PMT15-02582 City of Menifee Permit No.: PMT15-02582
29714 HAUN RD.
�l-\CCISCA— MENIFEE,CA 92586 Type: Residential Addition
"''AWt. " MENIFEE Date Issued: 01/29/2016
PERMIT
Site Address: 24382 CONEJO DR, MENIFEE, CA 92587 Parcel Number: 341-180-040
Construction Cost: $50,956.08
Existing use: 1 &2 Family Residence Proposed use:
Description of NEW DETACHED GARAGE 28'X 42'
Work: REFERENCE BGR030472 FOR GRADING APPROVALS CTC
Owner Contractor
BRIAN HOPWOOD PRECIS DEVELOPMENT INC
24382 CONEJO DR 36625 KEVIN RD STE 147
MENIFEE,CA 92587 WILDOMAR,CA 92595
Applicant Phone:9516969400
PRECIS DEVELOPMENT INC License Number.952305
36625 KEVIN RD STE 147
WILDOMAR, CA 92595
Fee Description Pl Amount l$1
Services, Switchboards,Control Centers&Panels 1 - 116.00
Receptacle, Switch, Outlet&Fixture 31 266.00
Plumbing Fixtures and Vents,fixtures 1 116.00
Plan Check Fee 103 102.50
Plan Check Fee 51 51.25
Sewer 1 150.00
Building Permit Issuance 1 27.00
Additional Plan Review Building 210 210.00
GREEN FEE 1 3.00
SMIP RESIDENTIAL 1 7.00
New Construction Permit Fee 1 234.40
General Plan Maintenance Fee-Plumbing 1 13.30
General Plan Maintenance Fee-Electrical 1 1910.
General Plan Maintenance Fee-New 1 11.72
Construction
$1,327.27
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 ❑ lam exempt from Ilcensure under the Contractors'State License Law for the
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence it
Professions Code and my license is in full force and effe which I must have resided for at least one year prior to completion o
License Class L' +/ i3 Ucense, 0. � 5— improvements covered by this permit, I cannot legally sell a structure that I have
Expires PjL/l/o Signature p built as an owner-building if it has not been constructed in its entirety by Iicensec
contractors. I understand that a copy of the applicable law,Section 7044 of the
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto//www leeinfo.ca.aov/ralaw.html.
I have and will maintain a certificate of consent of self4nsure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is Issued. - Property Owner orAuthodzed Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the propery
I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
action 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to complt
permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
S f construction.I authorize representatives of this city or county to enter the above
Cartier ram,,--�1(l3/77P �'�✓Y/ // / identified property for the inspection purposes.
Policy# ���2 ?_7N Expires 2l l41 1� Date
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emoiev any persons in any manner so as to became subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. 1 ❑YES ❑NO
11
Applicant;� Date; Z9` �l� Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAOMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND AYES ❑NO
CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES ❑NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS DYES ❑NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5. Business and Professions Code:
Any city or county that requires a permit to construct, alter, improve,demolish, EPA RENOVATION,REPAIR AND PAINTING IRRP1
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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firths and comply with
she is exempt from Iicensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPKs Renovation Program visit:
El 1, as owner of the roe www.epa.gov/lead or contact the National Lead Information Center at
property,rty, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work, and the structure is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the Improvements are not intended or offered for sale.If,however, Certified Firm Name:
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 Finn Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILt::)ING & SAFETY PERMIT/PLAN CHECK APPLICATION - -a
DATE PERMIT/PLAN CHECK NUMBER T[IMECHANICAL
TYPE: ❑COMMERCIAL ®RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME SPA
❑SIGN
SUBTYPE: ®ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL
®NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
OESCRIPnON OF WORK _D ZgX 42.
pROJECTADDRE55 2 z Cpo 6 DtL, , /„_ ( (fA- 22-5-87
ASSESSOR'S PARCEL NUMBER 341 - ISO --b40 LOT TRACT
OWNERNAME IK}4�1
ADDRESS ZE!!ad
PHONE C[ 7��� 3Z-3 -(FO / EMAILAPPLICANT NAME Q, LADDRESS 3 ')-5 � S
PHONE 9�� Sp�b-r�tto EMAIL ^eL 0 Ali. rn
CONTRACTOR'S NAME 4291 Lem OWNER BUILOER� YES
BUSINESS NAME �F�c.l
ADDRESS C',JE�6L/S ��EVfly Imo, SJ -� /47 VVI ram{' C{— �Z
PHONE EMAIL 6/14r7 /P1� . Co
CONTRACTOR'S STATE LIC NUMBER 'y
G�C ` Z ZJ O S
VALUATION LICENSE CLASSIFICATION 15 - G
$ 4✓ .Ug
N
j APPLICANT'S SIGNATURE SQ Fl. L SQ FT
DATE S�7�ZZ)IS
DEPARTMENT DISTRIBUTION i
I p CITYOFMENIFE-`BUSINESS LICENSE NUMB
BUILDING PLANNING ENG ERINEERING FIRE GR N SMIp I �,
INVOICE / -
AMOUNT LIYl�] PAID AMOUNT
'i PLAN CHECK FEE PAID AMOUNT L CASH 0 CHECK R O CREDIT CARD VISA/MC S
I '-'CASH 0 CHECK N 0 CREDIT CARD VISA/MC
�q OWNER BUILDER VERIFIED O YES NO DL NUMBER
NOTARIZED LETTER G YES Q NO
Hopwood Residence
24382 Conejo Dr.
Canyon Lake, CA 92587
/Y^
VJ
C
Y
1•,xI
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Purposed
New Structure
Detached Garage
r � CITY OF MENIFEE
NiNIFE I
,;, Planning Department
APPLICATION FOR CONCURRENT PROCESSING
This is an application to request that the Department of Building and Safety 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 BEACCEPTED
PLANNING APPLICATION NO: QU! 171 DATE SUBMITTED: I I I
APPLICATION INFORMATION
Applicant's Name: 3y][CO k0, V00WOOr7-105 E-Mail: iCt✓)�C� ��r2C�SSo�ar. t Yr)
Mailing Address: 2-4-3l2_ L-n' e)C 1Dr.
Men;Fe e- Sneer
ca
City Stare ZIP
Daytime Phone No: ( 951 ) Z 7- y099 Fax No: ( 2 I ) (a 1lp — 9q '7 9
As applicant for the above-referenced project, INVe hereby request that the L Building and Safety
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, UWe acknowledge that acceptance of plans by the
Department of Building & Safety for review prior to final action on the proposed project does not
explicitly or implicitly suggest that the project will receive final approval. INVe 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. IMe recognize that any fees submitted to the Department of Building & Safety Department 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 Building & Safety Department for the
processing of plans required due to project redesign. INVe further acknowledge that acceptance of
construction plans and the payment of fees to the Department of Building & Safety does NOT obligate
the Planning Department to support a proposed project design.
ML Ckd-e, '3a1-1 t �
PRINTED NAM C OF APPLICANT SIGNATURE OF APPLICAN F
29714 Haun Road
Menifee, California 92586
(951) 672-6777 • Fax (951)679-3843
Form 29,9-1015(041n9!12)
Pnye 1 of 2
APPLICATION FOR CONCURRENT PROCESSING
DATE:
TO: DEPARTMENT OF BUILDING &SAFETY
FROM: PLANNING DEPARTMENT
RE: REQUEST FOR CONCURRENT PROCESSING
PLANNING APPLICATION NO. 05-1 7/
The applicant for the above referenced case has requested that the Department of Building & Safety 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 Building &Safety pending a final decision on the
subject planning application. Concurrent review does not explicitly or implicitly suggest that the speck 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 Building and Safety does NOT obligate the Planning
Department to support or approve a proposed project design.
ADDITIONALLY, NO PERMITS SHALL BE ISSUED BY THE DEPARTMENT OF BUILDING AND SAFETY PRIOR
TO AN APPROVAL OF THE ABOVE REFERENCED DEVELOPMENT PROPOSAL, AND ISSUANCE OF THE
FINAL CONDITIONS OF APPROVAL BY THE PLANNING DEPARTMENT.
CITY O//F//MENIFEE PLANNING DEPARTMENT
Wiz J
As applicant for the above referenced project, I/We acknowledge that acceptance of plans by the Department of
Building and Safety 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. IIWe recognize that any fees submitted to the Department of
Building and Safety 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. INVe further
acknowledge that acceptance of construction plans and the payment of fees to the Department of Building and
Safety does NOT obligate the Planning Department to support or approve a proposed project design.
P1Ch,Q11e 1300- C)S
PRINTED NAME OF APPLICANT SIGNATURE OF APPLICANT
Form 295-1015(04/09/12)
Page 2 of 2
Statement of Use / Detached Garage
Brian Hopwood City of Menifee
24382 Conejo Dr. Building & Safety Dept.
Canyon Lake, CA 92587 NOV 18 2015
City of Menifee,
ieceived
The use for the purposed "Detached Garage" is for the storage of automobiles, motorcycles,
tools and equipment only. At no time will this structure be used for living space or converted
into an apartment.
Respectfully,
NoJ 1 -7 Zo c S
IV V
Bri opwood Date
A notary public or other officer completing this certificate verifies onlythe CALIFORNIA ALL-PURPOSE
identity of the individual who signed the document to which this certificate
is attached,and not the truthfulness,accuracy,or validity of that document /r'(zRTMCATE OF
State of California ) ACKNOWLEDGMENT
LEDGMENT
Countyof n I yegslaE )
On ��` J 7�1� before me, 1 D I S C J D '�t99r iA �t-bo
p (here insert name and titl t'the officer)
personally appeared�32J1�/�
who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)•is/are subscribed to
the within instrument and acknowledged to me that he/s#teftttey executed the same in his/beathek-
authorized capacity(ies), and that by his/L .r. _:" signature(s) on the instrument the person(s}, or the entity
upon behalf of which the persons acted,executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and correct. j LOIS C. STAFFORD
o d COMM. #2107074 2
¢ ® - Notary Public-California
a Riverside County
WITNESS my hand and official seal. My Comm.ExoiresADr.16,tots
Signature e ,� �
4(� (Seal)
OPTIONAL INFORMATION
Although the information in this section is not required by law,it could prevent fraudulent removal and reattachment of this
acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document.
Description of Attached Document
The preceding Certificate of Acknowledgment is attached to a document Method of Signer Identification
titled/for the purpose of 4 11 S /Wad Proved rmeff the basis oFsati credible evidence:
I—Q form(s)ofidentificarion Q credible witness(es)
Notarial event is detailed in notaryjournal on:
containing pages,and dated J 1 -1 -7 l s Page# Entry If
The signer(s)capacity or authority is/are as: Notary contact:
Individual(s) Other
Attorney-in-Fact ❑ Additional Signer(s) ❑ Signer(s)Thumbprint(s)
❑ Corporate Officer(s)
Ttlets) ❑
❑ Guardian/Conservator
❑ Partner-Limited/General
❑ Trustee(s)
❑ Other:
representing:
Name(s)of Persons)or crany(ies)Signer is.Representing
0 Copyright 2007-2014 Notary Rotary.Inc PO Box 41400,Des Moines,IA 50311-0507 All Rights Reserved. Rem Number 101772, Please contact your Authorized Reseller to purchase copies of this form.
Letter Of Acknowledgement From Property Owner
Ac NEs
Property Owner: /} T/V �h� SUCGSd d2 I tLLfS
Property Address: 242-50 JANrrA DR
CRNYoN Ur-s, CRg2-591
hereby acknowledge the construction of a detached
garage by Brian Hopwood residing at 24382 Coneio Dr. Canyon Lake, CA 92587 and I have no
objection to the building of the proposed detached garage on the property listed at the above
address.
SIGNED: 0 DATE: �C��
Letter Of Acknowledgement From Property Owner
Property Owner: Catherine Brown
Property Address: 24400 Coneio Drive Canyon Lake, CA 92587
I, Catherine Brown hereby acknowledge the construction of a detached garage by Brian
Hopwood residing at 24382 Coneio Dr. Canyon Lake, CA 92587 and I have no objection to the
building of the proposed detached garage on the property listed at the above address.
SIGNED: &V27W DATE: 1S
Letter Of Acknowledgement From Property Owner
Property Owner: Alexander Adamek/Maria Adamek
Property Address: 24291 Beverly Drive Canyon Lake, CA 92587
I, Alexander Adamek/Maria Adamek hereby acknowledge the construction of a detached
garage by Brian Hopwood residing at 24382 Coneio Dr. Canyon Lake, CA 92587 and I have no
objection to the building of the proposed detached garage on the property listed at the above
address.
SIGNED: �P l� l� V�y��� DATE: