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PMT14-01941 i City of Menifee Permit No.: PMT14-01941 29714 HAUN RD. 'j MENIFEE, CA 92586 Type: Residential New MENIFEE Date Issued: 09/04/2014 PERMIT Site Address: 25534 BETH DR, MENIFEE, CA 92584 Parcel Number: 358-231-007 Construction Cost: $460,390.47 Existing Use: Proposed Use: 1 &2 Family Residence Description of NSFR Work: 3867/798 LOT 7 TR 29636 Owner Contractor CPRE, INC CAPITAL PACIFIC REAL ESTATE INC 4100 MACARTHUR BLVD ST 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 is �e j eSwitCFlbO'," S �tfb�a�n arc R Parfalc � a �, . Receptacle, Switch, Outlet& Fixture 179 1,006.00 �bg Ixture�s an _ ent�i Ix�ur�es ,�1 4 `� Y20 Gas System 1 116.00 Residential Water Heater 1 83.00 Forced-Air or Gravity-Type Furnace or Burner _ 1 149.00 Building Permit Issuance 1 27.00 r, -*„-re'"-`-•.'��, `te� ��'�� �. � wCd'."i.ev"^ � x�.e',."='£�S sy�r�" `' y� �� SMIP RESIDENTIAL 1 60.00 New Construction Plan Check 1 1,376.57 $5,722.37 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. AAABIdg_Permit Template.rpt 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. who builds or improves thereon, and who contracts for the projects with a Expires Signature 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 ❑ 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. 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 ❑ 1 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:httr�//www.leciinfo.ca.ciov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires Policy# ❑ 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- ❑ 1 certify that in the performance of the work for which this permit is issued,I identified property for 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 provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. City Business License# Date; Applicant; 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 AYES 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 reason(s)indicated below by the checkmark(s)I have placed AYES 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 (Chapter9 (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 El 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL rfEPOR�ING. compensation, will do( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED 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 OF 1WENIFEE PLCK No: Pern'Ira: 29714 Haun Road o ' oat_: —��- Menifee, CA 92586 �4 Phone: (951)672-6777 Am �yjA Amount Fax:(951 )679-3843 ck o1T 6V Jk d Building Combination Permit 19 5(od To Be Completed By Applicant Legal Description: R: 29 G.31:o Planniq Case PPznl3- 233 "' 3S L'3-7 Rt• Ri s IYz Property Address; Assessor Parcel Number. a3SS Bin t P2, low 1 3ss- 3- lom Project/Tonaat Name:^ � �1 Unit d: - Floar Name: C. In No. Fa;c Ha. PropertyGP INL, q4q- yy-crolo Y Lo 9kq-4z2.- MOIL Owner Address. Uni6Num6er'1100 HACA&ZT+1O.7- Zip Coda - P. 5r3 mr 1?2bbo email Address: - N HAIYIG,.r'!t/WN A VW.MVNat.- . C.l: r Name: Poona No. Fa[Pla. Applioant Address: Unit Humber Zip Cede Email Addrassr n Name: Phone r!o. Fa(No.. Conlroctor Address: City Stale Zip Code Contractor's City is o, esa Jcens-2 No, :'ont:aaor's C :St�te OF Cal ifomi.License rlo. Classni* n: b jj (o Number of Squ or,: Square Foa!age Deseti Jon of Work o P NS1a SFP - tm "'I ..^,dal.of�'/prk:j Applicant's Signature_ Date: 7-?4-t4} :.".•.'. _ , , _'. _. . 'Ta'Be Completed By City Staff Only - Indica a P.-ReceNetl or NIA-Hof Appko.bk ❑ T;Is Sn_=" ❑ Eleva!ions ❑ Electrica! Plan ❑ Ge0 TarleSoils Report(on cd only) ❑ Rot I Ste Pun ❑ Poof Plan ❑ T-We 2;'. Energy on 0 '/.x 11❑ pluck Arica!Plan g/( 1 ❑ Strur_tural Calculations ❑ Faunda'i0n Plan ❑ Crass Section ❑ Plumbing Plan ❑ S ngla Line diagram for el.2c.sarricas aver 4110 AMP ❑ Floor Plan ❑ S(vctural Framing Plan S Ce!als ❑ Sharing Plan ❑ Sound R=pod-Residential Class Coda: Indicate New Constrvdion A!t=ralian' Add•,tipn' Fdean;;Ala!hcdc Work Ty,d Repair' - F ;-I. P R=trait' Ravikn to_t�Iry Pe:njt' aeGulred7 Yes ,l0 Proposed Building Use s)" Ex!itmg Bulling Use(s): 4 B61 mg; • M Units. r. Slon-s' Wid Pm Balding Have a Easeruen!7 Y o: fl Bldj Cod, I-M-,Pane'y Group Indicate ImJicate it YES pr NO Indica!=all C'-o:ech.Haz. Zone At Proie:a Surin..!oreC Can Svuc!ion That a , CompLFon: p' / t'.aasul Zan•_ rrPa(5) Colo YES or NO Ploisa Zpn=_ R-quv-d`i 1_ � n is Histori._-P._+suurces Ineen,aN CITY PLANNING STAFF OrIL Y APPP,O"�4LS. &c;lal Cnmm1S5 Arch.P.eview Boar,- Landrur:..Comm Planning Comin, >%ning Adminiiirxx Fe_n E sn;D!. Cny Project clCc.Vmhicl�•r_ - _,1 ,,y_r 1_andrt;grb oeicmic P.:;'.rok a n:p gsrn.n� E.ped�la P..,i:=:''-' Chill Caro. City Pr.- ' / 01nc1 Green Buil_ling Landmark A!br-;aaeHpus r:q Frr$uff l.Izc Only I� 5..at t.'i'F,Rr r -t.�nri.q F .. ar i' q•. I - I' rlgeltl : M I . iR R=1 OCIi: n'; r'n o.\rc o_r._n ...............