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PMT16-03359 City of Menifee Permit No.: PMT16-03369 29714 HAUN RD. <A—CCEL;i�? M ENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 10/1212016 P E R M I T Site Address: 29231 BOBCAT DR, MENIFEE, CA 92584 Parcel Number: 372-380-011 Construction Cost: $2.600.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 390 SO FT SOLID ALUMAWOOD PATIO COVER WELECTRICAL 2 FANS Work: Owner Contractor JASON McMILLAN D R SISNEROS INC 29231 BOBCAT 30721 DESERT EAGLE WAY MENIFEE,CA 92584 MENIFEE,CA 92584 Applicant Phone:95124689111 DANIEL SISNEROS License Number.949498 D R SISNEROS INC 30721 DESERT EAGLE WAY MENIFEE,CA 92584 Fee Description 0-ty Amount($ Receptacle, Switch, Outlet&Fixture 2 121.00 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 6.05 $295.70 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of effors in the plans and specifirations 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.B1dgPerrnR—Ternplate.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 a 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 61,6 11)03 License No. PtIgelve By my signature below I acknowledge that,except for my personal residence Expires 07,_,/Zg_SlgnaUw,!!f2!��. 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 ci 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 www.leginfo.ca,govlcalaw.htmi. this permit is issued. Date Policy# PROPERTY OWNER OR AUTHORIZED AGENT a I have and will maintain worker's compensation insurance,as required by of the following;I am the property section 3700 of the Labor Code,for the performance of the work for which u By my signature below I certify to each 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 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 >&cerfify that in the performance of the work for which this Perm it is issued, Ishallnotemplo 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Appli Date 101_1��Z14 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING: AlLURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes >fNo UNLAWFUL,AND SHALL SUBJECTAN 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($3.00,000),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 o Yes �Pvo 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 boundary of a school? (Section 3097 Civil Code) o Yes spNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACMD 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 Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 cIltrs o No 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 PROPEI!fi!Z�UTHORIZED 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 JRRPJ 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-1979 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 ci 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( I all of or( I portion of the work,and the structure is www.epa.goy/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 n 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 ci No EPA Lead-Safe Certified Firm-is required for this project because: not built or improved for the purpose of sale. ci 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code;The Contiactor'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 'Menifee DATE /o//z/N PERMIT/PLAN CHECK NUMBER TYPE: OCOMMERCIAL XRESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: )�ADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ DESCRIPTION OF WORK _S01-^W11114Mikuyh !!�aver _7-4PIt7o -evr Or. PROJEcTADDREss 2-9-Z:31 /&7,�L ASSESSOR'S PARCEL NUMBER _;5_1?%7 __5C070-011 LOT TRACT OWNER NAME 3A�5&eN, In '1771�14e7 ADDRESS 9;13/ &. PHONE EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDER? OYESkNO BUSINESSNAME P,4,j,-o P&6 ADDRESS _70-7.Zt AQ e5,-� 0!�% PHONE EMAIL CONTRACTOWS STATE LIC NUMBER .9119"I�le LICENSE CLASSIFICATION VALUATION$ 52, 600— SOFT 3510 LSQFT APPLICANT'S SIGNATURE T ��DA E A) //6' I E E NUMBER CITYOV!5 DEPARTMENT DISTRIBUTION Igo CITY OM FE I E E NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE n4jj5. — AMOUNT PAIDAMOUNT M CASH 0 CHECK# 0 CREDIT CARD VISA/Ml C # OC C VI /MC PLAN CHECK 7FEES PAID AMOUNT70 CASH OCHECK# 0 CREDIT CARD VISA/MC OWNER BUILDERVERIFIED 0 YES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building & Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www-cityof,menifee.us Inspection Request Line 951-246-6213 PLOT/SITE PLAN REAR PROPEPTY LINE x + LEDG & TRACK INSPECTI N REQUIRED I I ity of Menifee Buill Ing & Safety Dept. 1�j oceived OCT 12 2016 CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT 6 P LAI`I APPROVAL REVIEWED BY W z E z 1i t tj 'AL o b - -5 i� tr --7 fx ui appi I of,any violation;of any provisions of the%kderal,state or Lu joae until completion. T regOiatims and ordinances. This set of approved plans must be kept o thi —L—L——IL— x x x x U) Pl,+fo (&� \-///P te 1,(-� KI 0 FRONT PROPERTY LINE Property Owners Name -J4 oil P1 'A illarl Property Address Show all Property Lines SAMPLE PLOT/SITE PLAN Provide location, height and lineal and indicate any slopes footage of all proposed black or wood on the prope fences and bil k retaininq walls Distance 5'-0" Min. Pools only, all other structuresrAk1h. Distance la-0" Min Distance 10'-0" Dimension Dist a 5'-V' Min Show proposed and/or tance 5'- " Min misting additions and Disto e 5'-U' identify use, ie-. Room Addition, Patio Cover, L Balcony, etc Include I Show proposed and or location, dimensions and I 1 misting Detached setbacks Accessory Structure(s), nd.iclentifyqre,�'e... G'rag-e,t'W"orkshop, Pool or Soa: Include location, dimensions and setbacks bistance -0" Min TAU bistance 5-0" Min b5 il :— EXISTING DWPW4WJ6i9b91 At -S4 M e n 1 f e e Requirements: OUR STREET Plans and notes shall be legible.Each plan shall fill a minimum 8 1/2"x 11"sheet of paper.Include homeowners name and property address 0 Show all property lines and the distances of all structures to the property lines.Show all buildings and/or structures on the property, existing and proposed and the distances between those buildings and/or structures . Three(3)copies of the plot plan are required.Some projects may require approval from the Planning Department prior to permit issuance.Please contact the Planning Department to verify minimum setbacks requirements. - Show a North Arrow on the Plot/Site Plan . For proposed Gas,Electrical and/or Plumbing improvements,show meter locations,conduit size,number of wires,breaker and wire sizes,linear square footage and their respective locations for each of the trades. City of Menifee Building&Safety Department 29714 Houn Rd.Menifee, CA 92586 951-677-672-677 wvvwcityofimenifee.us