PMT14-02265 City of Menifee Permit No.: PMT14-02265
29714 HAUN RD. Type: Residential Electrical
'91 MENIFEE, CA 92586
MENIFEE Date Issued: 1 111 212 01 4
PERMIT
Site Address: 28966 HERITAGE LAKE DR, MENIFEE, Parcel Number: 333-180-030
CA 92585 Construction Cost: $1,000.00
Existing Use: Proposed Use:
Description of 100A LANDSCAPE PEDESTAL
Work: NEW ADDRESS ASSIGNED 28966 HERITAGE LAKE DR
Owner Contractor
STANDARD PACIFIC HOMES STANDARD PACIFIC CORP
255 E. RINCON ST, STE 200 15360 BARRANCA PARKWAY
CORONA, CA 92879 IRVINE, CA 92618
Applicant Phone: 9497891600
STANDARD PACIFIC CORP License Number: 641665
15360 BARRANCA PARKWAY
IRVINE, CA 92618
Fee Description Amount 1$1
iteh'oas,C � De f " a
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
$440.74
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 Maritsa.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_eldg_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 G/O License No. who builds or improves thereon, and who contracts for the projects with a
Expires //3/[/ Signatur-- 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.
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
li�r I have and will maintain workers' compensation insurance, as required by Business and Professions Cade,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:htti)'//www.leainfo.o.gov/celaw.html.
permit is issued.My workers'compensation insurance carier and policy number are:
Carrier KL 5&CALTY 7^'1G4An+c£ Co- Property Owner or Authorize Agent Date
Expires 3 /71//s Policy# Ciljav711169107
❑ By my Signature below, I certify to each of the fallowing: 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-
0 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; //'/2 Iy 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, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
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 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
GUIDE LINES
OWNER BUILDER DECLARATIONS
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 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 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 SCION 25505RIAL ffE 5533,ORII AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZPADOUS
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 Stale 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 MENIFEE PLCK Na P dN
City Of Menifee GLC'C -O
29714 Haun Roadwiding & Safety Dept, Date: Date
Menifee, CA 92586 8 Z2�I
Phone: (951)672-6777NQV 12 2014 Annimint
Fax:(951 -
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Building Combination Permit
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n a uarness nee o. Contractor's rate lilomia License No. Ctasadlrabon:
Number of Squares:
Square FootOpe
Description of Work �0.ti 0 SC a �2 r c�ci� S5 Coal of Work $
Apylpm's _ MARCIE LAVAUM AGENT Date'. S g /
Inchoate As R-Received or WA-Not AppfaDb
5 ConioWn Kts of hilly ounensionso,orarm to sali plans which trdhde: 1 set of oowr %whrh rtrludo
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo TechlSofis Report(on cd only)
❑ Plot i Site Pan ❑ Roof Plan ❑ Mechanical Plan ❑ T0Je 24 Energy(on 8'A x 11)
❑ Foundation Pan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Li diagram
a fo
❑ Single Line diagram for slat.services over 400 AMP
❑ Floor Pan ❑ Sbucaxal FmrxV pw&Cetaf ❑ Shoring Plan 1 ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Maarsuitrods
Work Type Repair Retrofit' Renton b Entting Penh' Requved? YES NO
Proposed Budding Use($): Existing Building Use(s):
#&altlings: #Units: #Stories: Will the Building Have a Basement? Y of N
Bldg.Code Occupancy Group Indkxte Indicate if YES or N i Indicate all Geotsch Ham.Zone
At Protect Con6aLCtlon swMidered that apply Cosh Zone
Completion: T�(s): C Of O Noise Zane
Required? YES a NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm Zoning Admimstrata
Fee Exempt. City Pmlect I 11216C.Vehicle Chargerl I Landmark I Seismic Retrofh Oahe
Expedite Project(s). Child Care city Project Green Building I I Landmarq I Affordable iwrazag
For Safi Use Only
(;Tyd V7=g EPWM-Admkr I TMnMWMW K49ML
I Rent Control
ruewa YrUI sing MFt PING US CREATE A BETTER COMMUNITY
,•rG�tr oR';;;.
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,r
ENIFE
Scott A. Mann
Mayor
Wallace W. Edgerton Re: TR34180-1 IRRIGATION PEDESTALS Date: August 21, 2014
Deputy Mayor
John V. Denver
Councilmember
Thomas Fuhrman
Councilmember To Whom It May Concern,
The following addresses have been assigned:
Greg August
Councilmember
Landscape Meter (46+00): 28966 Heritage Lake Dr
Craig Carlson
Senior Inspector
City of Menifee
951 -672-6777 ext. 119
29714 Haun Road
Menifee,CA 92586
Phone 951.672.6777
Fax 951.69.3843
vww.cityofinen ifee.us