PMT17-01718 City of Menifee Permit No.: PMT17-01718
29714 HAUN RD.
-5A—CCEL/k� MENIFEE,CA 92586 Type: Residential Demolition
MENIFEE Date Issued: 06/01/2017
PERMIT
Site Address: 27270 DEL MONTE LN, MENIFEE, CA Parcel Number: 336-230-013
92586 Construction Cost: $1.500.00
Existing Use: Proposed Use:
Description of DEMO EXISTING RETAINING WALL,5'x 60'
Work:
Owner Contractor
DIANE&JAMES LEVANOFF MHS CUSTOMER SERVICES INC
27270 DEL MONTE LANE 7586 TRADE STREET STE C
MENIFEE, CA 92586 SAN DIEGO,CA 92121
Applicant Phone:8586952151
STEWART ROBINSON License Number: 593515
MHS CUSTOMER SERVICES INC
7586 TRADE STREET STE C
SAN DIEGO, CA 92121
Fee Description Oft Amount t51
Building Permit Issuance 1 27.00
Demolition Permit 1 140.00
GREEN FEE 1 1.00
$168.00
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_Pennit_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 o I am exempt from licensure under the Contractors State License Law for
Professions Cade and my license is in full force and effect 7 S the following reason:
License Class r/S License Na.- J3 J By my signature below I acknowledge that,except for my personal residence
Expires s'31'j` Signature J - in which I must have resided for at least one year priorto 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
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 workers 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 ,A„Nw,leeinfo.ca.eov/calaw.html.
f�
Policy# t,.J J b Gj-2275 %q Date
�*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 o 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 polity owner or authorized to act on the property owners behalf. I have read this
number are: application and the information I have provided is correct.I agree to comply
Cwith all applicable city and county ordinances and state laws relating to
Carrier }}�� �] building construction.I authorize representatives of this city or county to
U Policy# t4v!s '.�o Z-755 /Expires /0 — enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
D 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 fort it c y with those provisions. Will the applicant orfuture 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 0 Yes 11lYN0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture 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(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ciYes 0I4o
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) 0 yes 0><o
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 the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous material reporti g.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 dyes O No -
Business and Professions Code).Any city or county that requires a permit to Date �- 1
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWT(Ek OR A THORIZED 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(RRPI
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
❑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 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 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. 0 No EPA Lead-Safe Certified Firm is required for this project because:
D 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.
Menifee
AI
DATE I�' PERMIT/PLAN CHECK NUMBER on Iis
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: C)ADDITION O ALTERATION VtEMOUTION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Q-tJ4v U 60 L� a•�
C S /�l7 City of MenifeA
PROJECTADDRESS 2 Z �I �Ot'l/ti t-t, . crl -tc G.9 •rt51 90y6ept.
ASSESSOR'S PARCEL NUMBER 3Q `ol?��'� LOT TRACT N V,1 2017
OWNER NAME I r_Ajel IO TJP<<w"L C.4 O-N'c'�S d
ADDRESS Z Q d �,7 c� w ZS p
PHONE 7 +�Q y O S Sq q EMAIL
APPLICANT NAME l jru -f,'0 - `5�'-cW C-Y-
c�
1'
ADDRESS -7 5 i1 II^c-aY SL S i •� JG�rl
PHONE 6!9 - 971 - 597K EMAIL M 1S l�l,J O M-r cowk,
CONTRACTOR'S NAME lit 5�rLa,Cl L��- OWNER BUILDER? OYES
BUSINESS NAMEA/ O. 11�C V
ADDRESS 54 JJI- 5c.it'%'� 'S0,, L C,7/.. Z�Z
PHONE 61q - 9 7 /' S�! 7 6 EMAIL j— O - 0,-'� n • CC, Cl
CO, h-\,
CONTRACTOR'S STATE LIC NUMBER 1 S LICENSE CLASSIFICATION /J
VALUATION$ SO FT L SO FT
APPLICANT'S SIGNATURE .v- DATE /I -
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' ` SMIP k
INVOICE ,, ^^ PAIDAMOUNT lusAMOUNT �W O[ASH O CHECK# t%CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# 0CREDIT CARD VISI
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-6 72-6777
www.cityofinenifee.Us Inspection Request Line 951-246-6213
PLOT/SITE PLAN
REAR PROPERTY LINE
The rear PL is 60'wide. O
There is an existing retaining wall at the rear of the property. This wall is 5'tall and 60' U
long. There is an existing wooden fence atop the existing retaining wall. We need to
remove the existing retaining wall and fence because they have fallen down and rebuild Uj
them new. We are only removing and replacing existing and building them to code. U
City of Menifee LL
Building & Safety Dept LL..
Patio cover is 12'from rear PL JUN 0,1 2017 O
Home is 20'from rear PL Received
bO
5'from house to PL T from house to PL =now
r
Z H 4l�oell
a a
CL
Existing Home
w o
1 E MENIFEE in ;000�
JIL ING AND SA ETY DEPARTMENT
A APPROVAL
f;L 0 WED BY
DATE 30'
from
*App[ovc I of these plans shall not be construed to be a permit for,or an home
approval f,any violation of any provisions of the federal,state or city to
regulatioi s and ordinances. This set of approved froplans must be kept on the Pont
;Obsite Mil completion.
FRONT PROPERTY LINE
Property Owners Name D'c `t e a�/`� j0.Nt LS L U /'+O
Property Address 27Z-7 d I)GI moYtt< 4111 �t/tv �� a2SYJG
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