile:
by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. czs�v-leeinfa.ca.eov/calaw.hlml.
PolicyR �]'l�l (ItPZ_ &3 Date
z l lave 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 I 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
numberare: r p application and the information I have provided is correct.I agree to comply
Carrier.I'Wilinal kbij1* c FYre with all applicable city and county ordinances and state laws relating to
PolicyR i/i' *2, 3 Ex -�/26)9 building construction.I authorize representatives of this city or county to
pires enter the above identified property for inspection purposes.
(This section need not to be completed Is the permit Is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, "_jS�
1 shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSER O�1� 05 f
workers 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
Cade,I shall fo�rtjhwith comply/w�ith those provisions. yy 2 ��// Will the applicant or future building occupant handle hazardous material or
Applicant) �h7bp��f�!l7�� Date�J�cY��/�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 O Yes el-No
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 LIBOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY oyes ,&_No
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) Dyes P-Np
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 25505 and Z5534 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.S hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to > s f�- ���
Dale
Issuance,also after,improve, applicantsh forrepair any
mistructure,a signedor to 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 inapre-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(5500). 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 CPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoamovflead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800.424-LEAD 15323).
Code;The Contractors State License Law does not apply to an owner of a D An 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. 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 7D44,Business and Professions
1LCode:The Contractor R
s State License Law does not apply to an owner of a If your project does not comply with EPA RP rule please fill out the RRP
Ji r_ _ L OU A r OV Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE:5 SEP 2018 PERMIT/PLAN CHECK NUMBER
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL1SPA O SIGN
SUBTYPE: QADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
®NEW ®PLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Aluminum Patio Cover, Solid, 608 sq.ft.w/ 5 post lights, 8 ceiling lights,
3 outlets, 2 switches
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS YES ONO
PROJECTADDRESS 26263 Briarwood Cir. zIP92584
ASSESSOR'S PARCEL NUMBER 3W— (Q1I -ate LOT G-1 TRACT cavi b1l;
OWNER NAME Ferdinand Dar
ADDRESS 26263 Briarwood Cir. Menifee, CA 92584
PHONE 619-632-8600 EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME Sean Dare OWNERBUILDER? YES(F)NO
BUSINESS NAME Gutters N Covers Construction Inc.
ADDRESS 1622 Illinois Ave. Ste. 14. Perris, CA 92571
PHONE 951-928-0098 EMAIL
CONTRACTOR'S STATE LIC NUMBER 945962 LICENSE CLASSIFICATION B
VALUATION$ 7300 SQ FT `Q Q9 L SQ FT
APPLICANT'S SIGNATURE --'—� DATE
5 SEP 2018
CITY STAFF USE 0 NLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: �j CITY OF�IF B NHS$L YUE NUMBER
BUILDING PLANNING ENGINEERING FIRE 5 b(�1
INVOICETOTAL ? ,-7O GREEN I SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
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ENIF@
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Building Dept.
SEP 0 5 2018
Received 3°
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CITY OF ENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED 6 " 1
'DATE
1
'Approval of these plans shall not be construed to be a permit for,\0ne
approval of.any violation of any provisions of the federal,state or
regulations and ordinances. This set of approved plans must be ke
jobsite until completion.
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