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PMT14-01812 1 City of Menifee Permit No.: PMT14-01812 ^� 29714 HAUN RD. Type: Residential Alteration 'W&CELf MENIFEE, CA 92586 MENIFEE Datelssued: 0 9/1 212 01 4 I PERMIT Site Address: 25290 TRADE WINDS DR, MENIFEE, CA Parcel Number: 329-070-075 92585 Construction Cost: $140,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of REMODEL EXISTING HOUSE SCOPE OF WORK: 2 FULL BATHS(149sf)ADA COMPLIANT, Work: ADDED/REMOVED DRS, ADDED/REPLACED 50 ELECTRICAL FIXTURES Owner Contractor CALIFORNIA HOUSING FOUNDATION B A B CONSTRUCTION INCORPORATED 1200 CALIFORNIA ST STE 104 3751 MERCED DRIVE SUITE J REDLANDS, CA 92374 RIVERSIDE, CA 92503 Applicant Phone: 9516890647 CALIFORNIA HOUSING FOUNDATION License Number: 942336 1200 CALIFORNIA ST STE 104 REDLANDS, CA 92374 Fee Description Qtty Amount e . a, c joguffltoMot 5 Plumbing Fixtures and Vents, fixtures 7 136.00 rt epl ng S1 gl Fa I `Rest e., ia- 3:0 Sewer 1 150.00 B I l i al. 1 Additional Plan Review Building 360 360.00 MA SMIP RESIDENTIAL 1 19.00 $1,222.00 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. CONDITIONS Condition Comment 1 RIVCO FIRE APPROVAL AA_Bldg_Permit_Templatesiot Page 1 of 1 City Of Menifee LICENSED DECLARATION 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.4,vZ 36 who builds or improves thereon, and who contracts for the projects with a Expires �?- a6 Signature 5. licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State 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 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-building 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 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 Cade, for the performance of the work for which this submitted or at the following Web sitei htto'//www leainfo ea gov/calaw himl. permit is issued.My workers'compensation insurance carrier and policy number are: ® n Property Owner or Authorized Agent Date Carrier 12G✓a;C C / s 7 5 Expires //- /ri -/S Policy# 1?AAJC 3 ) By my Signature below, I certify to each of the following: I am the property Name of Agent 12 CheX 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 represented! of this city or county to enter the above- . ❑ 1 certify that in the performance of the work for which this permit is issued,I identified property for the inspectio p poses. shall not emolov any persons in any manner so as to become subject to the G workers' compensation laws of California, and agree that if I should become �v /'��'/ / subject to the workers'compensation provisions of Section 3700 of the Labor Propert wner or Authorized Ag Date Code,1 shall forthwith comply with those provisions. City usiness License# Date; �l-/Z ",� Applicant; .,2 ---w�� 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 HANDLEA HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES [ 10 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address PC DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES / OWNER BUILDER DECLARATIONS PRINT NAME:O�r✓; vW I hereby affirm under penalty of perjury that I am exempt from the Contractor's i License Law for the reason(s)indicated below by the checkmark(s)I have placed L]YE 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 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 YES 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 El1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL AEPQ _1ING. compensation,will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER ORA T RIZED 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 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). CITY Off` MENIFEE PLCK No: Permit No: b 29714 Haun Road Date: �lq -O a.Date: Menifee, CA 92586 l Phone: (951)672-6777 Amount. Amount: Fax:(951)679-3843 $� Ck#: Ck#: Building Combination Permit sl To Be Completed By Applicant Legal Descriptio . la 2 Planning Case: F: L Property Address: Assessor's Parcel Number. _ 321 -U & -!J J Projectlrenant Name: Unit#: Floor#: Name:C'�l / Phone No. Fax No. rr✓ /,�iti �o ' !! U '��;i,�/C' vn ` 03- 7 _'f - 9y�0 -& - 7Y>- 1� t3 Property Address: Unit Number Zip Code , - Owner / 2 C_r-t�/ �/ !)/y? 7 /UfL i�2�/C£��s C�F `/.z J Email Address: Name: Phone No. c 1 r Fax No. lJ �93 �'�� 5�9 �93 �X�1-2 Applicant Address: Unit Number Zip Code / -00 C -4/ A 9z37�` Email Address: s' ✓gin /z �5 C �/ Vases- c��M L9J �r (RVvA- nE� Name: Phone No. Fax No. 77 / -O o Contractor Address: / Ci State Zip Code_ 17, e GI' � Ce Z ontractor is CRY busineSS License o. Contractor's City State of California License No. Classification: 33 Number of Squares: Square Footage Description of Work: Cost of Work:$ - c✓e Ufhro- J< lrtc��1 Applicant's Signature Date: L_ _ 7 To Be Co feted 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 ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 '/,x 11) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ 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' Addlbon' MeanslMethods Work Type: Repair* Retrofit' Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: If Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone At Project Construction Sprinklered 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 Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit I Special Case:Bldg. DfflcialAplpmyal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist I City Planning Civit Engineering EPWM-Admin Transportation Mgmt Rent Cantrol THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Riverside County Fire Department Fire Protection Planning Section $w 1W Rtveoide,CA 9201 Ph,u(n)966-4777 NJI,Gt,o.1 Ghfit. 77 933 W Mahtailxs Rd,#2 a I P.I.0 1,$1 It,CA 92211 i 13 1 Pit (760)843 3884 Fax(760)663 7072 Fire Department Clearance/Release Date: To: ccarlson tofmanifeeus b Fax: Tract/Parcel Map#: Permit/Lot#: Job Site Address: '�A C A es -Ej- Final For Recordation Release For Building Permit(s) Shalt Final Only(No Tenant) Final For Occupancy Release For Residential Sprinkler Installation Building Plan Check Fees Paid,Water Requirement Met-if water applicable ———LL— Building Plan Check Fees Not Paid 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. P411N�ameofPl,,�Rellew Inspector Approved Release Sent By:Print Name