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
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MENIFEE
M ENT
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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.