Loading...
PMT15-03950 City of Menifee Permit No.: PMT15-03950 _ 29714 HAUN RD. '<ACCEL_A? MENIFEE,CA 92586 Type: Residential Plumbing MENIFEE Date Issued: 1 212 212 01 5 PERMIT Site Address: 29239 MESA CREST WAY,MENIFEE,CA Parcel Number: 340431-012 92584 Construction Cost: $2.000.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 50 GAL WATER HEATER IN GARAGE Work: Owner Contractor MIKE MORIN A R S AMERICAN RESIDENTIAL SERVICES OF 29239 MESA CREST WAY CALIFORNIA INC MENIFEE, CA 92584 965 RIDGE LAKE BLVD SUITE 201 Applicant Phone: 9012719700 ANDREW ALLEN License Number:765155 A R S INC DBA RESCUE ROOTER 1520 W LINDEN STREET RIVERSIDE, CA 92503 Phone:9513419371 Fee Description Qtv Amount 151 Residential Water Heater 1 83.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 4.15 $115.16 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_Bleg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for it following reason: I hereby affirm under penalty or perjury that I am licensed under provision f Chapter 9(commencing with section 7000)of Division 3 of Bus' and By my signature below I acknowledge that, except for my personal residence Professions Code and mY license is in full force and eff which I must have resided for at least one year prior to completion License Claps License N improvements covered by this permit, I cannot legally sell a structure that I he% Expires � I N Signature built as an owner-building if it has not been constructed in its entirety by license contractors. I understand that a copy of the applicable law, Section 7044 of it WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: htto•//www.leainio.ca.aov/ralaw.html. I have and will maintain a certificate of consent of self-insure for workers compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the proper 12 I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property own" ' "half. I have read th tion 3700 of the Labor Code, for the performance of the work for which this application and the info n I provid correct. I agree to comp permit is issued.M workers'oompe sation insurance tamer and policy number are: with all applicable ordinan le laws relating to buildir construction. t sentative of this city or county to enter the above Carrier �'c identifie rop the ction purposes. _ Policy# We Z69�� a 3 ( Expires 0 Date p Property Owner or Authorized Agent (This section need not be completed if the permit is for City Business License# one- Bred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any person 'n any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or: workers'compensation I of omia, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the work" m ion provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall fo with those provisions. DYES D4Jg0 � Z2 � 7i Applicant, Date; L ` Will the intended use of the building by the applicant or future building occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklis COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for -aguidelin SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES :NO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the cute DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary af a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES 6NO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Inform 'on Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I unders my irements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safe ode lion 25505 and 25534 concerning 3097 Civil Code) hf�zya�rdoua materia rti OWNER BUILDER DECLARATIONS — S D I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve,demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is 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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: 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 Firm Certification No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed 0 No EPA Lead-Safe Certified Finn is required for this project because: contractors to construct the project(Section 7044, Business and Professions Code:The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION 'Wenifee DATE a f 5 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION []ELECTRICAL [:]MECHANICAL [_]NEW MPLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Imo( acc- L-i 1H So Gak- ULAS ItJ GAa-Auc PROJECTADDRESS rA LW ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME L,(- yq Oft-I&J �? y o enl ee ADDRESS q �A �Z r s-r U Building & Safety Dept. PHONE ��L{ ;�.��p USy� EMAIL 2 2015 APPLICANT NAME Av3CJ2cv5 LL-t-" ADDRESS I ha " W LI N✓J�N Zt vz¢G,06 P.CP.IV2 PHONE `'5 k 3LA 1 9/3� ^I 1 EMAIL CONTRACTOR'S NAME IhLSCCUe- o -1 -GX OWNERBUILDER? ❑YESANO BUSINESS NAME ADDRESS C Isla w I-INo� 5, .SI� PHONE IS1 3-I� 9'5'1 ( / EMAIL CONTRACTOR'S STATE LIC NUMBER -h �5 LICENSE C- ' SIFICATION L VALUATION$ Q00( Q LSO FT APPLICANT'S SIGNATURE DATE 12,' �2 '2 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT 0, ,15 AMOUNT �' OCASH OCHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 w �• D 47 en} D m m r�'117 a _-O; Fa � o `e w f7' n yTNm Pi n� N s O. m m w w = m -nat3w' � ~ -A-I 'o oa. Z m � z0 � L` CC m rt rt n H m 0 m G y y Z C _ O .a O y X C m m m N v iu n a y o nZ N r m m v , 3 „ f0 o am :, 3 m N O p D n O ,3e, 0 o W W ,» w m 3 Ev /r O m (� X m 3 m-TI O M< ° a •°, n 3 3 E a E 0 `° °' a y m O .w., n m 3 m 2 a O a m m y Z o m O o ? m 'c ° a a av oN Z ct cm N N o n O N rSr Wi. A c ^ v 1 °09_ ct a y N ry m O V m m m^ .=.a m = m . 3 N n n m N LPw rZl n w C y w 4 3 O N rt G y = o ^' m .N* vi �n E D 10 m ' D z ; o a m T O /v c a mcm Oi N S , O w °, > >• a 9 N N G A �• n 'm w m on �, =ti � '0 3 $ = m 3 a n o w m � m ti G C rt N rn ur 2 .y. w^ F -n m io IrtV a Il �p N n W ° O 2 f'wt a w = » O n n 113 ct C N a F+ O + N N , Hwy. m N 3 4 m a m - o A a y c u 3 D 'n O 3 ct 0 o a .. 3 �. o 0rT 0 S W * H n o ° 3 'o O 3 w •' m n m' o o c m 2 0 . E -ir T• F F' y ; a a � 3 A w c a n z o n N » N ,� d � � � 3 N ? W N N Q � W J N In A 'p •?� 'n C .=N•r 2 O r m m a a m w M m m N < -c�i d �' F v 3 �O d n O .. - w n i Dr I � � y �, m ppn > > z � m 3 m N •• > m I a .00 m d � � o pq y m � m d •C L. lm� C D 0 m ,30 m o 05 o n O ry S rDD cm o c c °..' m - o d z n v m �, 3 :^ 0 c ,N+ as m m dID 0 m e,R m ja S = F C S rt i < 6 d C N � OA a N m ydj d C S =n Om O N O o £ �* M m ° m -mi vi o '° 3 o p a a £ VXv — m so a N O C O =n O W O d K 0 0 O �. n, 3 n £ < N O S a v J d o o 3 m o T 3 3 vim, m (/) O m O j idr �i S O �^ - 3 y m p m w A 2 d Q m 3 M of T N O O