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)
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