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PMT14-02341 I I City of Menifee Permit No.: PMT14-02341 _ 29714 HAUN RD. Type: Residential Addition tL MENIFEE, CA 92586 c°"'""""`t""$" MENIFEE Date Issued: 0 910 812 01 4 i PERMIT Site Address: 29081 TRAILHEAD DR, MENIFEE, CA Parcel Number: 333-631-040 92534 Construction Cost: $11,400.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of MONUMENT WALL 37'-7"I9 WA PILASTERS Work; NO ELECTRIC Owner Contractor LENNAR HOMES LENNAR HOMES OF CALIFORNIA INC 980 MONTECITO, STE. 302 25 ENTERPRISE CORONA, CA 92879 ALISO VIEJO, CA 92656 Applicant Phone: 9493498000 LENNAR HOMES OF CALIFORNIA INC License Number: 728102 25 ENTERPRISE ALISO VIEJO, CA 92656 Fee Description (1,ttv Amount f$1 Wall/Fence, non-standard 1 133.00 GREEN FEE 1 1.00 $311.37 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 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 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 contractors)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 Cade, 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 ❑ 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:htto/Iwww.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- . ❑ I 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, DYES 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 ❑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 ❑YES 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 ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(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 ($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I EPORI'ING, compensation, will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE City of Menifee pLCK No: p I Building & Safety Dept V, 29714 Haun Road Menifee, CA 92586 AUG 15 2014 Date: Dad;, Phone: (951)672-6777 Amount: Amo t: Fax:(951)679-3843 Received Building Combination Permit To Be Com leted ByApplicent Legal Description: Menifee Hills/El Dorado Tract No 31582-1 Planning Case: F: L Property Address- Zgo S/ 7A�'_^, � �n Assessor's Parcel Number, Fiojectlienant Name: (i fJ !'C.PVT_ l� Unit#: 7 Floor#:Menifee Hills(Tract No 31582-1)Summit and Meridian Name: Lermar Homes of California, Inc Phone No. 951-403-3715 Fax No. Property Address: Owner 980 Montecito Dr.,Suite 302 Corona, CA Unit Number Zip Code Email Address: jeremiah.acayturri@lennar.com 92879 Name: Jeremiah Acayturri Phone No. Fax No. 951-403-3715 Applicant Address: -980 Montecito Dr., Suite 302 Corona,CA Unit Number Zip Code 92879 Email Address: jeremiah.acaytur@lennar.com Name: Phone No. Fax No. Contractor Address: City State Zip Code Contractor's City Business License o. Contractor's C728tatte of California License No. Classification: B 102 Number of Squares: Square Footage Description of Work:Need Building Permit for Entry Monument Wall Cost of Work:$ $11,400 Applicant's Signature Date: g/15/2014 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 ❑ Tide Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 Y x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Wan 8 Details ❑ Shoring Plan I ❑ Sound Report-Residential Class.Code: Indicate New Construction Alteration' Addition' Means/Methods Work Type: Repair* Retrofit' Revision to ExiStlng PelmlP Required? YEB NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if Indicate all [Noise eo-tech.Haz.Zone At Project spdnklerad YES or NO Completion: Construction that apply: oastal Zone Type(s): C Of 0 YES or NO Zone Reuired? sted on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commis Arch.Review Board Landmark Comm. Planning CqAff oning Administrator Fee Exempt City Project Elec.Vehicle Charger Landmark Seismic Repecial Case:Bldg. nlficialA royal Expedite Prbject(s): Child Care City Project Green Building Landmarkordable Housing For Staff Use Only Building/Salety I Permit Specialist City Planning I Civil Engineering I EPWM-Admen Transportation Mgmt, I Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY