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PMT17-00061 City of Menifee Permit No.: PMT17-00061 29714 HAUN RD. Type: Residential Addition <A-CCEL/-> MENIFEE, CA 92586 MENIFEE Date Issued: 01111/2017 PERMIT Site Address: 25728 BUFFALO CIR,MENIFEE,CA Parcel Number: 358-502-017 92584 Construction Cost: $3.400.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL 432 SO FT SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS,2 POSTLIGHTS, 1 Work: OUTLET Owner Contractor LEONARD GREENLEE ANGEL'S PATIO COVERS&AWNINGS 25728 BUFFALO CIR 225 SPARKLER LANE MENIFEE, CA 92584 PERRIS, CA 92571 Applicant Phone:9514431659 YVETTE GONZALEZ License Number:900657 ANGEUS PATIO COVERS&AWNINGS 225 SPARKLER LANE PERRIS, CA 92571 Fee Description ,O�t Amount 1E1 Receptacle, Switch,Outlet&Fixture 5 136.00 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 6.80 $311.45 The issuance of this peril 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_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 contractor(s)pursuantto the Contractors State License Law). Chapter9(commencing with section 700D)of Division 3 of the Business and o I am exempt from licensure underthe Contractor's State License Law for Professions Code and my license is In full force and effect. / the following reason: License Class t?0-? Licen F No. GULF By my signature below I acknowledge that,exceptfor my personal residence Expires 31- 2-00signature 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 Fit has not been constructed in its entirety by e4I 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 www.leeinfo.ca.eov/calaw.html. this permit is Issued..q1.l, `` 7 O Policy# 8,A)UYl C n l397lJ Date 314 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which o 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: application and the information I have provided Is correct.1 agree to comply Carrier tYlid e5-� Err,lolc u..p I'--- with all applicable city and county ordinances and state laws relating to r� building construction.I authorize representatives of this city or county to Policy#BN ) T—I 1 57WExpires 11 - a - 2o/'7 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 certify that in the performance of the work for which this permit is issued,I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall fq with comply with�hose provisio s. Will the applicant or future building occupant handle hazardous material or Applicant ,,P_ Te (.Sv'U'i`27�, Date d�'/��/�(J�� mixture containing a hazardous material equal to orgreater that the amounts sp��iffed on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes yNo 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 forguide' es CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will 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 bou ary of a school? (Section 3097 Civil Code) o Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardau aterial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes a Business and Professions Code).Any city or county that requires a permit to l Date construct,alter,improve,demolish or repair any structure,prior to Its PROVE OWNER OR AUTHORIZED AG MT issuance,also requires the applicant for the permitto file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPj License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500), managers who do the paint-disturbing work themselves or through their o 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.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800324-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑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 proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,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. ,1 BUILDING APPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL *RESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION * ELECTRICAL O MECHANICAL * NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 24ti, -PQ lia45 I -o L . PROJECTADDRESS �([ ff' ASSESSOR'S PARCEL NUMBER t ✓% ��-0`') LOT 1 TRACT OWNER NAME ` 7e_1 Le ADDRESS /)_T2'11_44 a[o C PHONE V DS- JJP5D EMAIL APPLICANT NAME ',r I /� ADDRESS L /�D Y_V tt Y_ PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? OYES OO NO BUSINESS NAME 'S S 1n ► (c ADDRESS _�JC5 ( ym PHONE `� �`Q' �Qgjj EMAIL I , C Jo Lj CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 11 SO FT dj L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION �. CITY OF MENIFEE BUSINESS LICFWSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP / 5725 INVOICE PAID AMOUNT 4, AMOUNT OCASH CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O. YES 0 NO City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 Z �'o ol -EDGER IRA � UIED'ilSPEC IONREQ a � it _ _ City of Menifee Building & Safety Dept. I i Received i cjt7W �rivvr�rrnu:ti� �akio ExS- � Cover C,pv2t� �f ar 1+ -e C)�� —L�di Funs 5 Lr✓oyN(Ac(I 72S Gl 0 Gl rC,�� Galt CSv5) 2043- BUILEI G AND SAFETY EPARTMENT PLAN APPROVAL BY I • Y fJ►�� D 'Approval of these plans shall not ce con rued to be a permit for,Oran 1 approval of,any violation of ary pros .„ of the federal,state o. city regulations and ordinances. This;ct jio,ped plans must be kept on the jobsite until completion. C-Irctt, Carl Putnam P.E. 3441 Ivylink Place Lynchburg,VA 24503 Carl Putnam , P. E. LEDGER & TRACK A) =i)16 INSPECTION REQUIRED N9iR'e Mans Linked DUrralllnte f'naiu l., lilt'. City of Menifee K30 S, Ra)-M rld Air Building & Safety Dept. FUIlerton, CA JAN 11 2011 P zml niile; Received I tam the engineer of record for standard plan, United Duralume Patio Cover. Carport and i'ornnwixial Engineering. These plans have been approved under the 2012 IBC as ICC EV,1lUab0l1 8enice 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 cariputnam(pcomcast.net if you require further information. ( 1 Sincerely, V `r Carl Putnam, P.E. Stg L /� rt C 613 1291 r sTq Iv ' FOFCP&W DEC 20 2016