PMT16-02359 City of Menifee Permit No.: PMT16-02359
29714 HAUN RD.
�ACCELA? MENIFEE, CA 92586 Type: Residential Plumbing
rm stir.,.r MENIFEE Date Issued: 07/22/2016
PERMIT
Site Address: 27975 CALM HORIZON DR, MENIFEE, Parcel Number: 333-551-007
CA 92585 Construction Cost: $899.00
Existing Use: Proposed Use:
Description of REPLACE 50 GAL WATER HEATER
Work:
Owner Contractor
DENISE HOIST SANFORD&SON PLUMBING
27975 CALM HORIZON DRIVE 33173 SHORELINE DR
MENIFEE,CA 92585 LAKE ELSINORE, CA 92530
Applicant Phone: 9516787299
STEVEN SCHNIERER License Number:742415
SANFORD&SON PLUMBING
33173 SHORELINE DR
LAKE ELSINORE,CA 92530
Fee Description City Amount lSl
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
$115.15
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 Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contmctor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjurythat I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractars State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class License No. �`iZyIS By my signature below l acknowledge that,except for my personal residence
Expires II IZO Signature SL.wT7 2 inwhich l 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
D 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 workers 7044 of the Business and Professions Cade,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,far the performance of work for which www.leeinfo.ca.gov/calaw.html.
this permit is issued.
Policy# Date
have and will maintain workers compensation insurance,as required by
I XPROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe performance of the work forwhich �Y my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided Is correct.I agree to comply
1 � with all applicable city and county ordinances and state laws relating to
Carrier NOYTnav A building construction.l authorize representatives of this city or county to
Policy If S.A43�70C32Te S Expires '�1`t I1-1 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred (Z�� �� Date 7)?_ I L'
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If Ba 6 0-7
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
gs.�,.sz -z 2a L� mixture containing a hazardous material equal to or greater that the
Applicant Date amounts'sp/�cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes o�oLo
UNLAWFUL,AND SHALLSUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intendeduse of the building by the applicant orfuture building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECr10N 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli es
CONSTRUCTION LENDING AGENCY 0Yes rla
1 hereby affirm that under the penalty of perjury there Is a construction WIII 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 �do
OWNER BUILDER DECLARATIONS 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
Contractors License Law for the reason(s)Indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 /N—�T,c_'_ o No
Business and Professions Code).Any city or county that requires a permitto Date -7
construct,alter,improve,demolish orrepair anystructure,priorto its PROPERTY OWNER OR AUTHORIZED AGENT
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRP)
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($500). managers who do the paint-disturbing work themselves or through their
D I,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit:
compensation,will do( )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 70",Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a D 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. o No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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.
SAFETY •ERM IT/PLAN CHECK APPLICATION
Y 11
Menifee
121
DATE 07/22/2016 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL M RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION [-]ELECTRICAL El MECHANICAL
❑NEW ✓❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 50 Gallon Water Heater
PROJECTADDRESS 27975 Calm Horizon Drive
City of Menit09
ASSESSOR'S PARCEL NUMBER '3-!,�\-�'l LOT Buildingl&���tY Dept.
OWNERNAME Denise Hoist
ADDRESS 27975 Calm Horizon Drive Menifee,CA 92585
PHONE (951)488-8437 EMAIL Receive
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL
CONTRACTOR'S NAME Sanford&Son Plumbing OWNER BUILDER? ❑YES❑,/NO
BUSINESS NAME Sanford&Son Plumbing
ADDRESS 33173 Shoreline Drive Lake Elsinore,CA 92530
PHONE (951)505-8499 EMAIL
CONTRACTOR'S STATE LIC NUMBER 742415 LICENSE CLASSIFICATION C36
VALUATION$ $899.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 07/22/2016
r'Tr WE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I- SMIP
INVOICE 1 PAID AMOUNT G
\S• � ,15•`� OCASH OCHECKA OCREDIT CARD VISA/MC
AMOUNT 1
PLAN CHECK FEES PAIDAMOUNT 0CASH ^CHECK# CCREDITCARD VISA/MC
OWNER BUILDER VERIFIED DYES O NO DLNUMBER NOTARIZEDLEITER YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-6 72-6 777
www.cityojmenifee.us Inspection Request Line 951-246-6213
p N m 00 o. 0 a viD ''an m .Z1-mi
a .md. C m m n -A1 m
w iv !-' o » o. m O J m x m o a 3 ' o -D•1 v a Z .o r p
m �+ rt3o
3 °' D 00 m n f < D � Z>
m lL cG o a o o oJn :(1 C. D
K m ^ m N v W n Q N 0 ) x N r m m m ]J
�. 3 s = .^_., m °' n. d a < <N d o D
3 m m m o a m 3 m v w m 5 ^' - �y 'Tl n p D
.o .01. 0. .m. .°1. vJ m , m 3 w Z !v O 7 O a r
mM
cn T D m
-• J v a o � m `�
A w V1 m IJ -� m Z
v I c �i
m c m m < °- m �° x D Z 7 m O
fA J (� N Z
J m , c _ v „ o
n o. .°. s a , 3 N m o a y J o Cl)
;, •J* 0 3 w 3 o m l m 12�
64. 0 O m 0 n D
3 2 ° m m p O °� 3 w m m toil 7 m
3 NET
3 D
c� r/ m
j N n R -. m N W 5 o V
0 o a J o n ' N o C f0
a c m v
0- mo E n c m J g 3 & r n
m s m o_ o m N
o
Ol J J N N GI m
� a - y m a o
n = v 3 o a 0' J m Ej
.N. m m 1, c o m 3
a
. n
c �. 0 m
�^ y O n , m m n W
n
N (L
a 3 3 � � o' a � � 7 •p
m o A N D <
m » = O d
I nn
y O W N m m — 9 m f+ ❑
N Ja o fD J 3
� -
m 0 3
0 0 ' S o o °� v o p o a
S m m J N I•+ r:
m 0
VI O N N d F Z otl ml D ED
m c
m m m � c m' a av 3 d 1 G �•<
y m , a an
3 obi m m n m �
x
3 .•
n a o oZi p H
M .mr t f 3 V�i A W N Imo\ pp . . . .
m m
n O p n w m 0 2 m w A T 3 C N Z
J s O _ a 0. O. -{ -' M J Q ^ O
a !lam S Z 3 °-' o v w' w' •� m w o: T
C A W n D O rt C \n r- m m V v m 3 m 3 p j O
N `r m C O C 2 O H O �: _h C C N, K -w rr 3
g.
O ^ m D r
n X s
m 3 0 3 m m o n
y 'a C ".� On T rt A p C � 0 y: O m N v
6 m m y C*. 0 c 'o C m N N 5 o
u w
m O rr C OG m N
O. QC. wZi O N �. w N n. Ort a -^
N 1 3 M rJf N 3 C m m ? C 3 • /�
m o 3 3
Q X
O' < < C
W
o o rt c F, m o
�' T
^ J o a m
S m ^
c - D
ml eT J m
ao s _ M. m m
V p v n 1n J p 0
V m - C
N � � O>
m D m 3
p J J
pa s m 3 m o. w
m T p X d ^ o
., m 0 J m m
3 3
Rl—
d
0 H V m u\ J OQ Z7
O m _I N 3:
3 o 0 D
V\ y\ T
J \ i D \ m m
3
c T N
O
J