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PMT16-01340
City of Menifee Permit No.: PMT16-01340 29714 HAUN RD. �J-►CCEL/? MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued 0 4/2 812 01 6 PERMIT Site Address: 29169 CRESCENT BAY CT, MENIFEE, Parcel Number: 333-431-031 CA 92585 Construction Cost: $1,450.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of INSTALL 5'x 55 L FT CITY STD BLOCK WALL Work: Owner Contractor MATTHEW SWENDRA 29169 CRESCENT BAY COURT MENIFEE, CA 92585 Applicant License Number: MATTHEW SWENDRA 29169 CRESCENT BAY COURT MENIFEE, CA 92585 Phone: 9515524532 Fee Description QtV Amount i$1 Building Permit Issuance 1 27.00 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 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 property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). 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 Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION 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 webshe: by Section 3700 of the labor Code,for the performance of work for which this permit is issued. www.leeinfo.ca.¢ov/calaw.html. / Policy# �/oL,2� Date 6 rf^Z0''/6 ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which rtYBy my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided is correct I agree to comply 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# Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred t Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the 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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greaterthat the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the 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)?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 Cade) ❑Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.1 understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Californiaealth al Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason h s)indicated below by the checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. OYes ❑No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to 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 IRRPj 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-1978 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($500). managers who do the paint-disturbing work themselves or through their ilri,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 of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified 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 Finn is required for this project because: ❑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 fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE O t - & PERMIT/PLAN CHECK NUMBER lQ O\ 0 TYPE: O COMMERCIAL QY RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES CI of enifee Swim mg & atety Dept. DESCRIPTION OF WORK j „c " ••j P (7r: -ky R 2 8 2016 PROJECTADDRESS S ived ASSESSOR'S PARCEL NUMBER 333 -U3\ - d31 LOT 1bFj TRACT 3 - a t OWNER NAME & Fv✓ w A+o,I ADDRESS Z`I f&4 C .cf -4X., 66. a f PHONE its^r_ 6-5-7 - I/�'„t2 EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? ES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ / L f O . ,Z> SO FT L SO FT APPLICANT'S SIGNATURE DATE Z21f- - CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN — SMIP INVOICE 1 ' A /- PAIDAMOUNT AMOUNT Iil9 ' S O CASH O CHECK It O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER C YES O NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofineoifee.us Inspection Request Line 951-245-6213 FOOTING OPTION "At' FOOTING OPTION "B #4 HORIZONTAL REBAR (USE BOND BEAM BLOCK) 4 611 OR 8" BLOCK "H" 'H HEIGHT FROM TOP #4 HORIZONTAL AT 32" MAX.O.C. j OGT I� ., OF FOOTING (USE BOND BEAM BLOCK) j uildinin w SEE TABLE"A" SEE TABLE"B" FOR REBAR SIZE FOR REBAR SIZE APR Y8 20% AND SPACING ANDSPACING (LOCATE VEIWt IN CENTER OF CELL) (LOCATEREOA INCENTEROFCELJ Rec livec FINISH GRADE (1)-#4 REBAR CONTINUOUS (2)-#4 REBAR 12" ...... III CONTINUOUS jUj 101, IF al REVERSE ==Illff-llll DIRECTION OF 11 W HOOK ON EVERY 1—-'W'ZDTZ — I OTHER REBAR (FOOTING W (FOOTING WIDTHI) SEE TABLE"A" SEE TABLE"B" ALL FOOTINGS ADJACENT TO SLOPES TO BE AT LEAST 51 To 4"..a DAYLIGHT AS SHOWN BELOW. VERTICAL "H" "W" VERTICAL "H" W" REINFORCEMENT REINFORCEMENT 3' 17" #4 @)48"O.C. 3' 19" #4 @ 48"O.C. 4' 20" #4 Ca 48" O.C. a 4' 22" #4 @ 4811 O.C. 5' 23" #4 @ 4811 O.C. 5, 29" #4 @ 48"O.C. 6' 29" #4 Ca 24" O.C. BOTTOM 6' 34" #4 @ 24"O.C. WMIN. OF_A��— NOTES FOOTING QHEMN WITH TH19-151AWINGIDEPARTMENT TO 1)THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF VERIFY IFA-BUILDING PERM.IT IS REQUIRED. MORE THAN 611 ON OPPOSING SIDES OF THE WALL. THIS IS WHEN A PERMIT IS REQUIRED,THE FOLLOWING NOT RETAINING WALL. INSPECTIONS ARE REQUIRED: 2)FENCE HEIGHTS ARE REGULATED-CONSULT ZONING 1)FOOTING;EXCAVATION TRENCH CLEAN WITH CI—yo REGULATIONS BEFORE BEGINNING CONSTRUCTION, STEEL IN PLACE AND SUPPORTED 3"ABOVE AND 3)NO WATER COURSE OR NATURAL DRAINAGE SHALL BE AWAY FROM THE SURROUNDING EARTH/DIRT. Bt IILD OBSTRUCTED. 2)REBAR/PRE-GROUT;BOND BEAM REBAR AND 4)GROUT QNLYTHE CELLS CONTAINING REBAR. THIS WALL VERTICAL REBAR IN PLACE-INSPECTION PRIOR TcPL AN , IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED. PLACING GROUT. 5)ALL REBAR TO BE ASTM SPEC.A61 S.GRADE 40 MINIMUM. 3)FINAL;AFTER GROUT IS PLACED-PRIOR TO ANY 6)ALL REBAR LAP SPLICES TO BE 2411 MINIMUM. DECORATIVE CAP PLACEMENT. R VIE 7)ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. 8)REBAR TO BE CENTERED IN MASONRY CELLS. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM 'SEE PAGE 2 FOR ADDITIONAL INFORMATION' CITY OF MENIFEE *A iprova DISCLAIMER BUILDING & SAFETY DIVISION agroval ALTERNATE -DESIGNS- . MAY BE POSSIBLE ulatiol WHEN PROVIDED WITH AN ENGINEERED FREESTANDING BLOCK WALL iO siteul ANALYSIS. USE OF THIS STANDARD DESIGN 10 IS AT THE USER'S RISK AND CARRIES NO 29714 HAUN ROAD IMPLIED OR INFERRED GUARANTEE AGAINST 957.672.6777 MENIFEE, CA 92586 FAILURE OR DEFECTS. 00 0 . 00 NAME: Mb1T1"favt) 5lo-IrNOr-A PHONE: ys-1- 15-52 tl(-3Z ADDRESS: Zl/ & CerscZYF ef L ZIP CODE: 25- 5- am" NEAREST MAJOR CROSS STREETS: e,r'E W Llee A,. & MCC-41 Ki uee. ASSESSOR'S PARCEL N0: �_ro t_y�o�fme nifeePn See property tax bill or call the County Assessors Office at 955.6200. T. STREET FRONT PROPERTY LINE Received 2 9/G 'zeJI-'-r S )4 cvwt HOUSE ` ;low v- 0 • t L rc r 2 REAR PROPERTY LINE TMENT Please show your patio roof dimensions and where it is on your property, where the posts will be and how far the cover is from the property lines. Show lot drainage pattern by indicating with arrows ( —> ). uL*D11�0 For all other structures, i.e., retaining wails, garden walls, etc., show their location on your DATE property indicating their dimensions. permit for,or an m,state or city Indicate location of all slopes; up slope ( T ), down slope ( ] ). s must be kept on the For all setbacks from all property lines, please see a Planner. All structures need approval from the Planning Division prior to obtaining a building permit. City of Menifee Building & Safety Dept. APR Z8 2016 April 09, 2016 Received To the City of Menifee Building and Permits, This notarized letter is to serve as an agreement between Matthew Swendra, home owner of 29169 Crescent Bay Ct. Menifee and Christy Kraus , the home owner of 29185 Crescent Bay Ct. Both parties agree with removal of the wooden fence on shared property line and agree to replace with block wall in its place. Christy Kraus agrees to allow Matthew Swendra to pull the city permit for the wall to be built. x l Matthew Swendra Christy K us 29169 Crescent Bay Court 29185 Crescent Bay Court Menifee, Ca 92585 Menifee, Ca 92585 CDL#B7811751 CDL# d5ZQ89b( _ - - ► , ,. _. ,/.,dam..,.>�� 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 F i VAS Zye ) Onr-, / 9-01to beforeme, Jznnl er Sc�a� nne �riy. 0 /UAYLcV Pukr� Date Here Insert Name and Title of the Officer' personally appeared S"-e ndreL nn� Names) of Signer(s) C"K,igil Krau5 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 Ijar/stwthey executed the same in Ms/ptr/their authorized capacity(ies),and that by Ws/fir/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. WITNESS my hand and official seal. JENNIFEA SUZANNE ACOSTA Comrtlstlon/2130044 Sy NOLry Public-California = Signature Nhanitle County L Signature of Notary Public Come 1gres Oct 12.2019 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: LeA4- er Pe' r 6>>/dl�5$ 18ei`mik ocument Date: Aoo rd q 4614, Number of Pages: --4— Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.Nationa]Notary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907