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PMT15-01328 City of Menifee Permit No.: PMT16-01328 29714 HAUN RD. Type: Commercial Addition �/-�CCEUA- MENIFEE, CA 92586 --lS.ol— MENIFEE Date Issued 0511312016 PERMIT Site Address: 28377 ENCANTO DR, MENIFEE, CA Parcel Number: 336-030-009 92586 Construction Cost: $48,000.00 Existing Use: Proposed Use: Description of NEW GATE, FENCES&BLOCK WALL Work: Owner Contractor VILLAGIO,LP 17992 COWAN IRVINE, CA 92614 Applicant License Number: ALI FARTASH 17992 COWAN IRVINE, CA 92614 Fee Description 01t rr Amount($t Receptacle, Switch, Outlet&Fixture 27 246.00 Plan Check Fee 410 410.00 Building Permit Issuance 1 27.00 Wall/Fence, non-standard 1 133.00 Wall/Fence, non-standard 8 1,064.00 Additional Plan Review Building 300 300.00 GREEN FEE 1 2.00 SMIP COMMERCIAL 1 14.00 General Plan Maintenance Fee-Building 1 53.20 General Plan Maintenance Fee-Electrical 1 12.30 $2,261.50 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 property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure underthe Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the f Ilowing website: by Section 3700 of the Labor Code,for the performance of work for which &PROPERTYO tacton this permit Is issued. Policy# Date ❑1 have and will maintain worker's compensation insurance,as required by D AGE JT section 3700 of the Labor Code,for the performance of the work for which o each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires the ent t €above id ra pro r[y for in ectiDa purpose (This section need not to be completed is the permit is far one-hundred Oates dollars($100)or less PE IfY OWNE OR AUTHORIZEDAG N ❑I certify that in the performance of the work for which this permit Is issued, I shall not emolov any persons in any manner so as to become subject to the ITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide.' WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37116 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ❑No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of hereby affirm under penalty of perjurythat I am exempt from the California Contractor hazzardou s License Law for the reason(s)indicated below by the Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 DYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation far most work that disturbs paint Ina ply w78 an Applicant for a permit subjects the applicant to a civil penalty of not more residence ra childcare facility es re RRP-certified firms and comply with than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: c pensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided thatthe improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required forthis project because: AI,as owner of the property am exclusively contracting with licensed c tractors to construct the project(Section 7044,Business and Professions Co e:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION � z 'Ienifee DATE v ti PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL Vv11ULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECT ADDRESS ASSESSOR'S PARCEL NUMBER 02�0 CPq& LOT _ TRACT �3 OWNER NAME ADDRESS PHONE � ;JZ14 9 4 (429 EMAIL APPLICANT NAME I Cp M ADDRESS PHONE �f L-4 tj�(.� L.l�� EMAIL CONTRACTOR'S NAME \ L.tl Ir OWNER BUILDER? YES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$L DO ' J S FT L SO FT �- r APPLICANT'S SIGNATUR DATE o I7 DEPARTMENT DISTRIBUTION so CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN X SMIP INVOICE PAID AMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.usInspection Request Line 951-246-6213 evev P► CITY OF MENIFEE j"FNIFE#, Planning Department APPLICATION FOR CONCURRENT PROCESSING This is an application to request that the review construction plans concurrently with the Planning Department's processing of the related development application. Please complete the required information and sign the waiver and assumption of risk, and return the completed application to the Planning Department. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED PLANNING APPLICATION NO: 7_pl rp _ O DATE SUBMITTED: I I� APPLICATION INFORMATION Applicant's Name: 4L`t& � E-Mail: l I� LrA5 Mailing Address: _ 2219 1t4c-- C.0�1 f— n F� Street V City 1 State ZIP Daytime Phone No: Q 14 ) 5Lq !!J I-0 Fax No: ('Jt4J ) Z1!r2 T � As applicant for the above-referenced project, I/We hereby request that the ❑ Public Works Department accept construction plans for review concurrent with the Planning Department's processing of the applicable development applications. As applicant for the above referenced project, I/We acknowledge that acceptance of plans by the Department of Public Works for review prior to final action on the proposed project does not explicitly or implicitly suggest that the project will receive final approval. I/We assume the full risk that the plans submitted at this time may not ultimately conform to the approved project or any changes necessitated by the final conditions of approval, or that the subject proposed project may ultimately be denied. I/We recognize that any fees submitted to the Department of Public Works for the processing of plans may be nonrefundable if this project is ultimately denied, or if subsequent project redesign or the final conditions of approval result in the requirement for changes in the plans, and that additional fees may be required by the Department of Public Works for the processing of plans required due to project redesign. I/We further acknowledge that acceptance of construction plans and the payment of fees to the Department of Public Works does NOT obligate the Planning Department to support a proposed roject design. PRINTED NAME OF APPLICANT SIGNAT RE OF APPLICANT 29714 Haun Road Menifee, Califomia 92586 (951)672-6777 • Fax (951)679.3843 Forrn 295-10 15(04109112) Page 1 of 2 APPLICATION FOR CONCURRENT PROCESSING DATE: TO: FROM: PLANNING DEPARTMENT RE: REQUEST FOR CONCURRENT PROCESSING PLANNING APPLICATION NO. The applicant for the above referenced case has requested that the Department of Public Works accept construction plans concurrent with the filing of the above referenced planning case. The Planning Department has no objection to the acceptance of such plans by the Department of Public Works pending a final decision on the subject planning application. Concurrent review does not explicitly or implicitly suggest that the specific project design has been found acceptable at this time. The applicant assumes the full risk that a project redesign, approved conditions of approval, or denial of the project may make the construction plans unacceptable or moot, and that any or all of the fees for the processing of the plans may be nonrefundable. Acceptance of construction plans and the payment of fees to the Department of Public Works does NOT obligate the Planning Department to support or approve a proposed project design. ADDITIONALLY, NO PERMITS SHALL BE ISSUED BY THE DEPARTMENT OF PUBLIC WORKS PRIOR TO AN APPROVAL OF THE ABOVE REFERENCED DEVELOPMENT PROPOSAL, AND ISSUANCE OF THE FINAL CONDITIONS OF APPROVAL BY THE PLANNING DEPARTMENT. CITY OF MENIFEE PLANNING DEPARTMENT As applicant for the above referenced project, I/We acknowledge that acceptance of plans by the Department of Public Works for review prior to final action on the project proposal does not explicitly or implicitly suggest that this project will receive final approval. I / We assume the full risk that the plans submitted at this time may not ultimately conform to the approved project or any changes necessitated by the final conditions of approval, or that the subject proposal may ultimately be denied. I/We recognize that any fees submitted to the Department of Public Works for the processing of plans may be nonrefundable if this project is ultimately denied or if subsequent project redesign or the final conditions of approval result in the requirement for changes in the plans, and that additional fees may be required for the processing of plans due to project redesign. I/We further acknowledge that acceptance of construction plans and the payment of fees to the Department of Public Works does NOT obligate the Planning Department to support or approve a proposed project design. PRINTED NAME OF APPL ICANT SIGNATURE OF APPLICANT Forni 295.1015(.04109/12) Page 2 of 2