PMT17-02059 City of Menifee Permit No.: PMT17-02059
29714 HAUN RD.
<A_CCEt_A> MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 0 612 212 01 7
PERMIT
Site Address: 30479 NAPA ST, MENIFEE, CA 92584 Parcel Number: 360-472-013
Construction Cost: $2,900.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL 12'x 29 SOLID ALUMAWOOD PATIO COVER WITH 1 FAN
Work:
Owner Contractor
CINDY FORNEY PATIO GUY ALUMAWOOD CONTRACTOR
30479 NAPA STREET 41197 GOLDEN GATE CIR STE 108
MENIFEE,CA 92584 MURRIETA, CA 92562
Applicant Phone:9513330056
LOIS MONTINI License Number:872839
PATIO GUY ALUMAWOOD CONTRACTOR
41197 GOLDEN GATE CIR STE 108
MURRIETA, CA 92562
Fee Description Oft Amount 1$)
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
$290.45
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_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and o 1 am exempt from licensure under the Contractor's State License Law for
Professions Code a�n�(my license is in full force and effeceffecf--/%� the following reason:
License Cla,ttss /J Liceense//Sp.�/�t � �� p By my signature below l acknowledge that,except for my personal residence
Expires CD'3�/7 Signature l /\ P 7 J%—[.(__/--K J in which I must have resided for at least one year prior to completion of
r 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 forworkers 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.
Polity#
Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain workers compensation insurance,as required by
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 1 have provided is correct.I agree to comply
��/ /� p with all applicable city and county ordinances and state laws relating to
Carrier / �71f[i ?(� building construction.l authorize representatives of this city or county to
Policy# �--7-�� —/ 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, �11 L
1 shall not em 0
olov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 4k
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,lshall hojtllwih
9conmplyw—Li,.tL�hLtQLhp se�proovisions. Will the applicant or future building occupant handle hazardous material or
Applicant j_�� i Date mixture mntainingahazardous material equal to or greater that the
amounts spec ad on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS Oyu
m-Igo
UNLAWFUL,AND SHALL SUBIECTAN 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 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes m-0lo
I hereby affirm that under the penalty of perjurythere is a construction Will the proposed building or modified facility be within1000 feet of the
lending agency for the performance of the work which this permit is Issued outer boundary .school?
(Section 3097 Civil Code) ❑Yes ❑
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
l hereby affirm under penalty of perjury thatlam exemptfromthe 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.matte al re orting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ❑Yes o
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 far 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 IRRP)
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 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
❑1,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-LEAO(5373).
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. o No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the pioperty 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.
Pkrin Auq
DATE & PERMIT/PLAN CHECK NUMBER -
TYPE: O COMMERCIAL O-�ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOUSPA O SIGN
SUBTYPE: ^. ADDITION O ALTERATION O DEMOLITION 3-t'CECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK b Ll LUi77R LUd D 4 D
C,OVL
PROJECTADDRESS ,6 y 1124- 4 � CGC City Ot Safety
e
in & Safety Dept.
ASSESSOR'S PARCEL NUMBER 'o5(Do - q-I oZ'DI'b LOT TRACT 201-1
OWNER NAME / �D /'[' —•
ADDRESS A FIOCE)NerL
PHONE qQ- EMAIL
APPLICANT NAME / / ,/
ADDRESS -c-.
PHONE ���� 3 3 y�f EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES
BUSINESS NAME / („)
ADDRESS y11 97 0 um/
PHONE 9,`,��- ,�-�,}Q �� EMAIL ,Gm
CONTRACTOR'S STATE LIC NUMBER b �!R g a q LICENSE CLASSIFICATION
n'VAA —�
VALUATION$ `/ 0f - SQ FT I Cl.- L SQ FT
APPLICANT'S SIGNATURE 'L/L�L4la DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN 1 SMIP
INVOICE PAID AMOUNT O
AMOUNT O• LA� a b• L- O CASH CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0CHEL:1(# OCREDIT CARD VLSA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
e
l x
Ip ,
v
Ci y of Menifee
I Buildir g & Safety Dept,
J J N 2 2 2017
9-11 Received
e. ¶
R u stied I-
[� PLAN APPROVAL i
1
REVIEWED BY A
DAT
3�
'Approval of these plans shall not b onstrued to be a permit for,or an
! approval of,any violation of any pro ions of the federal,state or city
regulations and ordinances. This set f approved plans must be kept on th
M jobsite until completion.
�Z
?A ppxr�ri CA. Wa%ba
% Fla%1�)1�
Carl Putnam P.E.
3441 Ivylink 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 carloutnam a7comcast.net if you require further
information.
Sincerely,
Carl Putnam, P.E.
l
68 i
P.6I�0! II{I1'19
OFCgL1F0
May 30 2017
. . . . . . . . . . . . . . . . . . . . . . . . . . . .