PMT17-02638 City of Menifee Permit No.: PMT17-02638
29714 HAUN RD. Type: Residential Addition
'�/-�CCEU/ MENIFEE, CA 92586
MENIFEE Datelssued: 0 712 812 01 7
PERMIT
Site Address: 30302 CORALIUM WAY,MENIFEE,CA Parcel Number: 360-810-007
92584 Construction Cost: $3.450.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 11'X 34'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 2 FANS
Work:
Owner Contractor
GREG STEPHENS STEVE BENDORF CONST
30302 CORALIUM WAY 28493 BAUVARDIA WAY
MENIFEE,CA 92584 MURRIETA, CA 92563
Applicant Phone:9516791502
STEVE BENDORF License Number.610842
STEVE BENDORF CONST
28493 BAUVARDIA WAY
MURRIETA, CA 92563
Fee Description Otv Amount r8l
Receptacle, Switch, Outlet&Fixture 2 121.00
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 6.05
$295.70
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 staled,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_Pennt_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 pedurythat 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 ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. ^ the following reason:
License Class G License o. r" O��c�
By my signature below I acknowledge that,except for my personal residence
Expires 2 r Signature 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 1
have built as an owner-builder if it has not been constructed In its entirety by
❑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 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.leginfo.ca.goy/calaw.htmi.permit is Issued.
Policy# Date
inI have and will maintain worker's compensabon 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 with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 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
❑I certify that in the performance of the work for which this permit is issued, 0''1h I�I
I shall not emolov 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 forth 1 r it those ovisions. 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 spe ified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKE; OMPENSATION COVERAGE IS ❑Yes ❑ 0
UNLAWFUL,AND SHALL SUB1ECr AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or Future building
AND CIVIL FINES UPTO 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 --- — --- -- ------ - --------- - - --
forguidelines
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 boun ary of a school?
(Section 3097 Civil Code) ❑Yes N0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
n ud I hereby affirmm er penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's ne 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 ,ha/z�rdous material rep rting. //'7
Business and Professions Code).Any city or county that requires a permit to r"� ❑No � qf_ —2 �/n
(/ED 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensum 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($500).
managers who do the paint-disturbing work themselves orthrough their
❑1,as owner of the property,or my employee with wages as theirsole employees.For more information about EPA's Renovation Program visit:
Compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible forthis project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm Is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not Comply with EPA RRP rule please fill out the RRP
Acknowledgement.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE ' _2 -17 PERMIT/PLAN CHECK NUMBER O"O2 3$
TYPE: O COMMERCIAL !RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
V NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK / / ul o mN\A0--A �I'O
PROJECTADDRESS (j O ��//�'� Q 1.C7
ASSESSOR'S PARCEL NUMBER 3�rJl/\' p O •DQ-JOT TRACT 10
OWNERNAME
ADDRESS -36�07->—
PHONE `�'jl� -'B _ A-C>»3 EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES ®NO
BUSINESS NAME
ADDRESS —
PHONE EMAILS'�Yv �PO�LG- cis1'Y�
CONTRACTOR'S STATE LIC NUMBER 0 LICENSE CLASSIFICATION >
VALUATION$3A-50' SO FT 1 X t L 54 FT /� -7 ry
APPLICANT'S SIGNATURE C - 41 DATE /-/_A—7 /
DEPARTMENT DISTRIBUTION CITY OF MENIFEEE U$IN_ �ESSLICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP Ito3
INVOICE PAID AMOUNT AMOUNT I 1 O CASH n CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER O YES O NO
City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.Lis Inspection Request Line 951-246-6213
Carl Putnam P.E.
• 3441 Ivylink Place
Lynchburg,VA 24503
Carl Putnam, P.E.
May 30, 2017
Heath Morgan
Amedmax 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 cariputnamtcDcomcast.net if you require further
information.
Sincerely,
City of S felt'pept.
guildin9 �` 20��
Carl Putnam, P.E.
OFFS N � �1'P
68 r I
OFCAOL
May 30 2017