PMT18-01341 City of Menifee Permit No.: PMT18-01341
29714 HAUN RD.
�CCEL/k> MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE Date Issued: 03/2612018
PERMIT
Site Address: 25300 PALOMAR RD, MENIFEE, CA Parcel Number: 329-320-024
92586 Construction Cost: $1,100.00
Existing Use: Proposed Use:
Description of REPAIR SECTION OF MAIN SEWER LINE IN THE FRONT YARD OF THE HOUSE 3'X 3',2.5'DEEP
Work:
Owner Contractor
KEELER ANGELES SOMATDARY INCORPORATED
8205 SANTA MONICA#298 P 0 BOX 2667
LOS ANGELES, CA 90046 CULVER CITY,CA 90231
Applicant Phone:7143498239
NUMA QUINTANILLA License Number:771663
SOMATDARY INCORPORATED
P O BOX 2667
CULVER CITY,CA 90231
Fee Description Qtv Amount(SI
Plumbing Fixtures and Vents,fixtures 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 5.80
$149.80
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_Permit 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 D 1 am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full farce and effect. the following reason:
License Class(Z9-C7 L- G41- License Na. `lI�,b 3 By my signature below I acknowledge that,except for my personal residence
Expires S 71-I R 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 1
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
D 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 www-leginfo.ca.goy/calaw.html.permit is issued.
Policy# WG 07Z f 63665 (:p Date
o 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 ❑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 1 have provided is correct.I agree to comply
Carrier Agv% g7 S (e. Y- jaZJ'pLl,tvsPAr with all applicable city and county ordinances and state laws relating to
r./ building construction.I authorize representatives of this city or county to
Policy# wGo^C 163 665 CA Expires �- f - I IC 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
so I certify that in the performance of the work forwhich 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 compensaf n provisions of Section 3700 of the Labor
Code,I shall forthwith comp i ose provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 1. mixture containing a hazardous material equal to or greater that the
amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes kNo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES WIII 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 Lion or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Airlines
Qua
CONSTRUCTION LENDING AGENCY ❑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 1OOD 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 N No
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
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporti
oyes vi No r✓
Business and Professions Code).Any city or county that requires a permit to Date ✓�• Z6 ' I r
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRP)
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)orthat he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis forthe alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
than
Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑1,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800.424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm Is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
_..r . .��i.,MEN FEE
DATE: PERMIT/PLAN CHECK NUMBER PHT, I D I
PLANNING CASE NUMBER
TYPE: O COMMERCIAL *RESIDENTIAL Q MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW • PLUMBING // O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK ) R 1( J'ec- (OLA 6 "I r J4WC1K ( he j'rn �� fVDIA4 YAtCl
of kkkL avast 3'; ?I 2.5 ' (�
PROJECTADDRESS `GS300 RcX/c,^rU( �y J�h �tl{ ZIP ZS��
ASSESSOR'S PARCEL NUMBER ('�4�� I ! b Oc^)L4 LOT TRACT
OWNERNAME 6+x' fae)JU$
ADDRESS po,(Ove0y P_J -
PHONE �(R�l) ZSy - WZ EMAIL 71 N-UIa
APPLICANT NAME II
ADDRESS VA �"141TaA; A
PHONE (31 D) 64546Sb EMAIL
CONTRACTOR'S NAME OWNER BUILDER? OYES ONO
BUSINESS NAME ft4 P1 (� 'cnnJlnb
ADDRESS logn 1A 4¢1n¢ h b l d ::rF eLuoaJ Q1 C304-
PHONE (310� 64�'C� Q ?EMAIL
CONTRACTOR'S STATE LIC NUMBER •77 l 6J LICENSE CLASSIFICATION G7, - C 36 - Cf,
AA «�
VALUATION$ 1,y�0 SO FT JJ( 3 L SQ FT
APPLICANT'S SIGNATURE DATE 3' Lb I
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OFJ�QEVIF;E BUSINW LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE �Vl L.1/�llCo ,&
INVOICE TOTAL GREEN SMIP
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofmenifee.us
ENIF
0"ry pp
1
n4ENIFEF
CONDITIONS OF APPROVAL
NAME: Numa Quintanilla
ADDRESS: 25300 Palomar Rd
DATE: 3126/18
1. Prior to Final Inspection, please provide Permit Records for ALL structures located on site.
2. If a Commercial Business is currently located at this site a Business License is Required.
Thank You,
CRAIG CARLSON Building and Safety Manager
Building and Safety Department
City of Menifee 29714 Haun Road Menifee, CA 92586
City Hall: (951) 672-6777 Direct: (951) 723-3711 Fax: (951) 679-3843
ccarlson@cityofinenifee.us j citvofinenifee.us
Office Copy
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Riverside County Parcel Report Page 1 of 5
Riverside County Parcel Report Date: Monday, March 26,
Report 2018
APN 329-320-024
Disclaimer
MAPS/IMAGES
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PARCEL
APN 329-320- Supervisorial MARION ASHLEY, DISTRICT 5
024-3 District 2011 MARION ASHLEY, DISTRICT 5
Supervisorial
District 2001
Previous APN 000000000 Township/Range T5SR3W SEC 11
Address 25300 Elevation Range 1,488- 1,504
PALOMAR RD
ROMOLAND,
CA 92585
Mailing 8205 SANTA Thomas Bros. PAGE: 808 GRID: F7
Address MONICA STE Map Page/Grid
298
LOS ANGELES
CA, CA 90046
Legal Recorded Indian Tribal Not in Tribal Land
Description Book/Page: PM Land
34/29
Subdivision
Name: PM
8873
Lot/Parcel: 4
Black: Not
Available
Tract Number:
Not Available
Lot Size Recorded lot city City Boundary: MENIFEE
size is 23.92 Boundary/Sphere Not within a City Sphere
acres Annexation Date: Not Applicable
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Riverside County Parcel Report Page 2 of 5
PARCEL
LAFCO Case #: 2007-40-3&5
Proposals: Not Applicable
Property Constructed: March Joint NOT WITHIN THE JURISDICTION OF THE
Characteristcs 1979 Powers Authority MARCH JOINT POWERS AUTHORITY
Baths: 1.75
Bedrooms: 2
Central Cool: Y
Central Heat:
Y
Const. Type:
WOOD FRAME
Garage Type:
A
Prop Area:
1248 Sq Ft
Roof Type:
COMPOSITION
Stories: 1
County Service In or partially within
Area LAKEVIEW/NUEVO/ROM CLAN D/HOM ELAN D
#146 -
Library
Street Lighting
PLANNING
Specific Plans Not within a Specific Historic Preservation Not in an Historic
Plan Districts Preservation District
Land Use CITY Agricultural Not in an agricultural
Designations Preserve preserve
General Plan Policy Not in a General Plan Redevelopment Not in a
Overlays Policy Overlay Area Areas Redevelopment Area
Area Plan (RCIP) Harvest Valley/ Airport Influence MARCH AIR RESERVE
Winchester Areas BASE
General Plan Policy None Airport Compatibility MARCH AIR RESERVE
Areas Zones BASE, zone D
Zoning See the city for more Zoning Districts and Not in a Zoning
Classifications (ORD. information Zoning Areas District/Area
348)
Zoning Overlays Not in a Zoning Overlay Community Advisory Not in a Community
Councils Advisory Council Area
ENVIRONMENTAL
CVMSHCP (Coachella NOT WITHIN THE WRMSHCP (Western Not in a Cell Group
Valley Multi-Species COACHELLA VALLEY Riverside County
Habitat Conservation MSHCP FEE AREA Multi-Species
Plan) Plan Area MSHCP Plan Area Habitat Conservation
Plan) Cell Group
CVMSHCP (Coachella Not in a Conservation WRMSHCP Cell None
Valley Multi-Species Area Number
Habitat Conservation
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Riverside County Parcel Report Page 3 of 5
ENVIRONMENTAL
Plan) Conservation
Area
CVMSHCP Fluvial Not in a Fluvial Sand HANS/ERP (Habitat None
Sand Transport Transport Special Acquisition and
Special Provision Provision Area Negotiation
Areas Strategy/Expedited
Review Process)
WRMSHCP (Western None Vegetation (2005) Developed or Disturbed
Riverside County Land
Multi-Species Habitat
Conservation Plan)
Plan Area
FIRE
Fire Hazard Not in a High Fire Area Fire Responsibility Not in a Fire
Classification (Ord. Area Responsibility Area
787)
DEVELOPMENT FEES
CVMSHCP (Coachella NOT WITHIN THE RBBD (Road & Not in a District
Valley Multi-Species COACHELLA VALLEY Bridge Benefit
Habitat Conservation MSHCP FEE AREA District)
Plan) Fee Area (Ord MSHCP Fee Area
875)
WRMSHCP (Western IN OR PARTIALLY DIF (Development HARVEST
Riverside County WITHIN THE WESTERN Impact Fee Area VALLEY/WINCH ESTER
Multi-Species Habitat RIVERSIDE MSHCP FEE Ord. 659)
Conservation Plan) AREA. SEE MAP FOR
Fee Area (Ord. 810) MORE INFORMATION
Western TUMF IN OR PARTIALLY SKR Fee Area In or partially within an
(Transportation WITHIN A TUMF FEE (Stephen's Kagaroo SKR Fee Area
Uniform Mitigation AREA. SEE MAP FOR Rat Ord. 663.10)
Fee Ord. 824) MORE INFORMATION.
CENTRAL
Eastern TUMF NOT WITHIN THE DA (Development Not in a Development
(Transportation EASTERN TUMF FEE Agreements) Agreement Area
Uniform Mitigation AREA
Fee Ord. 673)
TRANSPORTATION
Circulation Element Not in a Circulation Road Book Page 103C
Ultimate Element Right-of-Way
Right-of-Way Transportation Not in a Transportation
Agreements Agreement
CETAP (Community Not in a CETAP Corridor
and Environmental
Transportation
Acceptability
Process) Corridors
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Riverside County Parcel Report Page 4 of 5
HYDROLOGY
Flood Plan Review OUTSIDE FLOODPLAIN, Watershed SAN JACINTO VALLEY
REVIEW NOT
REQUIRED
Water District EMWD California Water None
Board
Flood Control District RIVERSIDE COUNTY
FLOOD CONTROL
DISTRICT
GEOLOGIC
Fault Zone Not in a Fault Zone Paleontological High Sensitivity(High
Sensitivity B):
SENSITIVITY
EQUIVALENT TO HIGH
Faults Not within a 1/2 mile of A, BUT IS BASED ON
a Fault THE OCCURRENCE OF
FOSSILS AT A
SPECIFIED DEPTH
BELOW THE SURFACE.
THE CATEGORY HIGH B
Liquefaction Low INDICATES THAT
Potential FOSSILS ARE LIKELY
TO BE ENCOUNTERED
AT OR BELOW FOUR
FEET OF DEPTH,AND
MAY BE IMPACTED
Subsidence Susceptible DURING EXCAVATION
BY CONSTRUCTION
ACTIVITIES.
MISCELLANEOUS
School District ROMOLAND&PERRIS Tax Rate Areas 026193
UNION HIGH CITY OF MENIFEE
CITY OF MENIFEE FIRE
Communities Romoland PROTECTION
CO FREE LIBRARY
CSA 145 MENIFEE
Lighting (Ord. 655) Zone B, 32.10 Miles CSA 146 MENIFEE
From Mt. Palomar CSA 152
Observatory CSA 33 MENIFEE
CSA 86 MENIFEE
2010 Census Tract 042730 EMWD
EMWD IMP DIST 13
EMWD IMP DIST A
Farmland OTHER LANDS FLOOD CONTROL
PRIME FARMLAND ADMIN
STATEWIDE FLOOD CONTROL ZN 4
IMPORTANCE GENERAL
URBAN-BUILT UPLAND GENERAL PURPOSE
MT SAN JACINTO JR
COLLEGE
Special Notes No Special Notes MWD EAST 1301999
PERRIS AREA ELEM
SCHOOLFUND
PERRIS JR HIGH AREA
FUND
PERRIS UNION HS
PERRIS VALLEY
CEMETERY
RIV CO REGIONAL
PARK&OPEN SP
RIVERSIDE CO OFC OF
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Riverside County Parcel Report Page 5 of 5
MISCELLANEOUS
EDUCATION
ROMOLAND SCHOOL
SAN JACINTO BASIN
RESOURCE CONS
SO. CALIF,JT
(19,30,33,36,37,56)
VALLEY HEALTH
SYSTEM HOSP DIST
PERMITS/CASES/ADDITIONAL
Building Permits
Case # Description Status
BAR040101 REBUILD GARAGE AND REPAIR ELECTRICAL IN FINAL
KITCHEN
BEL040236 TEMP POWER FOR FIRE DAMAGE CONST. EXPIRED
BHR040011 FIRE INSPECTION FOR REBUILDING 1 CAR FINAL
GARAGE
BZ350463 DWELLING AND ATTACH GARAGE FINAL
BZ354612 ELECTRICITY TO BARN FINAL
BZ354613 REGISTRATION BARN FINAL
Environmental Health Permits
Case# Description Status
No Environmental Not Applicable Not Applicable
Health Permits
Planning Cases
Case # Description Status
No Planning Cases Not Applicable Not Applicable
Code Cases
Case # Description Status
No Code Cases Not Applicable Not Applicable
http://tzvmagO l.rivcoit.org/Riversidc_Report/PublicAPN_Report.aspx?APN=329320024&Lat=2218... 3/26/2018
PLOT/SITE PLAN N
REAR PROPERTY LINE
City of Mienifee
�0Q1L Building Dept.
MAR 2 6 2018
CITY OF MENIFEE
BUILDING AND SAFETY DEPARTP ;-'•IT —Received
p AL c Ono
R UIEWED BY
Wans
(/�� ��'App val of thes all not be construed to be a permit for,or an
appro I of,any violation of any provisions of the federal._.aye or city cmwmi
regulat ons and ordinances, This set of approved plans mu:'o:kept on the
jobsiteluntil completion,
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FRONT PROPERTY LINE
Property Owners Nome It�
Property Address ,,? P dray �� �h G�"I OgA quo�