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PMT18-02039 City of Menifee Permit No.: PMT18-02039 29714 HAUN RD. �J-�CCEL/� MENIFEE, CA 92586 Type: Residential Addition MENIFEE Date Issued: 0 412 712 01 8 PERMIT Site Address: 29001 WICKERD RD, MENIFEE,CA Parcel Number: 372-150-001 92584 Construction Cost: $20,000.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of REPLACE EXISTING WOOD FENCE WITH CITY STANDARD FREESTANDING BLOCK WALL 6FTX Work: 280 L. FT AT PROPERTY LINE. Owner Contractor KATHLEEN VERSTEGEN , 29001 WICKERD RD MENIFEE, CA 92584 Applicant License Number: KATHLEEN VERSTEGEN 29001 WICKERD RD MENIFEE, CA 92584 Phone: 5625726443 Fee Description Oy Amount Isl Building Permit Issuance 1 27.00 Wall/Fence,standard 1 83.00 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 3.00 General Plan Maintenance Fee-Building 1 4.15 $118.15 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 Permk 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 I with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and 'K,I am exempt from licensure under the Contractor's Slate License Law for Professions Code and my license is in full force and effect. the following reason:&YK e. 6 to H P e 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 worker's 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 lvww.le info. ov ca a tml. this permit is issued. Policy# Date o I have and will maintain worker's compensation Insurance,as required by PROPERTY OWNEROR AUTHED AGENT section 3700 of the Labor Code,for the performance of the work for which o By my signature below 1 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: I 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 authorize representatives of this city or county to Policy# Expires enterthe ove identified roperty for inspection purposes. (This section need not to be completed is the permit is for one-hundred / Date dollars($100)or less PROPERTY O NER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, I shall not emolav any persons in any manner so as to LcpRRp�44Qt to the CITY BUSINESS UCENSE# worker's compensation laws of California,and f!� t R l ecome HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provision w"Q3110 bf the Labor Code,I shall forthwith comply with those provisions. p Will the applicant or future building occupant handle hazardous material or a Applicant pgge'� mixture containing a hazardous material equal to or greater that the rr 11`` amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS� o Yes 0 No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIM,�IN�e1 �\�� Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOU O,O N I occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION, AAA PROVIDED FOR I Coast Air Quality Management District_(SCAQMD)?See permitting checklist 1N SECDON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes ifNo 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) ❑Yes k No OWNER BUILDER DECLARATIONS I 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 IContractor's License Law for the reasons)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oYes / p 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 p OPERTY OWNER OR AurHORI&f6AGENT 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(SSOD). managers who do the paint-disturbing work themselves or through their 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 P all of or( )portion of the work,and the structure is www.epa.gov/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. in No EPA Lead-Safe Certified Firm is required for this project because: a I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 70",Business and Professions Code: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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: -pR - ( g PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL A-RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: OADDITION t..*ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK �_ W �-{- - ZESO l.• �T PROJECTADDRESS (,Jf t—d ZIP ASSESSOR'S PARCEL NUMBER ?j 79/5 D U 0 ✓COT TRACT OWNER NAME �[ 3�t'6 D 0 v=` � Cfty Of @nl @e RidIdno De A. ADDRESS �L_ UO i PHONE Cj7,�-` '�(o yy EMAIL `, APPLICANT NAME 7` ¢ y H C®i V e ADDRESS E PHONEa_.S'7�'-[.. t/i1 EMAIL CONTRACTOR'S NAME OWNER BUILDER? ES O NO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION O 0 SQ FT L SQ FT go APPLICANT'SSIGNATURE DATE LI-26 -/V UTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL GREEN SMIP OWNER BUILDER VERIFIED O YES 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.cityofinenifee.us "✓''s' REBAR PLACEMENT ILLUSTRATION FOO NG OPTION B A �ME C1� S 6011,010 AN A (TYPICAL) pL�'N APpR ALL REBAR SPLICES 24" MIN. OVERLAP p\aM sh ,e f 'APP10 \of Son of0, -Pl�ovaA a any 01 UI At uA j A 212018 ., ReCe►ve� (TYPIICwA�L) ONLEMLLS AND BO D Mff". GROUTED ``'•., (DO NOT SOLID GROUT ENTIRE WALL-USE i e GROUT STOP MESH AS APPROPRIATE) FO TING OPTION (TYPICAL.) ALL REBAR SHALL HAVE A MINIMUM OF 3" CONCRETE COVER AT FOOTINGS DESIGN PARAMETERS: WESYERN RIVERSIDE COUNTY CODE UNIPORMRY PROGRAM ACTIVE SOIL PRESSURE(PSF) =30 """ CITY OF MENIFEE PASSIVE SOIL BEARING(PSF) =150 BUILDING DEPARTMENT COEFFICIENT OF FRICTION =0.25 MENIFEE ALLOWABLE SOIL BEARING(PSF) =1500 WIND=80 MPH,EXPOSURE C FREESTANDING BLOCK WALL SEISMIC: NA=1.3,NV=1.5,Z=0A SOIL PROFILE=So (951)672-6777 29714 H.4un RoAD,MENIFEE,CA 92586 FAX(951)6793843 2 12014 ry WWPI.CITYOFMENIFEE.US PAGE2OF2 City of Menifee Building Dept. FOOTING ING OPTION 66 �l 99 APR 2 7 2018 FOOTING OPTION 66B99 N 1.J.�..........I:I_°.� li 6'1l Recaived FOOTING�b.9 �V' �(OTS2'BOND BEAM BLOCK) e� tf ` 6"OR'8".BLOCK LLLLLL „H., ..H., HEIGHT FROM TOP f #4 HORIZONTAL AT 32.' MAX:O.C. HEIGHT FROMTOP OF FOOTINGM / . (USE BOND BEAM BLOC) OF FOOTING fI SdE'fETAB{ "A" - - - SEETABLE"B" FOR REBAR SIZE FOR REBAR SIZE AND SPACING AND SPACING ILO.OF�RE3AP.III C'clJl<R OF,CELU (LOCATE REBAR IN CEMER OF CELLI -FINISH GRADE ? (1 #4 REBAR CONTINUOUS- — _ — .— (2)-#4REBAR Ill'- F 12„ 10„ lilll _ 101 12„ CONTINUOUS I�IIIII _ 7 REVERSE _ =_lll�ll'I w .. DIRECTION OF �- 'W' "W" HOOK ON EVERY II (FI OOTING WID� (I FOOTING WID OTHER REBAR SEETABLE"A'• SEETABLE"B" ALL FOOTINGS ADJACENT TO j SLOPES BE LEAST 5'TO TABLE "A" " B" DAYLIGHTT TABLE AS SHOWN BELOW. , 4.r a VERTICAL " VERTICAL H W' REINFORCEMENT I'1 w" REINFORCEMENT 3' 17" #4 @ 48" O.C. 3' 19" #4 @ 48"O.C. r — 4'—-20 #4 @ 48"O.C. — --a:— 4' 22"— #4 @ 48"O:C.- s 29" #4 @ 48" O.C. 5' 23" # 48" O.C. <oo� 5' #4 @ 24" O. BOTTOM F. 6' 34" #4 @ 24" O.C. FOOTING 5'MIN. ,Y VyV, ' NOTES: CHECK WITH THE BUILDING DEPARTMENT TO w.: 1)THIS DESIGN DOES NOT ALLOW GRADE DIFFERENTIALS OF VERIFY IF A BUILDING PERMIT IS REQUIRED. MORE THAN 6"ON OPPOSING SIDES OF THE WALL. THIS IS WHEN A PERMIT IS REQUIRED,THE FOLLOWING NOT A RETAINING WALL. INSPECTIONS ARE REQUIRED: 2)FENCE HEIGHTS ARE REGULATED—CONSULT ZONING 1)FOOTING;EXCAVATION TRENCH CLEAN WRH REGULATIONS BEFORE BEGINNING CONSTRUCTION. STEEL IN PLACE AND SUPPORTED 3"ABOVE AND f3)NO WATER COURSE OR NATURAL DRAINAGE SHALL BE AWAY FROM THE SURROUNDING EARTH/DIRT. OBSTRUCTED. 2)REBAR/PRE-GROUT:BOND BEAM REBAR AND pr 4)GROUT ONLY THE CELLS CONTAINING REBAR. THIS WALL VERTICAL REBAR IN PLACE-INSPECTION PRIOR TO IS NOT DESIGNED FOR ALL CELLS TO BE GROUTED. PLACING GROUT. 5)ALL REBAR TO BE ASTM SPEC.A615,GRADE 40 MINIMUM. 3)FINAL;AFTER GROUT IS PLACED-PRIOR TO ANY 6)ALL REBAR LAP SPLICES TO BE 24"MINIMUM. DECORATIVE CAP PLACEMENT. 7)ALL MASONRY UNITS TO BE ASTM C-90 GRADE N. 8)REBAR TO BE CENTERED IN MASONRY CELLS. WESTERN RIVERSIDE COUNTY CODE UNIFORMITY PROGRAM 'SEE PAGE 2 FOR ADDI110NAL INFORMATION' �,��a. CITY OF MENIFEE DISCLAIMER: " BUILDING DEPARTMENT ALTERNATE DESIGNS MAY BE POSSIBLE MENIFEE WHEN PROVIDED WITH AN ENGINEERED FREESTANDING BLOCK WALL ANALYSIS. USE OF THIS STANDARD DESIGN IS AT THE USER'S RISK AND CARRIES NO IMPLIED OR INFERRED GUARANTEE AGAINST (951)6726777 29714 HAUN ROAD,MENIFEE,CA 92566 FAILURE OR DEFECTS. FAX(951)6798 WVJ 843 2/yy�pOi4 W .CITYOFMENIFE'c.US PAGEI OF2 q Oz-Z X J-4n PLOT/SITE PLAN —T1 VMyfJm9 -REAR PROPERTY LINE D�F puh �� 81d Bki �r lqo \ �yULLJ Lu z z0 J w 0 0 iy 810Z 1 Z ddd CITY OF:AN : BUILDINETY ' ;dep Buip��n8 PLAN ADEPARTMENT MkMM lit as;ivay�}o pia REVIEWE4*2wL 14r .� DATE -rj ��PWo�alof IheeoMyybb bpi aPP�al oi,anyP if br arins l*ftbe ntilCOMof�gxgrdf+MtaNat p�ontlr // FRONT PROPERTY LINE Property Owners Name 14ALI—1 P n I/e_,(/-'e fe gE h Property Address `J-900 / UJi Lcrd i2,/ To Whom it may concern, I Carlos Corona authorize Kathleen Verstegen to pull a residential building permit for alteration wood to block in the middle of property line, between 29001 Wicked Rd. Menifee, CA 92584 and 29045 Afton Ln. Menifee, CA 92584. sM 11tuw d2Id City of Menifee Building Dept. APR 272018 Received CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKHOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County `off Riverside �r ,}� '",�' i I p f , /, f7i f I,� , On (�°'! -9u �b before me, _(, u�(t(,�, 'VimetVLCWoY,UI,ut d �f�w c //!!�� t ere nsen name a l e o Inc 0(lieer) personally appeared bat )� ��.5 W {� who proved to me on the basis of satisfactory evidence to be the persoD,(aj'Gvhose name*ishee subscribed to the within instrument and acknowledged to me that he/sbe/t�ey executed the same in his/ber/fbeir authorized capacity(kiary, and that by his/W/th it signature(s�on the instrument the persop(ST,, or the entity upon behalf of which the persorpKacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. CANDICE NICOLE MCGOWAN i COMM. 12202687 0 WITNESS my hand and official seal. ° NOTARY PUBLIC-CFLLIFORNA $ RNERSIDE COUNTY �� n/� My Comm.EresJuly21,2021 Nota ublic Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONSFORCOMPLETINGTHISFORM This form minplies with errent California statutes regarding notary wording and DESCRIPTION OF THE ATTACHED DOCUMENT fneeded,should be completed and attached to the do u.Ackwipledgarenes from other scores xrap be completed for data eing sent to dial slate so long as the warding does not mquire die onda wormy to wolate Califmnda notary lmv. (Fide or description of attached document) State and Co u ormation must be the State and County where the document sign onally appeared before the notary public for acknowledgmenL (Title or dworiptlon of aftached document continued) of notarintion most be the date that the signer(s)personally appeared which • most also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the names) of document signer(s) who personally appear at the time of notarintion. CAPACITY CLAIMED-BY THE SIGNER Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. El Indi ' (s) he/sbe2`m is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover teat or lines. Irseal impression smudges,re-seal ira (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signmrc of the notary public must match th(Cobj M(j(q�gehe oDice of die county clerk. r� r••�� }} ❑ Attorney-in-Fact Additional information is not rcquirBLI9dll�QRPld ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached documept,nvIr pf pygri4Qnd date: ❑ Indicate the capacity claimed by the si r. F e cla upactr IS a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). ?ti;-'•-\,,1,1,I,I lII �4N ^-.? ^_ , ..':i:- • Securely attach thisdocumcnl to the sinned document wititastaple.