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PMT18-04124 City of Menifee Permit No.: PMT18-04124 29714 HAUN RD. Type: Residential Addition MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 08/20/2018 PERMIT Site Address: 26433 FLAXLEAF DR, MENIFEE,CA Parcel Number: 360-630-004 92584 Construction Cost: $3,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 15'X 51'SOLID ALUMAWOOD PATIO COVER W/ELECTRICAL 10 LIGHTS Work: Owner Contractor JIM&ROBYN CALVI PROCOM CO 26433 FLAXLEAF DR UNIT Al2-2 MENIFEE,CA 92584 26100 NEWPORT ROAD Applicant Phone:8664630146 BILL O'BRALLAHN License Number.493949 PROCOM CO UNIT Al2-2 26100 NEWPORT ROAD MENIFEE,CA 92584 Fee Description Qty Amount lSl Receptacle, Switch,Outlet&Fixture 10 161.00 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 8.05 $337.70 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 carded 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_Bidg_Permit_Templale.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho 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. s the fallowing reason: License Class// License No. 9 T�f By my signature below I acknowledge that,except for my personal residence r Expires � / /f Signature s in which I must have resided for at least one year prior to completion of 9" 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 • ❑1 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 www_Ieginfo.ca.gov/caIaw.htmI.permit is issued. Policy# Date ❑I 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 ❑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 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 Carrier building construction.I authorize representatives of this city or county to Policy# Expires 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 certify that in the performance of the work for which this permit is issued, I shall nut emulov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 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 fo with co I ith th rovisions. WIII the applicant or future building occupant handle hazardous material or a t mixture containing a hazardous material equal to or greater that the Applicant Date amounts spec ifled an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the(n/tended 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 building by he an applicant modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management a trict construction or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for gw !!posed CONSTRUCTION LENDING AGENCY ❑YesI hereby affirm that under the penalty of perjury there Is a construction Willa building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued oute b un of a school? (Section 3097 Civil Code) ❑Yes o OWNER BUILDER DECLARATIONS I hav read the Hazardous Material Information Guide and the SCAQMD hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of California Health&Safety Cade,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the h ous terial reportin . checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 1 Business and Professions Code).Any city or county that requires a permit to Date X/ construct,alter,improve,demolish or repair any structure,prior to its PROPERTY- N UT ORJ2ED AGENT issuance,also requires the applicant far the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EPA 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 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 orthrough 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.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOG-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: ❑1,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 �I/ Acknowledgement. BUILDING & SAFETY PERMIT/PLAFI CHECK APPLICATION MENIFEE A.- DATE: PERMIT/PLAN CHECK NUMBER p v (a PLANNING CASE NUMBER TYPE: O COMMERCIAL PRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: dOADDITION O ALTERATION 0 DEMOLITION O ELECTRICAL O MECHANICAL O NEW O.PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK & b F v ✓ C VG U(Q PROJECTADDRESS 26y12 G3 Lt�� ZIP Zc ASSESSOR'S PARCEL NUMBER � �j/3�i�Jd LOT ._I!5_ TRACT 2Q OWNER NAME V /L�iJ '� fj (2 j ADDRESS PHONE EMAIL APPLICANT NAME ADDRESS /� PHONE "Z,�'�' 2GjK EMAIL C lylC'Q �Y'/2{'J.0 e Ql CONTRACTOR'S NAME ^ OWNER BUILDER? O YES O BUSINESS NAME ; C&jkj ADDRESS /� /�/p �.ec��c PHONE U/J�r�lQ�•-0/ C(A EMAIL CONTRACTOR'S STATE LIC NUMBER 4� 9 LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT J APPLICANT'S SIGNATUR DATE 2b DEPARTMENT DISTRIBUTION T ACCEPTED BY,'�. CITY OF t[ENIFEE BUSINP6 LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE %Rv_t0L INVOICE TOTAL 3+� .- 0 GREEN ` � SMIP �+ OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 Or www.cityofinenifee.us �ENIFE '�� Carl Putnam P.E. 3441 Ivylink Place • Lynchburg,VA 24503 Carl Putnam, P.E. February 3,2017 City of Menifee Mike Adams Building Dept. United Duralume Products, Inc. 350 S. Raymond Ave. AUG 20 2018 Fullerton, CA Received Dear Mike: 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 carlputnam(a,comcast.net if you require further information. Sincerely, Carl Putnam, P.E. Q2��SSL C �F 6 9n * P. 30 01 FCFCAL C JUN 09 2017 LU LJ6= Lj6m 0