PMT18-01955 City of Menifee Permit No.: PMT18-01955
29714 HAUN RD. Type: Residential Addition
A. CCIELJ�> MENIFEE, CA 92586
"..... MENIFEE Date Issued: 04/25/2018
PERMIT
Site Address: 30264 COBURN CT, MENIFEE, CA 92584 Parcel Number: 358-720-038
Construction Cost: $6,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL SOLID 14'X 40'ALUMAWOOD PATIO COVER W/ELECTRICAL 3 FANS, 8 LED LIGHTS
Work:
Owner Contractor
JOSEPH SAMANIEGO ANGEL'S PATIO COVERS&AWNINGS
30264 COBURN CIR 225 SPARKLER LANE
MENIFEE, CA 92584 PERRIS, CA 92571
Applicant Phone: 9514431659
YVETTE GONZALEZ License Number: 900657
ANGEL'S PATIO COVERS&AWNINGS
225 SPARKLER LANE
PERRIS, CA 92571
Fee Description Qty Amount($)
Receptacle, Switch, Outlet& Fixture 11 166.00
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 8.30
$342.95
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_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).
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 License
'No.
p !_J By my signature below I acknowledge that,except for my personal residence
Expires 0J 0 o 1,5;t 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 DECLARATI
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 workers 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.leeinfo.ca.gov/calaw.htmi.
this permit is issued N • , � C
Policy d G U W Date
o I have and will maintain workers compensation 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number ar I 44 �/� f 7 application and the information I have provided is correct.I agree to comply
Carrier ) V V Y r r �U W. with all applicable city and county ordinances and state laws relating to
/�n I building construction.I authorize representatives of this city or county to
Policy q 6 �1 U C 0(39y Expires I/ I o�;a 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, ���(f
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE h
a
worker's 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,I shall )hwWip] �Mions. hh Will the applicant or future building occupant handle hazardous material or a
Applicant Date U mixture containing a hazardous material equal to or greater that the
// amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI RE TO SECURE ORKER' OMPENSATION COVERAGE IS ❑Yes r 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 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 for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes IN
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) ❑Yes f 0
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 perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for thea reason(s)indicated below by the hazardous material reporti
checkmark(s)1 have placed next to the applicable item(s)(Section 7031.5 haz ❑ o (_
Business and Professions Code).Any city or county that requires a permit to 004Date
construct,alter,improve,demolish or repair any structure,prior to its PROP M OWNER OIi_AUT#�1RIZgbAGEJjIT )
issuance,also requires the applicant for the permit to file a signed statement F#/d/
that he or she is licensed pursuant to the provisions of the Contractors State EPA RE VATION,REPAIR AND PAINT G(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 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 1-80D-424-LEAD(5323).
Code;The Contractors 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 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.
BUILDING i SAFETY PERMIT/PLAN
1 APPLICATION
Menifee
DATE: 1 PERMIT/PLAN CHECK NUMBER g�
TYPE: COMMERCIAL c RESIDENTIAL MULTI-FAMILY MOBILE HOME : POOL/SPA SIGN
SUBTYPE: <: ADDITION C=ALTERATION ODEMOLITION "' ELECTRICAL ` MECHANICAL
EW : PLUMBING RE-ROOF NUMBER OF SQUARES
ESCRIPTION OF WORK 1 00 h l Mob
PROJECTADDRESS �. ��� ZIP
ASSESSOR'S PARCEL NUMBER � LOT TRACT S�
OWNER NAME
'j
ADDRESS �5L)ajo / ^+
PHONE �� �) 4 EMAIL /)
APPLICANT NAME I r za C"Z
ADDRESS -/ 1� {'�� �� I� y- 0'
PHONE Q 11- D .)� EMAIL x_ Q 7i Cd -sjaho6, O
CONTRACTOR'S NAME OWNER BUILDER? YES 0 NO
BUSINESS NAME S , ci-ho (j QYS
ADDRESS r L-Q t/lQ I
PHONE I " ��" ��� C� r ! , EMAIL
CONTRACTOR'S STATE LIC NUMBER G!L 1,�?� LICENSE CLASSIFICATION
VALUATION$ SO.
FT
FT �'')� L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OFMENIIEU BU IF$$,11 SE�IMBER
ACCEPTED BY: ��CCCC���(-VVoo xxvv
BUILDING PLANNING ENGINEERING FIRE �1
PERMIT FEE �j�-� s SMIP GREEN -�
PLAN CHECK FEE �� INVOICE TOTAL !n. 4)S
OWNER BUILDER VERIFIED f0 YES CD NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES = NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
vvww.cityo finenifee.us
TERRY PROVANSAL
1339 SAVANNAH LANE
CARLSBAD,CA 92011
CELL:760.212.5685 E-MAIL:JJPROVANSAL@AOL.CONI
April 23, 2018
City of iVienifee
Audie Murphy Ranch HOA Building Dept.
APR 2 5 2018
Design Review- 30264 Coburn Circle
Approved with the following conditions— ,.e re vec�l
)'
• The Allumawood patio cover is approved as long as it retains open sides ( is not
an enclosed room) and meets all local codes.
• The concrete is approved as shown.
• The Owner must provide and maintain adequate drainage to the street while
meeting all local codes.
• No landscape plan was submitted for the rear yard. Please submit a plan for
review and approval. A completed NOC will not be issued until the entire
rear yard is competed.
• The sidewalk connecting the side yard to the top of the driveway is approved
in gray concrete only and may not be wider than 4 feet. No other changes
were approved or requested for the front yard.
C
Jerry Provansal
Design ReviewerFa
t
Carl Putnam P.E.
3441 Ivylink Place
Lynchburg,VA 24503
Carl Putnam, P.E.
December 20, 2016
"ity of Menifee
Mike Adams building Dept.
United Duralume Products, Inc.
350 S. Raymond Ave. APR Z 2�18
Fullerton, CA
ri
Dear Mike: e Ce i ve
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 cariputnam@comcast.net if you require further -
information.
Sincerely,
�SSIONAL
p
Carl Putnam, P.E. C 8 �
a
6!a0/2017
C1V � � •��P ` �
F FCA15 y�
DEC 20 2016
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i_ City of Menifee
MI-t 1 u3�rt� Building Dept.
APR 2 5 2018l
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U)rl),e-il Circle LEDGER & T
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CITE OF M IFEE
BUI DING AND SAFETY DEPA
PLA Y APPROVAL TOO
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REV EWED BY LA rd
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`Appro I of these plans shall not be construed to e_
approv of,any violation of any provisions of the fede:
ns an nces. This set of approved plans
jobsite until completion. Fm