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 ,$•
ADDRESS
PHONE g'S/ (7,2. /54* EMAIL ( l/ N/ Yl• net
CONTRACTOR'S NAME tv L/ OWNER BUILDER?C<ES 0
BUSINESS NAME p ALvna a 1,V
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ADDRESS D • D Alm L { D
PHONE (. 80,0- q97••,? 743 EMAIL
CONTRACTOR'S STATE LIC NUMBER 171&6 LICENSE CLASSIFICATION
VALUATION$ 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.
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