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PMT17-03836 City of Menifee Permit No.: PMT17-03836 29714 HAUN RD. �ACCELA? MENIFEE,CA 92586 Type: Residential Addition MENIFEE Date Issued: 10/27/2017 PERMIT Site Address: 30300 COBURN CIR, MENIFEE, CA Parcel Number: 358-720-041 92584 Construction Cost: $2,000.00 Existing Use: 1 &2 Family Residence - Proposed use: Description of INSTALL 14'x 49 SOLID ALUMAWOOD PATIO COVER WITH 2 FANS Work: Owner Contractor ADRIAN PADILLA 30300 COBURN CIRCLE MENIFEE,CA 92584 Applicant License Number: ADRIAN PADILLA 30300 COBURN CIRCLE MENIFEE, CA 92584 Phone:9513138484 Fee Description Qtv Amount($1 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 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 perjurythat I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and in I am exemptfrom licensure underthe Contractor's State license Lawfor Professions Code and my license is In full force and effect the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature 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 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 subnTttt Ilowing website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.le info.c w I. 45 Policy# i Date / ❑I have and will maintain worker's compensation insurance,as required by ROP 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 with all applicable city and county ordinances and state laws relating to Carder building construction.I autho' esentatives of this city or county to Policy III Expires enter the above' atif erty for inspection purposeess. (This section need not to be completed is the permit is for one-hundred Date /© dollars($100)or less ROPE WNER OR AUTHORIZED AGENT ❑I certify that In the performance of the work for which this permit is issued, Ishallnotemolov any persons In any manner so as to become subject tot CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should b me HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of or Code,I shall forthwith comply with those provisions. 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 s,,,p((('ecifiied an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes .4 no UNLAWFUL,AND SHALL SUBJECT 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 permit the b the construction applicant modification from South ADDITION SECTION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR[ODE,INTERE57,AND ATTORNEYS FEES forguidelingps CONSTRUCTION LENDING AGENCY ❑Yes Woo 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 o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand m requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety od c' 5 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes �N Business and Professions Cade).Any city or county that requires apermit to construct,alter,improve,demolish or repair any structure,prior to its ER NER2RICUTMOOZED 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 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 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 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.cov/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 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. ❑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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION �..'Menifee DATE: PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: KADDITION C ALTERATION O DEMOLITION C ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK FYL 4CA At LJ ViL\, Ijcje3j' QAWVI.kAIA . GL4, y y" Of rviendee ///��� +� Building PROJECT ADDRESS `�(QxC�I[� C` u pt yk j f ZIP ASSESSOR'S PARCEL NUMBER J'. 0-04 LOT L( � TRACT c(15-- OWNER NAME ` P.5.giAct Received ADDRESS 300 O bU �- PHONE 1 S�-�� 3'u�(�L( EMAIL F',I H1 , �U APPLICANT NAME GIB, cj,'l ADDRESS '�('7 3 v ` �jLr,r kr PHONE EMAIL �`1�,y�wt /GI 1UI .S .LUG✓( CONTRACTOR'S NAME OWNER BUILDER? RYES O NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE e LIC�NUMBER LICENSE CLASSIFICATION VALUATION$ n— SO FT L SO FT APPLICANT'S SIGNATURE DATE %C /Xzlll T ,C17YSTAFFUSEONLY - DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER D BUILDING PLANNING ENGINEERING FIRE ACCEPTE BY: PERMI7FEE15. SMIP I ` _ I GREEN 1 - PLAN CHECK FEE INVOICE TOTAL a� "'ID OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE It NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us J�c��reSS ' so 3oo Cc> bur^v), Cr. 35`s•7�o-d 4 J , t + / to foPrJS2C 'P10' C� — c7nelE� e WXA cc City of Menifee J O L o4 S i ZC — I'/ Building Dept. EDGER & `iRAC OCT 2 6 2017 IN''SPECTION REOUI 3ED yo'Received G (A0 CITY OF MENI EE BUILDI11 G AND SAFETY DEPARTMENT PLAN 4 )PRO AL 3� v tC �e REV�v ED B 10Ialllll DATE �. y *Approvalol these pla shall not be construed to be a pefAit for,or an e� approval of,any violatil n of any provisions of the federal,state or city regulations Ind ordina ces. This set of approved plans'must be kept on theut jobsite until 64w [ .�• ��Q, I � CONL Y / Se�aS Carl Putnam P.E. 3441 Ivylink Place Lynchburg,VA 24503 Carl Putnam, P.E. City of Menifee December 20, 2016 Building Dept, Mike Adams OCT 26 :% 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 ICC 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 carlputnam(-comcast.net if you require further information. Sincerely, �Sg10NAL QOF P T.• F�. Carl Putnam, P.E. C 811 .6l30/2M7 civ I �P F CALtF DEC 20 2016 . . . . . . . . . . . . . . . . . . . . . . . . . . . .