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PMT15-00257 3 City of Menifee Permit No.: PMT15-00257 _ 29714 HAUN RD. Type: Residential Demolition LA—> MENIFEE, CA 92586 MENIFEE Date Issued: 0 2/0 912 01 6 � i PERMIT Site Address: 26954 KELLER RD, MENIFEE, CA 92584 Parcel Number: 384-080-016 Construction Cost: $35,000.00 Existing Use: Proposed Use: Description of DEMOLITION OF DETACHED STRUCTURE 1000 SO FT Work: Owner Contractor SECHANAPA COMP C/O STEPHEN DURAND 26954 KELLER RD MENIFEE, CA 92584 Applicant License Number: FEN YONG 26811 HOBIE CIRCLE#13 MURRIETA, CA92562 Fee Description 2yt Amount Demolition Permit 1 140.00 $169.00 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. 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 ❑ 1 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 permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have 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:http�//www.leginfo.ca.gov/calaw.htmi. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires Policy# Name of Agent Phone# ElBy 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 FV1' Code,I shall forthwith comply with those provisions. Property Owner or Authorized gent U Date Date; 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, AYES 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 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 ❑YES 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 Iicensure 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 ($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL F4tEPOR1 ING. compensation, will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044, Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). of MenifeeMenifee DATE PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL CRESIDENTIAL C' MULTI-FAMILY 0 MOBILE HOME a POOL/SPA CleSIGN SUBTYPA:iv: ITION O ALTERATION DEMOLITION ELECTRICAL O MECHANICAL > NEW O PLUMBING 1-1 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Piff—W R> a/ PROJECTADDRESS ASSESSOR'S PARCEL NUMBER 3S'( --OfD -0K0 LOT TRACT LN OWNER NAME f C A DRESS - PHONE AIL APPLICANT NA ADDRESS l �(�ti� PHONEI` Z o 36 EMAIL .ate Lk Cry'^, CONTRACTOWS�N7AME � OWNER BUILDER? S C NO BUSINESS NAME'`( C" ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER / LICENSE CLASSIFICATION v VALUATION$ 3Rb �1 SO FT C CsC� L SO FT 2 APPLICANT'S SIGNATURE DATE V �7 CITYSTAFFUSEOIVLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT " CASH £%CHECK# VISA/MC PLAN CHECK FEES PAID AMOUNT " CASH C)CHECK# CREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER % YES ,. NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-6 777 www.cityofinenifee.us Inspection Request Line 951-246-6213 I LAKESHORE ENGINEERING awry&~} al February, 9, 2015 To: Mr. Craig Carlson Senior Building Inspector City of Menifee, CA. Client: Mr. Stephen Durand C/O Sechanapa Corp. 28039 Scott Road, No. D220 Murrieta, CA. 92563-7479 Regarding: Letter of Retention for civil engineering services CV Case No. CE-14-0866 and Plans Submittal 26954 Keller Road, Menifee, CA. Gentlemen: This letter is to inform the City of Menifee, that Mr. Stephen Durand (subject property owner) has retained Lakeshore Engineering to perform the following: a)Act on property owners behalf regarding plan submittals and b) Prepared the civil engineered plans for plan check submittal. It is our understanding that the city is allowing one permit to be obtained for the Pool, Gazebo and Patio combined. Our projected time line to complete the working drawings, structural calculations and verification of rooting/foundation, ready for I st. review submittal is in the order of 30 days. The restoration grading plan will also be completed for plan check submittal in 30 days. Regarding the demolition of detached structure, (tear down and haul off),projected completion time line is in the order of 90 days. If there are any other concerns, please contact the undersigned at your convenience, preferable via e-mail, address provided at footer below. Respectfully submitted fe4votiw Fen Yong, RCE 37442, Exp.6/30/16 26811 Hobie Circle, Ste. 13, Murrieta, CA.92562 (951) 329- 6730; E: lakeshoreen ineeringyahoo.com i SCOI'T MORIZISON & ASSOCIATES � P.O. Box 55329 31855 Date Patin Drive, Ste 31007 Riverside, CA 92517 Cathedrat City- CA 92234 909)624-1665 (760)323-7743 i ASBESTOS SURVEY REPORT Completed On February 05, 2015 PL P410203##0501 Client. Sechanapa Corp. 28039 Scott Road, #D-220 Murrieta, CA 92563 Project: 26954-A Keller Rd Menifee, CA 92584 (detached guest house to be demolished only) S On February 03, 2015 an asbestos inspection and bulk sampling was conducted at the above project address. Bulk samples were taken of all suspect asbestos-containing materials at the request of the client named above. Bulk samples were taken/ analyzed by Scott Morrison & Associates (DOSH #92-0248) and submitted to Carolina Environmental, Inc. (upon request) located at: 107 New Edition Court in Cary. NC (NVLAP Code 101768-0 and Cal. Environ, Lab. Can. #2483) to estimate the percentage of asbestos by volurne and determine the type(s) present. Carolina Environmental, Inc. determines percentages and type of asbestos by using EPA. approved method 600/M4-82-020 Interim Method for the Determination of Asbestos in Bulk Samples. Bulk samples are analyzed by PLM (Polarized Light Microscopy). Asbestos is quantified using the visual arena estimation technique and can only determine the approximate percentage of asbestos present. After a thorough search is conducted and no asbestos is detected "none detected' will be noted in the report, The essence of polarized light microscopy is not to emphatically determine that no asbestos is present, merely that none was detected or, if it was, it was likely to be less than 1.0% of the sample. When findings reveal less than or close to 1.0% asbestos contained in a sample, further analysis may be called for on additional samples to cionfirm or denounce the initial findings. The California Code of Regulations (CCR 1529) requires bulk sampling to be conducted according to the A.I-1_E R_A protocol provisions of 40 CFR Part 763,86, The A.H.E.R.A_ protocol recommends three (3) or more friable surfacing samples from a homogenous area be collected and analyzed before any building material is determined to be non-asbestos containing. Scott Morrison & Associates conducts asbestos inspection surveys following the A.H.E.R.A. inspection protocol. ASBESTOS INSPECTION BY: Scott C. Morrison, DOSH # 92-0248 The results on the following page(s) indicate that asbestos (greater than 1.0%) was detected In r00) of the 05) samples analyzed. SCOTT MORRISON k' ASSOCIATE'S P.O. Box 55329 31955 Date Patin Elmc_ Ste 39507 Rivciside, CA 925 17 Cathedral Cite, CA 92274 (909)624-1665 (760)32.3-7743 PLM0203#0501 Sample #SC-1 Type of material: final coat (over drywall) Location: interior E. wall, living room Area: throughout interior walls Condition: damaged/ Friable: no i Results: none detected Sample #SC-2 Typp—of-Arrtaterial: final coat (over drywall) Location: interior VV. wall, NW room area Area: throughout interior walls Condition: good/ Friable: no Results: none detected Sample #SC-3 Type of material: ceiling drywall Location: interior ceiling, living room Area: throughout interior ceilings Condition: good/ Friable: no Results none detected Sample#SC-4 Type of material: exterior wall stucco/It tan Location: exterior NE wall Area: throughout exterior walls Condition: good/ Friable: no Results: none detected Sample #SC-5 Type of material: roofing felt only/ black Location: under clay roof tiles + Area: throughout roof Condition: good/ Friable: no Results: none detected Inspector Scott C. Morrison Certified Asbestos Consultant DOSH#92-0248 s (2) 1 I 1 State: of California Division of Occupational Safety and Health Certified Asbestos Consultant Scott Crag Morrison --Name ------ 92-0248 Certification No. 7, 07/31115 Expires on "ms ceftu to n was issued by the Division ci �c,,LPaI"af Safety and Health as aMorzed by cctm-7180 at seq.of the Business and ti i SECHANAPA CORPORATION 28039 SCOTT RD,#0220 MURRIETA,CA92563 JANUARY 26,2015 CITY OF MENIFEE AND COUNTY OF RIVERSIDE THIS IS TO INFORM YOU THAT THE SECHANAPA CORPORATION HAS GIVEN PERMISSION TO FEN YONG OF THE LAKESHORE ENGINEERING COMPANY TO REPRESENT THE SECHANAPA CORPORATION ON ALL ISSUES RELATED TO THE PROPERTY LOCATED IN THE CITY OF MENIFEE 26954 KELLER RD, CALIFORNIA.THIS INCLUDED ACCESS TO ALL INFORMATION ON THE PROPERTY,AUTHORITY TO SPEAK AND MAKE COMMITMENTS ON BEHALF OF THE SECHANAPA CORPORATION AND RECEIVE AND SUBMIT ALL DOCUMENTS REQUIRED. SINCERELY, . SECHANAPA eORPORATION STEPHEN DURECTOR A notary public or other officer completing this certificate verges only the identity of the individual who signed the I documenf to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document STATE OF. COUNTY OF 1'1VE'Y, 1!'QCJ On ' _{2 �r-y before me,�( IV �ta f��rrk-n'('t 1 1�til�'ll`G (Date) ( ame and title o th' e offlce�) personally appeared S l E'11-Wn �kirrN ,who proved to me on the basis of `�'�ame o�parson sign ng satisfactory evidence to be the ppersoniW whose name�yy Is/ayd subscribed to the within instrument and so nowledged to me that he/sy;Zt y executed the same to his(h�f/ter authorizad capacity? and that by his/I}efltF)¢IP signature on the Instrument the person or the entity upon behalf of which the persoo(s)acted,execu a the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and rmrrect. WIT t5S y hand and ipI seal. - ---- RENA N. A JJJ Commission#206 2062563 Notary Public-California z 6L z -., Riverside County ?; ignature of officer My Comm.Expires Mar 28,2018 LAKESHORE City of Menifee ENGINEERING Building & Safety Dept. 65T19S7 FEB 0 9 2015 February, 9,2015 Received To: Mr. Craig Carlson Senior Building Inspector City of Menifee, CA. Client: Stephen Durand C/O Sechanapa Corp. 28039 Scott Road,No. D220 Murrieta, CA. 92563-7479 Regarding: Transmittal Letter CV Case No. CE-14-0866 and Plans Submittal 26954 Keller Road, Menifee, CA. Gentlemen: Per our last week's over counter meeting and agreement of "to do list", please find the following attachments: 1. Copy of Demo. Permit for the detached structure (w/asbestos report). 2. Letter of retention form client for civil engineering services(prepare restoration/grading plan, Submit applications for accessory structures—pool, patio and gazebo). 3.Authorization letter, notarized, to act on property owner's behalf. Hope this satisfy the city's need at this time. If there are any other concerns, please contact the undersigned, preferable via e-mail, at your convenience. Respectfully submitted 1� Vy&VLW Fen Yong, RCE 37442, Exp.6/30/16 26811 Hobie Circle, Ste. 13, Murrieta, CA.92562 (951) 329- 6730; E: lakeshoreengineerine(cilyahoo.com