PMT15-02923 i
I
City of Menifee Permit No.: PMT15-02923 f
29714 HAUN RD. Type: Residential Alteration
<XOM00 MENIFEE, CA 92586
6o-n"""`"'�s-A.° MENIFEE Date Issued:
09121/2015 1
i
I
PERMIT
1
Site Address: 29140 GOOSENECK TR, MENIFEE, CA Parcel Number: 364-240-013
92584 Construction Cost: $4,900.00 1
Existing Use: 1 &2 Family Residence Proposed Use:
Description of ENCLOSE EXISTING LOFT WITH 15' DEMISING WALL, 8'CURTAIN WALL FOR CLOSET,ADD 2
Work: ELECTRICAL OUTLETS AND 1 J-BOX FOR CEILING FAN
Owner Contractor
SCOTT& KATHERINE BRUNSON MC CLINTOCK CONSTRUCTION COMPANY INC
29140 GOOSENECK TRAIL 40725 MOUNTAIN PRIDE DRIVE
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 9513177028
MICHAEL MCCLINTOCK License Number: 931150
MC CLINTOCK CONSTRUCTION COMPANY INC
40725 MOUNTAIN PRIDE DRIVE -
MURRIETA, CA 92562
Fee Description O_yt Amount l$)
-Rec�eptacle�Swit�ch Otatlef'&`FI�etLre,,, �,3.;�z �?�i ,.�. �3r� �� �1`26Q
Building Permit Issuance _ 1 27.00
GREEN FEE 1 1.00
SIP RESTDENTIAL� F`�rr:e �. A'9 aL74'�
General Plan Maintenance Fee-Building w 1� 6.45
$290.52
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 ❑ [am exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penalty or perjury that I am licensed under provisions of
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 in
Professions Code and m license is in full force and effect. which I must have resided for at least one year prior to completion of
License Class License I��/provements covered by this permit, I cannot legally sell a structure that I have
Expires 30 Signature M LA"#�°A__Q "ilt 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon requestwhen this application is
submitted or at the following Web site:
y-{I I hereby affirm under penalty of perjury one of the following declarations: htti),//www.leciinfo.ca.gov/calaw.html.
T have and will maintain a certificate of consent of self-insure 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 or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
X 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
section 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 comply
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
y� construction.I authorize representatives of this city or county to enter the above-
Carrier Z5'`t FLw V identified property for the inspection purposes.
Date
Policy# Expires
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)
HAZARDOUS MATERIAL DECLARATION
❑ I certify that in the performance of the work for which this permit is issued,I
shall not employ any persons in any manner so as to become 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 wor ers'c mpensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shal�fjo�ply with those provisions. DYES ❑NO
Applicant;. Date; 1121 be> 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(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND El YES ❑NO
CIVIL 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
Date
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
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(RRPI
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 firms and comply with
she is exempt from icensure 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 EPA's Renovation Program visit:
www.epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, 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 Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed El 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.
APPLICATION& SAFETY PERMIT/PLAN CHECK
Menifee
DATE a PERMIT/PLAN CHECK NUMBER a
TYPE: ' COMMERCIAL Y RESIDENTIAL MULTI-FAMILY 0 MOBILE HOME % POOL/SPA 0 SIGN
SUBTYPE: 0 ADDITION 19 ALTERATION ") DEMOLITION *1LECTRICAL 0 MECHANICAL
O NEW 'O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK W E A- D
s F-
PROJECTADDRESS 221 IL MW AkEMFEF Q_A RZ,
ASSESSOR'S PARCEL NUMBER 3W,aMo .d13 LOT 57 TRACT f�422—
OWNER NAME WIT n AT ER-1N MQ50N
ADDRESS MAD 6 IL 9F E
PHONE q.5(--qbL— &4g�;7 EMAIL City of Menife
ept.
APPLICANT NAME
ADDRESS
PHONE EMAIL Receivnij
CONTRACTOR'S NAME OWNER BUILDER? O YES YNO
IBUSINESS ME tA j
ADDRESS 46725- 61)N e_ W 2�t—
PHONE q5I 311 '702-9 EMAIL 1 UC' fJN.
CONTRACTOR'S STATE LIC NUMBER q3(l!�) LICENSE CLASSIFICATION $
VALUATION$ OG,G� SO FT L SO FT
APPLICANT'S SIGNATURE N = I DATE q
;Ty TA USE ONL Y
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE /�
AMOUNT �� PAIDAMOUNT a010 15Q QCASH CCHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT ,.'CASH }CHECK# C CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER C? YES '.i NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee iL
Building & Safety Dept. o
SEP 21 2015 U
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Received U
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FLOORING REDLINES
BRIGHTON
AT
THE LAKES
PLAN FOUR 1\
2190 SQUARE FEET w m
3 BEDROOMS °
V
i.VA➢.Y ROOM
2 BATHS PLUS POWDER _
LOFT "
+i
2 SPACE GARAGE
2.SPAC GARAGE ' yam H
IJYRIO ROOM
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` FIRST FLOOR
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A 'L W7 f MAS R➢E 1tOlbi B ILDING AND SAFETY DE
P AN APP OVAL
SECOND FLOOR
B m r REVIEWE BY
zti
tans shall not be constf
PRELMNARY-SUBJECT TO CHANGE +Approval of I
P rovisionS-
InILcmlvcuofineumwsimplovammtCmluliom�emsstleriRllrocEm6aifrxim�.Dr®SU WM�wiWmt RaWa oval of aoiation ofanypdinances. This set of app
johsite until Confpletion.
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CONCRETE SAWING,DRILLING & BREAKING
1 (600) PENNAL L
1 (800) 736-4255
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LEGEN EXHIBIT "LOT 57" j
PAD - PAD ELEVATION
FF - FINISHED FLOOR ELEV.-
of -GARAGE FLOOR ELEV. - P --�
TG - TOP OF GRATE. 1
TC - TOP OF CURB
TW - TOP OF WALL
TF - TOP OF FOOTING $ "
IE - INVERT
FG ^ FINISH DRAM
{{{•••YYY���"'
FS - FINISH SURFACE
HP - NIGH POINT
FL - FLOW LINE
'!. - FLOW RATE 3 W T9,1 T`i
- SUBDRAIN
Y - TUBULAR STEEL GATE
--K - WOOD FENCE 1
- FIRE HYDRANT
- TOP OF SLOPE.
- TOE OF SLOPE
•-- - SWALE
SEWER LATERAL 4
-----g - WATER LATERAL
- SEWER MANHOLE fl
o - a"YARD DRAIN
MU - G"YARD BRAIN
a---LY - STREET LIGHT
{]. - AIR CONDITIONER __ ---
- STREET SIGN POLE
- DENOTES BACKFLOW PREVENTION DEVICE -'-u ....-_..u-
-3rd CAR GARAGE —�
PERIMETER/RETAINING WALL TMASONRY BLOCK) Goose= TRAG. N
PERIMETER WALL (TUBULAR STEEL)
PERIMETER WALL (MASONRY BLOCK)
0 -PILASTER OR STEEL POST (TYP.)
DENOTES PRESSURE REDUCER ASSEMBLY
C_jEiE3Ks- UTILITY STRUCTURES
AIR VALVE
—m -BLOW-OFF VALVE
RETAINING WALL
BLOCK WALL RETURN ')
.- RECLAIMED WATER IRRIGATION LOT AREA: 6286 SO FT?
g - OPENING AT BASE COURSE TO ALLOW DRAINAGE FLOW
-CATCH BASIN W/STORM DRAIN PIPE 30. IB 0 t 30 GO 90
GRAPHIC SGALE...t! -36
NRTICE: THIS PLAT IS NOT AN "AS-BUILT". THIS PLAT IS PROVIDED FOR GENERAL INFORMATION ONLY. ALL DIMENSIONS
ARE APPROXIMATE AND ARE N07 INTENDED TO 8E PRECISE. ACTUA` LOT SIZE SPOT ELEVATIONS,FINISHED FLOOR AND
PAD ELEVATIONS,FINAL GRADE CONDITIONS.LOCATION OF FENCES,RETAINING WALLS.DRAINAGE FACILITIES..EASEMENTS.
SETBACKS,SIDEWALKS DRIVEWAYS (SLOPE AN LOCATION).MAY VARY FROM THE PLA a MODELS AMC) ANY PLANS, IF
THERE IS A DISCREPAFICY BETWEEN THE PLAT,PLANS OR MODELS AND THE ACTUAL AS-BUILT CONDITIONS OF THE
PROPERTY AND THE RESIDTNCE 7% AS-BUILT CONDITIONS WILL CONTROL. THE USABLE OR BUILDABLE AREA,LOCATION
_. ANO CONFIGURATION OF TH LdT, ARABS AND ALL IIAPROVEME14TS LOCATED THEREON,INCLUDING,WITHOUT LIMITATION,
x -THE LOCATION OF THE HOME ON THE LOT'.MAY FLUCTUATE FR M .THAT SHOWN. OR DISPLAYED IN ANY DRAWINGS,PLANS,
g TOPOGRAPHIC MAPS OR MO,)ELS. CE TEX HOMES DOES t(T DE�RMINE UTILITY OR MAILBOX LOCATION AND ANY SiV
$ LOCATIONS ARE SUBJeeCT O CHANG DUE TO ACTUAL 1 D CO OITIONS. CENTEX HOMES MAKES NO 1PRESENTATH NS
§ .. REGARDING ANY INFOF:MAT)ON tlN TH PLAT.BUYERS
INITIALS: DATE:
a sBSB FRIARS ROAD rS#T2S Houk PLOT PLAN
SAN DIEGO,CA 92110 619.291.0707 1265 CORONA POWE CT. TRACT NO. 30422-1
y. NOlN88ItIN4 COMPANY (FAXa679.297.+F765 CORONA.GA LOT 57
�s rt`kmnslnnarin8.cam 92879 29140 GOOSENECK TRAlL