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PMT14-03013 City of Menifee Permit No.: PMT14-03013 29714 HAUN RD. 'W6CEL MENIFEE, CA 92586 Type: Residential Electrical MENIFEE Date Issued: 11/20/2014 PERMIT Site Address: 28025 BRIGGS RD, MENIFEE, CA 92584 Parcel Number: Construction Cost: $3,250.00 Existing Use: Proposed Use: Description of 100 AMP METER PEDESTAL STA 35+56 Work: Owner Contractor STANDARD PACIFIC CORP S R BRAY LLC 255 E. RINCON STREET#200 1210 N RED GUM STREET CORONA, CA 92879 ANAHEIM, CA 92806 Applicant Phone: 7145071881 MIKE MCGEE License Number: 980589 S R BRAY LLC 1210 N RED GUM STREET ANAHEIM, CA 92806 Fee Description Qty Amount e. lca -.. c as C.R ro' �S Pole or Platform Mounted Fixtures 1 183.00 B it e Additional Plan Review Building 148 148.37 SMIP RESIDENTIAL 1 1,00 $476.37 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. 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 CIO Licensee No. San who builds or improves thereon, and who contracts for the projects with a Expires I/3J/i5' SignatuC€1.. "j°r licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from Iicensure 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 w rov I mus covered a this ermat i cannot le all sell i structure that have permit is issued. P Y P legally 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:bttp://www.log!nfo.pa.(Iov/calaw,html. permit is Issued.My workers'compensation insurance carrier and policy number are: Carrier o. Property Owner or uthorized gent f Date Expires PS'/�f Policy# CNK'740'5247 Name of Agent Phone# - W By my Signature below, I certify to each of the following: I am the property 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 pro Owner or Authorized A Code, I shall forthwith comply with those provisions.' P _ gent - Date Date; f/Zd 1p, Applicant ^' City Business License# 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, LIYFB 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 won<which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3g97 Civil Code) _ APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE.LINES I hereby affirm under penally 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 OYES 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 ❑yEg INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from icensure 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 ONO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than ($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F EPOR�ING. compensation,will do ( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort,-builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or Improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MEi° N IF°EE PLCK No: Pe mit No: City of Menifee 13 29714 Haun Road Lluiiiying & Safety Dep ate: Date: Menifee, CA 92586 Phone: (951)672-6777 1!qv 12 2014 Amount: Fax:(951)679-3843 Received Building Combination Permit To Be Completed By Applicant Legal Description: ELE4l�-TQIG MCTEPi- `L6�STRL . Planning Case: F: L: Rt: R roperty Address: - Assessor's Parcel Number, Zg025 Project/Tenant Name: Unit III: Floor#: R%TA6F LAKE• T9AC`T '� '3'F 1 &'a Name: 5TA;40i ACI FIG- Phone No. vex Fax No. Property Address: tOR� eNo. Sqg- SS" Owner �,5-$ - Q\iJ CON 5� Zcn Unit Number Zip Code r Email Address: �� Name: Phone No. Fax No. vw�(� PLVS ( S t�. e) { 951- N.S7- C43 t Applicant Address: Unit Number Zip Code f2\� N• REp �3 yI 4z0n( Email Address: 51-AtZsE4 @ Pow E2P Los dCVAA Name: Phone No. x No. P©WER 0LOS s.t2. el \ ns1- LT-7-OLt3i Fa Contrador Address: City State Zip Cade 17-1O A3. tZ@fl ('vltM S% ANFkkE�r+. e4 =(2R'E. ontractor s city Business tense o. Contractor's City State of California L icense No. Classification: Ct0�ixus Number of Squares: Square Footage Description of Work: �N -TR LL 100 AMP KL;EC--MIL Art E-1r--1Z Pel iAL Cost of work:$ pplicanfs Signature 3 2S - Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: t set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Sails Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Tide 24 Energy(on S Y:x 11) Foundation Plan ❑ Plumbing Plan ❑ Structural Calculations ❑ ❑ Cross Section ❑ Single Line diagram for all services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan tl Delalls ❑ Sharing Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration° Addifion' Meal Wethods el Work Type' RePafe Retroli Revisimt til Existing PermiC Required? YES 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 Geo-tech.Haz.Zone A[Project Spdnkleretl YES or NO Completion: Construction that apply: Coastal Zone Type(s): C of o YES or NO Noise Zone Required? Listed o t Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Amh.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project I JEIel Vehicle Charger Landmark Seismic Retrofit pedal Case:Bldg. OmrAaIA roval Expedite Project(s): Child Care City Project Green Building I landmark I ARordeble Housing For Staff Use Only Building/Safety I Permit Specialist C'ly PI y C' g' gI EPWM Admin I Transportation=,a t THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY -a CITY.�Oyp[/ ViENIFE&4`; Scott A. Mann Mayor Wallace W. Edgerton Deputy Mayor Re: Address Assignment— Irrigation Pedestal Date: October 29, 2014 John V. Denver Councilmember To Whom It may Concern, Thomas Fuhrman The following address has been assigned: Councilmember Greg August Station APN Address Councilmember 35 + 56 333-600-045 28025 Briggs Road Please contact Craig Carlson at the City of Menifee if you have any questions. Craig Carlson Senior Inspector f City of Menifee 951 -672-6777 ext. 119 Office CO 29714 Haun Road Menifee,CA 92586 1 Phone 951.672.6777 Fax 951.693843 ww.cityofinenifee.us Standard Pacific Homes TRACT 34406 "Heritage Lake Backbone Ph IV" Menifee, California 7hr.�( 7 BACKBONE anda'ape a oge.2 Wntlsca 31.10s MeierPedalai METER PEDESTALS 7d5.00 2i230 ne Lat e ak=Dr 1�1141p 5 y`. 242u't HS,ila9e Lake@ 1Fa 91 rn vD a ' Lmtlszaac `, 1f.v "nlage Lare 91 A,(,F<pfri,aal Hose •;_ .14111E—.7 7'I:1 CT Landscape [defer NPetl dw 65+41 OD £9150 Heritage Lake or r sruEEr - II 77"A T 31106 a6 - el , 41 Lvda.ae _ Wafer Pedestal Landscape 63,00.00 Wafer Pedestal 7.a0.p0 28103 Hetllage Lake or 29DI I Heritage Lake or L� Ta11 5 g z ' �, D I Meer e x iz: Lz gs„aPe ler Pad :al 59 Ha DC P DOC Traffic Slg 01 B:v Dkal MdrrT Pedesal '!+ 25650 M.Call Bsstl,.� 6610 OD - ��• �wµg 293aa tA[Da11 Ertl { •s{ _ l p i - Landsc n 4 0 Petleslal 5 ' Meier Do 28897 dal lage Lake Or S O F 'S.l 31bPE Ill:trr.It (1 110(5 Ii i - LaadsWva i �. �I 0 lAetxr P5tleslal � I S t Lati�:<pn /�im La MSW Meler Petlealzl SFFcT 20r 150D far LEGEND29996GrannAca g I ' - - Backbone 4V01 Backbone W03 a 6ac<hDr:e W02 Backbone W04 /,az5 a xaae -fie 2 Peaxs'af Backbone W05 G>1C.(sCara jZ�y , M M.E.Nolikamper,Inc. 940 Manor Way Corona,CA 92882 951,808.4645,Fax 951.737.9343 w rt