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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 - /"u793843 Ck#: Ck#: Building Combination Permit 7o Be Com k;enc Legal Desorption: 3 duo _ V"M F. L: R PropnAdd � z8� Assessor's Pa Number 7 P anent me: Unit kzx#: w. S Name: ` c Ph9ne No ig g^ss� Fax No. prupwty Ox'rldr Add S r o0 o ro UnitNumber I Zip Code 6^8 mail roc Na Phone No. \ 01 Fax No. S Address. E O n ro UnIt Number Zip Code a 87, mail Add c.o di,,M Na Phone me: \ e No. Faz No o r d o.Ci<:C. S 8— 5_ Contractor ass E• C o s+. s1e . atm Gme2,Cv.,o>,� Stag TJpC d Y9 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';;;. £F , ,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