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PMT17-00012 City of Menifee Permit No.: PMT17-00012 29714 HAUN RD. <ACCEII MENIFEE, CA 9258E Type: Residential Addition m..,.,.-„x sv11 AT" MENIFEE Date Issued: 01104/2017 PERMIT Site Address: 27726 BLUFF VISTA WAY, MENIFEE, CA Parcel Number: 340-432-009 92584 Construction Cost: $4,500.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 252 SQ FT ATTACHED SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 1 LIGHT& Work: FOOTINGS Owner Contractor ANDY RONDON T F MEADOR CONSTRUCTION 27726 BLUFF VISTA WAY PO BOX 713 MENIFEE, CA 92584 WILDOMAR,CA 92595 Applicant Phone:9518376180 GINA MEADOR License Number:639087 T F MEADOR CONSTRUCTION PO BOX 713 WILDOMAR, CA 92595 Fee Description Q_yt Amount I$1 Receptacle, Switch, Outlet&Fixture 1 116.00 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 5.80 $290.46 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 building 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 Sldg_PermR_Template.rpt 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 I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. Cf � the following reason: License Class 3 Licen e No/j 6:3 I O gO By my signature below I acknowledge that,except for my personal residence Expires 30 Signature �J a{7 V� 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 legally sell a structure that I have built as an owner-builder if it has not been constructed In Its entirety by ❑1 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 website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.htmi. Policy M Date t4 have 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 ❑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 number are:� 1 application and the Information I have provided is correct.I agree to comply.�-ct.��r ,�/ with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to a Polity q Q�� 3 5 J r"� Expires 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, h 0 /1) 1 shall not employ any persons In any manner so as to become subject to the CRY BUSINESS LICENSE R lJ VA- _ workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation pro sIons of Section 3700 of the Labor Code,I shall fog i h co ith tho provisions. !!' WIII the applicant or future building occupant handle hazardous material or a Applicant Date I -T 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 ❑Yes I�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 LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes kNo I hereby affirm that under the penalty of perjury there is a construction WIII 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) ❑Yes Po OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reportin checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �es ❑No✓,f, l Business and Professions Code).Any city or county that requires a permit to Date ` / construct,alter,improve,demolish or repair any structure,prior to its 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 Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for mos[work that disturbs paint in apre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves orthrough their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). 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 provingthat it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: o 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. r APPLICATION 1°" BUILDING & SAFETY PERMIT/PLAN CHECK Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL KRESIDENTIAL O MULTI-FAMILY O MOBILE HOME -POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION ELECTRICAL O MECHANICAL NEW OPLUMBING ORE-ROOF-NUMBBEEROF SQUARES DESCRIPTION OF WORK 12X 21 I v T lOCOverL0 I PROJECTADDRE55 I V(t ASSESSOR'S PARCEL NUMBER ✓Ltb 413Looq LOT TRACT tIm OWNER NAME RonCiM ADDRESS 7-7 L PHONE �7��2�� - d �7,1 EMAIL APPLICANT NAME Meador ADDRESS U ( Irlam4r C-A . PHONE 957`1 -(3 7 - I I EMAIL _ f� Vahoo. COM CONTRACTOR'S NAME I OWNER BUILDER? O YES 0 BUSINESS NAME d ' IT F n ed&T 0 ADDRESS WI L f (` LS PHONE R.SI 63 4 ^ �p 18o EMAIL T1'ML'M,-)1 (OLlahCO . COT- CONTRACTOR'S STATE lML1ICCNUMBER LICENSE CLASSIFICATION VALUATION$ Lev, SO FT 2 4 2 L SQ FT APPLICANT'S SIGNATUR DATE I CITY STAFF USE ONLY �a DEPARTMENT DISTRIBUTION ' /&V CITY OF MENIFEE BUSH SS LICENSE NUMBER BUILDING PLANNING ENGI ERI FIRE GREEN SMIP I INVOICE V• PAID AMOUNT AMOUNT O CASH O CHECKN O CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O.CASH O CHECKN O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 HOLIn Rd Menifee, CA 92586 951-6 72-6 77 7 www.cityofinenifee.us Inspection Request Line 951-246-6213 city of Menifee �Ct7 9 CX I��G�B Building & Safety Dept. n ER �sy. s JAN 0 4 2017 dIV. , 'N REQUIR9 Received i I c P N t1 •N S �ri��� { f•��-I StRI VIENIFEE P ' AG AND SAFETYV%04kT)AENT APPROVAL Eiti'ED By 9NTE Andy/CJ2 oproval of these plans shall riot be construed to be a permit for,or an jury vi5ar� u i moval of,any violation of any provisions of the federal,state or city 77 Z lv 'u y fir. egulations and ordinances. This set of approved plans must be kept on the z5 gH r( ri �t Z 1 jobsite until completion. Carl Putnam P.E. • 3441 Ivylink Place Lynchburg,VA 24503 Carl Putnam, P.E. City of Menlfee Building & Safety Dept. December 20, 2016 JAN 0 4 2017 Mike Adams Received United Duralume Products, Inc. 350 S. Raymond Ave. Fullerton, CA Dear Mike: I am the engineer of record for standard plan, United Duralume Patio Cover, Caroort and Commercial Engineering. These plans have been approved under the 2012 IBC as ICC Evaluation Service Report#2676. The 2016 CBC is based on the 2015 IBC which is very similar to the 2012 IBC and it is acceptable to build structures within the scope of this plan under the 2016 CBC. It is acceptable for copies of these plans to be used to obtain building permits. I can provide an electronic version for comparison if desired. Please contact me at(434)384-2514 or at carlputnam(abcomcast.net if you require further information. Sincerely, Carl Putnam, P.E. St � C IOn,01� IV 4 FOFCAI-W DEC 20 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . .