PMT13-02763 City of Menifee Permit No.: PMT13-02763
29714 HAUN RD.
'giCCM'i..,l'ti,' MENIFEE, CA 92586 Type: Residential New
MENIFEE Date Issued: 04/29/2014
PERMIT
Site Address: 30256 MOON STAR CIR, MENIFEE, CA Parcel Number: 360-640-019
92584 Construction Cost: $193,930.72
Existing Use: Proposed Use:
Description of NSFR- 1651/422 LOT 19
Work:
Owner Contractor
PACIFIC COMMUNITIES BUILDER INC PACIFIC COMMUNITIES BUILDER INC
1000 DOVE STREET 1000 DOVE STREET
SUITE 100 SUITE 100
Applicant Phone: 9496608988
PACIFIC COMMUNITIES BUILDER INC License Number: 660968
1000 DOVE ST STE 100 NEWPORT BEACH CA 92660
Fee Description Div Amount
Services, Switchboards, Control Centers&Panels 1 116.00
Plumbing Fixtures and Vents, fixtures 8 141.00
^ess;
Piping/Repiping Single Family Residential 1 163.00
Sewer 1 150.00
Air Handling/Condensing Units SFR 1 133.00
Additional Plan Review Plumbing 1 1.00
SMIP RESIDENTIAL 1 20.00
New Construction Plan Check 1 579.85
$2,685.33
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg Permit Template.rpt Page 1 of 1
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nR7 Ot1-. MENI .1f1C EE PLCK NO: Per pgr/2
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29714 Haun Road Date, Dale: . ,> C 10
Menifee, CA 92586 &A I� /I
Phone: (951)672-6777 Amount: Amount:
Fax: 951679-3843 D63 �
Building Combination Permit aq S
To Be Completed By Applicant -
LegalDescrip P
tion: / q p, �O-1 Planning Case: F:�3•3 L:,_�-. Rt; I� R,ZS•Z
Property Address: C. Assessor's Parcel Number.
3025(0 �arrN �T��tC//ccG� 36a-He•ol6
Projecyfenant Name: oRCH/o - Unit#: - Floor#: -
Name: 1w-r iC'- /Nrrs� �C, - hone No.��/ -
Property Address: 9'f J) �rpD'r7.9'8dx�21 ,y ZS3.Ofi�3
Owner - /ova D,*Y ST -Unit Number /OV Zip Code 191Z9-6d
Small Address: -
Name: 124 L lA/C LA01L1/1401/T/105 - P e n .l lf[fA'�Zz x o.�•.1i,j 'lJ�o$,�j
Applicant Address: /DGD 0, /415 ST Unit Number .Zip Codeg1/i a
Email Address: f�Gta/ � � ��d•Cd VV (f��L�
Name: /uL <�ssNoBS 7 7,9
//10/le &PIV 4YO1/T . 3 �
Contractor Address: /pOp Nil V' � � t - Stated - Zi de -
/!'`lt/AOXTBFAGH A p 2 d
Contractor's City Business icense o. Contractor's City fate o C if rnI License No- - Classification: -
�:
Number of Squares:
Square Footage - - -
Description of Work: /`�//_" r/� ACT �1.n�� �' Ns �C�- Cost of Work:$ : -
Appllcant's Signature '!v Date:
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: - - t set of documents which include - -
❑ Title Sheet ❑ .Elevations ❑ Electrical Plan ❑ Goa Tech/Soils Report(on cd only)
❑ Plot/Site Plan - _ ❑ Roof Plan - ❑ Mechanical Plan ❑ Title 24 Energy(on 8''A z 11) -
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan - ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan - ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residgridal:
Class Code: Indicate New Construction Alteration` Addition" . .. Means/Methods - -
- Work Type: Repair'.- . Retrofit' RevislontoExislingPermiP Required? YES. NO
Proposed Building Use(s): - - - Existing Building Use(s): - -
#Buildings: - - #Units: - #Stories: Will the Building Have a Basement?
Y of N
Bldg-Code Occupancy Group Indicate Indtca[e If YES or NO Indicate all Geo-tech.Haz.Zone -At Project I nklered that a I : Coastal Zone - - -
Completion: Construction PP y _
Type($): C of 0 YES or NO Noise Zane
Required? - - Listed on Historic Resources Inventory -
CITY PLANNING STAFF ONLY -
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator - -
Fee Exempt: City Project Elea Vehicle Charger Landmark Seismic Retmit spat al case:Bldg. -
OfficlalApiproyal
Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing
- For Staff Use Only -
Building/Safety Permit specialist City Planning I Civil Engineering EPWM-/almin I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE ABETTER COMMUNITY
City of Menifee
BUILDING & SAFETY DEPARTMENT
EN , 29714 Haun Road
Menifee,CA 92586
j Phone:(951)672-6777-Fax(951) 679-3843
www.ftofinenifee.us
Request for Certificate of Occupancy
Residential — Custom Homes/Tracts/Condo's/Apts.
After all final inspections have been completed by all involved agencies/departments you must
obtain authorized signatures from all the involved agencies/departments on this form. When the
form is completed, return it with the entire final package to the Building and Safety Department for
release of utility meters and issuance of Certificate of Occupancy. All signatures on the forms in
this package must be original sipaatures (copies or faxes will not be accepted).
Project Name: C) &—I LLB-d Permit* c lyVrJ Z-- G%Z 76
Tract: ;�' 2;MCI, "-I Lot#:�II Bldg. #: Unit#: �
Address: "50;7-, 66 il'Le2t t c^ C-f
Custom Home: Yes ( ) No �q Model Home: Yes ( ) No ZIP
Condo/Apartment: Yes ( ) No Ner) Tract Repetitive: Yes No ( )
Date Appro IS t
1. Engineering (951) 672-6777
2. E.M.W.D (951) 928-3777
3. Fire Prevention (951) 955-4777
4. Planning (951) 672-6777 (ter s, e
5. Health Department(Septic Only) of> IV/A
6. Finance (951-672-6777
7. Building & Safety (951) 672-6777
(Final release of utilities)
i
i
Riverside County Fire Department Fire Protection Planning Section
Qt
Riverside Office:2300 Market St.,Ste.150,Riverside,CA 92501 Ph.(951)955-4777 Fax(951)955-4886
Palm Desert Office: 77 933 Las Montanas Rd.,#201 Palm Desert,CA 92211 4131 Ph.(760)863-8886 Fax(760)863-7072
Fire Department Clearance/Release
Date: 5/28/2015
To:
Tract/Parcel Map#:
Perm it/Lot#: 13-M E N I-2763
TR 28790 LOT# 19
Job Site Address: 30256 MOON STAR CIRCLE
❑ Final For Recordation
❑ Release For Building Permits)
❑ Shell Final Only(No Tenant)
® Final For Occupancy
❑ Release For Residential Sprinkler Installation
❑ Building Plan Check Fees Paid, Water Requirement Met-if water applicable
❑ Building Plan Check Fees Not Paid
j Residential Sprinkler Plan Check Fees Paid
Residential Sprinkler Plan Check Fees Not Paid
❑ Other Fees
❑ Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
PHIL JONES FSI
Print Name of Plan Reviewer/Inspector Approved Release
PHIL JONES Fsl
Sent By:Print Name
Form C—Revised 3/01/2012
<EASTERN ftMMUNICIPAL!)ATER STR I C
,---SINCE 1950-_-
Board of Directors May 12, 2015
President
Randy A.Record Tract: 28790-1 C.O.: 66439/66440
Vice President Spec: 980 SW-D
David 1.Slawson
Lot(s): 19
Directors Reclaimed
Joseph 1.Kuebler,CPA XX Water Water XX Sewer
Philip E. Paula
Ronald W.Sullivan Model Homes
General Manager Landscaping only
Paul D.Jones II.P.E. XX Occupancy
Treasurer
Joseph J.Kuchler,CPA
City of Menifee
Chairman of the Board, Building R Safety Department
The Metropolitan Water 29714 Haun Road
District of Menifee, CA 92586
Randy A..Recor So. d
ord
Legal Counsel To Whom It May Concern:
Lemieux&O'Neill
You are advised that interruptible domestic service is granted to the partial tract
as indicated by the lots enumerated above. The water and/or sewer systems will
be acceptable by Eastern Municipal Water District for operation and
maintenance upon completion of all tract street improvements, at which time you
will be notified.
Sincerely,
Clara Lofton for Bruce . Mitzel, P.E.
Director of Field Engineering
BM/cl
Cc: Records Management File
Engineering Tract File
Developer
Marling Address: Post Office Box 8300 Perris, CA 92572-8300 Telephone: (951)928-3777 Fax: (951)928-6177
Location: 2270 Trumble Road Perris,CA 92570 Internet: www.emwd.ore
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