PMT16-03832 City of Menifee Permit No.: PMT16-03832
29714 HAUN RD. Type: Residential Addition
<A-CCELA—> MENIFEE, CA92586
MENIFEE Date Issued: 11/29/2016
P E R M I T
Site Address: 29397 LAKE HILLS DR, MENIFEE, CA Parcel Number: 333-393-023
92585 Construction Cost: $15,000.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTALL 9'x 19 CITY STD LATTICE PATIO COVER WTH NO ELECTRICAL, 30'UIG GAS LINE AND
Work: 2Q'U/G ELECTRIC LINE VIATH 20A BREAKER AND 3 GF]OUTLETS FOR FUTURE BBQ
Owner Contractor
NORMA RAMIREZ
293978 LAKE HILLS DRIVE
MENIFEE, CA 92585
Applicant License Number:
NORMA RAMIREZ
293978 LAKE HILLS DRIVE
MENIFEE, CA 92585
Phone;9512196772
Fee Description QtV Amount($1
Receptacle, Switch,Outlet&Fixture 4 131.00
Building Permit Issuance 1 27.00
Deck/Patio, standard 1 83.00
Inspections not specified 116 116.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 2.00
General Plan Maintenance Fee-Building 1 9.95
General Plan Maintenance Fee-Electrical 1 6.55
$376.50
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
forleted.
AA.Bidg_Pernift-Template.rPt Page I 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 contraictor(s)pursuant to the Contractors State License Law).
Chapter9i(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 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
WORKERS COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by
ci 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 a Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this a lication is sub !tied or at the following website:
by Section 3700 of the Labor Code,for the performance of work for whit
this permit Is issued. t1einfo.ca.mov/ alaw.htmi.
Policy It V \ 1\ \L11 —Date
o I have and will maintain worker's compensation insurance,as required by PRdPER-W0W'NER(OJk AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o 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 thei f t, I have provided is correct.I agree to comply
c;Orma Fpnty o
wit"a appli able and rdinances and state laws relating to
Carrier
b IlIdIn construction.I a4orize representatives of this city or county to
t
Policy# Expires ter t above ide tified roperty for inspection purpos
(This section need not to be completed is the permit is for one-hundred Date---,
dollars($100)or less PR�PERb�,6Ai-NER—OR6*OR)ZED-*GENT IV r --
o 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 CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labo,
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 greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes allo
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 UPTO ONE HUNDRED THOUSAND DOLLARS($100,OODI,IN
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY c;Yes o 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) o Yes a No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQM D
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractoes License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes a 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 pursuaritto the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 FIRP-certified 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 or through their
as owner of the property,or my employee with wages as their sole employees.For more information about EPA!s Renovation Program visit:
mpensation,will do all of or portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered forsale.(Section 7044,Business and Professions 1-80D-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a in 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. o No EPA Lead-Safe Certified Firm is required for this pmject because:
o 1,as owner of the property 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
JS
"��`/ M e n i f e e
Aiigl�
DATE PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL WRFSIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION 0DEMOUTION 9-EILECTRICAL OMECHANICAL
ONEW efLUMBING 0— RE-ROOF-NUMEIER OF SQUARES
DESCRIPTION OF WORK bv
PROJECTADDRESS �e
bullding & Safetj Dept.
ASSESSOR'S PARCEL NUMBER M3 -313 - 0'2 3 LOT TRACT
_,P I N a( tkk 0C rc)z_ NOV 2 9 211-0-
OWNERNAME �S-�A�o M\
ADDRESS Rectwl fq
VE
PHONE EMAIL
IT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? 19YES 0 NO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOWS STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ FT L SQ FT
APPLICANT'S SIGNATURE N DATE \kA �kU
DEPARTMENT DISTRIBUTION SMIP CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN
INVOICE PAIDAMOUNT
AMOUNT I � OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES I PAID AMOUNT CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Sofety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.Lis Inspection Request Line 951-246-6213
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TABLE T'A" TABLE "B" TABLE "C" TABLETTDIT
RAFTER SPANS HEADER SIZE & SPANS FOOTING SIZE LEDGER
(DOUGLAS FIR#2 OR BETTER) (DOUGLAS FIR#2 OR BETTER) BOLTING
SIZE SPACING SPAN BASED ON 1000 ALL LAG BOLTS
RAFTER HEADE SHALL HAVE 1/4"
SPAN P.S.F. SOIL BEARING PRE-DRILLED
SPAN SIZE PRESSURE. HOLES-mrCNOTE2)
2x4 12"O.C. 91-10.1 81-U. MAX 4-16 11
P
16"O.C. 81- 111. Up To 1 1*01 18"SQ.X 12"Q-;W? 3/8" DIA. X 5"
F—x a..) D _P LONGAT1 6" O.C.
24" O.C. 71-81' 121-01, 12' 4X10 1 18"SQ. �0
.",D STAGGERED
.32"O.C. w61-31' 141-011 MAX 4 x 12 18---
2x 2 15'-4" 12'-1" 8'-Q"MAX X B 24"' Q.X12"DEEP (2) 3/8" DIA X 5'
6 O'C' I ?
TO 119',-0 AX4XIO ?=4 DEEP LONG AT 16'
O-C 2 5::M 2
V 24;;�
L4 4x12 S� X , L)LLV lo.c.
O.C. 20'-0"
62 0=C 9 _-r I 4X14 24"SQ.X 12' ULLV
2x8 12" O.C. 20'-0" N ES:
16"O.C. 18'-2" 1. TWO 2X MEMBERS MAY BE SUBSTITUTED FOR ONE HORTM
24"O.C. 14'- 10" FRAMING MEMBER. 1ITY N EE
32"O.C. 12'-8" 2. LAG BOLTS MUST FULLY ENGAGE A WOOD STUD OR RIM SAFI
2xI0 1211 O.C. 20'-0" PROVIDED WfTH APPROPRIATE WASHERS.LAG BOLTS SHALL
16" O.C. 20'-0" MINIMUM OF 1-1/2"FROM THETOP OR BOTTOM OFTHE LEDGER.
24" O.C. 18'- 11" PLAN APPR L
3. NOT DESIGNED TO BE ENCLOSED-ADDITIONAL ENGINEERING ANALYSIS WILL
.32" O.C. '116'-2" BE REQUIRED IF ENCLOSED.
4x4 2411 O.C. 101-01, 4. SEE PAGE 2 OF 2 FOR CONSTRUCTION DETAILS.
32" O.C. '9'-3" REVIEWED
48"O.C. *7'-B" DISCLAIMER:
ALTERNATE PATIO DESIGNS MAY BE POSSIBLE WHEN PROVIDED WITH AN
4x6 2411 O.C. 15'- 1 1 ENGINEERED ANALYSIS. USE OF THIS CONVENTIONAL STANDARD DESIGN IS
32"O.C. *11&-g" AT THE USER'S RISK AND CARRIES NO IMPLIED OR INFERRE15AWAV814411111110 Pw 5 shall not
48"O.C. *1 1'-3" AGAINST FAILURE OR DEFECTS. approval of,any Adatil in of any p
4x8 24" O.C. 20'-0" ;t!]'Intinng nnd AdjU ces. This!
�--. —1.
O.C. 18'-2" WESTERN RnMMIDE COUMT CODE UNKFORM
01
k 14'- 10" crry oF mswregR- -
THIS SPACING AND SPAN BUILDING DEPAP.TmENT
IS FOR LATTICE PATIO
COVERINGS ONLY. PATIO COVER STANDARD
L�511672-6777 29714 HAUN ROAD,MENIFEE,CA 92585
.C�OFMENIFEEMS
FAX(951)679-3843 1 2124/2014
KNEE BRACE DETAIL AT END POSTS LEDGER ATTACHIMEN
(REQUIRED WHEN RAFTER SPAN EXCEEDS 12 FT.) DETAIL
24" 24"
EXISTING
ROOF
�7
1 EADER
EDGENAL
0 PL"OCO AT 6 3/8"X 5"
E HE -'R�7F f�
AT 6 3/'..
E_ER LAG
'N7
'OLTS
O.C.AT LEDGER LAG
1/2-MA BOLTS WINUTS BOLTS
WASHERSTWICAL ALL
3
BRACED CONNEC7ONS EXISM"Nu
STU
4X4 BRACE STUDS
W�4 BRACIZS I RAFTER
N 3" "'ST
4x4 APPROVED OIST
I. A A 2x I-EDGER
OST AV 4X4�ST HANGER
WIN) I
Ta
1 SECTION A-A NOTES'
INOTCH: 1.USE A CONTINUOUS LEDGER-SAME DEPTH
<-- 1 1h, AS RAFTER OR LARGER
Op-nON I OPTION 2 2.SEETABLE-13-FOR BOLTING REQUIREMENTS
INVERTED HEADER DESIGN OPTION (LATTICE ONLY)
TWO 1/2"DIA.TH RU-BOLTS
NV/WASHERS), PER
00 CONNECTION AS SHOWN
FOR HEADERS OR RAFTERS-
0 TWO 2X MEMBERS MAY BE
SUBSTITUTED FOR ONE 4X
MEMBER. SEE TABLES"A" &
"B"FOR SPAN LIMITS
NOTE, KNEE BRACING REQUIRED
WHEN RAFTER SPAN
EXCEEDS 12 FEET
2X FASCIA(OVERHANG)ATTACHMENT-LATTICE ONLY
OFITION I OPTION2
�4 RAFTERS OR PRE-FAB.ROOF TRUSSES
2X4 LEDGER W/20d NAILS OR If."DIA.X 4" 2x6of DEPA"MENT
LONG I-AG BOLTS @32"O.C.
AFTERS 0 p
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RE-FAB Roo
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2_X
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AFFROVED JOIST HANGER OISTHA GER
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PATIO RAFTERS
Ae—SEE TABLE-A' SEETABLr'k IDA I
Tj r
w MAX PATIORAFTERSPAN PAMORAFIERSPAN
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COVER _"ERHANG-�'*fffliffl%W�M roran
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�ions of the federal,state or city
WESTEM RIVERSME COUNTY CODE-6bppmamk*wmu*k ton ie
NOTE: VERIFY STRUCTURAL SOUNDNESS OF ROOF Crry OF MIENIFEE
RAFTERS FOR DECAY OR TERMITE DAMAGE, BuiLDiNG DEPARTmENT
AND REPLACE WITH LIKE MATERIALS AS
NEEDED, AFTER CONSULTATION WITH THE PATIO COVER STANDARD
BUILDING DEPARTMENT.
1 (951)672-6777 29714 HAUN ROAD,MENIFEE,CA 92586
FAX(951)679-3843 1 �24/2014 1 �.C�OFMENIFEE.US I PAGE20F2
Hl�-R-ITAGE LAKU
MASTER ASSOCIATION
November 18, 2016
Hubaldo Hernandez & Norma Ramirez
29397 LAKE HILLS DR
MENIFEE CA 92585
RE: Architectural Modification Conditionally Approved
Dear Ms. Ramirez:
We are pleased to inform you that your submitted plans were Conditionally Approved on November
17, 2016 by the Design Review Committee.
Please ensure that you comply with the conditions noted (enclaagdh
Also, please keep the following matters in mind:
(1)The Committee approves plans and specifications based on aesthetics and compliance with the
community guidelines. They do not review for engineering design or structural integrity. Zoning and
building permits are the responsibility of the homeowner.
(2) The Committee has the right to inspect improvements, constructed or being constructed,to
determine that such improvements have been or are being built in compliance with the plans and
specifications approved.
(3) Upon completion of work, please submit your Notice of Completion Form (see attached)along
with photographs of the completed improvements within 6 months of receipt of this letter.
Thank you for your patience and cooperation. If you have any questions, please refer to your
Community Policies or contact me at 951-246-7678 or at iris.afable@fsresidential.com.
Sincerely,
iris Afable
Sr. Onsite Property Administrator
FirstService
�ESIDENTIAL
27600 Heritage Lake Dr.
Menifee CA 92585
(951)246-7678 Fax(951)246-7651
HERITAGE LAKE MASTER ASSOCIATION
ARCHITECTURAL REVIEW CONDHTTEE
27600 HERITAGE LAIKE DRIVE
MEENEFEE,CA 92585
November 14,2016
Iris Afable
Heritage Lake Master Association
27600 Heritage Lake Drive
MeDifee,CA 92585
Re: Hernandez-Architectural Approval Application
Rear Yard-Hardscape,Pavers,Landscaping,Patio Cover,BBQ
29397 Lake Hills Drive
Menifee,CA 92585
Dear Iris,
As per your request,I have reviewed the above referenced Architectural Application.Based on this review,I am
recommending the Committee approve the Application based on the Heritage Lake Design Guidelines with the
following conditions:
In accordance with Heritage Lake Design Guidelines:
I Page 7, Subparagraph b.i.&ii.
Page 11,Paragraph 1.Landscaping and Other Related Improvements.
A. Trees shall be planted(located)setback a minimum 4'from any adjoining property line, side or rear
yard wall or fence.
B. Mature canopy of aIl trees shall be,contained within the boundaries of the property at all times.
Owner shall verify canopy compliance prior to any landscaping installation. All plant materials
shall be planted(located)so as not to overhang neighbor's property.
2. Page 10, Paragraph C.Drainage.
A. Rear yard drainage lines shall be underground extended through front yard area under sidewalk and
cored through curb face to drain to street.There shall be no interference with the established
existing drainage patterns or flows.There shall be no drainage onto any adjacent or common area
properties.
3. Page 12,Paragraph G.Lighting.
A. Exterior lighting shall be directed downward and light source shielded.Light or glare shall be
contained within the boundaries of the property.
4. Page 11,Paragraph 1.Landscaping and Other Related Improvements.
A. Rear yard BBQ shall be located in the left side of the rear yard.BBQ shall be 8�-4"long x 7-61,
wide x Ybigh with stone veneer to match or be compatible with residence stone veneer.All new
gas and electric lines to BBQ shall be installed underground or completely concealed.
November 14,2016 Page 2
Iris Afable
Re: Hernandez-Architectural Approval Application
Rear Yard-Hardscape,Pavers,Landscaping,Patio Cover,BBQ
29397 Lake Hills Drive
Menifee,CA 92585
5. Page 12,Paragraph M. Patio Covers,Enclosures and Other Projects Involving Rear Yard Structures.
A. Rear yard patio cover shall be wood framed 19'wide x 9'deep x 8'high with a flat open lattice roof
cover.Patio cover color shall match or be compatible with residence plaster or trim colors.
6. Any additional improvements or revisions to the proposed improvements shall be submitted to and
approved by the Association prior to construction.
This submission has been reviewed as to conformance with the standards of the Development Regulations covering
this property.My review was for purposes of checking conformity to those standards and it was not a review of the
technical adequacy of the proposed improvements-My review of any plans or design is not a review from the
standpoint of structural safety or conformance with any building codes or other governmental requirements.The
Architectural Review Committee or the members or designated representatives thereof shall not be liable to any
person for damages or injury which might arise from the negligence or errors or omissions of the preparer of this
submission. I
If you have any questions regarding the above items,please do not hesitate to contact me.
Sincerely,
IA3RR]2080
Russell P.R ansoff RPR:Jh
On Behalf of the Architectural Review Cominittee
q
(EXHIBITA)
HERITAGE LAKE MASTER ASSOCIATION Nov 1
HOME-:IMPROVEME,NTFORM
HLMA ARCHITEMRAL REvw-vRECEIVEDLOSE OFESCROW---�--L—
ITerit4gellakoh4asterAssociation (Undscopc deadlinels 9 months from origivni developwaa .. ......
27600 Heritage Lake Dr. NOV 14 2016
Mcnitca;CA92585 RPSU13MITTAL
05,1)246-7678 Office(951)246-7651 FpjtRR0N+RUN1ANS0FF
.Slenaturo:X A"A-§J5 ARCHITECTS,INC. (e
Name
Home Phone: -6 1-7'zS ..W lPhone 'igl -IPP-To T7
Address 2-4 E-mail
PLAN911BMiTTAL CHECKLIST
-1.�-_Tfome Improvement Form Completed
LA.::Jitoing,Adjacent and Impactet!Neighbor Statement Cginpletpd
��`T%-vo(2)Copies of.PropQsed Plans(Full Packet)
71�Location ofResidence on lot end dimensions franalot line.Drawingmust show kffected elevations.Locatiobs ofarea
Wd i i must be included on plans.Type of wood surfaces and e9lor-6phermt(s)must Po listed op plans.
s Names of plants&types of rmteriakusing(includirfg-size-dnd gallon 9zes and placerifentorLplaw).
x,,'$150.00PIaiiRf--vie%VFwmdconstrudddni;schMuldforanyii4pmvement(s)otherthahpFe�opro.vedlterrL§'Only.
$50.00,RW-Yard Pre-Appkoval Itenci Only.Pleatn:make all checks or money orders pa)mbla�to:HLMA
PROJECTS BEING SUBMITTED:(Please check appropriate Items)
.ARCHITECTURAL LANDSCAPE/HAPDSCAPE E
—Ecinsclable,Shadd :t!fLawlcatw(L1�2e Cement) —Air Condilioner
Deck(with)or(without)Stairs —Front Front Permanent BB Backboard
—Gawbo -Rear :E-Ifear �uilvftrBarbcqms--
Gate —4i;;; --J[Aghting;
9fied --ycncc(s)j wall(a):(efrok;ouc) --youl fSRa&Equipment
—Painting —Proof —SolarP;inrls
Rain Gutters&Downspouts —Side —Swing set/P14)Rquipment
—Room Addition Rear Waterfall/Fountain
cow(I or'2) _Rqammg ivall :7DMim;
:09100bo Cover wo4-(SqUid)
_(Ladico) t,-fAlumouvoqd;(Solid) (Lifflep)—
Color-Patio Cover To match:(Fascia)_(Stncc6)_(Other)
Qjher Imprqvqment not fisted above:
DO NOT WRITE BELOW THIS LINE 07o'r Committee Use Only)
TiteDesigaRaview Comarfitter fin deteradned that tile abMsubmitted Is,
0 APPROVED 0 APPROVED VATHCONDITIONS 0 DTSAPPROVED AS SUBMlMD
Sm.notes.011plaus. p<Do n9t paur-concreto against mistittg fmcc.
Plcw�c scaraverso for additional Genestal Conditions. re through curb for drainage.
Mplutain cAsting drainage pattern or p�ovldqallemativa drainage method.0 MCI ligliliagmusi.be low%vautgge/voliagei
Resubmit patid cover with additidnall dirdensibm;and elevation.
No rai=4 planters;against misting Nvalls.JCNo momthaq 12 inchasofsoil to be retained.)
Do not backfill agaimt misting fence§'Orstucco walls.
C Submit ortimally reviewod plans with revispd4yawings
All nchvroofing material&angles must conrom to misting.
bepaiuNdio ntatchmxistingstucco orfluncia trim
for
Maturecattopyof all trecs shall be contaliiM within thoboundaricsorthe pruperlyatall tham
COMMERTS:
n - - V
Date: 11,14-up Initials: -dQ04 Initials: jnititalr
U Page 25
(EXHIBITB)
HERITAGE LAKE MASTER ASSOCIATION
NEIGHBOR AWARENESS FORM
The attached plans were made available to the following neighbors for review:
Impacted Neighbor Impacted Neighbor
�CnS-!—L� V
Name Name
L/
Address Address
J
Signature Date Signature Date
Common Area or Back Yard - Ae'ar of Home
Adjacent Neighbor Adjacent Neighbor
00OW
V111K
Name Name
29,�,� 9 ZAlzlii� //;czIL5
Address Address
Name J-W�7(-IAO
Signatu& Date Address Signaffire e�L,9 Date
If
Your Street - Front of Home
Facing Neighbor Facing Neighbor Facing Neighbor
Name — Name Name
Address — Address Address
Signature Date — Signature Date Signature Date
By Submitting this form you acknowledge that impacted neighbors were
given the opportunity to review your plans and that the signatures above
verify that notification.
SUBMITTED BY:
Name: Date:
Address: 4AVkQ�
Page 27