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PMT17-00071 City of Menifee Permit No.: PMT17-00071 29714 HAUN RD. Type: Residential Addition <A-CCEL/? MENIFEE, CA 92586 MENIFEE Datelssued: 01/12/2017 PERMIT Site Address: 23473 BADGER CREEK LN, MENIFEE, Parcel Number: 351-240-007 CA 92587 Construction Cost: $5,000.00 Existing Use: 1 &2 Family Residence Proposed use: Description of INSTALL 13'x 33'SOLID ALUMAWOOD PATIO COVER, NO ELECTRICAL Work: Owner Contractor REFUGIO&KATHY PINEDA DI-LAR INDUSTRIAL SUPPLY INC 23473 BADGER CREEK LANE 1541 PARKWAY LOOP STE E MENIFEE, CA 92587 TUSTIN, CA 92780 Applicant Phone:7145443100 JEANETTE HEASTON License Number:326317 DI-LAR INDUSTRIAL SUPPLY INC DBA LJ HAUSNER CONS' 1541 PARKWAY LOOP STE E TUSTIN, CA 92780 Fee Description Qtv Amount 1$) 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 $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_Permi[ Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and in I am exempt from lcensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class n By my signature below I acknowledge that,except for my personal residence Expires/ 31—r Si ature in which I must have resided for at least one year prior to completion of improvements covered bythis permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLA ATION have built as an owner-builder if it has not been constructed in its entirety by o 1 hereby affirm under penalty of p 'ury one the following declarations:1 licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 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.leainfp.ca.xov/calaw.h[m I. this permit is issued. Policy# Date I 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 worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: _ application and the information I have provided is correct.I agree to comply Carrier b��( with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# :Il1 j��L) 'YJ�f1Fkp s ill I 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 ❑I 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 CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 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 o No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII 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 ❑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 boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No 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 Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed nett to the applicable item(s)(Section 7031.5 oyes ❑No 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 Iicensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors receiving compensation for most work that disturbs paint in apre-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 ❑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 Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible forthis 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 Contractor's 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 5 e': Menifee DATE ''; ' Z " ^� PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL [-]MECHANICAL City of Menifee ❑NEW [-]PLUMBING ❑REI-(R1OOt�F-NUMBER OF SQUARES Building & Safety Dept. DESCRIPTION OF WORK `VWV{,\�,�.�7 -kjQ tJ..e, Z 2017 P JECTADDRESS �-�"� C�,►�ee, , L, gagi5lRe eived ASSESSOR'S PARCEL NUMBER -,QU-0- 1115-1 LOT TRACT PROPERTY OWNER'S NAME ADDRESS (� Z ,� PHONE (-IS[ � 3—I� EMAIL APPLICANTNAME �� c ADDRESS PHONE !anq t" EMAIL CONTRACTOR'S NAME OWNERBUILDER? ❑YES BUSINESS NAME ADDRESS 1,94 G(, Y, fA PHONE �j(� EMAIL CONTRACTOR'S STATE LIC NUMBER "y�Q�\ LICENSE CLASSIFICATION 0 VALUATION$ ` SO FT L SO FT APPLICANT'S SIGNA E2jj�gfe `':9ATE I j DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN ( SMIP I 1' INVOICE Q PAIDAMOUNT AMOUNT I U p •� �D O fASH ��CHECK 71 ^CREDIT LARD VISA/MC PLAN CHECK FEES PAIDAMOUNi OCASH .0 CHECK# ^CREDIT CARD VISA/MC OWNER BUILDER VERIFIED C:YES O NO DL NUMBER NOTARIZED LETTER 0 VES CO NO City of fNenrfee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 925S6 951-672-6777 www cityoflnenifee.us Inspection Request Line 951-246-6213 Carl Putnam P.E. • 3441 Ivylink Place : Lynchburg,VA 24503 Carl Putnam, P. E. December 28,2016 City of Menifee Building R Safety Dept. Val Jacklin Four Seasons BP JAN 12 2017 645 Caballero Blvd Buena Park, CA 90620 Received Dear Val: I am the engineer of record for standard plan, Metals Building Products Patio Cover.Carport and Commercial Engineering. These plans have been approved under the 2012 IBC as [CC Evaluation Service Report#1953. 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. i If you require further information please contact me at(434) 384-2514 or at (� carlputnam(d)comcast.net. 1 Sincerely, O��gS O P 'I6` Carl Putnam, P.E. 2t P FP 1 XP '30PG17 TqPk CFCALIFO�� DEC 28 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . .