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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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ruch Soli fl-►UMinum IoAio CoUtI25 22I 5 15+-F4 6qk,� Cei lit lob �UnS City of ivienifee Building Dept. JAN 0 3 201 11 �- Z 1 L •7����.�_7 q,�� '/�Ir_7'914 Y` fir �,I IIVt�I l " �' t Lj LEDt'Al R & TRACK 301 I1 N Jh sscV,PP1ccI SPA: :` CITY OF MENIFEE (� BUILDING AND SAFETY DEPARTMENT v PLAN APPROVAL Eck, �2►1C>✓ &CLY-CVV,ImooRFVI=V97� D BY IM19 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. - ^ W �a G