PMT15-01560 i
City of Menifee Permit No.: PMT15-01560
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Alteration
MENIFEE Date Issued: 0 6/0 912 01 5
PERMIT
Site Address: 31358 HALLWOOD CT, MENIFEE, CA Parcel Number: 372-025-004
92584 Construction Cost: $3,675.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of REPLACE EXISTING PATIO COVER WITH NEW LATTICE ALUMAWOOD PATIO COVER, 17'x 24' NO
Work: ELECTRICAL
Owner Contractor
JIM & KIM ALLEN D R SISNEROS INC
31358 HALLWOOD COURT 30721 DESERT EAGLE WAY
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone: 9512468911
DANIEL SISNEROS License Number: 949498
D R SISNEROS INC
30721 DESERT EAGLE WAY
MENIFEE, CA 92584
Fee Description Oft Amount
Bulldl�n�q Permit Issuance +r 1 "� 27 00
'.urw.
Deck/Patio, non-standard 1 133.00
SMIP RESIDENTIAL 1 1.00
$162.00
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 building 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
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9 (commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions
Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property
License Class C=9/40 3 License No. who builds or improves thereon, and who contracts for the projects with a
Expires e00— Signatu licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from Iicensure under the Contractors'Slate License Law for the
❑ I hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have
permit is issued.
built as an owner-building if it has not been constructed in its entirety by licensed
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the
❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http�//w leglnfo ca onv/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Property Owner or Authorized Agent Date
Carrier
Expires Policy#
❑ By my Signature below, I certify to each of the following: I am the property
Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
�f construction. I authorize representatives of this city or county to enter the above-
certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes.
shall not emolov any persons in any manner so as to become subject to the
workers'compensation laws of California, and agree that if I should become
subject to the workers' compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code, I shall forthwith comply with those provisions.
/ p,,�^ City Business License#
Date; C� ` ( '• / � Applicant � .��^`%=F'w__..--�
WARNING: FAILURE T SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
_. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES XNO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE?
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ;KNO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, JRNO SCHOOL?
or repair any structure, prior to its 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 Slate License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or OYES INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from Iicensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031,5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORT ING.
compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
PERMIT/PLANBUILDING & SAFETY . .
Menifee
DATE PERMIT/PLAN CHECK NUMBER k5 oo
TYPE: O COMMERCIAL XRESIDENTIAL 0' MULTI-FAMILY C: MOBILE HOME POOL/SPA 'L4 SIGN
SUBTYPE: KADDITION O ALTERATION %DEMOLITION O ELECTRICAL O MECHANICAL
O NEW/ O PLUMBING Ci RE-ROOF-NUMBER OF SQUARES
L
DESCRIPTION OF WORK C.I I�a 1 U6 to h G,.d/v C-e-ler
PROJECTADDRESS 3 ,3S ,5- ���y�7L
ASSESSOR'S PARCEL NUMBER 3ja^Oa6 1p0-k LOT TRACT
OWNER NAME '�"n'L /�t1n .e
ADDRESS �j e 61 A�WUucl C 1-. uildin9& Safet Dept.
q
PHONE /SJ" 67�c —;Z 9 5// EMAIL CNN O g 5
APPLICANTNAME it,j�3"!J'L='b.S ✓!l, 4,61, "lDAar
ADDRESS J07�/ ��St/'T C '�e
PHONE 9,$-�^ 02 �6--�S Yl�/ EMAIL
CONTRACTOR'S NAME �sa+I/%r•// S!�/9Ya'p,� //�� OWNER BUILDER? - YES dNO
BUSINESS NAME Sj.�IJC✓d} yf�! ,Q,�i/,� c- 16,6, r
ADDRESS Tr ! ,Z 4e' et 7-
PHONE 9.5-1 - �l�,�-6"y7�� EMAIL
CONTRACTOR'S STATE LLIC NUMBER % �i LICENSE CLASSIFICATION -p� i✓�3
VALUATION$ 33 o 7S SQ FT �Op L SO FT
APPLICANT'S SIGNATURE �� DATE
II DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE 11AA^^ PAID AMOUNT
AMOUNT WOE %CASH CHECK tt CCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH 0:/CHECK px%CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES O NO OIL NUMBER NOTARIZED LETTER :> YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Molly Binnall
From: Bernice Rivera
Sent: Tuesday,June 09, 2015 8:13 AM
To: Molly Binnall
Subject: 31358 HALLWOOD CT
PERMITS/CASES/ADDITIONAL
Building Permits
Case # Description Status
279700 DWELL/ATT GAR FINALED
340830 PATIO-LATTICE FINALED
BPL020463 REPLACE WATER HEATER TO SFD EXPIRED
Thank-You,
City of Menifee I Building & Safety Department
29714 Haun Rd Nicnifee, CA 92586
951-639-1368 ext 163 ' Direct Phone
bnvcra@cityofinemfee.us Bmad
Please note our counter hours:
Monday thru Thursday 7:30am-12prn
Friday 8am-12pm
1
PLOT/SITE PLAN N
REAR PROPERTY LINE
City of Menifee U
Building & Safety Dept. LIJ
LEDGER & TRACK JUN 0 9 2015 _0
1-7I INSPECTION REQUIRED
Received LL�
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CITY OF MENI /-� ix
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED BY � 9 UP G1 15
DATE
"Approval of these plans shall not he construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
FRONT PROPERTY LINE
Property Owners Name Y/07\ A//-c i
I Property Address 313 -9 la //Wloel C {.