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PMT14-01553 City of Menifee Permit No.: PMT14-01553 29714 HAUN RD, Type: Residential Addition '9- 6CE1..l�kk. MENIFEE, CA 92586 MENIFEE Date Issued: 1 2/0 212 01 4 I PERMIT Site Address: 25143 SHOWDOWN CT, MENIFEE, CA Parcel Number: 358-090-025 92584 Construction Cost: $27,000.00 - Existing Use: 1 &2 Family Residence Proposed Use: Description of ENGINEERED PERIMETER WALLS LOTS 57-73 Work: 19 LOTS W/WALLS W/9 PILASTERS REVISED 11/7/14ADDED LOTS 1, 2 Owner Contractor SUTTER MITLAND 01 LLC BROOKFIELD LOS ANGELES BUILDERS INC 3090 BRISTOL ST 12265 EL CAMINO REAL STE 180 COSTA MESA, CA 92626 SAN DIEGO, CA 92130 Applicant Phone: 7144276868 MENIFEE, CA License Number: 960237 Fee Description Qtv Amount Building Permit Issuance 1 27.00 BDI I g' a I ss 00 Wall/Fence, non-standard 18 2,394.00 Additional Plan Review Building 297 296.74 GREEN FEE 1 1.00 s .EE FE. SMIP RESIDENTIAL 1 3.00 E $3,472.61 - 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 building 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 j i City Of Menifee LICENSED DECLARATION i I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, 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 No. 7 who builds or improves thereon, and who contracts for the projects with a -z Expires D Signatures licensed contractor(s)pursuant to the Contractors State License Law), WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from licensure under the Contractors'Slate License Law for the ❑ 1 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 ear Section 3700 of the Labor Code, for the performance of work for which this Y prior to completion of permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the ��rr I have and will maintain workers' compensation insurance, as required by Business and 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 submitted or at the following Web site:http7/www.leoinfo.ca.gov/calaw html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier DI� , t Property Owner or Authorized Agent v � Date Expires Policy# W G ��-]Pj y�j� ❑ 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. 1 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- 0-I certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. hall not emplocompensation any persons f any manner so r to become subject to the /j _ workers'compensation laws of California, and agree that if I should become f/-h��.1---- subject to the workers'compensation provisions of Section 3700 of the Labor Code, I shall rthv ith comply with those provisions. Property Owner or Authorized Agent /�/,,, Dat It ! 3 City Business License#_ c) 3 V`Y Date; _ Applicant; ��r✓ 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, WILL THE APPLICANT OR FUTURE BUILDING DYES OCCUPMIXTURE CONTAININGT HANDLE A A HAZARDRDOUS OUS MATERIAL DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST, AND ATTORNEYS FEES ONO 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 DYES 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 DYES 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, ❑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 Slate License Law (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sale HAZARDOUS MATERIAL REPORTING. compensation, will do ( ) all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a properly who, through employees' or personal effort, builds or improves the property, -- - provided that the Improvements are not intended or offered for sale.If,however, the building or improvement Is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or Improved for the purpose of sale). CITY OF MENIFF ty of Menifee p CK No: Permit No: ullding Dept 0 S63 O 5 29714 Haun Road Date: Dat Menifee, CA 92586 OCT 2 7 2014 10r 274 g�-g Phone: (951)672-6777 Amount: Amours Fax:(951)679-3843l e C e i V e d Ck#: Ckr#7: Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: Property Address: A4e - /�� e.SSpr' PTr Number. H y3 LOstS I-G Projectrrenant Name: Unit#: Floor#: Name: Sutter Mitland 01 LLC Phone No. 714-200-1608 Fax No. Property Address: Unit Number Zip code Owner 3090 Bristol Street, Costa Mesa Suite 200 92626 Email Address: Name: Ann Ho Phone No. Fax No. 949-422 4812 949-565-1239 Applicant Address: t,t `+�`- - 3 Hughes, l vine �r . ,� y ., nit Number Zip Code 92618 Email Address: t 1 €? aho@hunsaker.co h Name: Phone No. Fax No. Contractor Address: cityState Zip Code c Lane Costa Mesa CA 92626 ontractor s ity usmess License No. Contractor's City State of California License No. Classification: Number of Squares: Square Footage Description of Work: Cost P 14-01553 of Work:$ Applicant's Signature Date: To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gee Tech/Sails Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on S 7 x 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 ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration Addition' Means/Methods Work Type: Repair" Retrofit• Revision to Existing Permit" Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Slug. Code Occupancy Group Indicate Indicate it Indicate all Geo-tech. Haz.Zane At Project Sprindered YES or NO ConsVuction that apply: Coastal Zone Completion: Type(s): C Of O Noise Zone Required? YES or NO Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Gomm iss Arch.Review Board Landmark Comm. I Planning Comm.Zoning Administrator Fee Exempt City Project Elec.Vehicle Charger Landmark Seismic Retrofit Ispacial Case:slag 011ioalA reval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist City Planning I Civil Engineering I EPWM-Admin I Transportation Mgml. Rent Control (f\c\wo\1873\126 D02-ah.pdf) THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY