PMT18-00021 City of Menifee Permit No.: PMT18-00021
29714 HAUN RD.
<ACCELA". MENIFEE,CA 92586 Type: Residential Addition
MENIFEE Date Issued: 01/0 312 01 8
PERMIT
Site Address: 30114 NIGHT PASSAGE PL, MENIFEE, Parcel Number: 356-500-007
CA 92584 Construction Cost: $5,700.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 15'X 15'&14'X 35'SOLID ALLIMAWOOD PATIO COVER W/ELECTRICAL 3 FANS
Work:
Owner Contractor
JODI LATHAM ANGEL'S PATIO COVERS&AWNINGS
30114 NIGHT PASSAGE 225 SPARKLER LANE
MENIFEE, CA 925B4 PERRIS, CA 92571
Applicant Phone:9514431659
YVETTE GONZALEZ License Number.900657
ANGEL'S PATIO COVERS&AWNINGS
225 SPARKLER LANE
PERRIS, CA 92571
Fee Description gty Amount 1$1
Receptacle, Switch, Outlet&Fixture 3 126.00
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 6.30
$300.95
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_B[dg_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 D 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 '0�i License No. /OO lyS� By my signature below I acknowledge that,except for my personal residence
Expires 7--3/ -`a0/fd Signature I in which I must have resided for at least one year prior to completion of
VJ 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
�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 this permit is issued. www.leeinfo.ca.eov/calaw.html.
1 �7�7
Policy7t EV1) CO 1,3�2 zl t75;;) Date
o,(have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
/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 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 (yt{'/t1 (� e 5� ✓� �() /� with all applicable city and county ordinances and state laws relating to
—ly, building construction.I authorize representatives of this city or county to
Policy# 61\1 oti1 rU 1a 7 :sires /f - �O Lig, 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, O 2 �/ Q
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE ft J / U
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 brthwitl omply with thoy provisions. // Will the applicant or future building occupant handle hazardous material or a
Applicant Date�7o mixture containing a hazardous material equal to or greater that the
/� amounts s ecified on the Hazardous Materials Information Guide.
WARNING':F 9hURETO SECURE WORKER' OMPENSATION COVERAGE IS oyes amounts
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 a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(5CAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes XNo
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 outerboun ryofaschool?
(Section 3097 Civil Code) ❑Yes No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the
California Health Safety Cade,Section 2SS05 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the
checkmark(s)I have placed next to the applicable item(s)(Section 7031.S hazar oy es 13 0 ousJJ��ateria l reporting.
y/``
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 PRi!fFE-RP.10WNER 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 IRRP)
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 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
o 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.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 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 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.
SAFETY PERMIT/PLAN CHECK APPLICATION
BUILDING &
t�f
Menifee
DATE PERMIT/PLAN CHECK NUMBER $' GJM,JLJ
TYPE: ❑COMMERCIAL �ESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL
EW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS Men w
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME
ADDRESS
PHONE q!-) l - a& -el&a6, EMAIL
C7 >
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ❑YESETNO
BUSINESS NAME cL I �7 S
ADDRESS - err
PHONE q�j�- 4�'l�p, EMAIL •h6 '
CONTRACTOR'S STATE LIC NUMBERO "i W(05-7 LICENSE CLASSIFICATION D3
VALUATION$ SQ FT 7/S L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I SMIP
INVOICE I
�J PAIDAMOUNT O
AMOUNT J OCASH CHECK# CJ CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Carl Putnam P.E.
3441 Wink.Place
Lynchburg,VA 24503
Carl Putnam, P.E.
December 20, 2016 City of Menifee
Building Dept.
Mike Adams
United Duralume Products, Inc. JAN 0 3 201OU
350 S. Raymond Ave.
Fullerton, CA
Dear Mike:
I am the engineer of record for standard plan, United Duralume Patio Cover Carport and
Commercial Engineering. This plan was submitted to [CC 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 carlliutnamacomcast.net if you require further
information.
Sincerely,
SSIONAL`
Carl Putnam, P.E. C 8j' "
'i
.6rA12017
clv'
FCAUF
DEC 20 2016
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LEDt'Al R & TRACK
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CITY OF MENIFEE (�
BUILDING AND SAFETY DEPARTMENT v
PLAN APPROVAL Eck,
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DAT
'Approval or t,ese plans shall not be construed to be a permit for,or an
approval of,at y violation of any provisions of the fed ral,state or city
regulations anI ordinances. This set of approved pt be kept on the `
jobsite until c pletion. - ^
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