PMT15-01984 i
City of Menifee Permit No.: PMT15-01984
29714 HAUN RD, {
CM MENIFEE, CA 92586 Type: Residential Addition _
am+emm�x s�",ten MENIFEE Date Issued: 07/14/2015
i
PERMIT
Site Address: 24280 CONEJO DR, MENIFEE, CA 92587 Parcel Number: 341-190-029
Construction Cost: $0.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of HOURLY INSPECTION TO FINAL DETACHED 704 SO FT 3-CAR GARAGE PREVIOUSLY PERMITTED
Work: BY RIVERSIDE COUNTY BXX015582
Owner Contractor
NANCY BLAIR
24280 CONEJO DRIVE
MENIFEE, CA 92587
Applicant License Number:
MENIFEE, CA
Phone: 9512462509
Fee Description Qtv Amount
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
forfeited.
AA_Bldg_Permit_Ter late.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 License No. who builds or improves thereon, and who contracts for the projects with a
Expires Signature licensed contractors)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from licensure 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 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
000rr at the following Web site:hh :// v.le info.ca. ov/calaw.himl.
permit is issued.My workers'compensation insurance carrier and policy number are: —~ ' �� �� ��.-[`>!l5�
Carrier Pro erty Own r ut ero onzed ent Date
Expires Policy#
Name of Agent Phone# El 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-
El I 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 �j �subject /S—
to the workers'compensation provisions of Section 3700 of the Labor property Owner rAuthorized A ent Date
Code,I shall forthwith comply with those provisions.
City Business License#
Date; Applicant;
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, DYES OCCUPANT HANDLE A 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
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty 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 Stale 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 AEPORI'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).
APPLICATION
a'
A ,i Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: 01 COMMERCIAL C% RESIDENTIAL C' MULTI-FAMILY $MOBILE HOME ^.. POOL/SPA C) GN
SUBTYPE: C, ADDITION 0 ALTERATION +Ei DEMOLITION - ELECTRICAL C MECHANIC kLlldin a lfee
9 $ Saf ty Dept.
0 NEW Ci PLUMBING C RE-ROOF-NUMBEROFSQUARES JUL C
DESCRIPTION OF WORK :I•- �' r O�J
/ /'�_� i ed
PROJECT ADDRESS 4/ 90 Ih e� C� .
ASSESSOR'S PARCEL NUMBER 3 / I — 190—C)d /-2LOT C L TRACT � �(p
OWNER NAME Mfa ^ �(' 91 y �.ep
ADDRESS �/�,�C7 cone � l;/-
PHONE 25o i EMAIL
APPLICANT NAME v L K A k, \F-
ADDRESS y Bra w1e10 Or
PHONE oZL/(p-�.S��J EMAIL
CONTRACTOR'S NAMEOS OWNER BUILDER? fd YES C NO
BUSINESS NAME �..�
ADDRESS -0 7om -4--6- 79�T,4 �t ' C�,S r- Q,
-PHONE [4Fs77—G�njg/7f��"`"'EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT "%CASH CHECK# `%CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT Cl CASH �>CHECK# t.�CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED ()YES Q NO OIL NUMBER NOTARIZED LETTER 0 YES =' NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-677 7
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee
building & Safety Dept.
JUL 14 2015
Received
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City of
Building & Safety Dept.
JUL 14 2015
Received
Activity Table
Processing MTSCELLANEOUS1
Permit No: BXX015582 Rpplicant: VRZQUES CRRLOS
Status: EXPIRED Rddress: 24280 CI DR QURI
Notice: LOT ON SEPTIC SYSTEM
T e: BLDG-MIS Vers: 0108 Screen: O1
Parcel No: 341-190-029
Owner: VRSOUEZ-MRRTINEZ CRRLOS
Status: EXPIRED Entered By: BB00 Process Fee ExemptCY/N) :
Rpp Type: PRGIPRIVRTE GRRRGE PERMIT
Description: DETACHED GARAGE
Location
FCC Code: OS # Bldgs: iPublic Owned:
OUT OF SCOPE
Valuation: 10,644.48
Occ Group: Type Const: Bldg SgFt:
Lot Size: 1.07 ACRESDepth: Frontage:
Insp Rrea: T003
>Front: Replied: ++ Plan Ck Exp: ++
Project> Left: 9 21200 Permit Expires: ++
Setback>Right: 12 2/2002Renewed=
> Rear: 75 4/2010 Orig Exp Date:
Enter Table Screen Number: 12 or ESC=Exit Table Processing F1=List Screens
i
s
Men
City of t
- � IMeh� � Building & Safety
y Dept. I
MISCELLANEOUS BLDG PRMT JUL 14 2015
PERMIT # : BXX015582 sQ"ejV@dZED
Job Address : 24280 CONEJO DR QUAI Issued: 05/02/2002
Work Desc : DETACHED GARAGE Expires : 04/21/2003
Parcel No: 341-190-029
Location: TG 867 F-1
Tract/Lot: RS 27/26 C0004642 Zoning:R-A
APPLICANT VAZQUES CARLOS Phone: 714 822-4918
22840 STERLING AVE #195, PALM SPRINGS, CA 92262
CONTRACTOR OWNER BUILDER
OWNER VASQUEZ-MARTINEZ CARLOS Phone: 760-320-1752
22840 STERLING AVE, PALM SPRINGS CA 92262
Inspection Items and Results t
Printed on 07/09/15 14 : 17 J
Item: 00001 PORTABLE TOILET Dept : @@BS@@@@ Division: @@
Item: 00002 SET BACKS Dept : @@BS@@@@ Division: @@
07/29/2002 71435 Action: APPR APPROVED Time: 00 : 00
Item: 00003 FOOTINGS AND FORMS Dept : @@BS@@@@ Division: @@
07/29/2002 71435 Action: APPR APPROVED Time: 00 . 00
Item: 00004 STEEL AND HARDWARE Dept : @@BS@@@@ Division: @@
07/29/2002 71435 Action: APPR APPROVED Time: 00 : 00
Item: 00005 GROUNDING ELECTRODE (S) Dept : @@BS@@@@ Division: @@ 1
Item: 00006 GROUND PLUMBING Dept : @@BS@@@@ Division: @@
Item: 00007 CONDUIT Dept : @@BS@@@@ Division: @@ \t
09/04/2002 71435 Action: APPR APPROVED Time: 00 : 00
Item: 00008 SLAB GRADE Dept : @@BS@@@@ Division: @@
07/29/2002 71435 Action: APPR APPROVED Time: 00 : 00
Item: 00009 BRACED WALLS-SHEAR WALLS' Dept : @@BS@@@@ Division: @@
09/04/2002 71435 Action: APPR APPROVED Time : 00 : 00
Item: 00010 ROOF DECK 1 — Dept : @@BS@@@@ Division: @@
09/04/2002 71435 Action: APPR APPROVED Time : 00 : 00
Item: 00011 PLENUMS AND DUCTS Dept : @@BS@@@@ Division: @@
Item: 00012 ROUGH ELECTRICAL Dept : @@BS@@@@ Division: @@
Item: 00013 ROUGH PLUMBING Dept: @@BS@@@@ Division: @@
Item: 00014 ATTIC VENTILATION Dept : @@BS@@@@ Division: @@
Item: 00015 FRAMING Dept: @@BS@@@@ Division: @@
09/17/2002 71435 Action: APPR APPROVED Time : 00 : 00
Item: 00016 FIREPLACE-PLATE LINE Dept : @@BS@@@@ Division: @@
Item: 00017 FIREPLACE-TOP OUT Dept : @@BS@@@@ Division: @@
Item: 00018 MECHANICAL FIREPLACE-ROUGH-IN Dept: @@BS@@@@ Division: @@
Item: 00019 INSULATION-WALLS (BATTS) Dept: @@BS@@@@ Division: @@
Item: 00020 INSULATION-CEILING (BATTS) Dept : @@BS@@@@ Division: @@
Item: 00021 INSULATION-CEILING (BLOWN) Dept: @@BS@@@@ Division: @@
Item: 00022 FLOOR INSULATION Dept: @@BS@@@@ Division: @@
Item: 00023 DRYWALL Dept: @@BS@@@@ Division: @@
Item: 00024 INTERIOR LATH Dept: @@BS@@@@ Division: @@
Item: 00025 EXTERIOR LATH Dept: @@BS@@@@ Division: @@
Item: 00026 BOND BEAMS LEVEL 1 Dept: @@BS@@@@ Division: @@
Item: 00027 BOND BEAMS LEVEL 2 Dept : @@BS@@@@ Division: @@
Item: 00028 BOND BEAMS LEVEL 3 Dept: @@BS@@@@ Division: @@
Item: 00029 BOND BEAMS LEVEL 4 Dept: @@BS@@@@ Division: @@
Item: 00030 BOND BEAMS LEVEL 5 Dept : @@BS@@@@ Division: @@
Item: 00031 GROUT Dept : @@BS@@@@ Division: @@
Item: 00032 WATER SERVICE Dept : @@BS@@@@ Division: @@
Item: 00033 SEWAGE DISPOSAL Dept : @@@@@@@@ Division: @@
Item: 00034 SEWER Dept : @@@@@@@@ Division: @@
Item: 00035 MECHANICAL VENTILATION Dept : @@BS@@@@ Division: @@
Item: 00036 WATER HEATER Dept : @@BS@@@@ Division: @@
Item: 00037 HEATING-AIR CONDITIONING Dept : @@BS@@@@ Division: @@
Item: 00038 SMOKE DETECTOR Dept: @@BS@@@@ Division: @@
Item: 00039 GROUNDING AND BONDING Dept: @@BS@@@@ Division: @@
10/23/2002 71435 Action: CO CORRECTION REQUIRED Time : 00 : 00
Item: 00040 SERVICE PANEL Dept : @@BS@@@@ Division: @@
Item: 00041 BUILDING GAS TEST Dept : @@BS@@@@ Division: @@
Item: 00042 POOL-BARRIER-ALARMS Dept : @@BS@@@@ Division: @@
Item: 00043 T-BAR CEILING Dept : @@BS@@@@ Division: @@
Item: 00044 FIREWALL 1ST LAYER Dept : @@BS@@@@ Division: @@
Item: 00045 PIERS AND ATTACHMENTS Dept : @@BS@@@@ Division: @@
Item: 00046 PRECISE GRADE Dept: @@BS@@@@ Division: @@
Item: 00047 LAND USE Dept : @@BS@@@@ Division: @@
Item: 00048 TEMPORARY POWER Dept : @@BS@@@@ Division: @@
Item: 00049 PERMIT FINAL Dept : @@BS@@@@ Division: @@
10/24/2002 03204 Action: DENY NO ACCESS Time : 00 : 00
Additional info at www. rctlma.org