PMT15-02920 1
City of Menifee Permit No.: PMT15-02920 j
29714 HAUN RD. Type: Residential Addition i
lK . S. MENIFEE, CA 92586
MENIFEE Date Issued: 0 912112 01 5
i
E
PERMIT
Site Address: 27891 HURON CT, MENIFEE, CA 92585 Parcel Number:
Construction Cost: $1,600.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 200 SQ FT LATTICE ALUMAWOOD PATIO COVER, NO ELECTRICAL
Work:
Owner Contractor
ALEX TONK SO CAL PATIO COVERS
27891 HURON CT 36206 PURSH DRIVE
MENIFEE, CA 92585 LAKE ELSINORE, CA 92532
Applicant Phone: 9518050263
JEFF JAIME License Number: 848033
SO CAL PATIO COVERS
36206 PURSH DRIVE
LAKE ELSINORE, CA 92532 j
Fee Description Otyt Amount is
Deck/Patio,non-standard 1 133.00
$`$��.G RE E RT_g'"' "a N,'9a
I.4.�.m3kMxnM:i$o..:�.u�'L�-aLv�iYf ,usCt. - `a°"� o
SMIP RESIDENTIAL 1 1.00
mr s wmrrF'urc t 3a ^e a^,�,� a�wa rn^nPT' a^'
$168.65
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 Permit_Templale.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penalty or perjury that I am licensed under provisions of
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence in
Professions Code and my licenAe is in full force and effect. which I must have resided for at least one year prior to completion of
License Class (76l t)0-? ,6 to License No. 84803,a improvements covered by this permit, I cannot legally sell a structure that I have
Expires /0 m /6 Signature i, C'-\, - 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the following declarations: http'//www leainfo ca.gov/calaw.html.
I have and will maintain a certificate of consent of self-insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
f
Policy# y my Signature below, I certify to each of the following: I am the property
❑ 1 have and will maintain workers' compensation insurance, as required by own r or authorized to act on the property owner's behalf. I have read this
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit Is issued.My workers'compensation insurance carrier and policy number are: with all ap icable city and county ordinances and state laws relating to building
constructi authorize representatives of this city or county to enter the above-
Carrier identified r perty for the inspection purposes.
Policy# Expires Data a 'c' f /\d
Property ner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars ($100)or less)
p HAZARDOUS MATERIAL DECLARATION
`�L certify that in the performance of the work for which this permit is issued, I
shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers' compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall to hwith co ly with those provisions. DYES �NO
Applicant; Date; Q /2 1 �j.'l Will the intended use of the building by the applicant or future building
` I occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary ofga school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Heat&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous ma rial reporting.
OWNER BUILDER DECLARATIONS �IYES ❑NO Date 2 1
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY O NER OR AUTHO IZ AGENT
next to the applicable item(s) (Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 The EPA Renovation, Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation, will do ( ) all of or( ) porting of the work, and the structure is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale. If,however, Certified Firm Name:
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 Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed El No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDINGAPPLICATION
�Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL : RESIDENTIAL G MULTI-FAMILY ) MOBILE HOME 0 POOL/SPA C SIGN
SUBTYPE: 0 ADDITION C ALTERATION ')DEMOLITION `) ELECTRICAL 0: MECHANICAL
C NEW C PLUMBING Q RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS �U/W cT �•/\// /'(�(� .�j
ASSESSOR'S PARCEL NUMBER LOT _� TRACT �J"1
OWNER NAME 4LCfX
'//761V! S
ADDRESS k/V 60 1) /'
PHONE �� „�/� - {> IL/7,3" EMAIL
APPLICANT NAME t JCl /ry1 Cr
ADDRESS r 's h y A L q
PHONE C+ � '�c— 07Z E,3 EMAIL
CONTRACTOR'S NAME U p [ U J OWNER BUILDER? O YES t 0
BUSINESSNAME So �ATQD
C -ef
ADDRESS CJ Y1_l b (- EofO-Kc Co Q
PHONE ate' �(S\� Q2..(k3 EMAIL dAILAf - d
CONTRACTOR'S STATE LIC NUMBER 2)y b Q 33 LICENSE CLASSIFICATION 6
VALUATION$ Q0 Q FT �f,�Q L SO FT
APPLICANT'S SIGNATURE DATE
CITYTAFF USE ONLY
DEPARTMENT DISTRIBUTION ,M `o CITY OF MENIFE B�U yE�5 LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP I O � k3
INVOICE 1 '^4& (06
AMOUNT IW v�` _ PAID AMOUNT ')CASH ')CHECK:# '.:CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CCASH '.%CHECK# CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES C NO DL NUMBER NOTARIZED LETTER YES 1-1 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-677 7
www.cityofinenifee.us Inspection Request Line 951-246-6213
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Carl Putnam P.E.
3441 Ivylink Place
• Lynchburg,VA 24503
Carl Putnam, P.E.
City of Menifee
April 7, 2014 Building & Safety Dept.
Val Jacklin SEP 2 1 2015
Metals USA
6450 Caballero Blvd.
Buena Park, CA Received
Dear Val:
I am the engineer of record for ICC ESR 1953 approved under the 2012 IBC. This standard
plan specifies the proper construction of aluminum patio covers, carports and commercial
covers from components fabricated by Metals Building Products. It is acceptable for copies
of these plans to be used to obtain building permits. An original version of ICC ESR 1953
can be found at ICC-ES's website, www.icc-es.org.
All structures built within the scope of these plans and according to all specifications comply
with the 2013 California Building Code.
Please contact me at(434) 384-2514 or at carlputnamecomcast.net if you require further
information.
Sincerely,
Carl Putnam, P.E.
Q�o�GP�ONAL
6 13
P. 30 17
CIVIL P
F AU 0
JUN 23 2015
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