PMT17-03641 City of Menifee Permit No.: PMT17-03641
29714 HAUN RD. Type: Mobile Home
�CCELA� MENIFEE,CA 92586
MENIFEE Date Issued:
11/08/2017
PERMIT
Site Address: 29563 ALICANTE DR,MENIFEE, CA Parcel Number: 327-410-002
92585 Construction Cost: $103,500.00
Existing Use: Proposed Use:
Description of PERMANENT FOUNDATION FOR REPLACEMENT WITH NEW MOBILE HOME 1680 SO FT
Work: -DEMO PERMIT OBTAINED AND FINALED(PMT17-03329)
Owner Contractor
ELAINE NAGORE DIAMOND HOMES INC
29563 ALICANTE DRIVE 29875 PATTERSON AVE
MENIFEE,CA 92585 WINCHESTER, CA 92596
Applicant Phone:5625777580
JAVIER DELATORRE License Number.761185
DIAMOND HOMES INC
29875 PATTERSON AVE
WINCHESTER, CA 92596
Fee Description Q,_yt Amountf$)
Manufactured Permanent Foundation 1 240.72
Permit Fee 1 27.00
$267.72
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.
CONDITIONS
Condition Comment
1 DO NOT FINAL
AA_Bldg Permit_Templale.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 Code and my license is in full force and effect. the following reason:
License Class cq:V- Uc s N . ---C�P L�Ff� By my signature below l acknowledge that,except for my personal residence
Expires 5� 1�1 Signature in which l 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
grnereby 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 www.Ieginfo.ca.Kov/calaw.html.permit is issued.
Policy# 6113351oS Date
IP.YFave 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 policy 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
Carrier with all applicable city and county ordinances and state laws relating to
G, building construction.I authorize representatives of this city or county to
Policy# L� �� Expires 6-2S" « enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emalov 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 370D of the Labor
Code,I shall forth I h ith those provisions. ` �1 Will the applicant or future building occupant handle hazardous material or
'I I ' b '7- mixture containing a hazardous material equal to or greater that the
Applicant Date �I amounts�spes ified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes ,"o
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(SC tion or See permitting fro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Corguld ast Air
CONSTRUCTION LENDING AGENCY ciYes 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 bound ryofa school?
(Section 3097 Civil Code) Oyu
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACIMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Co4evIection 25505 and 25534 concerning
haz ous material p in
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to 4egyes o No / Date 't-
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNLITHORIZED 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 fRRPI _
License Law(Chapter9(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.eaa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions I-80D-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. o No EPA Lead-Safe Certified Firm is required for this project because:
in 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
I
DATE 10 • �;;L0II1 PERMIT/PLAN CHECK NUMBER 11-D3W4
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY r MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
0-'NEW ,O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK lvew M.O�O1�{. , ,vY�^F. -1-f���t�1 ► I• I/l Y�
PROJECTADDRESS A_l3WS �C-CLV\'tC_//�� e/�
rL
ASSESSOR'S PARCEL NUMBER �S�"I.410 'V00% LOT TRACT
OWNER NAME
ADDRESS )-�'L �"+� i CLt VV 1,.1Y' rn�1,Gn+L,L CPT
PHONE EMAIL
APPLICANT NAME
ADDRESS
PHONE GS` ` ZIO-LkxiDl EMAIL Ck pke `
��)(M rl\v10O.L.oV✓�,
CONTRACTOR'S NAME e,v k er- \ l \ U Y'rk.- OWNER BUILDER? O YES po NO
BUSINESS NAME C Vy Q* '(k ykz>�t5 1,- ,- (-
ADDRESS aa S p .\- 4ej5v v-� CVe5 CPr aZ.S' ip
PHONE (a `•} �-I �o EMAIL
CONTRACTOR'S STATES LLITC NUMBER - A,.Q\k i� LICENSE CLASSIFICATION
VALUATION$( ' +SCvT LSQFT
APPLICANT'S SIGNATURE DATE Q ` I
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE �fYl "1�, PAIDAMOUNT
AMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee 8uiiding&Safety Department 29714 HDun Rd. IVienifee, CA 92586 951-67zz-
GI ?Menifee
www.cityofinenifee.us Inspection Request Line 951-246-6213 Building &Safety Dept.
\ OCT 11 2017'
�� n,.e�A
WOOD Engineering, Inc.
StwtumlEngineenng
Tile 245naw
CO/nMSMIBI&RBS/nBnlel BuildingOnsign
10040 FOOTHILL BOULEVARD, RANCHO CUCAMONGA,CA 91730
(909)989-2087 - FAX(909)989-8106
January 19, 2017
Job No.: 81-15
File No.: 19.2
Greg Bue
Golden West Homes
3100 N. Perris Blvd.
Perris, CA 92571
Subject: Golden West Homes Foundation Model GW-F9 expiration.
Reference: State of California Standard Plan Approval (S.P.A.) NO. 11-18F, Dated
9/19/16, This Plan Approval Expires 10/29/18. Model Number GW-F9, for Golden
West Homes.
To Whom It May Concern:
The Subject standard plan has been approved by the State of California Department of
Housing and Community Development (H.C.D.) in accordance with the California Code
of Regulations. Title 25, Chapter 2, Section 1020.9,
Section 1020.9 (r) states: "Plans with a standard plan approval from the department
shall be accepted by the enforcement agency as approved for the purpose of.obtaining
a construction permit when the design loads and allowable soil conditions specified in
the plans are consistent with the requirements for the locality. Local enforcement
agencies shall not require the original signature or stamp of the architect or engineer
on a standard plan approved by the department."
Section 1020.9 (k) states: "When amendment of applicable laws or the department's
regulations requires changes to an approved plan, the department shall: (1) notify the
applicant of the.changes, and (2) allow the applicant one hundred and eighty (180)
days from.the date of notification to submit a revised plan for approval or until the
expiration date of the standard plan approval, whichever occurs first."
The state has not yet issued notification in accordance with 1020.9 (k)(1) to start the
180 day process. Therefore, per Section 1020.9 (k)(2), the Standard Plan Approval; in
the Reference above, is valid until the expiration date or until 180 days after the state
issues notification, whichever occurs first.
Should you have any questions, please contact Cesar Ponce at H.C.D. headquarters at r�
(916)445-3338.
�QROFESS/py9
Sincerely, �p' 4 oo�p�D E, {ypa<01
t1o.P3 7
Donald E. Wood, P.E.
President
JAN 19 '17