PMT16-04115 City of Menifee Permit No.: PMT16-04115
29714 HAUN RD. Type: Commercial Addition
<ACCIELA—> MENIFEE, CA 92586
MENIFEE Date Issued: 01/1212017
P E R M I T
SiteAddress: 29100 MIDWAY SUMMIT RD,MENIFEE, Parcel Number: 340-0260-039
CA 92584 Construction Cost: $1,250.00
Existing Use: Proposed Use:
Description of INSTALLATION OF 25'FLAGPOLE AT ANTELOPE GATE HOUSE OF OASIS HOA
Work:
Owner Contractor
OASIS COMMUNITY ASSOCIATION M J GENERAL CONTRACTORS
29100 MIDWAY SUMMIT RD 28260 LONG MEADOW DRIVE
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone:9512410108
JIM JOHNSON License Number.974811
28260 LONG MEADOW DRIVE
MENIFEE, CA 92584
Fee Description Qtv Amount
Building Permit Issuance 1 27.00
Inspections not specified 258 258.14
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 1.00
General Plan Maintenance Fee-Building 1 12.91
$300.05
The issuance ofthis permit shall not preventthe 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.Bldg2ernnit—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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and u I am exempt from licensure under the Contractces State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class L3 Licensel4o. By my signature below I acknowledge that,except far my personal residence
Expires -7-3 I-Je Sigmitur 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 DECLARATIV/ have built as an owner-builder If it has not been constructed in[is entirety by
o 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
this permit is issued. www.IeRinfo.ca.gov/caIaw.htmI.
Policy# 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,forthe 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 propert�owner's behalf.I have read this
numberare: 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
Carrier 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 crie-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
gJ4156tffy 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' t' r visions of Section 3700 of the Labor
Code,I shall fort iwi comply with those provisions. Will the applicant or future building occupant handle hazardous material Ora
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:F F E TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes a No
UNLAWFUL,dD SHALL SUBJECIF 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 a Yes a No
I hereby affirin that under the penalty of pedury 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 perm It Is Issued outer boundary of a school?
(Section 3097 Civil Code) a Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat 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 ha�e placed next to the applicable ftem(s)(Section 7031.5 oYes o 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 OWNE R 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 Contractoes 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 jequires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pr�1978
a nd the basis for the a Ileged exemption.Any violation of Section 7031.5 by residence or childcare facility to be R RP-certlfied firms and comply with
an Applicant fo r a permit subjects the applicant to a civil pena Ity of not more required practices.This includes renta I property owners a nd property
than($500). managers who do the paint-disturbing work themselves or through their
o 1,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.epa.goy/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 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 project because:
o 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",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.
iF
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Office Copy
-*Men'fee
DATE 1 PERMIT/PLAN CHECK NUMBER
TYPE: XCOMMERCIAL CRESIDENTIAL "-) MULTI-FAMILY C' MOBILEHOME POCL/SPA o SIGN
SUBTYPE: 0',ADDITION 0ALTERATION 3�DEMOLITION 10, 1ELECTRICAL OMECHANICAL
0
,KNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ILA A T qAe f?D)
6� 0on I I
PROJECTADDRESS �1`1166 R4,
LOT TRACT
ASSESSOR'S PARCEL NUMBER ?zL40-,?- b(_3--D
OWNER NAME (:;>m P4 uff,' �x A ��n 6&
ADDRESS 19100 �'A 't Lt)4x L)r4'0) A CL
PHONE - �n/ -n YL,6 EMAIL Kevily,a -t-hemp(�O 46/4
APPLICANT NAME 045 Z-5 VEZ�e Y- �26 CJ' L)b
ADDRESS A1166 /M"C((, 44 V 1)M.02
PHONE Cf 57 -9:3vel, EMAIL C6/047A / 15'0� VWAI C��A9
CONTRACTOR'S NAME
4_IW OWNER BUILDERJ? 0 YESX, NO
BUSINESS NAME (y),S r,,a—Alp 4A
ADDRESS 1?,),in 0 C-0 P'4 s Oil)w 'Ar. ve - M eAz; Cee CO 7- V
PHONE qrFl- A4 I- okoja EMAIL
CONTRACTOR'S STATE LIC NUMBER I I LICENSE CLASSIFICATION
VALUATION $ SQ FT L SO FT
APPLICANT'S SIGNATURE DATE
FROM RK
DEPARTMENT DISTRIBUTION OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP CITY
INVOICE C*
NT
AMOU PAID AMOUNT 0 CASH CHECK# "CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECKtt "CREDITCARD VISA/MC
[OWNER BUILDER VERIFIED OYES 0., NO CIL NUMBER NOTARIZED LEITER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586-951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-5213
office Copy
is,
BUILDING AND SAFETY DEPARTM
CITY OF MENIFEE
ENT
PLAN APPROVAL
A�
I Ni�h3h--
AP
'AoRrovaLdJUg461mball not be construed to b
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
7�1
Vanguard . office COPY
The Vanguard flagpole combines the secu-
5-DiA.GOLD ANODIZED SPUN rity of a concealed halyard system with the sim-
ALUM-BALL WITH FLUSH SFAM—'_� plicity of a rope halyard. While lacking the con-
vanience and sophistication of A winch-oper-
Y'CAST ALUM_STATIONARY ated system.the Vanguard does provide an intelli-
TRUCK(SEE DETAIL) gent, economical alternative to standard con-
ofeal,Afllge systems.
ONE LENGTH 1/4*'(N8)POLYPROPYLENE CITY VE FE
HALYARD WITH 2 CHROME
SWIVEL S14APS BUIL
a stationary truck and across an
114-(08)POLYPROPYLENE PLAN AVdT,,"
,on. ,
RETAINER RING ad itiona cc �ng halyltd block and is secured
on he fia le
in featello
d �cin �_de
In a cam-ac;OKI. i OM2016
ONE 2"01A_X 3 1/;2::V�4NYL- behind inged. c
COVERED COUNTERWSIGH REVI MWABY
UAI It
Standard fittin include a S" gold anodized
ONE PIECE CONE TAPERED *Approl a](6 *fWdAy-
SEAMLESS ALUM.SHAFT Li
(6M-T6 ALLOY)— approvilol
d
T
regUlati)[ISW60M' TROWN,
minurn flaSh Collar a d g
jobsite int�E?Mj�ign' sleeve.
PERIPHERALLY REINFORCED ACCESS
OPENING WITH HINGED DOOR
&CYLINDER LOCK-----------
ALUMINUM FLASH COLLAR
30DO PSI CONCRETE
HARDWOOD WEDGES
IBY OTHERS;
DRY SAND TIGHTLY TAMPED
AFTER ALIGNING POLE
BLACK ASPHALTUM PAINT ON
SURFACE OF POLE BELOW
GRADE I Z.:r
71—
FOUNDATION SLEEVE.HOT IP
GALVANIZED STEEL 14**
STEEL CENTERING WEDGE
3/16-X 12"SO STEEL BASE TE
3/4"DIA.X Is-STEEL SpouNo SPIKE
EXPOSED OVERALL DIMENSION DIAMETER LENGTH SHIP FLAG'
HEIGHT HEtGmT ..A- BUTT TOP WAI L TAFf:HrD SrRAIGHT SECTION SIZE MODEL
25`011 28-0 -, -L'- 5" S, 12tl" I I -Ir 17,-0- %-PC Ecxv4b
W-(r 2_C_ S_ 12!)_ 1 I'_U 22%0"' I-PC ECXV30
35"-O� 2 r-d- I-PC S,K a, ECSV35
p2
'MNGUARI)INTERNAL FLAGPOLE INSTALLATION INSTRUCTIONS ' EF
1. Dig foundation hole four to six times the butt diameter. Aluminum Fla a
2- Set sleeve so that top of tube is Z' above grade. Plumb Cali ce COM
foundaAon tube so that it will not move during the pouring 3000 PSI
of the concrete. Concrete
3. Pour concrete and trowel to desired finish. Keep inside of
foundation sleeve dry. Cover opening if pole has not been Dry Tamped Z Hardwood
Wedgee
an
delivered.
Steel Centering
4. For sectional poles check both ends for any burrs. If any Wedges Foundation
are found,file them off and wipe the ends clean. Lubricate Sleeve
the sleeve and inner surface with liquid soap. Keep the Support Plate
Steel Base
finished surfaces free of hand prints and excess lubricants. Lightning Plate
Align the arrows and/or numbers on each secflon and jamb Ground Spike *Supplied by others
together. Numbers must be identical for proper fit.
5. Lay pole on sawhorses and unwrap top of pole, access door and the bottom 3-4'.The remainder of the
wrappings can be removed after pole is set.This will keep pole clean of marks and fingerprints.
6. Take loose end of rope halyard,thread over sheave in truck from the outside and then through the
pulley bracket mounted on slot at top of pole. Now fish loose end of rope down inside the pole to
vicinity of access door. Open access door with key, thread rope end through cam cleat from top and tie
off end of rope in an overhand or figure eight knot.
7. While pulling slack out of rope to avoid pinching, place truck on top of pole, aligning horn and sheave
with slot and fasten securely by turning down set screws tightly to the pole.Thread ball rod into
threaded hole in top of truck, screwing down tightly until ball will no longer turn.
8. Take up other end of rope with counterweight attached. Detach one end of retainer ring from split repair
link, run retainer ring around pole and reattach end to repair link. Close repair link using vice-grip or
hammer. Tape retainer ring counterweight assembly temporarily to the pole above access door, out of
the way while setting pole.
9. Slip aluminum flash collar on bottom of pole; slide up above setfing height and tape temporarily to pole
while setting the pole.
10.Set pole into sleeve and center on steel wedges in sleeve.Turn pole so that truck and access door
face in the desired direction. Place wood wedges between pole and sleeve to hold pole upright and
plumb pole for final set.
ii-Pack dry sand between pole and sleeve to hold pole in place. Leave 1"void at top and fill with
waterproof cement or caulking sealant to keep water out of the sand.
12.Slip aluminum collar down onto concrete and caulk between collar and pole with urethane sealant.
Remove rest of wrapping from pole.
13.Loosen rope loop around highest flag snap, move on rope unfil flag snaps fit the size of the flag
being flown. Fasten flag to flag snaps, check operation by pulling rope halyard to raise flag and
counterweight. Pull rope sideways behind cam to hold flag at the peak.To release flag, pull rope
sideways from cam and pull on the rope.After Checking operation, lock access door and turn key over
to owner.
CAUTION: IF FLAGPOLE IS NOT TO BE INSTALLED IMMEDIATELY, REMOVE PROTECTIVE
WRAPPING AND SET POLE ON BLOCKS AT LEAST 12"ABOVE GRADE.THE FACTORY CANNOT
ASSUME RESPONSIBILITY FOR THE FINISH IF POLE IS STORED IN ITS WRAPPINGS.THE PAPER
WILL DISCOLOR THE POLE IF THEY GET WET.
Rev.June 2,2015
Office Copy
AU
ETY DEPARTMENT
20 2015
DATE
'Approval of these plans shall not be construed to be a permit for,or an
approval of,any violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion,
PROPOSAL
MJ GENERAL CONTRACTORS C;,tV oj Meriltee 28260 LONG MEADOW DRIVE
JIM JOHNSON Building DePt MENIFEE, CA 92584
LICENSE 974811 PHONE 951-241-0108
Proposal Submitted to:Don Hook DEC 4 2511b- JobName: Job#14316
ived
Address:29541 Warmsprings Dr.,Menifee,CA.92,44R e G Job Location:27500 Aldergate Dr.Menifee,CA.92584
E-MAIL:donannlS@msn.com
Phone#951-236-834S Fax#
Attn: Date:12/1/2016
We hereby submit specifications and estimates for the following:MODEL ECXV25 ALUMINUM FLAGPOLE
1.Dig tapered hole 30"in diameter 42"deep.Transport and dispose dirt on Oasis property.
2.Set foundation sleeve and pour 3000 PSI concrete.
4.Mount flash collar,lift and set pole with volunteers.
5.Insert hard wood wedges,plum pole and sand pack sleeve.
6.Seal flash collar.
7.Clean up.
NOTE:Flag pole to be owner provided with accessories.All additional material and labor to be provided by IVU General Contractors.
We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of:
_$_1250 Dollars
With payments to be made as follows: Full payment on completion
Anyalteration ordeviation from above specifications involving extra costs will Respectfully submitted:
be executed only upon written order,and will become an extra charge over and James Johnson
above the e I
A I agreements contingent upon strikes,accidents,or delays
be Note—this proposal may be withdrawn by us if not accepted within 30 days.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are
hereby accepted.You are authorized to do the work as specified.Payments Signature
will be made as outlined above.
Date of Acceptance: Signature
19