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PMT15-02260 City of Menifee Permit No.: PMT15-02260 29714 HAUN RD, Type: Residential Addition ";F�A—> MENIFEE, CA 92586 MENIFEE Date Issued: 08/05/2015 PERMIT Site Address: 28760 PORTSMOUTH DR, MENIFEE, CA Parcel Number: 339-162-004 92586 Construction Cost: $3,300.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 14'X 24'SOLID PATIO COVER W. 1 FAN Work: Owner Contractor CHARLES PANNO WEST COAST SIDING&TRIM 28760 PORTSMOUTH DR. 675 LACEY OAK DIRVE MENIFEE, CA 92586 CORONA, CA 92881 Applicant Phone: 9517353379 DANIEL ABEEL License Number: 615917 WEST COAST SIDING&TRIM 675 LACEY OAK DIRVE CORONA, CA 92881 Fee Description Oft Amount I$1 Wlc:' f� tex 1zQ ne -$E, , Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 P $278.00 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_Permil Templatexpt 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 CQdq and my license is in full orce a dl¢effect. Code:The Contractor's License Law does not apply to an owner of a property License Cla s Lice o. I who builds or Improves thereon, and who contracts for the projects with a Expires 31 ( Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensors under the Contractors'State License Law for the ❑ I 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 L�,_ I 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 submitted or at the following Web site:htto'llwww.leainfo.m.Clov/calaw.html. permit is issued.My wor cars'compensation insurance carder and policy number are: Carrier C, C Property Owner or Authorized Agent Date Expires 4-By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner-or authorized to act,,n the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the informa(i'on 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 construcfi9. I authorize re'resentatives of this city or county to enter the above- certify that in the performance of the work for which this permit is issued, iden ifed property for the i spection purposes. II not emolov any persons in any manner so as to become subject to the ,// C workers' compensation laws of California, and agr a that if I should become subject to the workers'compensation pro4is ins of action 3700 of the Labor Code,I shall forthwith comply with thosLpro ions. Prop rly Owner or Au onzed Agent / p Date City Business License# Date; / Applicants WARNI G: 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE yy MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES /ej 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address \0 DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS \ GUIDE LINES 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 AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5.Business and Professions Code: LL BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, 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 AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any r 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 CAL TORN IA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the roe p p rty, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING.I compensation, will do( )all of or( ) porting of the work, and the structure is PROPERTY OW II IER OR AIJT ORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING & SAFETY PERM IT/PLAN CHECK APPLICATION Menifee DATE / S PERMIT/PLAN CHECK NUMBER Z-Z (� i TYPE: O COMMERCIAL 4 RESIDENTIAL C MULTI-FAMILY C) MOBILE HOME C POOL/SPA C:SIGN SUBTYPE: L)ADDITION C)ALTERATION " DEMOLITION :i ELECTRICAL C MECHANICAL O NEW O PLUMBING ) RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �. ��� VLSI Qt) Cwi( i \ �� PROJECTADDRESS "L, �b� p(A �� �( ' ,)� cll ASSESSOR'S PARCEL NUMBER /& Z - DO y LOT TRACT OWNER NAME { S &AV16 City of Menifaa Building & Safety Dept. ADDRESS � (+j • ,nA h PHONE L�ci- S 1 5 6 EMAIL AUG 0 5 2015 APPLICANT NAME tiIV,�{ 61 III Jfn r yt ADDRESS �1; 6,)1, I. PHONE �f�`�G ,,nill� _ EMAIL CONTRACTOR'S NAME .w (aide 5idIl'n �✓� 4iC✓1 OWNER BUILDER? C YES %NO BUSINESSNAME C61,* v1 jt�A ADDRESS 0') toy pli PHONE CjFl� - lJ - ��� EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ >I XXJ1 SO.FT LSQ FT APPLICANT'S SIGNATURE, DATE FCITY STAFF USE ONLY DEP NT DISTRIBUTION CITY OF MENIFEEBUSINESS LICENSE NUMBER B N PLANNING ENGINEERING FIRE GREEN SMIP �'/ Q INVOICE AMOUNT Z� PAID AMOUNT 2'7�/ SZS � ')CREDITCARD VISA/MC G ?S C CASH CHECK# PLAN CHECK FEES PAID AMOUNT !)CASH UCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED "YES 0 NO DLNUMBER NOTARIZEDLEfTER (D YES C NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 WO � Q c) Cojec fi - fa4 1q `� -Zy\ S��1 r'�Iutr��4Dn� a, t City of Menifee Building & Safety Dept. AUG 0 5 2015 Received Ir I I Ql_ ° Carl Putnam P.E. 3441 Ivylink Place . Lynchburg,VA 24503 " Ica ulnap I I , . City of Menifee Building & Safety Dept. June 4, 2015 AUG 0 5 2015 Heath Morgan Amerimax Exterior Home Products Received 28921 US Hwy 74 Romoland, CA 92585 Dear Heath: My California PE registration was renewed in June 2015 and is currently valid u til 2017. All previous documentation (plans, letters, calculations, etc.)that I approved conti ue to be valid under the conditions specified in those documents. If you require further information please contact me at(434) 384-2514 or at carioutnam(a)comcast,net. Sincerely, Carl Putnam, P.E. EIy��H PUTNq�FF a 68139 Xp,-I3azo17 civt rEOFCPti�O . . . . . . . . . . . . . . . . . . . . . . . . . . . .