PMT15-02950 i
I
City of Menifee Permit No.: PMT15-02950
29714 Type: Residential Addition
4 MENIFEEEE,, CA 92586 C 92
MENIFEE Date Issued: 09/23/2015
i
PERMIT
Site Address: 29060 TURTLE ROCK CT, MENIFEE, CA Parcel Number: 351-210-006 I�
92587 Construction Cost: $2,900.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 322 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 FAN
Work:
Owner Contractor
ANDREW DEAK PSLQ INC
29060 TURTLE ROCK CT 28910 RANCHO CALIFORNIA RD
MENIFEE, CA 92587 #206
Applicant Phone: 9517954260
LUIS BENTIVENGO License Number: 919885
PSLQ INC
28910 RANCHO CALIFORNIA RD
#206
TEMECULA, CA 92590
Fee Description ON Amount I$1
SRece�tacle ,$witch Ouilet&Fixture _ H i 1r a 116 QO
Building Permit Issuance 1 27.00
fDeck/Patl0anon .., 133:09.4
GREEN FEE 1 1.00
fSMIP f2ESi,IDENTIAL .. >-ti- 1.06'➢
General Plan Maintenance Fee-Building 1 6.65
$284.65
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_BIdg_Permit_Template.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 an icense is in full force and effAct. Q �, which I must have resided for at least one year prior to completion of
License Class Lic se No. [ Improvements covered by this permit, I cannot legally sell a structure that I have
Expires l- 2 3 Signature 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:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: http//www leginfo.ca.gov/Galaw.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
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
have and will maintain workers' compensation insurance, as required by owner 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 have provided is correct. agree to comply
permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
c�� construction. I authorize representatives of this city or county to enter the above-
Carrier identified pr inspecii purposes. c
�'- / 4- Dater-'�r-�S
Policy# t `� `-` Expires
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
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 forthwith comply with those provisions. ❑YES ;IK0
Applicant; Date; 9 �7 Will the intended use of the building by the applicant or future building
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 ❑YES C❑ 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 of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES 12<0
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 Health&Safety Code, Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS (xt-S ❑ NO
Date ��Z
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 OWNER OR UTHORIZED 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 Stale 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 ❑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.
&SAFETY RERMIT/PLAN CHECK APPLICATION
e a a
w
DATE PERMIT/PLAN CHECK NUMBER 5-O
TYPE: []COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION [:]DEMOLITION []ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORKI �I
wf. A4@Ned +O hcx I i- h 0 ,
C
PROJECTADDRESS &o c � i A
ASSESSOR'S PARCEL NUMBER , LOT TRACT 3n
PROPERTY OWNER'S NAME
ADDRESS &CL),D ��
PHONE l,� 1- C�' EMAIL
APPLICANT NAME L- wS uY T
ADDRESS V 1 aNI' /U l I `cu i ' � Re [a-
PHONE Iy1 �- J)� EMAILL V)(�
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑NO
BUSINESS NAME 6 1(' q T
ADDRESS
PHONE 1y .`l� "TiJ1c'{ 1 EMAIL
CONTRACTOR'S STATE LIICC�N//--U��MBER 61 q LICENSE CLASSIFICATION
VALUATION $ W SO FT p L SQ FT
APPLICANT'S SIGNATURE
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION 1 �.Cl CITY OF MENIFEE BU I 55 LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAIDAMOUNT
AMOUNT w -' CASH 'CHECK# iI CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT CASH <. CHECKM '.=CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED " YES NO DL NUMBER NOTARIZED LETTER C= YES =2 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Andrew Deak
Plot plan 29060 Turtle Rock Ct.
Not to Scale Menifee, Ca. 92587
951-206-5274
14' x 23' 322 sq ft. Alumawood Solid Patio Cover. Attached to the house
and to the existing Concrete slab (1) Fan. Patio Set at 9' high
VZ�bO
City of Menifee
Bu Iding & safety Dept.
LEDGER &TRACK 29'SEP 23 2015
INSPECTIQN REQUI'�` Received
23'
16' ❑ ❑ ❑ ❑
14'
�
>".I'rY OF MENIftmm
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
PEOEVIEDBY �4�� �� C7
DATE
$.;,•,�•:•nI 0f'I 2:e��30i;h,jII nU !r 0;15�,Lteif t7`e a Permit for,or an
q.��c.ai ot;any�ioiation of amp,:�ov 'ion,of;he federal-state or cty
r Vaows and ordinaiues. This yet Ji a
a,.�ode an4fl completion,
Driveway
Sidewalk
Turtle Rock Ct.
Cari Putnam P.E.
3441 Ivylink Place
Lynchburg,VA 24503
I
I
Carl Putnam, P.E.
City t Send kept'
June 4, 2015 gultdin9
Heath Morgan SEP 2 3 2015
Amerimax Exterior Home Products
28921 US Hwy 74 Be c eiV e d
Romoland,CA 92585
Dear Heath:
My California PE registration was renewed in June 2015 and is currently valid til 17. All
previous documentation(plans,letters,calculations,etc.)that l approved c inue to be
valid under the conditions specified in those documents.
If you require further information please contact me at(434) 384-25 or at
carIputna necomgast.nEf_
Sincerely,
S. ct fiNc/yam
Q
Carl Putnam, P.E.
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