PMT16-03510 City of Menifee Permit No. PMT16-03510
29714 HAUN RD. Type: Mobile Home
<A-CCELA-7? MENIFEE, CA 92586
MENIFEE Date Issued: 1212212016
P E R M I T
Site Address: 31175 GEARY ST, MENIFEE, CA 92584 Parcel Number: 358-150-017
Construction Cost: $100,000.00
Existing Use: Proposed Use:
Description of SITE PREP FOR NEW MOBILE HOME, 1280 SF
Work:
Owner Contractor
ORVAL DICK LANIK ENTERPRISES INC
35344 WANKI AVE P 0 BOX 891416
VVILDOMAR, CA 92595 TEMECULA,CA 92589
Applicant Phone:9516767114
ASHLEY TAYLOR License Number:458947
LANIK ENTERPRISES INC
P 0 BOX 891416
TEMECULA,CA 92589
Fee Description ON Amount I$1
Manufactured Residenfial Site Prep 1 196.00
Permit Fee 1 27.00
Plan Check Fee 205 205.00
Plan Check Fee 103 102.50
$530.50
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 BidgPermit-Ternplate.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 ci 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-G.5 1 CJ�7 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
c I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applic:able 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
this permit is issued. wwvv.IegJnfo.ca.gov/caIaw.htmI.
Policy ill Date
o 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 ci By 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
Carrier ZV'[\J)1f2*0 with all applicable city and county ordinances and state laws relating to
.4 KCk�e building construction.I authorize representatives of this city or county to
Policy# Expires V41-7 — enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-h unchred Date
dollars($IGO)or less PROPERTY OWNER OR AUTHORIZED AGENT
ci I certify that in the performance of the work for which this permit Is issued,
Ishallnoternolo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workees 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 . If:, d�C2�NK Datel 2 27 mixture containing a hazardous material equal to or greater that the
�5n amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ci Yes ci 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 HU NDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO TH E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
forguldelines
CONSTRUCTION LENDING AGENCY o Yes o No
I hereby affirm that under the penalty of perjury them is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency forthe performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under theState of
Contractor's License Law for the reason(s)Indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a pennit to uYes o No
construct,alter,improve,demolish or repair any structure,prlorto Its --Date
issuance,also requires the applicantforthe permitto file a signed statement PROPERTY OWNER OR AUTHORIZED AGMT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING HIRPI
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-cerfified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves orthrough their
ci 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renmtion Program visit:
compensation,will do( I all of or( )portion of the work,and the structure is ww%v.epa.goy/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 2-800-424-LEAD(5323).
Code;The Contmctoes State License Law does not apply to an owner of a o 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. a No EPA Leitcl-Safe Certified Firm is required for this project because:
n 1,as owner of the prciperty am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.
Riverside County Fire Department It Fire Protection Planning Section
Rive kle Offim:2300 Market St.Ste.150.Rmemida.CA 92501 Ph_(951)95�477 Fax(951)955�18815
Palm Daaad OlfRZ. 77-933 tas Momanas Rd..#201 Palm Desen,CA 92211-4131 Ph.(760)863-8886 Fax(760)863-7072
Fire Department Clearance/Release
Date: 11/30116
To: ccarIson0_citvofmenffee.us7 briveraocitvofmenifee.us; mbinnall(o)citvofmenifee.us
TracttParcel Map#:
Permit/Lot#: 16-MENI-PMT-0310(PMT16-03510)
Job Site Address: 31175 GEARY ST. MENIFEE, CA
Final For Recordation
Release For Building Permit(s)
Shell Final Only(No Tenant)
Final For Occupancy
E-1 Release For Residential Sprinkler Installation
***NEEDS FIRE SPRINKLR FINAL PRIOR TO OCCUPANCY
Building Plan Check Fees Paid, Water Requirement Met-if water applicable
El Building Plan Check Fees Not Paid
Residential Sprinkler Plan Check Fees Paid
Residential Sprinkler Plan Check Fees Not Paid
Other Fees
El Fees Not Required
If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
Frank Martinez
Print Name of Plan Reviewer/inspector Approved Release
Frank Martinez
Sent By:Print Name
F�;,C—Rmtsed 3101/2012
November 18, 2016
Lanik Enterprises, Inc.
Attn: Carly Rozzo
PO Box 891416
Temecula, CA. 92589
Subject: SANS3—Will Serve Assessor Parcel Number 358-150-017—Archer Residence
Dear Ms. Rozzu:
Eastern Municipal Water District (EMWD) is willing to provide water service to the subject
project. The provisions of service are contingent upon the developer completing the
necessary arrangements in accordance with EMWD rules and regulations. EMWD expects
the developer to provide proper notification when a water demand assessment is required
pursuant to Senate Bill 221 and/or 610. EMWD expects the developer to coordinate vifith
the approving agency for the proper notification. Further arrangements for the service
from EMWD may also include plan check, facility construction, inspection, jurisdictional
annexation, and payment of financial participation charges. The developer is advised to
contact EMWD's New Business Development Department early in the entitlement
process to determine the necessary arrangements for service, and to receive direction on
the preparation of a facility Plan-of-Service, which is required prior to final engineering.
EMWD's ability to serve is subject to limiting conditions, such as regulatory
requirements, legal issues, or conditions beyond EMWD's control.
Expiration-one year from date of issue
Thank you for your cooperation in serving our mutual customers. If you have any
questions, please call me at (951) 928-3777, extension 4309.
Sincerely,
Edmund Chew
Civil Engineering Associate
New Business Department
Eastern Municipal Water District
EC:mdp
227OTrumleleRoad - RO-Boxs5oc - Perds, CA92572-MO
1951.9?3-5777 - �95i.923.6177
.. d'Org
COMPUTER MODEL TEST
'7 �11
,f V
Grid Number: 22D Date: 11/23/2016
Customer Name: Daniel Keith Archer Address: 40480 Marsa CT.
City,State Zip: Hemet,CA 92S44
Contact Name: Daniel Keith Archer
Phone: (951)292-84SO
Cell: (952)292-8450
Fax: Email: DANNYS718S@GMAILCOM
W520160001085 WO/CO:
Project Record Number:
Project Name: APN: 358-150-017
(Approximate)Test&Hydrant Location: (1)At the Northest corner Property line an Geary St.See attached map.
(2)655 feet South of the Southeast corner property line on Geary St.
MODEL EMWD MODEL VERSION 2000 JP 04.MXD
POC Test Location: Flow Availabili
Fire Flow(1) Fire Flow(2) for Fire
Elevation(Ft): 1483 1495 Departmen
Steady State,Dynamic(psi): 50.28 �'08
Residual Pressure(psi): 44.37 3SF9
Tested FF(gpm): Sao Soo
Combined Total(gpm): Each Fire Flow Tested Independently Soo
Number of Hydrants: USED 2 TEST LOCATIONS
Duration Tested @: 2 HOUR
2
Demand Conditions: MAX DAY
Pressure Zone/Tank Names(s)/Level(s): PZ 1627 SUN CITY TANK BASE ELEVATION 1595 FEET
Pump Operating Status: OFF Computer Model Setting I SSS
Numberof POC Reason
Points of (Circle One) (Circle what Applies)
connections Plan Limited Conditions of Fire Sprinkler
(POC): . One I TwoorMlre ofsemice (Exisfing=) lt.dunpdalyncy I Approva Connection1s)
Comments: The water system is capable attest location(1)or(2)of providing 500 GPM for 2 hours at a minimum of 20 psi,asshowjn
in the attached map.These Fire Flow test results may need to be complemented by a Plan of Service and do not include
all facility conditioning that may be required for this project.RCFD Fire Flow requirements with 11/3/16 date on it.
The above results are not a guarantee the District's system will supply water to the project at any specific flows or pressures.These
results were determined from a computer simulation of the District!s water system and/or from hydraulic calculations pertaining to
distribution pipelines:The capacity of the service laterals,meters,backflow assemblies,on-site fire system,and other appurtenances
were not considered in these results.The design and sizing of service laterals and downstream facilities shall be the responsibility of
the Project Sponsor.
EMWD's Fire Flow test results are valid for six months from the date of testing.
Rudy Esparza
Completed By:
Should you ha estions or need additional information,please contact me at(951)928-3777,ext.4478.
Sincerely,_;7
Rudy Esparza Date:
Sr.Engineering Technician
New Business Development
Date:
Reviewed By: 111d S/A—