PMT18-01360 City of Menifee Permit No. PMT18-01360
29714 HAUN RD.
�CCELA4' MENIFEE, CA 92586 Type: Residential Alteration
MENIFEE Date Issued:
03/2612018
PERMIT
Site Address: 26010 LAZY CREEK RD. MENIFEE, CA Parcel Number: 338-261-001
92586 Construction Cost: $4,700.00
Existing Use: 1 &2 Family Residence Proposed use:
Description of REMOVE AND REPLACE 3 MONTE VERDE WINDOWS& 1 MONTE VERDE PATIO DOOR-SAME
Work: SIZE AND LOCATION
Owner Contractor
WILLIAM FIELDS CALIFORNIA SHOWCASE CONSTRUCTION INC
26010 LAZY CREEK ROAD 1507 MARLBOROUGH AVENUE
MENIFEE, CA 92586 RIVERSIDE,CA 92507
Applicant Phone:9516820208
CALIFORNIA SHOWCASE CONSTRUCTION INC License Number:912352
1507 MARLBOROUGH AVENUE
RIVERSIDE, CA 92507
Phone: 9516820208
Fee Description Qtv Amount f51
Building Permit Issuance 1 27.00
Inspections not specified 129 129.07
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 6.45
$163.52
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_61dg_Pe"it_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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a 1 am exempt from licensure under the Contractors Slate License Law for
Professions Code and my license Is in full force antl effect. !� the following reason:
License Class 6)`��--`(� /License No. 'G T C� By my signature below l acknowledge that,except for my personal residence
Expires' ; Signature/ z %Mir' in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION OECIA I'll improvements covered by this permit.I cannot legally sell a structure that I
ATIONhave 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 forworkers 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.leeinfo.ca.vov/calaw.h"L
Polity If Date
,r;, have and will maintain workers compensation Insurance,as required by PROPERTY OWNER DR AUTHORIZED AGENT
section 3700 of the Labor Cade,for the performance of the work for which o By my signature below l certify to each of the fallowing:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act an the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier - 7� with all applicable city and county ordinances and state laws relating to
p( building construction.I authorize representatives of this city or county to
P011cy it 9 Z(G(o 917 C?Expires 141
1 1 enter the above identified property for inspection purposes.
(This section need not to be completed is the pe mit is for one-hundred
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
.-4-cenily that in the performance of the work for which this permit is issued,
I shall_n_ot emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE H
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the�fiorker's compensation provisions of Section 3700 of the Labor
Code,I shalY� htA will ose provis' Will the applicant or future building occupant handle hazardous material ora
Applicant// //,, Date� �( / i mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI RE TO SECURE WORKER'S COMPENSATIO4 COV RAGE IS DYes DNo
UNLAWFUL,A D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant requires permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQM DI?See permitting checklist
forgufdelines
CONSTRUCTION LENDING AGENCY DYes allo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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) DYes a 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
Contrayaffirmunse Law for
a perjury that
in lam ex belowempt fromthe California Health&Safety Code,Section 25SOS and 25534 concerning
Contractors License law far the reasons)indicated below by the hazardous material reporting.
checkmark(s)I have 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 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(RRPI
License Law(Chapter 9(commencing with Section 7G00)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-certfFied 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($5001. managers who do the paint-disturbing work themselves or through their
al,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( I 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 1-800.124-LEAD(5323).
Code,The Contractor's State License Law does not apply to an owner of a oAn 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:
D 1,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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
enlfe,-.
DATE: C( �� PERMIT/PLAN CHECK NUMBERPOT-1 3 — O I-;xf
TYPE: O COMMERCIAL !RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
n /',�
DESCRIPTION OFWORK l ¢- f� lacy 1'flti l rl_ �Ct � it' `do u,)5
PROJECTADDRESS 2_t.yl.'I1..) , ZIP
ASSESSOR'S PARC`EEL,NUMBER 3� '•aC I .Ob LOT TRACT
OWNER NAMEYv l I I e r1 r/� 1 V �,.(�
ADDRESS Z � 0 D L AZ l C. cci: . Izd
PHONE gSi _ ,7yr-g4 EMAIL
APPLICANT NAME -J A_C `' �I d( a
ADDRESS � �J V ( J110,f
L 4611r flI r—
PHONE "1 L`I j(P-7• 1 1 .3-7 EMAIL
CONTRACTOR'S NAME Ir 1 C,,i JL1 5 OWNER BUILDER? O YES O)IIfO
BUSINESSNAME at , wnl6L , ou u Q .TV "f yUCfL
ADDRESS / rr //�� -�
PHONE "1 -J ! _(P�) L "O We) EMAIL
CONTRACTOR'S STATE LIC NUMBER q if Z 3 C3 2- LICENSE CLASSIFICATION 8
VALUATION$ SQ L SQ FT
I �
APPLICANT'S SIGNATURE ltl ' .� I F�L.ti� DATE
CITY STAFF USE ONLY -
DEPARTMENT DISTRIBUTION Q�. ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRED
PERMIT FEE t U !� S M`K GREEN I
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED O YES C NO DRIVERS LICENSE li NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 Atj#M"Ifee
www.cityofinenifee.us Building Dept.
MAR 2 6 2018
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IH. r ao esepansha ll not be cons Wedb6eepermitfor,OranI9SII -4C I � ap " , y onoanyprovisionsofthefederal,stateorcily?, ions and ordinances. This set of approved plans must be kopt on the
e until completion.
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(9S1) �4l — )4q I 'Approval of these Ans shoo nalbe construed tobea permit for,orin
approval of,any violation of myprovisions of the hdeol,state OF city
i regulations andordinsm ThbIdofapproved plant must be kept onthe
jobsite until completion.
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727131-00 CONFIRMED ORDER Page 1 of 2
Il ill 111 OW ys ems 1665 Tollhouse Rd Clovis,Ca 93611 PH 559-322-1531 FAX 559-322-1532
Q Order Date 2115118 Orig.Entry Date PO FIELDS Anlin Acct Rep DAVE COLEMAN
Q Est Ship Date 3101M8 2113118 Terms 2%10 NET 30 Dlr Salesperson
Sold To:CALIFORNIA SHOWCASE CONST 1 Ship To:CALIFORNIA SHOWCASE CONST INC Homeowner: FIELDS
M 1316 1507 MARLBOROUGH AVENUE 1316 1507 MARLBOROUGH AVENUE 26010 LAZY CREEK RD.
RIVERSIDE CA 92507 RIVERSIDE CA 92507
Phone: 951-682-0208 Phone: 951.682-020B SUNCITY CA 92586
Fax: 951.686-2769 Fax: 951.686.2769 Phone:
Item# Uescri—plion QTY UUM Listrice actor Net haonx en e
1.00 MV XO (4)R-FIN TAN 066.76OU X 056.1250 EA
ARGON
LE CL LEFT
LE CL RIGHT
SCREEN=HALF STD STD
LOCK TYPE=1.CAM-STD
ORIEL=050.0000
U-FACTOR=0.281 SHGC=0.22
2.00 MV XO(4)R-FIN TAN 066.7500 X 044.0000 1 EA
ARGON
LE CL LEFT
LE CL RIGHT
SCREEN=HALF STD STD
LOCK TYPE=1.CAM-STD
ORIEL=050.0000
U-FACTOR=0.281 SHGC=0.22
3.00 MV XO(4)R-FIN TAN 064.7500 X 038.0000 1 EA
ARGON
LE CL LEFT
LE CL RIGHT
SCREEN=HALF STD STD
LOCK TYPE=1.CAM-STD
ORIEL=
U-FACTOR==0.28 0.28/SHGC=0.22
4.00 MVPD OX PD(4)R-FIN TAN 070.6000 079.6000 1 EA (` J
ARGON `
TEMP.LE CL LEFT
TEMP.LE CL RIGHT Q
SCREEN=STD
HANDLE=TAN 1 TAN
DEADBOLT
STOCK SIZE 6'
SIDELIGHT TYPE=STANDARD SASH
ORIEL%=050.0000 LA
U-FACTOR=0.281 SHGC=0.21
MARIA