Loading...
PMT15-00005 City of Menifee Permit No.: PMT15-00005 29714 HAUN RD. ` q:;kMtmL MENIFEE, CA 92586 Type: Residential Plumbing - c°""" `"`'""" MENIFEE Datelssued: 01/OSI2015 PERMIT Site Address: 28299 MARINERS WAY, MENIFEE, CA Parcel Number: 364-024-002 92584 Construction Cost: $800.00 Existing Use: Proposed Use: Description of REPLACE EXISTING WATER HEATER. SAME SIZE AND LOCATION Work: Owner Contractor CECILIA TURRADO ALL STAR WATER HEATERS INC 28299 MARINERS WAY 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant SIERRA SPRAGUE Phone: 9513010067 ALL STAR WATER HEATERS INC License Number: 812894 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 Fee Description O vt Amount M:=- .� � $111.00 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_BIdB_Pennit Templale.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class License No. who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the ❑ 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or attire following Web site:htta'//wwmIeginfo.ca.gov/caIaw.htmI. permit is issued.My workers'compensation Insurance carrier and policy number are: Property Owner or Authorized Agent Date Carrier Expires Policy# ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.1 authorize representatives of this city or county to enter the above- . ❑ 1 certify that in the performance of the work for which this permit is issued, I identified property for the inspection purposes. shall not emnlov any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. City Business License# Date; Applicant; WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name EYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL? or repair any structure, prior to its 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 License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or BYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE SECTION AT 25505RIALFfE 5533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole G. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ 1, as owner of the property an exclusively contracting with licensed - Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class�_License No. who builds or improves thereon, and who contracts for the projects with a Expires 9/o z4t Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLA ATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which must have resided for at least one year prior to completion of Section 3 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in Its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http:Lwww leoinfo ca aov/calaw htmi, permit is issued.My workers'compensation insurance carrier and policy number are: Carrier�/)G Property Owner or Authorized gent Date Expires c f zla z Policy Name of Agent Phone# ❑ By my Signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- 0 1 certify that in the performance of the work for which this permit is issued,I identified property for the inspection purposes. shall not any persons in any manner so as to become subject to the compensation workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions, rop� arty 0` Ker omAuthorized Agent Date Date; Applicant; City Business License# /S s WARNING: FAILURE TO SE�WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address D NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penally of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s) (Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL? or repair any structure, prior to its 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 License Law(Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I)EPORi'ING, compensation, will do( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the properly, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). `\JIT OF ME1t1IFEE 29714 Haun Road Date Dal' P ' Menifee, CA 92586 ( rj Phone: (951)672-6777 Amount Amount[ Fax:(951)679-3843 ro Ck# Ck# Building Combination Permit To Be Completed By Ap licant G Legal Description: Planning Case F: IL RI R.. Property Address: 28299 Mariners Way Assessors Parcel Number: q Q� rojectlfenant Name: 7 Unit# Floor#: Name: Cecilia TUITadO Phone No Fax No 9 1-246-0104 Property Address Owner Same as job Unit Number Zip Code g2584 Email Address: Name: Sierra Sprague Phone No Fax No. 951-345-4083 Applicant Address: Unit Number 30300 Puerto Vallarta Zip Code 92584 Email Address: Name: Phone No All Star Water Heaters 951-345-4083 Fax FNo =Contrador Address. 30300 Puerto Vallarta C'�y Menlfee SeleCA code 92584 ontractor's City BusMeM License No. 1.Contractor's City State of$'jif8p�r�ia License No Classification C 36 Number of Squares: z 44 Square Footage Descopficn of work: Replace existing water heater.Same size and location, Cost of Work:S 800.00 Applicant's Signature Date:�s, �S To ompMted B 0Y Only Indicate As R-Received or N/A-Nat Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: I set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Piton ❑ Title 24 Energy(on 91G It 11) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ structural Framing Plan 8 Details ❑ Shoring Plan ❑ Bound Report-Residential Class Code: Indicate New Construction Alleration' Addition' Means/Methods Work Type: Repair" Retrofit' Revision la Existing Perm it' Required? YES NO Proposed Building Use(s): Existing Building Use(s) If Buildings' #Units: #Stories' Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate it YES or NO Indicale all Geo-tech.Haz.Zone At Project Construction Spnnklered that apply Coastal Zone Completion: Type(s): C Of o Noise Zone Required? YES or NO Listed on Historic Resources Inventor CITY PLANNING STAFF ONLY APPROVALS: Coslel Commiss Arch. Review Board Landman Cumrn, Planning Comm. Zoning Administrator Fee Exempt City Projert Elec.Vehicle Charger Lnna,,ark .Seismic Retrofit speai d ase Bldg Of x,al A mval Expedite Project(s)' Child Care City Project Green 91diding LandirtarkI Allowable Housina For Staff Use Only I Buildingl5ale'_y I Permit Specialist I City Planning I -Gail Ggineennn Ad ransportationivigan R-1r` THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Ll m M> o a m C. a 2 4 AO� gz - cZi � x s m � D v yy�yy,� < R f o D Z Ars N o o w § v , 9. ma n U Rrn H at AD �° ° It „ � 'S c o $ < m 0 a a p' c d y .' _ o •e z m o ro ON' A R1 d ao a _ o E 3 ro D =• $ e ' m ar a (UU 6 3 m n 3 O. g s �• a � � � a W m 3 a p FL" "' °� S m " x CD n' gr 7 fC � f0 '� N N p ro h 0. ro — � CD '� mm ro ° A N rpi rh N. 9� d Y 0 � (U CD C E p. .r iD O R x " 3 5 ' ro d o o @ a 4a m 3 a ro p � ell . t N Y! 3 �^„ � �' e. f. m d T w � no y+ n a °a m �C °E• °a R � � �"� l' 3. 3 o' ° d 3 ° E o ro o m o'c n' •� d �p�p, � w w � q4' � S � a �n y � c �' •� w � 3 y imp 3 a w a n m ° C ro gNJEi W p C 3 3 (�\ � ( � Y� •ri 5a '� '� ,� V{ 1 +i�lgy( '.^Mph' a¢m�' nl. C�M�^� T� � ''�' 'y'�y1 qy�r � q. ll-���\ 4 U! J\ n A � � xl N Y• �+ 9�: w� `U� � u't'3 �^,: 1�•. �' �. \ �• � 9 p ter. � '.". � � � �. � A� � �. � S i rm s d a ro =: .a r3i a. pa ;gyrop' pb�• ''„" IR, K. 3. e' Y a �' h °' a•. g a bo N C LA a � na Q of aryry 5 C�. c: N b iy tom: �' u� ryryrya � � C.