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PMT15-03946
City of Menifee Permit No.: PMT15-03946 29714 HAUN RD. Type: Residential Addition <A—CCELA? MENIFEE,CA92586 °ni—ASA— MENIFEE Date Issued: 1 212 212 01 5 PERMIT Site Address: 29153 CRESCENT BAY CT, MENIFEE, Parcel Number: 333-431-030 CA 92585 Construction Cost: $3,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL CITY STANDARD BLOCK WALL,5'x 85' Work: Owner Contractor JAMES DICKEY , 29153 CRESCENT BAY COURT MENIFEE, CA 92585 Applicant License Number: JAMES DICKEY 29153 CRESCENT BAY COURT MENIFEE, CA 92585 Phone: 9492358191 Fee Description DI rr Amount ISl Building Permit Issuance 1 2T00 Wall/Fence,standard 1 83.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 4.15 $116.15 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 carded 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.rpl Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for 0 I hereby affirm under penalty or perjury that I am licensed under provisions of fallowing 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 Professions Code and my license is in full force and effect. which I must have resided for at least one year prior to completion License Class License No. Improvements covered by this permit, I cannot legally sell a structure that I her Expires Signature built as an owner-building if it has not been constructed in Its entirety by licenst contractors. I understand that a copy of the applicable law, Section 7044 of if WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application submitted or at the following Web site: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto:I/www.lecinfo.camov/calaw.html. I 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 orAuthorized Agent Policy# Sally,my Signature below, I certify to each of the following: I am the proper ❑ 1 have and will maintain workers' compensation Insurance, as required by owner or authorized to act on the property owner's behalf. I have read th 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 comp permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to buildir construction.I authorize representatives of this city or county to enter the abov Carrier identified property for the inspection purposes. Policy# Expires �R^^�'' '�,�—_<((L Date 17 13D/y- 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) ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not emolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or; 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. DYES ❑NO Applicant; Date; 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 checkiis COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑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 oute 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 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(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 licensure 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 civi enalty of not more than($500).) employees.For more Information about EPA's Renovation Program visit: I, as owner of theproperty, or m ern to employees with wages as their sole www'epa.govAead or contact the National Lead Information Center at Y P Y 9 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). ❑ 1, 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 7D44,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. PERMIT/PLANBUILDING & SAFETY APPLICATION ,Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIALRESIDENTIAL [-]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA [-]SIGN SUBTYPE: ❑ADDITION ©ALTERATION []DEMOLITION [:]ELECTRICAL ❑MECHANICAL []NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �3S- r 6i-ock ', LL AA90-l< , Fug i 1-N t clreS T? I- L PROJECTADDRESS J C ASLetiT ASSESSOR'S PARCEL NUMBER _o6n -LAA % LOT TRACT PROPERTY OWNER'S NAME ��- ADDRESS Z / 7j C I�t:S L r-ti C_T ri r- M t"J�-�FE PHONE V _/ q) T3 EMAIL Dye �t V ot p1atIt4Z- �^ _ Building & Safety D t. APPLICANT NAME 5 �,,i; S JVV ADDRESS DEC 2 2 2015 PHONE EMAIL R ece i CONTRACTOR'S NAME OWNER BUILDER? [afES❑NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ 3 D00. 0O SO 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 '' ww G PAID AMOUNT ,(� t15 AMOUNT `W J 1`�' 0 CASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARO VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O 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 December 22, 2015 City of Menifee Building & Safety Dept. DEC 3 0 2015 To the City of Menifee Building and Permits, Received This notarized letter is to serve as an agreement between James Dickey,the owner of 29153 Crescent Bay Court Menifee and Matthew Swendra,the owner of 29169 Crescent Bay Court Menifee. Both parties agree to the removal of the wood fence and installation of a block wall on the property line of both properties. Matthew Swendra agrees to allow James Dickey to pull the permit for the project. Signed, James Dickey Matthew Swendra 29153 Crescent Bay Court 29169 Crescent Bay Court Menifeuee,CA 92585 Menifee,CA 92585 CDL-Bi67T�77 CDL B7811751 &16 0 9- P Notary: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of R\kmoide ) On D ece rnha,r as)as 15 before me, ,,e✓1 rt Ter- S i,� w n e A_OSi m N c k+ru �b�iC Date Here Insert Name and Title of the Officer personally appeared Jo.vvk,e �� CA VL / Nam (s)of Signer(s) Mr~�ew 5u— vl drD., 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/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) 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. RiNNIFComER SULINNE AC08TA WITNESS my hand and official seal. NotaryComm aster 121300N L@ Notary PublIc•CelllorMe Riverside County Signature Conn. res Oct 12,2019 r Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can defer alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: W) i and leer _ Q Document Date: Number of Pages: I — Signero Other Than Named Above: N//k Capacity(ies) C imed by Signer(s) Signer's Name:�avhe5 DlckZ4 Signer's Name:Mct+ -krw Sv.xmdre. ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General 'K Individual ❑Attorney in Fact -ZIndividual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 FOOTING OPTION "A" FOOTING OPTION "B" a Iee #4 HORIZONTAL REBAR I ITIB & S3 Dept. (USE BOND BEAM BLOCK) EC 2 2 015 6" OR 8" BLOCK ' �ce e,,�q .,y., RH" AAA HEIGHT FROM TOP #4 HORIZONTAL AT 32"MAX. O.C. HEIGHT FROM TOP OF FOOTING (USE BOND BEAM BLOCK) OF FOOTING ® C �r SEETABLE"A" SEETABLE"B" FOR REBAR SIZE FOR REBAR SIZE AND SPACING AND SPACING (WAG REBMINCENIEROFCELL) (LOCATE MBM IN CENTER OF CELL? FINISH GRADE (1)-44 REBAR �ilii CONTINUOUS #4 REBAR Jill_ — — (2)- 12" 10" ��— 10. 12„ CONTINUOUS Jill—_ ln\/,�11 REVERSE = =lil�illl DIRECTION OF 'W' .•W HOOK ON EVERY (F�ING WID� ( TING WIDTHI OTHER REBAR _ SEE TABLE"A" SEE TABLE"B" ALL FOOTINGS ADJACENT TO TABLE "A" TABLE TO BE AT LEAST 5'TO TABLE "B•' DAYLIGHT AS SHOWN BELOW. • „ , VERTICAL „ , „ , VERTICAL H' W' REINFORCEMENT H W REINFORCEMENT 3' 17" #4 @ 48" O.C. 3' 19" #4 @ 48"O.C. 4' 20" #4 @ 48" O.C. a. 4' 22" #4 @ 48"O.C. 5' 23" #4(9 48" O.C. S�oq'§ 5' 29" #4 @ 48" O.C. 6' 29" #4 @ 24"O.C. BOO OM 5'MIN.� 34" #4 @ 24"O.C. FOOTING CITY OF MENIF E NOTES: CHECK WffH THE BUILDINGg MhB1Uft &ND SAFET 1)THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF VERIFY IF A BUILDING PERMIT I/SS R D MORE THAN 6" WALL.. ON OPPOSING SIDES OF THE WA . THIS IS WHEN A PERMIT IS REQUI,J}',HE FOLLOWING APPROVAL NOT A RETAINING WALL. INSPECTIONS ARE REQUIRED: 2)FENCE HEIGHTS ARE REGULATED—CONSULT ZONING 1)FOOTING;EXCAVATION TRENCH CLEAN WITH REGULATIONS BEFORE BEGINNING CONSTRUCTION. STEEL IN PLACE AND SUPPOR jkEVI QJBY 3)NO WATER COURSE OR NATURAL DRAINAGE SHALL BE AWAY FROM THE SURROUNDING EARTH/DIRT. OBSTRUCTED. p)REBAR/PRE-GROUT;BOND BEAM REBAR AND 4)GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL VERTICAL REBAR IN PLACE-INSPECTION PRIOR TO IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED. PLACING GROUT. *Approval of these plans hail not be C 5)ALL REBAR TO BE ASTM SPEC.A615,GRADE 40 MINIMUM. 3)FINAL;AFTER GROUT IS PLACED-PRIpg TO 6)ALL REBAR LAP SPLICES TO BE 24"MINIMUM. DECORATIVE CAP PLACEMENT appfOVal OI,any iffation of any proviI 7)ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. regulations and ordlnanC s. This Set o 8)REBAR TO BE CENTERED IN MASONRY CELLS. WESTERN RrvER9mE COUNTY CODE UNWO PROGRAM `SEE PAGE 2 FOR ADDITIONAL INFORMATION' �.'s"++-o Crrsr op MEN m DISCLAIMER: 0N- BUILDING DEPARTMENT ALTERNATE DESIGNS MAY BE POSSIBLEWHEN PROVIDED WITH AN ENGINEERED ANALYSIS. USE OF THIS STANDARD DESIGN FREESTANDING BLOCK WALL IS AT THE USER'S RISK AND CARRIES NO IMPLIED OR INFERRED GUARANTEE AGAINST (951)672-6777 29714 HALIN ROAD,MENIFEE,CA 92586 FAILURE OR DEFECTS. FAX(951)679.3843 2/24/2014 1 WWW.CITYOFMENIFEE.US I PAGEI OF REBAR PLACEMENT ILLUSTRATION FOOTING OPTION B 11 i fY�7LJ n .t� (TYPICAL) J� ALL REBAR SPLICES 24" MIN. OVERLAP ..... ' 4 (TYPICAL.) ONLY CELLS AND BOND BEAM COURSES WITH REBAR TO BE GROUTED DEPARTMENT ••� (DO NOT SOLID GROUT ENTIRE WALL-USE GROUT STOP MESH AS APPROPRIATE) TE FOOTING OPTION A d to be a permitfor,or n (IYPIC4't Gd dI ateora ALL REBAR SHAD aVnSC�v be kept n the MINIMUM OF 3" 6890 I E COVER AT FOOTINGS DESIGN PARAMETERS: WESTERN RIVERSIDE COUNTY CODE UNlFoRmrrcPRocRAM ACTIVE SOIL PRESSURE(PSF) =30 F`"`'" CITY OF MENIFEE PASSIVE SOIL BEARING(PSF) =150 BUILDING DEPARTMENT COEFFICIENT OF FRICTION =0.25 - ENTFE �.. ALLOWABLE SOIL BEARING(PSF) =1500 -' - _...r', WIND=80 MPH.EXPOSURE C �• � FREESTANDING BLOCK WALL SEISMIC: �"-`� NA=1.3.Nv=1.6.Z=0.4,SOIL PROFILE=SD (951)672-6777 29714 HAUN ROAD.MENIFEE,CA 92586 FAX(951)679-3843 1 2/24/2014 1 WWW.CITYOFMENIFEE.US I PAGE 20F2 PLOT/SITE PLAN >- Sulld ng&tSa ltee REAR PROPERTY LINE ty Dept. O ` DEC 21 2015 U W T r, CITY OF MENIFEELL iIXReceived U t ` BUILDING AND SAFETY DEPARTMENT LLL PLAN APPROVAL O •.w a J REVIEWED BY D E :v 'Approval of these plans shall not be construe to be a permit for,or a approval of,any violation of any provisions of t e federal,state or city Q regulations and ordinances. This set of approv plans must be kept o the J d ` jobsite until completion. Z LU 0 a 14� w o I o N � I ?I I! FRONT PROPERTY LINE Property Owners Name Property Address Z9/5-3 LAE-5 CLk--� 6/9/ COWL r