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PMT16-04248 City of Menifee Permit No.: PMT16-04248 29714 HALIN RD. Type: Residential Addition '(;kCCIEL:A--? MENIFEE, CA 92586 MENIFEE Date Issued: 1212012016 P E R M I T SiteAddress: 28831 GLENCOE LN, MENIFEE, CA Parcel Number: 372-260-007 92584 Construction Cost: $4,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 13'x 30'SOLID ALUMAWOOD PATIO COVER V\flTH 2 FANS,2 LIGHT STRIPS Work; Owner Contractor FRANK RYTCH D R SISNEROS INC 28831 GLENCOE LANE 30721 DESERT EAGLE WAY MENIFEE, CA 92584 MENIFEE,CA 92584 Applicant Phone:9512468911 DANIEL SISNEROS License Number: 949498 D R SISNEROS INC 30721 DESERT EAGLE WAY MENIFEE, CA 92584 Fee Description 9ti Amount 1$) Receptacle, Switch, Outlet&Fixture 4 131.00 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 6.55 $306.20 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.B[dg_Perm1l—TempIate.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). Chapterg(commencing with section 7000)of Division 3 of the Business and o 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 641 IJ03 License No. 5PW-11/�76? By my signature below I acknowledge that,except for my personal residence Expires AI-3o-IS Signatuv���� 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 u 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 workees 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 this permit Is issued. www.leginfo.ca.gov/calaw.litml. Policy# Date ci 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 o By my signature below I 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 are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to 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 not employ 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 worker's compensation provisions of Section 3700 of the Labor Code,I shall�forthflply with those provisions. Will the applicant or future building occupant handle hazardous material or a Aippfic"EE;����Date 1.212"'Z21, mixture containing a hazardous material equal to or greater that the 4 1 amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes o 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District SCAQMD)?See permitting checklist for guidelines CONSTRUCTION LENDING AGENCY ci Yes in No 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 o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permitto oYes o No Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT is�suance,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 IRRPJ License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting FRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure r . . ompensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving c an Applicantfor a permit subjects the applicant to a civil penalty of not more esidence or childcare facility to be RRP-certified firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their o 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( I 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 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a in An EPA Lead-Safe Certified Renovator will he responsible forthis 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. o No EPA Lead-Safe Certified Firm is required for this project because: ci 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RAP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ..- Menifee DATE /7,1/2 04 6 PERMIT/PLAN CHECK NUMBERW-nLo -CA4,941 TYPE: OCOMMERCIAL ��RESIDENTIAL omuL-n-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK A', )I PROJECTADDRESS C/cncoe ZA - ASSESSOR'S PARCEL NUMBER LOT TRACT —SW�ldin'gy ao,',MGnIfee OWNER NAME FrIl 11 A, P Safeb� pnn# ADDRESS DEC 2 0 2016 PHONE 7141- eQ 3- ��/6 EMAIL APPLICANTNAME k13,j pl,,Veceived ADDRESS D07Z� DrfSel-7- PHONE EMAIL CONTRACTOWSNAME OWNERBUILDER? OYESJONO BUSINESSNAME A"s ADDRESS 34-7-al 4�ese--r 4�be L-� PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER �'ZI,741�7e LICENSE CLASSIFICATION VALUATION$ SO FT L SO FT APPLICANT'S SIGNATURi' DATE 1'71'2 0116 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCF%F Ni IMRFR BUILDiNG PLANNING ENGINEERING FIRE GREEN SMIP � I— INVOICE PAID AMOUNT Wo.0070 0 CASH 0 CHECK# OCREDITCARD VISA/MC AMOUNT Qo� PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC_ OWNER BUILDER VERIFIED OYES 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,cityofmenifee.us Inspection Request Line 951-246-6213 F !I ,�61'--R " R A G K TE� T&�'l REOUP FE], City or Menifee Building Safety Dept. DEC 2 0 2016 Received 01� o�o ck� cc �Fg MENIFEE M ENT j�**A ND SAFETI�DEPARTM KAN APPROVAL ON ii�o REVIEWED VY DATE *Approval Of these plans shall not��,-onstrued to be a permit for,or an approval of,any violation of ally pj oViLiors of the federal,state Or city I regulations and ordinances. This set of approved plans must be kept on the jobsite until completion.