PMT17-02217 City of Menifee Permit No.: PMT17-02217
29714 HAUN RD.
'/ACCELA7 MENIFEE, CA 92586 Type: Residential Addition
MENIFEE
Date Issued: 0 612 9/2 01 7
PERMIT
Site Address: 30227 MUIRLANDS DR, MENIFEE,CA Parcel Number: 364-370-057
92584
Construction cost $5,400.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 13'x 43 SOLID ALUMAWOOD PATIO COVER WITH 3 FANS, 1 OUTLET
Work:
Owner
Contractor
BRAD&MIREYA GRESHAM ATLAS AWNING AND SCREEN INC
30227 MUIRLANDS DRIVE 754 SOUTH WILLIAMS ROAD
MENIFEE,CA 92584 PALM SPRINGS, CA 92264
Applicant
MARK STEVENS Phone: 7603278466
ATLAS AWNING AND SCREEN INC License Number. 835140
754 SOUTH WILLIAMS ROAD
PALM SPRINGS, CA 92264
Fee Description aty Amount($1
Receptacle, Switch, Outlet&Fixture 4 131.00
Building Permit Issuance 1 27.00
DecklPatio, 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 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_B1dg_Permit_Template.rpt
Page 1 of 1
LICENSED DECLARATION CITY OF MENIFEE
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 ❑1 am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect.
the following reason:
Ucense Class C 6 1 Ucen e o.
Expires--a 128/ By my signature below I acknowledge that,except formy personal residence
, Lg_signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECIARATI N improvements covered by this permit.I cannot legally sell a structure that I
O I hereby affirm under penalty of perjury one of the following declarations:I have built as an owner-builder if it has not been constructed in its entirety by
have and will maintain a certificate of consent of self-insure following
declarations:
licensed contractors.I understand that a copy of the applicable law,Section
7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website:
this permit is issued. www.IegInfci.ca-9Oy/caIaw.htmI.
Policy#
Date
Vhave 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
numberare:
Carrie u,P
application and the information I have provided is correct.I agree to comply
yNfan„ y, aIL1 Ll?LAl"r [b with all applicable city and county ordinances and state laws relating to
Policy#STjC1 C+ 9�Z p ��/ R building construction.I authorize representatives of this city or county to
—�` B Expires / ♦ / enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
O l certify that In the performance of the work for which this permit is issued, PROPERTY OWNER OR AUTHORIZED AGENT
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE F
workers com nsation laws of California,and agree that if I should become
subject to th k rs compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION
Code,I shall th comply wi se provisions.
Will the applicant or future building ocul equal
handle hazardous material or a
Applicant Date 9 mixture containing a hazardous material equal to or greater that the
WARNING: All TO SECURE WORKER'S COMPENSATION[OVERAGE IS YesamountrO Norfied on the Hazardous Materials Information Guide?
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant orfuture building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
CONSTRUCTION LENDING AGENCY - forguidelines
Oyes ❑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)
D Yes O No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to Oyes ❑No
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors 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 licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation Of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500), required practices.This includes rental property owners and property
O 1,as owner of the roe managers who do the paint-disturbing work themselves or through their
p p rty,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.Roy/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions
Code,The Contractors State License Law does not apply to an owner of a 180D-424 LEAD(5323).
Property who,through employees'or personal effort,builds or improves the O An EPA Lead-Safe Certified Renovator will be responsible for this project
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
completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.:
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 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.
`,.
---------------
- :.Menifee
DATE 1 I PERMIT/PLAN CHECK NUMBER
TYPE. "-"COMMERCIAL s RESIDENTIAL C MULTI-FAMILY 1 C MOBILE HOME SUBTYPE; C POOL/SPA C SIGN
%ADDITION "ALTERATION ^. DEMOLITION
C NEW C; PLUMBING C ELECTRICAL 0 MECHANICAL
C% RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK �
E /
PROJECTADDRESS
I
ASSESSOR'S PARCEL NUMBER Cl Of Menifee
O LOT Building & Safety a
OWNER � TRACT
ADDRESS o JUN 19 2017
PHONE V
c a3 A 6 EMAIL {,
APPLICAPPLIC—AME
ADDRESS
PHONE G
—�� EMAIL
CONTRACTOR'S NAME
� OWNER YES C' �iNO
BUSINESS NAME
ADDRESS C
PHONE
—---t—�--� EMAIL
moo n!
VALUATION$ ��
CONTRACTOR'S STATE LIC NUMBER
d
— aQ!kf� LICENSE CLASSIFICATION
Y' �
SQ FT
APPLICANT'S SIGNATURE L SO FT
DATE
DEPARTMENT DISTRIBUTION
BUILDING PLANNING ENGINEERING FIRE GREEN
CITY OF MENIFEE BUSINESS LICENSE NUMBER
INVOICE SMIP
AMOUN PAIDAMOUNT *- O
PLAN CHECK FEES CASH "CHECK# CCREDIT
PAID AMOUNT CARDVISA/MC
C%CASH
OWNER BUILDER VERIFIED O YES O NO DLNUMBER "CHECK# O CREDITCARD VISA/MC
NOTARIZED LETTER C YES O NO
CO Of Men ifee Building&Safety Deportment29714 Houn Rd. Menifee, CA 92586951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
LEDGER. C
INSPECTIO REQUIRED City of Safety
D
Building & Sfsty Dept,
29 2017
R C@IV@d
CITY OF MENIFEE
BUILDING AND SAFETY DEPA MENT
PLAN APPROVAL I '
VIEWED BY 01
� DATES
*Approval of these plans shall nut be construed to b a permit for,or an
approval of,any violation of any provisions of the fe eral,state or city 1 _6
regulations and ordinances. This set of approved pl s must be kept on the
6 jobsite until completion.
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Carl Putnam P.E.
3441 Ivylink Place
Lynchburg,VA 24503
Carl Putnam, P.E.
City of Menifee
Building & Safety D
May 30, 2017 JUN 2 9 201,
Heath Morgan
Amerimax Building Products R GGeIVE)I
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 carloutnamta7comcast net if you require further
information.
Sincerely,
Carl Putnam, P.E.
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May 30 2017
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