PMT18-01218 City of Menifee Permit No.: PMT18-01218
29714 HAUN RD. Type: Residential Addition
'J CCELA? MENIFEE,CA 92586
MENIFEE Dale Issued: 05/18/2018
PERMIT
Site Address: 28282 JENNY UN, MENIFEE,CA 92584 Parcel Number: 388-020-013
Construction Cost: $25,500.00
Existing use: 1 &2 Family Residence Proposed use:
Description of INSTALL DETACHED 60 X 40 STEEL BUILDING WITH ELECTRICAL
Work:
PP2017-259
Owner Contractor
RON CARTER
28282 JENNY LANE
MENIFEE,CA 92584
Applicant License Number:
RON CARTER
28282 JENNY LANE
MENIFEE,CA 92584
Phone:3103843371
Fee Description OIt Amount fSl
Services,Switchboards,Control Centers&Panels 1 116.00
Receptacle,Switch,Outlet&Fixture 3 126.00
Fire Safety Specialist Fee 1 147.00
Plan Check Fee 308 307.50
Building Permit Issuance 1 27.00
Additional Plan Review Building 770 770.00
GREEN FEE 1 4.60
SMIP RESIDENTIAL 1 12.00
New Construction Permit Fee 1 401.86
General Plan Maintenance Fee-New 1 20.09
Construction
$1,931.45
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 staled,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_Permil 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 1 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 D I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full farce 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
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑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 th fallowing website:
by Section 37GO of the Labor Code,for the performance of work for which ,may nfo.... calaw.ht
this permit is issued.
Policy# Date 6 ��
PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain worker's compensation insurance,as required by
section 3700 ofthe 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 the information 1 have provided Is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authcri3e representatives of this city or county to
Polity# Expires en the abo 'dents e f -inspection purposes
(This section need not to be completed is the permit is for one-hundred Date /ell
/5
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o 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#
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 Labor
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 ❑Yes qNo
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(SCAQMD)?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes P440
1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1DW feet of the
lending agency for the performance of the work which this permit is issued outer bounSlarry of a school?
(Section 3097 Civil Code) ❑Yes Pf4o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
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 255 concerning
Contractor's License Law for the reason(s)Indicated below by the
hazardous cooler I reports
checkmark(s)I have placed next to the applicable hems)(Section 7031.5 oYes ANo� 7
Business and Professions Code).Any city or county that requires a permit to d/d�TGGGTGGGffffff Date
construct,alter,improve,demolish or repair any structure,prior to 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 pursuant to the provisions of the Contractor's 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
o 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 Contractor's 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. o No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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.
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COMPUTER MODEL TEST ORIGINAL
Grid Number: 18-A Date: April 25, 2018
Customer Name: Ron Carter I Address: 28282 Jenny Lane
City, State Zip: Menifee,CA 92584
Contract Name: Ron Carter
Phone: 310-384-3371 Cell: same
Fax: none Email: none
Project Record Number: WS 2018-0427 WO/CO: N/A
Tr 22740 Lot 5
Project Name: Carter Residence Accessory Bldg APN: 388-020-013
(Approximate)Test& Hydrant Hydrant located on PIQ's property near the southeast corner
Location:
PIQ: 28282 Jenny Lane; Menifee, CA 92584
MODEL NBD_EMWD_POTABLE_20170321_POS FF Diurnal_v1
Requested Flow Availability
POC Test Location: EMWD RESULTS
for Fire
Fire Flow 1 '• . • .
Elevation*: 1510.4 Department
Steady State, Dynamic (psi): 76.7
Residual Pressure(psi): 59.5
Tested FF (gpm): 1000.0
Combined Total (gpm): 1000 gpm 1000
Number of Hydrants: One Hydrant 1 _
Duration Tested @: 2 Hours 1
Demand Conditions: Max Day
Pressure ZonelTank Name(s)ILevel(s): 1698K / Keller / Base Elevation 1660 ft
Pump Operating Status: ON lComputer Model Setting: JEFS
Number of POC Reason
Points of (Circle One) (Circle what Applies)
connections i Plan Limited Capadty Supply Conditions of Fire Sprinkler
(POC): i.•On Two or More Of Service (Existing System) Redundancy Approval Connection(s)
Comments: The water system is capable of providing 1000 GPM for 1 hours at a minimum of 20 psi,as shown 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.Fire Flow Requirements for COA's were not provided(dated 4110118),if any Fire Flow changes occur in the COA,you may
need to resubmit another Fire Flow test at the requesters expense.
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 twelve months from the date of testing.
Completed By: Kris Danielson
Should you have any questions or need additional information, please contact me at(951)928-3777, ext.4478.
Sincerely. . ,/ Date: 4/25/2018
Rudy Esparza
Sr. Engineering Technician
New Business Development
Reviewed By: � Date: -2S-ZoIR
Elevation based on Riverside County Flood Control digital data.
W2017\17-0299\FF& HBC\18-0427 APN 388-020-013 2-HRg18-0427 Output Data.xlsx]FF
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