PMT17-03816 City of Menifee Permit No.: PMT17-03816
29714 HAUN RD.
"�kCCEL/ MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued:
10/2512017
PERMIT
Site Address: 28132 MILLSTREAM CT, MENIFEE, CA Parcel Number: 333-612-017
92585 Construction Cost: $5,500.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL(2)SOLID 12'X 31'& 10'X 18'ALUMAWOOD PATIO COVERS, NO ELECTRICAL
Work:
Owner Contractor
AARON BEAVERS ANGEL'S PATIO COVERS&AWNINGS
28132 MILLSTREAM COURT 225 SPARKLER LANE
MENIFEE,CA 92585 PERRIS,CA 92571
Applicant Phone:9514431659
IRENE GONZALEZ License Number: 900657
ANGEL'S PATIO COVERS&AWNINGS
225 SPARKLER LANE
PERRIS, CA 92571
Fee Description Qtv Amount!$)
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 building 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
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).
Chapter!)(commencing with section 7000)of Division 3 of the Business and o 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 Cla ��// Li�p rprp��s��e�N�o����. By my signature below l acknowledge that,except for my personal residence
Expires —0015 Signature�_`N_JJ�� ('I_ in which l 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 Cade,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the fallowing website:
by Section 370D of the Labor Code,for the performance of work for whichthis permit is�d �
www.leeinfa.ca.eov/calaw.html.
Policy# NN V Wo �' ^
Date
❑I have and will maintain workers compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,far 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: 5Ic,' application and the information I have provided is correct.I agree to comply
,II NC a U;�j with all applicable city and county ordinances and state laws relating to
Carrier .,/�t1 - NVJM ?r�1 ` building construction.I authorize representatives of this city or county to
Policy#�')N WLuVhJd Tb i�xpires 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 I certify that in the performance of the work for which this permit is Issued, O
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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,1 shalt hwith comp ith those provisions. WIII the applicant or future building occupant handle hazardous material or a
Applicant Dale mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECU'hi WORKER'S COMPENSATION COVERAGE IS o Yes *No
UNLAWFUL,AND SHALL SUBIECT AN 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 the
odi permitting checklist
IN SECNON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast
Airlines
Qua
CONSTRUCTION LENDING AGENCY o Yes t±t6do
1 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) A 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
California Health&Safety Cade,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazaroqus materla reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �
Business and Professions Code).Any city or county that requires a permit to o Date IO f J
construct,alter,improve,demolish or repair any structure,prior to its PRdP OWNER R UTHO 'DA' T
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.p AIR AND PAINTING fRRPI
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 licensure receiving compensation for most work that disturbs paint in a pne 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a 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 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.
BUILDINGAPPLICATION
,Menifee
DATE i b �5 aot� PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL E,24XSIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [-]SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
E�JNEW ❑PLUMBING ❑RE-ROOF-NUMBER/O1F�S�QUUARRES
DESCRIPTION OFWORK (C/ &i ^L)Iii W ' CtC7 Vr a X 31 0- 18
IF
('i 41(
PROJECTADDRESS
ASSESSOR'S PARCEL
NUMBER36nI UxQI �L]g�. { 1-1
LOT
ILAV_I./I�TRACT
CTl�'C go
PROPERTY OWNER'S NAME haYDVI1JXS
ADDRESS 4915a n ��
PHONE q,51 - i EMAIL
APPLICANT NAME I 1W -P /Z-
ADDRESS 12$5 vu ,A-}- 4. Pems PHONE 714 - -4Z1 - 44" EMAIL
CONTRACTOR'S NAME k OWNER BUILDER? ❑YES NO
BUSINESS NAME
ADDRESS aPaS a�rkC) 1'+.e. PPiYVfS C'h
PHONE �0t �4 ( L�PJ�q EMAIL & C) YL1 `�� I, C�,CC,)jj
CONTRACTOR'S STATE LICCN�NU��MBBER -!�J lU�J� LICENSE CLASSIFICATION
VALUATION$ 5-1 JvU SQFT Fj� o� LSQFT
APPLICANT'S SIGNATURE DATE aO
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION `SMIP CITY OF M�f�jEl:E BS1511 E55 UCENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN , V7 f✓��(!S
INVOICE I��7r PAID AMOUNT
AMOUNT b O CASH O CHECK# O CREDIT CARD VIWNIC
PLAN CHECK FEES PAIDAMOUNT 1 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
731'---
Y'2�q,Nff Z 10
LEDGER & TRACK[ lI
- .
I1f',-*3PECTION REQUIRE
51
U.MA V(C,0cA ib
12. X3 X 1t,
1p'—
City of Menifee
Building Dept.
OCT 2 5 2017
Received �.
Pia r011 ►3cQueI ..r
zbo;t WIE;F'rw czuo-
hi t r
a5► -qo� � G s g�, 9
OF MENIFLE
fILDING AND SAFE TM NT �Q
PLAN' APPROVAL I
r
Cyl,-t'f'0.wCrr
REV6EVVED t3 t
DATE 7
'.approval of th40 ha!!not he construed to he a permit for,or an
a,uur d! violation of any provisions of the federal,state or city
regu! t s and ordinances. This set of approved pians must be kept on the
jobsite until completion.
• Carl Putnam P.E.
3441 hrylink Place
• Lynchburg,VA 24503
Carl Putnam, P.E.
December20, 2016 City of MenifeeBuilding Dept.
Mike Adams OCT 2 5 2011
United Duralume Products, Inc.
350 S. Raymond Ave.
Fullerton, CA Received
Dear Mike:
I am the engineer of record for standard plan, United Duralume Patio Cover. Carport and
Commercial Engineering. This plan was submitted to ICC ES and will soon be approved as
an [CC ESR. These plans have been designed under the 2015 IBC. The 2016 CBC is
based on the 2015 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.
Please contact me at(434)384-2514 or at car$utnam(fcomcast.net if you require further
information.
Sincerely, -
SStONAL �
FC
Carl Putnam, P.E. C 8
6 12
civ
CALIF �`
DEC 20 2016
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