PMT16-00152 City of Menifee Permit No.: PMT16-00152
_ 29714 HAUN RD.
'�CCEt:? MENIFEE, CA 92586 Type: Commercial Addition
MENIFEE Date Issued: 02/17/2016
PERMIT
Site Address: 29150 HOLLAND RD, MENIFEE,CA Parcel Number: 364-200-016
92584 Construction Cost: $34,339.00
Existing Use: Proposed Use:
Description of PARK BASKETBALL COURT
Work: LOT 375 TR30422-2
Owner Contractor
LENNAR HOMES OF CALIFORNIA LENNAR HOMES OF CALIFORNIA INC
980 MONTECITO DR 25 ENTERPRISE
CORONA,CA 92879 ALISO VIEJO, CA 92656
Applicant Phone:9493498269
LENNAR HOMES OF CALIFORNIA INC License Number: 728102
25 ENTERPRISE
ALISO VIEJO, CA 92656
Fee Description Oft Amount fbl
Building Permit Issuance 1 27.00
Inspections not specified 258 258.14
Additional Plan Review Building 148 148.37
GREEN FEE 1 2.00
SMIP COMMERCIAL 1 10.00
New Construction Permit Fee 1 157.96
General Plan Maintenance Fee-Building 1 12.91
$616.38
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_Permlt_TernpIate.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 perjurythat I am under provisions of with a licensed contmctor(s)pursuant to the Contractors State License taw).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect the following reason:
License CIassJ License No. 7�J��in By my signature below 1 acknowledge that,except for my personal residence
Expires / Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
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 worker's 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 following website:
by Section 3700 of the labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy#
Date
O I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
r with all applicable city and county ordinances and state laws relating to
Cartier building construction.I authorize representatives of this city or county to
Policy#WhJ6J4 j/yQb Expires / D enter the above identified property for inspection purposes.
(This section need not to be completed is the permits for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance ofthe work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers 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 fo ith comply wi hose provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date f mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide.
WARNING URE S R WORKER'S COMPENSATIOIO COJ ❑Yes ❑No
UNLAWFUL,ANDS LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use ofthe 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)7 See permitting checklist
IN SECTION 3706 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 O No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California 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 Oyes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,priorto 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(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-7978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($SOD). 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:
compensation,will do( )all of or( )portion ofthe work,and the structure is wwmeoamov/lead or contact the National Lead Infornation Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certifled Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the 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 for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fil I out the RRP
Acknowledgement.
BUILDINGAPPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBER PMT16-00152
TYPE: X COMMERCIAL 0 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: X ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING ORE-ROOF
APPLICATION NAME Menifee Lakes Community Park PA-18 BB CT
DESCRIPTION OF WORK Construction of Basketball Court at Holland Park
PROJECTADDRESS 29150 Holland Rd, Menifee,CA92584
ASSESSOR'S PARCEL NUMBER 364-200-016 LOT 375 TRACT 30422-2
OWNER NAME Lennar Homes of California, Inc.
ADDRESS 980 Montecito Dr.,Suite 302,Corona,CA 92879
PHONE 951-817-3680 EMAIL Jeremiah.acavturri@lennar.com
APPLICANT NAME Lennar Homes of California.,Inc.
ADDRESS 980 Montecito Dr.,Suite 302,Corona,CA 92879
PHONE 951-817-3680 EMAIL Jeremiah.acavturri@lennar.com
CONTRACTOR'S NAME Lennar Homes of California, Inc. OWNER BUILDER? X YES ONO
BUSINESS NAME Lennar Homes of California, Inc.
ADDRESS 980 Montecito Dr.,Suite 302,Corona,CA 92879
PHONE (951)817-3680 EMAIL Jeremiah.acavturri@lennar.com
CONTRACTOR'S STATE LIC NUMBER 728102 LICENSE CLASSIFICATION A&B
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE DATE Z2 b
r
CITY STA€F USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I SMIP GREEN
INVOICE PAID AMOUNT
AMOUNT OCASH OCHECKB GCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO LICENSE NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213