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PMT18-02350 City of Menifee Permit No.: PMT18-02350 29714 HAUN RD. Type: Residential Addition "�kCCEU/ MENIFEE, CA 92586 MENIFEE Date Issued: 05114/2018 PERMIT Site Address: 30305 COBURN CIR, MENIFEE,CA Parcel Number: 358-720-032 92584 construction Cost: $6,000.00 Existing use: 1 &2 Family Residence Proposed Use: Description of INSTALL(2)2X2 LATTICE COVERS 13'X 12':6"FLAT PAN 16 X 12 Work: NO ELECTRICAL Owner Contractor VERN DE COSTA ANGEUS PATIO COVERS&AWNINGS 30305 COBURN CIRCLE 225 SPARKLER LANE MENIFEE,CA 92584 PERRIS,CA 92571 Applicant Phone:9514431659 ANGEL'S PATIO COVERS&AWNINGS License Number.900657 225 SPARKLER LANE PERRIS, CA 92571 Phone:9514431659 Fee Description OQt Amount 1E1 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 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_aldg_Permk_Tempiate.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho builds or Improves thereon,and who contracts for the projects 1 hereby affirm under penalty of perjury that 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect.�'�t/'�//,�,,/'— the following reason: License Class License No. 1`"�(0 9 By my signature below I acknowledge that,except formy personal residence Expires Signature iA 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 ❑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 Cade,for the performance of work for which www,leeinfo.ca.eov/calaw.html. this permitfit1s is�s4le�d11 Oro -],�j /X�' Policy# L`?1V " w y� . J(1 1_2 Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below 1 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 arts: application and the information I have provided is correct.I agree to comply �1 p `1� ��' �'u �� with all applicable city and county ordinances and state laws relating to Carrier /��tL�kk'11,-r building construction.I authorize representatives of this city or county to Policy M6 V0Iry (�0 IARM ZExpires_ enter the above identified property for inspection purposes. (This section need not to be completed is the permit Is for one-hundred dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 4 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers co a sation provisions of Section 3700 fth Labor Code,I To hwith CI PP 'th those revisions. Will the applicant or future building occupant handle hazardous material or a Applica t Date I� mixture containing a hazardous material equal to orgreater that the amounts sppecified on the Hazardous Materials Information Guide? WARNING: WIRE TO SE UR WO R'S COMPENSATION COVERAGE Is Dyes Lt No UNLAWFUL,AND SHALL SU CT 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 D Yes Ao 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 bou dary of a school? (Section 3097 Civil Code) ❑Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below 6y the California Health&Safety Code,Section 25505 and 25534 concerning checkmarkls)I have placed next to the applicable Rem(s)(Section 7031.5 haze dous material re orting. Business and Professions Code).Any city or county that requires a permit to \ Date 0 ° / ( construct,alter,improve,demolish or repair any structure,prior to its O N R 7H RIZ 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 Contractors State EPA RENOVATION, IR AND INTING IRRP) License Law(Chapter 9(commencing with Section 700D)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 7032.5 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 ❑1,as owner of the property,or my employee with wages as their sale 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 1-900-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a D 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. D No EPA Lead-Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade: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. • APPLICATION Menifee DATE: 051 I �018 PERMIT/PLAN CHECK NUMBER WI O - 07" J0 TYPE: O COMMERCIAL ARESIDENTIAL O MULTI-FAMILY O MOBILE HOME U POOL/SPA O SIGN SUBTYPE: eADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK r7�XoZ �lLr>`7•C� Cwres 1.3X(/�2' , I / PROJECTADDRESS 30305 C() b uro C)"(dep ZIP cl ASSESSOR'S PARCEL NUMBER ' nn b•� LOT TRACT OWNER NAME veYVJ 'Dz WJfA ADDRESS 3 305 Coburn Cl �cl�v rr1e.I�I CFI 253 PHONE 5�0 . y3�('049 _ ./,,,, EMAIL DCtW'l1i .Cow( APPLICANT NAME rII 'e``L w Co n b/z_ ADDRESS l/(ZgS W I �� 5-�. Per( I' SI_ C �57D PHONE 714• 72111 455 EMAIL 7Gi.�'IC.Y�bVnlrt QJ'lw• C'OYt/I CONTRACTOR'S NAM/AE OWNER BUILDER? O YES O NO BUSINESS NAME nY l � S �Q.-h l.uoil3 ADDRESS 5 5 6LYk1W LOP26 Perris CA- qa5-� ((yy PHONE ` t5 i ' 4 � 40 S//"��1��``�� /�, EMAIL CSC{U( nl1 q ,5 � C[�hoo• L0� CONTRACTOR'S STATE LII�C NUMBER `�00 (06T LICENSE CLASSIFICATION VALUATION$ coL I DOD I Q FT 5D I L SQ FT _ APPLICANT'S SIGNATURE. DATE / CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION y •� CITY OF M�BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED --i17 PERMIT FEE SMIP •'try GREEN PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE H NOTARIZED LETTER ^ YES NO City of Menifee Building&Safety Department 29714 Houn Rd. Nlenifee, CiltvOf M27j1 -67,'' www.CityO/menifee.us Building Dept. MAY 14 2018 Q®gala er%:-4 PI 0ryI i Auvn pa+io CnaeQ {.a 13`X19- 141' ! 0o No cte4i iCcLk I 1. i3 60l` tS. •�03� Ca�U�n C► t�cl� M,�in��e�e Cti4 0 CITY OF MENIF EE 1 BUILDING AN SAFETY DEPARTMENT O,Q PLAN APPRO R�E,VI�D BY �' royal of these pla shall not be construed to be a permit fo erg val of,any violatio of any provisions of the federal,state or city/ ity of Mtenifee regulations and ordinan . This set of approved plans must be kept on the Uilding Dept. jobsite until completion MAY 1 4 2018 ,ecei OEd � x.J Carl Putnam P.E. 3441 Ivylink Place Lynchburg,VA 24503 Carl Putnam, P.E. February 3, 2017 Mike Adams United Duralume Products, Inc. 350 S. Raymond Ave. Fullerton, CA Dear Mike: J I am the engineer of record for standard plan, United Duralume Patio Cover Carport and Commercial Engineering. These plans have been approved under the 2015 IBC as ICC Evaluation Service Report#2676. For these structures the 2016 CBC is identical to 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(g)comcast.net if you require further information. Sincerely, Carl Putnam, P.E. 6 9 � * P 0 Oj 1 C 1 �P T9� FCAI JUN 09 2017 . . . . • • • • • • • • • • • • . .aty a Menifes. . . Building Dept. MAY 14 2018 Received