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PMT15-01195 City of Menifee Permit No.: PMT15-01195 29714 HAUN RD.MENIFEE, CA 92586 Type: Residential Alteration MENIFEE Date Issued: 0 510 712 01 5 PERMIT Site Address: 29238 GLENCOE LN, MENIFEE, CA Parcel Number: 372-370-033 92584 Construction Cost: $0.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of HOURLY INSPECTION FOR FIRE SPRINKLER INSTALLATION FOR SENIOR CARE FACILITY Work: Owner Contractor LUCY JOCSON NICHOLAS DOMINICK FIRE PROTECTION 29238 GLENCOE LN 16641 PINNACLE PEAK CT MENIFEE, CA 92584 RIVERSIDE, CA 92503 Applicant Phone: 9516871668 NICHOLAS DOMINICK License Number: 682276 NICHOLAS DOMNICK FIRE PROTECTION 16641 PINNACLE PEAK CT RIVERSIDE, CA 92503 Fee Description Qtv Amount($1 Inspections not specified 129 129.07 $156.07 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 o, 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 E31, 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 gnd_effffe�� 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 Expire Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ¢1I am exempt from licensure under the Contractors'State License Law for the 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. built as an owner-building if it has not been constructed in its entirety by licensed Policy# 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'/lwww.leuinfo.ca.govicalaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property OwnAuthorized 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- certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not emolov any persons in any manner so 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. �` t^�� I City Business License# Date; Applicant; .� G �r^5 1✓r/V', C.1\ 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, pYES 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 pAO 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 AYES 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 E: � � � I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAM !'�ca s. 3._ rrp"v�7 4- __k 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 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 IkEPOR1 ING. compensation,will do ( )all of or( )porting of t"work, and the structure is PROPERTY OWNER OR A1dTHORIZED 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). Pe n V cJ i (1� 5 I c ✓�S� A l+ BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION M1 1'i �.. Menifee DATE 1 /� PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL tKBESIDENTIAL O MULTI-FAMILY O MOBILE HOME <% POOL/SPA C SIGN SUBTYPE: " ADDITION =%ALTERATION O DEMOLITION 0 ELECTRICAL C MECHANICAL % NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES( DESCRIPTION OF WORK 5 e✓� PROJECTADDRESS Gje coo eVlllf-e-I c Or ASSESSOR'S PARCEL NUMBER 37 Z �ml00.0 LOT _ TRACT Q -I OWNER NAME L. uc l GGS ADDRESS 7_GIZ-3 C�IP✓tCo�. eVlirFe� G19" PHONE EMAIL .( APPLICANT NAME ,�C 14& C) M 6 Ci ADDRESS �yL'.- CZ O ✓° G PHONE as► - Ld- 147- EMAIL 'C O CONTRACTOR'S NAME OWNER BUILDER? OYES NO BUSINESS NAME /G q, VVY, �G) 1 �'- O O{r) ADDRESS 'e . G PHONE �1S'I-�07- 13 L4 7 EMAIL /✓/GI\ CONTRACTOR'S STATE LIC NUMBER G'"7 '� :76 LICENSE CLASSIFICATION VALUATION $ SO FT L SO FT APPLICANT'S SIGNATURE -L- DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAID AMOUNT AMOUNT *-"CASH C%CHECK# O'CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT ^CASH %CHECK# DCREDITCARD VISA/MC OWNER BUILDER VERIFIED YES NO DL NUMBER NOTARIZED LETTER C% YES 'rl NO City of Menifee Building &Safety Department 29714 Houn Rd. Menifee, CA 92585 951-6 72-6777 www.cityofinenifee.Lis Inspection Request Line 951-246-6213 `� SL�.1lC7�cam. Riverside County Parcel Report Page 1 of 6 . Riverside County Parcel Report Date: Thursday, May 07, Report 2015 APN 372-370-033 Disclaimer MAPS/IMAGES 1 Piew 81EltRhCoLock LU $ ..•.' r �r PARCEL APN 372-370-033-2 Supervisorial District MARION ASHLEY, 2011 DISTRICT 5 Supervisorial District JEFF STONE, DISTRICT 2001 3 Previous APN 372080027 Township/Range T6SR3W SEC 12 Address 29238 GLENCOE LN Elevation Range No Elevation Range MENIFEE, CA 92584 available Mailing Address 38947 LONE CIR Thomas Bros. Map PAGE: 868 GRID: H4 MURRIETA CA, CA Page/Grid 92563 Legal Description Recorded Book/Page: Indian Tribal Land Not in Tribal Land MB 375/54 Subdivision Name: TR 30948 Lot/Parcel: 54 Block: Not Available Tract Number: 30948 Lot Size Recorded lot size is City City Boundary: 0.18 acres Boundary/Sphere MENIFEE Not within a City Sphere Annexation Date: Not Applicable LAFCO Case #: 2007- 40-3&5 Proposals: Not Applicable http://tzvmagOl.rivcoit.org/Riverside Report/PublicAPN_Report.aspx?APN-372370033&Lat=21880... 5/7/2015 Riverside County Parcel Report Page 2 of 6 PARCEL Property Constructed: 2006 March Joint Powers NOT WITHIN THE Characteristcs Baths: 2.50 Authority JURISDICTION OF THE Bedrooms: 5 MARCH JOINT POWERS Central Cool: Y AUTHORITY Central Heat: Y Const. Type: WOOD FRAME Garage Type: A Prop Area: 2155 Sq Ft Roof Type: TILE Stories: 1 County Service Area In or partially within SUN CITY #84 - Street Lighting PLANNING Specific Plans Not within a Specific Historic Preservation Not in an Historic Plan Districts Preservation District Land Use CITY Agricultural Not in an agricultural Designations Preserve preserve General Plan Policy Not in a General Plan Redevelopment Not in a Overlays Policy Overlay Area Areas Redevelopment Area Area Plan (RCIP) Sun City/ Menifee Airport Influence Not in an Airport Valley Areas Influence Area General Plan Policy None Airport Compatibility Not in an Airport Areas Zones Compatibility Zone Zoning See the city for more Zoning Districts and Not in a Zoning Classifications (ORD. information Zoning Areas District/Area 348 Zoning Overlays Not in a Zoning Overlay Community Advisory Not in a Community Councils Advisory Council Area ENVIRONMENTAL CVMSHCP (Coachella NOT WITHIN THE WRMSHCP (Western Not in a Cell Group Valley Multi-Species COACHELLA VALLEY Riverside County Habitat Conservation MSHCP FEE AREA Multi-Species Plan) Plan Area MSHCP Plan Area Habitat Conservation Plan) Cell Group CVMSHCP (Coachella Not in a Conservation WRMSHCP Cell None Valley Multi-Species Area Number Habitat Conservation Plan) Conservation Area CVMSHCP Fluvial Not in a Fluvial Sand HANS/ERP (Habitat None Sand Transport Transport Special Acquisition and Special Provision Provision Area Negotiation Areas Strategy/Expedited Review Process) WRMSHCP (Western None Vegetation (2005) Grassland Riverside County http://tzvinagO l.riveoit.org/Riverside_Report/PublicAPN_Report.aspx?APN=372370033&Lat=21880... 5/7/2015 Riverside County Parcel Report Page 3 of 6 ENVIRONMENTAL Multi-Species Habitat Conservation Plan) Plan Area FIRE High Fire Area (Ord. Not in a High Fire Area Fire Responsibility STATE 787) Area RESPONSIBILITY AREA DEVELOPMENT FEES CVMSHCP (Coachella NOT WITHIN THE RBBD (Road & SCOTT , A Valley Multi-Species COACHELLA VALLEY Bridge Benefit Habitat Conservation MSHCP FEE AREA District) Plan) Fee Area (Ord MSHCP Fee Area 875) WRMSHCP (Western IN OR PARTIALLY DIP (Development SUN CITY/MENIFEE Riverside County WITHIN THE WESTERN Impact Fee Area Multi-Species Habitat RIVERSIDE MSHCP FEE Ord. 659) Conservation Plan) AREA. SEE MAP FOR Fee Area (Ord. 810) MORE INFORMATION Western TUMF IN OR PARTIALLY SKR Fee Area In or partially within an (Transportation WITHIN A TUMF FEE (Stephen's Kagaroo SKR Fee Area Uniform Mitigation AREA. SEE MAP FOR Rat Ord. 663.10) Fee Ord. 824) MORE INFORMATION. SOUTHWEST Eastern TUMF NOT WITHIN THE DA (Development Not in a Development (Transportation EASTERN TUMF FEE Agreements) Agreement Area Uniform Mitigation AREA Fee Ord. 673) TRANSPORTATION Circulation Element Not in a Circulation Road Book Page 117 Ultimate Element Right-of-Way Right-of-Way Transportation Not in a Transportation Agreements Agreement CETAP (Community Not in a CETAP Corridor and Environmental Transportation Acceptability Process) Corridors HYDROLOGY Flood Plan Review Not Required Watershed SAN JACINTO VALLEY Water District EMWD California Water None Board Flood Control District RIVERSIDE COUNTY FLOOD CONTROL DISTRICT http://tzvmagOl.riveoit.org/Riverside Report/PulplicAPN Report.aspx?APN-3 723 7003 3&Lat=21880... 5/7/2015 Riverside County Parcel Report Page 4 of 6 GEOLOGIC Fault Zone Not in a Fault Zone Paleontological Undetermined Sensitivity Potential" AREAS UNDERLAIN BY { SEDIMENTARY ROCKS FOR WHICH Faults Not within a 1/2 mile of LITERATURE AND { a Fault UNPUBLISHED STUDIES ARE NOT AVAILABLE HAVE UNDETERMINED --- --- - -- --- -- !. POTENTIAL FOR Liquefaction Very low CONTAINING Potential SIGNIFICANT PALEONTOLOGICAL RESOURCES. THESE AREAS MUST BE INSPECTED BY A FIELD '.. SURVEY CONDUCTED Subsidence Susceptible BY A QUALIFIED VERTEBRATE PALEONTOLOGIST. MISCELLANEOUS School District MENIFEE UNION Tax Rate Areas 026148 &PERRIS UNION HIGH CITY OF MENIFEE CITY OF MENIFEE FIRE Communities Menifee PROTECTION COUNTY FREE LIBRARY CROSS REFERENCE IS Lighting (Ord. 655) Zone B, 27.08 Miles INVALID From Mt. Palomar CSA 152 Observatory EASTERN MUNICIPAL WATER 2010 Census Tract 042739 EMWD IMP U-3 . EMWD IMP U-36 FLOOD CONTROL Farmland URBAN-BUILT UP LAND ! ADMINISTRATION FLOOD CONTROL ZONE 4 Special Notes No Special Notes GENERAL GENERAL PURPOSE MENIFEE SCHOOL METRO WATER EAST 1301999 MT SAN JACINTO JUNIOR COLLEGE PERRIS AREA ELEM SCHOOLFUND PERRIS JR HIGH AREA FUND PERRIS UNION HIGH SCHOOL PERRIS VALLEY CEMETERY RIV CO REG PARK & OPEN SPACE RIV. CO. OFFICE OF EDUCATION SAN JACINTO BASIN RESOURCE CONS SERVICE AREA# 145- MENIFEE SERVICE AREA # 33 -MENIFEE SERVICE AREA # 84 - MENIFEE SERVICE AREA # 86 http://tzvmagOl.riveoit.org/Riverside Report/PublicAPN Report.aspx?APN=3 723 7003 3&Lat=21880... 5/7/2015 Riverside County Parcel Report Page 5 of 6 MISCELLANEOUS -MENIFEE VALLEY HEALTH SYSTEM HOSP DIST VALLEY WIDE REC & PARK PERMITS/CASES/ADDITIONAL Building Permits Case # Description Status BAR060679 REMODEL INTERIOR- NEW DOORS, CONVERT FINAL TO BDRMS BEL041120 CAN PEDESTAL FOR TR30948 FINAL BGR031000 'ROUGH GRADING FOR TR30948 FINAL BGR031000 ROUGH GRADING FOR TR30948 FINAL BPT061490 SOLID PATIO COVER ( COUNTY STANDARD ) NO FINAL UTILITIES BRS057006 DWELLING W/ATTACHED GARAGE PLAN 1A FINAL Environmental Health Permits Case # Description Status No Environmental Not Applicable Not Applicable Health Permits Planning Cases Case # Description Status CFG02394 EA38943 PAID CFG02394 EA38943 PAID CZ06765 PROPOSING R-1 FROM A-1-5 AND R-1 FOR 'APPROVED SCH"A" MAP CZ06765 PROPOSING R-1 FROM A-1-5 AND R-1 FOR 'APPROVED SCH"A" MAP EA38943 INITIAL STUDY FOR SCH"A"TR30948 MAP 'APPROVED EA38943 INITIAL STUDY FOR SCH"A"TR30948 MAP APPROVED MT056082 TR30948 LOT42-59, 66-68, 85-88 PAID MT057645 TR30948 LOT42-59, 66-68, 85-88 'PAID MT057646 TR30948 LOT42-59, 66-68, 85-88 PAID MT057647 'TR30948 LOT42-59, 66-68, 85-88 PAID PAR00429 APPROVED PAR00429 APPROVED PDB02564 RECEIVED PDB02564 RECEIVED PP19069 MODEL COMPLEX/SALES OFFICE/LANDSCAPE APPROVED PLANS PP19069 MODEL COMPLEX/SALES OFFICE/LANDSCAPE APPROVED PLANS PP19288 FINAL SITE OF DEV FOR TR30948 ALL LOTS APPROVED PP19288 FINAL SITE OF DEV FOR TR30948 ALL LOTS APPROVED PP20261 PP FOR LANDSCAPING/IRRIGATION FOR APPROVED TR30948\1-113-190 http://tzvmagOl.riveoit.org/Riverside Report/PublicAPN_Report.aspx?APN=372370033&Lat=21880... 5/7/2015 Riverside County Parcel Report Page 6 of 6 PERMITS/CASES/ADDITIONAL PP20261 PP FOR LANDSCAPING/IRRIGATION FOR APPROVED TR30948\L113-190 PP20262 PP FOR LANDSCAPING/IRRIGATION FOR APPROVED TR30948(LOT 184) PP20262 PP FOR LANDSCAPING/IRRIGATION FOR APPROVED TR30948(LOT 184) PP20377 PP FOR LNDSCP/IRRIG/FENCE&WALLS FOR WITHDRWN TR30948/1-1-112 PP20377 PP FOR LN DSCP/IRRIG/FEN CE&WALLS FOR WITHDRWN TR30948/1.1-112 PP20422 LANDSCAPE/WALL PLAN FOR HOA FUEL APPROVED MODIFICATION AREA PP20422 LANDSCAPE/WALL PLAN FOR HOA FUEL APPROVED MODIFICATION AREA SBA05547 MODIFIED SETBACK ADJUSTMENT FOR SIDE- APPROVED ENTRY GARAGES SBA05547 MODIFIED SETBACK ADJUSTMENT FOR SIDE- APPROVED ENTRY GARAGES TR30948 SCH"A"SUBDIVISION 79 AC INTO (193)LOTS-- APPROVED SEE#11--- TR30948 SCH"A"SUBDIVISION 79 AC INTO (193)LOTS-- APPROVED SEE#11--- Code Cases Case # Description Status No Code Cases Not Applicable Not Applicable http://tzvmagOl.riveoit.org/Riverside Report/PublicAPN Report.aspx?APN=372370033&Lat=21880... 5/7/2015