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
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_ _ City of Menifee
Building & Safety Dept.
I i Received
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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