PMT14-00794 i
i
City of Menifee Permit No.: PMT14-00794
29714 HAUN RD. Type: Residential New
�iCCEI�-.° MENIFEE, CA 92586
MENIFEE Date Issued: 1 0131/2 01 4
PERMIT
Site Address: 25581 BETH DR, MENIFEE, CA 92584 Parcel Number: 358-232-004
Construction Cost: $415,370.26
Existing Use: Proposed Use: 1 &2 Family Residence
Description of NSFR 3490/717 PLAN 2
Work: LOT 12
TR 29636
Owner Contractor
CAPITAL PACIFIC REAL ESTATE, INC CAPITAL PACIFIC REAL ESTATE INC
4100 MC ARTHUR BLVD STE 300 4100 MACARTHUR BLVD ST 300
NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660
Applicant Phone: 9496229010
MARK MULLIN License Number: 937067
CAPITAL PACIFIC REAL ESTATE INC
4100 MACARTHUR BLVD ST 300
NEWPORT BEACH, CA 92660
Fee Description Qtv Amount f$1
e r
Receptacle, Switch, Outlet& Fixture 171 966.00
Gas System 1 116.00
Residential Water Heater 1 83.00
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
1s, :,..
Building Permit Issuance 1 27.00
GREEN FEE 1 17.00
New Construction Permit Fee 1 1,954.84
$5,334.35
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 staled,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
.reby affirm under penalty or perjury that I am licensed under provisions of 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 License N '� 70 who builds or improves thereon, and who contracts for the projects with a
Expires 9 ZPf� Signature b licensed contractor(s)pursuantto the Contractors State License Law),
WORKERS'COMPENSATION DECLARATION L
❑ I am exempt from licensure under the Contractors'State 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-bullding 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
E I have and will maintain workers' compensation insurance, as required by Business an 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 submittell, a the foil Web site:http'//wwwleginfocacov/calaihtml.
permit is issued.My workers'compensation insurance carrier and policy number are: //IIIIXXII// ,t
Carrier 371a'9T.. (DfJ 'Y-7CrJ 1rj5 , (VAO Properly Own act Agent Date
Expires r) "Ca 7"b$ Policy
[9'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
construction I authorize representatives of this city or county to enter the above-
❑ I certify that in the performance of the work for which this permit is issued,I identified ep rty fo the inspection purposes.
shall not employ 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 provisio o Sectio 3700 of the Labor
Vie, I shall forthwith comply with those prov' Ir,o Property Owner or Authorized Agent �� Date
Date; 1 D' I Applicant; City Business License#
WARNING: FAILURE TO 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, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:
License Law for the reasons)indicated below by the checkmark(s)I have placed OYES 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, O NO 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 State 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 licensure 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
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I EPORI'ING.
ipensation, will do ( ) all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
;ntended 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 X
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).
CITE' OF MENIFEE PLC NNa Fe rA.ty�, � , (
29714 Haun Road Oa+a: Dale: 1 l `f
Menifee, CA 92586
Phone: (951)672-6777 Arnount. Amaunt:
Fax:(951)679-3843 CkA Ck .
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case -
a. Z463(a ,z PP��3-a33 r: 3S Legs �.
Property Addre'-,' ��( Assessor's Parcel Number.
3SS-a3 - o
ProjectiTenantrlame Unit:`.: Floor:
COL.ID�2 IZCeJ
.Nama Prone No. Fax flo.
�'a ILL• 9`tq- 22•411o1O Y Lo 94,q-Gzz- Sofz Property Addrasa: yf�0 HACo Zip Coda Owner �.1� �LuD '�T3 o-w- Unit Number Q2,IobO
Email Address!
HAeV-. rlvt_c.1N A W0AA9,XUI`JdiI— , c.orr
Name:
Phone Pb. Fax Na.
Applicant Address: Unit Number
Zip Coda
Email Address:
Name: Ptwne I`i0. -a(N0.
Contractor Address:
City State Zip Cod,
Contractor Uty riusn ass Llcan se r`to CanCacror's C;v Stet=of Caliiarn(a Licenses No
7
Classifca;,•n:
b 8 +9 3 1oio
Number of Squaras:
Square POa'ege -cz� L
Description of Work:
5FQ CoatL==of 4'rark:S
Applicant's Signature
Da :
-
"'" - - 'To'Be Compleiod By city Slaff only -
Indica!e As P.-P.zceived or N!A-Mot Appl:c ble
S Con0des Salo::f hilly Sala plar.;which include t Set a."documeu;S wnicn include
❑ Title Shea! ❑ Elevations ❑ Electrical Play ❑ Gen Tech'Soils Report(on cd only)
❑ Plat/Site Plan El Roof Plan ❑ Mechanical Plan ❑ Title 2; Energy(on 8 Y:x 11)
❑ Foundation Plan ❑ ❑ Plumbing Plan Cross Section ❑ Structural Calculations
❑ Single Lines diagram for Stec s.=-rvice;ov:r 400 AMP❑ Floor Plan ElStructural Framing Plan b oela7: ❑ Sharing Plan ❑ Sound R=_purl-Residential
Clad Coda: Indicate New Construction A!tsnticn' Adu tion' p,!aan•O.IeLleds
Work Type Repair' Retrofit' Rat,Ucn to EdArg Permit' Required? YES NO
Proposed Building Use(s)
Existing 9uildi:^.g we(s)-
Building,: k Units. k Stories Will the B41dirg Have a Bas?roam?
Bldg Coda O.:cup,nr:y Group Y o:' ti
A,I Pro'-c[ Indica:9 Ir.Jim a i1 Indicale 311 >eu-tech. Haz. Zone
YES or NO
Completion: Cors-ruaion Sprinntared that apply: COaslal Zone
Type- s) C Of O Noise Zone
Required? YES at i 10
List=_d en hli;'aric P.ecaurres In r?n;oiy
CITY PLANNING STAFF ONLY
APPROVALS Costal Comrniss Arch Ruvie'a Board Landmark Cnmm Planing Ccmm 'cnirn�Administra�Sf
Fee E iernat City Project Eler..V?hic(e Charger i]mi;ra,'r Seismic P.ntfofi! s»o.n':aa a'rG
fir ci�!t.:c:�•it
&ped:ta Pr.i•nc+(si Child Caro. Cil'y Prolec! Gr? nowl.ling I jt-andmarkl I A^rrl ah'=Hr,sii.�
For Start'lie O:ibi
�-
_ � �:n:a I-a Lcar!�I:art it+n!Conri
rH At!r: Yn:) Prep H=1 nlrlrl tic rocnr^
CITY OF MENIFEF QMo Per;lt T
29714 Haun Road Dale;Menifee, CA 92586 Phone: (951)672-6777 amountFax:(951)679-3843 '
Ck P: ,k 7:
Building Combination Permit ' S
To Be Com feted By Applicant
Legal Description: Planning Case: -
= Z4/o3(o P2O13- 2-3 35 -48rSi.8 i'jV.
Popery. Address: Assessar's Parcel Number.
MM fx p(w zLe.) 12 i:ks- 2.12-mmy
rValacVTananl Name:e �� Units: Floor#
Name C. Phone Pdo. Fax Plo.
CP IMC, 9{9- 22�ioto y zo 9h9-6az- Solz Property Address: Unit Numter
Owner /-ifo0 Piolcaep-t,,rZ I3c-�fl. Sri rM /3 tp Coda 47Jcbp
Email Address'
HA r1vWN f<w— , Corr
Plame: Phone Plo. Paz No,
Applicant Address: Unit MUMber Zip Code
Email Addraax:
Name: Phone ko• I Far No:
Cortacmr Address: - Cir/ Slat^ Zia Code
Contractor s 4ny rfusmae� icanse Plo CnntrxWr'i C • Sta'e of CaLramfa License 9 4 Pio. C635aaiadr P
31067
Plumber of S4Nafew
Sn•aars Foa'agc QU+s2 - � 3Ygo SF A210CiE = BIZ SF -
Doscrip"n at work: (pP42
Cost of Work:5
Ap plicaal's Sinnatura
.. -_ . .. To Be Completed By-Clly Staff Only .
Indica:e As P.-Raecivcd or MIA-Plot Appl:casle
5 Ct *I-Ls aab Of hull%d1melgicned,dra rvn to sale plane vrn:eh indun+: I set ar luc_rnenls wrier inclvdx
❑ TRIe Sheet ❑ Elevations
❑ electrical Plan ❑ Gar,Taclv'Sails Report Can nd only)
❑ Plot/Site PI3n ❑ Roof Plan ❑ Machanical Plan ❑ Tide 24 Energ/(on a V.x 11)
❑ Foundation Plan ❑ Cross J'LGIIaR ❑ Plumbing Plan ❑ Srticaval C31wla:iuns
❑ Floor Plan ❑ S!rgie Line diagram for eluc 5srjcos over dCOA7,1,�
❑ Sl=tural Fralti!g Plan 3 Delnls ❑ Sharing Plan ❑ Sound Report-Residential
Class CaJat Indicate 'low Construction Allaralicn' Addition' IdaansrA!ehed:
work Type Repair' Retrofit* ae'dskn to Ehling Pernl' .Reeube:!7 YES ,`ID
Proposed Bull ding Usa{s) Existing Building'Uia(s)
::Ouilding;: • P Units, P Stode3 Will Iho B$Idirg Have a Saaornen" a
Y a: N
Ellydg Cada Occupancy Gaup Indicate IfJir�In it Irdicale all O'oaech.Haz,Zone
At Prd;act YES or PID
Cornple!:on:
Carsauc!ion SarinxM_re0 that aPld'/: 4naatdl Zam.
TyP 30) C of o YLS oe PI0 Nrii;a Zone
't3 AUlf!4I'1 Li ra)oo I voric Resources Inaen;ory
Cl 17 PLAN'IPh SLAFF ONLY
APPP.OVALS C,�aWl Camrntss Ards R_•vi,-,guard Land:na.'.c Cangt Plnnrinu Cormn ?oning Nrninhtm!,w
Fae Eruna! Ci!y Projrrv.;l Eicl.; 'Vehialc Charger I,andmarb Seismic R;:bon: ;oa•a.::•�v.l: :.vl
ExP=Jai Prat::;(sl CNIJ Colc
/ It cl Grain Boiklir7 !andmog., ae.or:ac:a Hlvvrg
For 31ti:Uv!C."J.
_:_r.. P_ G:/e I ..g
NIAPIXyrill:rl RH si P.+Ir.I ....... ....
City of Menifee
BUILDING & SAFETY DEPARTMENT
29714 Haun Road
Menifee,CA 92586
Phone:(951)672-6777-Fax(951)679-3843
www.cityofinenifee.us
i
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 signatures (copies or faxes will not be accepted).
/�
Gid� d/el-( P Project Name: ( /,� '.� /CCermit#: IV- dv 79
Tract: Z%(e"5 to Lot #: 1 Z Bldg. #: Unit#:
Address: i ,SS F I ?)-e i�N te(ti a 1 yirP-P &\ ,
Custom Home: Yes ( ) No ( Model Home: Yes ( ) No
Condo/Apartment: Yes ( ) No (. Tract Repetitive: Yes (--�'No ( )
Date App va ig ture
1. Engineering (951) 672-6777
2. E.M.W.D (951) 928-3777 -V— SIN
3. Fire Prevention (951) 955-4777
4. Planning (951) 672-6777
5. Health Department(Septic Only) / 14
6. Finance (951-672-6777 �^w.
7. Building & Safety(951) 672-6777
(Final release of utilities)
Riverside County Fire Department Fire Protection Planning Section
Riverside Office:2300 Markel St.,Ste.150,Riverside,CA 92501 Ph,(951)955L777 Fax(961)955-888
Palm Desert Office: 77 933 Las Montanas Rd.,#201 Palm Desert,G 92211 4131 Ph.Q60)963 8886 Fax(760)863 7072
Fire Department Clearance/Release
Date: 4/6/2015
To: ccarlsonna cityofinenifee.us; brivera@citvofinenifee.us; mbinnall2cityofinenifee.us
Tract/Parcel Map M 25586 BETH DR, 14-MENI-00746 LOT#63
Permit/Lot#: 25581 BETH DR, 14-MENI-00794 LOT# 12
25560 BETH DR, 14-MENI-00795 LOT#64
Job Site Address: CAPITAL PACIFIC AT CALDER RANCH
Final For Recordation
Release For Building Permit(s)
❑ 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
Residential Sprinkler Plan Check Fees Paid
Residential Sprinkler Plan Check Fees Not Paid
❑ Other (Water&Access Inspection)
❑ Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
DAVID YOUNG FSI
Print Name of Plan Reviewer/Inspector Approved Release
DAVID YOUNG FSI
Sent By: Print Name
Form C—Revised 3/01/2012
<!ASTERN
t�fUNICIPAL
ATER DISTRICT
-SINCE 1950->-
Board of Directors April 16, 2015
president '.
Randy A,Record Tract: 29636-2 C.O.: 68541/68542
Vice President (_ot(s): 12, 63, 64
David 1.Slawson Reclaimed
Directors XX Water Water XX Sewer
Joseph J.Kuchler,CPA Model Homes
E.Paulc
Ronald W.Sullivan —Landscaping only
GeneraLNanager XX Occupancy
Paul D.Jones 11.N.E.
Treasurer
Joseph 1,Kuchler,CPA
City of Menifee
Chairman of the Board, Building & Safety Department
The,99errapolitan Water 29714 Haun Road
District o carf.R Menifee CA 92586
Randyndy A.Record
ecord ,
Legal Courts,,/ 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 Lotton for Bru&AMel, P.E.
Director of Field Engineering
BM/GI
Cc: Records Management File
Engineering Tract File
Developer
Mailing 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.en2wd.org