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PMT16-00441 APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK '"Menifee DATE PERMIT/PLAN CHECK NUMBER �•0C9 TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL ONEW PLUMBING ORE-ROOF-NUMBEROFSQUARES DESCRIPTION OF WORK L/N D TO C(7 LINE i5ttys, R o t./Alr PROJECT ADDRESS S O& g$ ASSESSOR'S PARCEL NUMBER 331cknP57- k LOT TRACT ,73 OWNERNAME Q ,0 X S ADDRESS Ag qj R If bzl PHONE Q��/ 1�7,9 /5`7t%� EMAIL APPLICANT NAME ,$• ADDRESS PHONE g'S/ (7,2. /54* EMAIL ( l/ N/ Yl• net CONTRACTOR'S NAME tv L/ OWNER BUILDER?C<ES 0 BUSINESS NAME p ALvna a 1,V (r G ADDRESS D • D Alm L { D PHONE (. 80,0- q97••,? 743 EMAIL CONTRACTOR'S STATE LIC NUMBER 171&6 LICENSE CLASSIFICATION VALUATION$ SQ FT L SQ FT APPLICANT'S SIGNATURE DATE �.�'• 'a0/ro DEPARTMENT DISTRIBUTION I10 CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN t SMIP INVOICE PAID AMOUNT AMOUNT OCASH 0CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH 0CHECKk OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Permit No.: PMT16-00441 29714 HAUN RD. Type: Residential Plumbing <ACCFIA? MENIFEE,CA 92586 MENIFEE Date Issued: 02/2212016 PERMIT Site Address: 26938 CHINA DR,MENIFEE, CA 92585 Parcel Number: 331-410-057 Construction Cost: $12,229.50 Existing Use: Proposed Use: Description of WASTE/SEWER LINE REPAIR SOUTH SIDE OF HOUSE Work: CLSB CASE-SEE CTC Owner Contractor JOANNE HUMPHREYS , 26938 CHINA DR MENIFEE,CA 92585 Applicant License Number: JOANNE HUMPHREYS 26938 CHINA DR MENIFEE,CA 92585 Phone:9516721544 Fee Description Qtv Amount($1 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 $28.00 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 building operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise slated,a perrnit 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