PMT14-02063 i
City of Menifee Permit No.: PMT14-02063
29714 HAUN RD.
CCE MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued:
08/08/2014
Ij
PERMIT
Site Address: 29071 BLUE MOON DR, MENIFEE, CA Parcel Number: 340-350=011
92584 Construction Cost: $1,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 11'x 32' SOLID ALUMAWOOD PATIO COVER WITH 2 FANS, 2 LIGHTS
Work:
Owner Contractor
ROBERT&JACKIE WRIGHT
29071 BLUE MOON DRIVE
MENIFEE, CA 92584
Applicant License Number:
ROBERT&JACKIE WRIGHT
29071 BLUE MOON DRIVE
MENIFEE, CA 92584
Phone:6199179004
Fee Description (J yt Amount f$1 {
Building Permit Issuance 1 27.00
-
t.,�,
GREEN FEE _ 1 1.00
$293.00
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_Permlt_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class License No. who builds or improves thereon, and who contracts for the projects with a
Expires Signature licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensute under the Contractors'State License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued.
Policy# built as an owner-building if it has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law, Section 7044 of the
❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this sub ed or ai the fol wi eb site:hit ://www.le info. a. ov/ alaw.ht
permit is issued.My workers'compensation insurance carrier and policy number are:
rt Ow r or Date
Carrier
Expires Policy#
By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
construction. authorize representatives of this city or county to enter the above-
0 1 certify that in the performance of the work for which this permit is issued,I identified pl6ybrty for the inspection ur ses. �(
shall not employ any persons in any manner so as to become subject to the
workers'compensation laws of California, and agree that if I should become r
subject to the workers'compensation provisions of Section 3700 of the Labor Pr a wner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
C t usiness License#
Date; Applicant;
WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL?
or repair any structure, prior to its 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 License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or OYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from Iicensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
ina ivil penalty of not more than($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING
I, as owner of the property, or my employees with wages as their sole HAZAffDOUS MATERIAL�EPOR'�ING.
mpensation,will do( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Slate License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCKNo: Permit No:
City of Menifee K-q - O 3
29714 Road Building & Safety Dept. Date: Date:
Menifee, CA 92586 �
Phone: (951)672-6777 AUG 0 8 2014 Amount: Amount:
Fax:(951)679-3843 Ck#: Ck#:
Received
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number:
tWon 3 c)1
Project/Tenant Name: Unit#: Floor#:
Name: n _ Phon No. - q Fax No.
Property Addres V Unit Number Zip Cotle
Owner Z C i r p ` z [
Email Address:
a ,L
Name: Phone o.gj . _qoo Fax No.
Applicant Address. -�1 Unit Number Zip Code
Email Address: L U
(�✓✓)
Name: Phone No. Fax No.
Contractor Address: City State Zip Code
Contractors City Business License No. Contractor's City State of California License No. Classification:
Number of Squares:
Square Footage
Description of Work: Cost of Work:$
Applicant's Signature -'? Date:
To Be Completed By City:Staff Only
Indicate As R-Received or NIA-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which Include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot I Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'F.x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair' Retrofit' Revision to Existing Permit' Required? YES NO
Proposed Building Use(s): Existing Building Lasts):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone
At Project Construction Sprinklered that apply: Coastal Zone
Completion:
Type(s) C Of O YES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board I I Landmark Comm. I I Planning Comm.Zoning Administrator
Fee Exempt: City Project I JE[ec,Vehicle Charger I Landmark Seismic Retrofit penal Case-.ewg.
Omcial A nova/
Expedite Projects): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safe(Building/Safety I Permit Specialist City Planning Civil Engineering EPWM-Armin Transportation Mgmt. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
City
Building &f Safety Dept.
ac- KI�eMenifee
vr- AUG 08 2014
eceived
CITY F 1C]
BUIL IN AND SAFETY DEPARTMENT LED G R & TRACK
PLAN APPROVAL INSPEC ION REQUIRED
REV[ WED BY
ATE
'Appro I of these plans shall not be construed to be a permit for,o an
approva of,any violation of any provisions of the federal,state or ci `
regulati ns and ordinances. This set of approved plans must be kept on the "
jobsite mil cor pletion.
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TOM CAMPBELL & ASSOCIATES, INC.
Commercial and Residential Structural Engineering City of Menifee
5331 Galloway Street, Alta Loma, CA 91701 Building & Safety Dept.
(951) 741-2107
AUG 0 8 201k
January 6, 2014 Received
Building Official
Local Authority Having Jurisdiction
RE: Duralum Products, Inc. Patio Cover System Design Parameters
This letter affirms that the Duralum Products, Inc. patio cover system shown in the
attached plans, dated 11/15/13, containing my professional engineers stamp and
signature, comply with the roof live, snow, wind and seismic loading requirements cited in
the 2012 International Building Code, 2012 International Residential Code, 2013
California Building Code, 2013 California Residential Code, ASCE/SEI 7-10 (Minimum
Design Loads for Buildings and Other Structures) and the 2010 Aluminum Design
Manual, ADM-1.
Please contact me at (951) 741-2107 or at ticam bell ch_arter_net should you require ,
additional information.
Sincerely,
Y ci
oQ \M C.�, �aG1NEElps,T �
Tom Cam II, PE a = �0 p' THOMAS 1.
* No.C3790 ,* CAMPBELL Z
EXP.03/311'S
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THOMAS 11 AY
OF 'OP��ev CAMPBEU .
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