PMT17-02058 City of Menifee Permit No.: PMT17-02068
29714 HAUN RD. Type: Residential Addition
�CCEL/? MENIFEE,CA92586
MENIFEE Date Issued: 06/22/2017
PERMIT
Site Address: 29614 LIGHT SHORE CV,MENIFEE,CA Parcel Number: 333-560-026
92585 Construction Cost: $4,500.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 13'x 34'SOLID ALUMAWOOD PATIO COVER WITH 2 FANS,2 LIGHTS
Work:
Owner Contractor
ERIC HURLEY PATIO GUY ALUMAWOOD CONTRACTOR
29614 LIGHT SHORE COVE 41197 GOLDEN GATE CIR STE 108
MENIFEE,CA 92585 MURRIETA,CA 92562
Applicant Phone:9513330056
LOIS MONTINI License Number..872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description gyt Amount f$)
Receptacle, Switch, Outlet&Fixture 4 131.00
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 6.55
$306.20
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 carded 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_Permit_Terrplate.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)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and O 1 am exempt from licensure under the Contractors State License Law for
Professions Code aqd,my license is in full force and effec`��n ^ the following reason:
License Class /GJ[ Uce�rtse/�r. or -�/ t/aJ By my signature below 1 acknowledge that,except for my personal residence
Expires C/1•Z 17 Signature t=/� P /l.//%�L�C,l� In which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o I 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 vrww,lezinfo.ca.eov/calaw.html.
this permit is issued.
Policy# '
Date
o 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 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 an the property owners behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
�/1 .r /� with all applicable city and county ordinances and state laws relating to
Carrier �7(L building construction.l authorize representatives of this city or county to
Policy# 7 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 l certify that in the performance of the work for which this permit is issued, �I1 L
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# O 44
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Will thea applicant or future building occupant handle hazardous material or
Code,I shall fo FLwi h comply with these provisions. PP� g P
ApplicantL7l Date mixture containing a hazardous material equal to or greater that the
amounts spec €d on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes m4
UNLAWFUL,AND SHALL suB1ECTAN 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 ❑Yes o
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 .school?
(Section 3097 Civil Code) o Yes o t�
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 perjurythat I am exempt from the
Contractors License Law for the reason(s)indicated below by the hazardous
California Health al Safety Cade,Section 25505 and 25534 concerning
hazardousmat�ual reporting.
checkmark(s)1 have placed next to the applicable item(s)(Section 7031.5 oyes o IVY ' y(_���'yAA
Business and Professions Code).Any city or county that requires a permit to i ,66 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 LRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(ARP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from Iicensure 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 fora permit subjects the applicant toacivil 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.eov/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 o 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 so le. o No EPA Lead Safe Certified Firm Is required for this project because:
o 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.
DATE ^ I PERMIT/PLAN CHECK NUMBER Q mr , - 3
TYPE: O COMMERCIAL G"RESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION *-�LECTRICAL O MECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 13 X 4J Q L- /n L_U1 Q2)
Lr R • Ll9
PROJECTADDRESSLiq#Tz) vG a5
ASSESSOR'S PARCEL NUMBER 3 ekPO- CgLaOT TRACT
OWNER NAME G U
ADDRESS t'3i
n' ng & Safety Dept
PHONE "/ 5-I— 9� - 9 AD�MAIL JUN 2 2 2017
APPLICANT NAME / JTIQ / J
ADDRESS G.,
PHONE '71'�� 3 3 L/^f EMAIL
CONTRACTOR'S NAME OWNER BUILDER? 0 YES tNO"
BUSINESS NAME AT/D
ADDRESS y11 97
PHONE 945 EMAILQdClin
CONTRACTOR'S STATE LIC NUMBER �7a LICENSE CLASSIFICATION
VALUATION$ [J SQ FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP
INVOICE ,ry PAIDAMOUNT
AMOUNT :.11l�•00 1 -gao•, O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT I 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO OIL NUMBER NOTARIZED LETTER 0 YES 0 NO
S-7 ��-7
City of Menif 1'
Building & Safety Dept.. _
JUN 2 2 2 7
�Y
R� ecelvc d
6rnpeav 0 _n4z,,& j
LEDGER & TR CK
a NSPECTIDN REC UIRED
OL
1 e r 1q �F7'S
l
u II ij
JV(l. .P..IFEE
t✓ ` I , 12V=1 DEPARTMENT
REVIEWED BY u 13L
1 r DAl
`Approval of these plans shall not be construed td'f e(9e nit for,or an rl
approval of,any violation of any provisions of the federal, ate or city
regulations and ordinances. This set of approved plans m be kept on the
jobsite until completion.
SO 0
REy 'a'
OA I �s buyer I►ri
nn.
u d "�- .
1�1 C Ivl1 � EL. j C_ P, rR®nd: Sure-"
ara rJraac.-ro�.s�ie,�
Carl Putnam P.E.
• 34411vylink Place
: Lynchburg,VA 24503
Carl Putnam, P.E.
May 30, 2017
Heath Morgan
Amerimax Building Products
28921 US Hwy 74
Romoland, CA 92585
Dear Heath:
My California PE license is current and will expire 6/30/2019. All previously stamped copies
of engineering documents including standard plans continue to be valid.
Please contact me at (434)384-2514 or at cariputnamacomcast.net if you require further
information.
Sincerely,
Carl Putnam, P.E.
Q�S N �N
68 /i
P.61 00/ 19
CIVIL- �
OFCAt.W
May 30 2017
. . . . . . . . . . . . . . . . . . . . . . . . . . . .