PMT16-02787 City of Menifee Permit No.: PMT1 6-02787
29714 HALIN RD. Type: Residential Plumbing
'5ACCIELA'? MENIFEE, CA 92586,
MENIFEE Date Issued: 08t26t2016
P E R M I T
Site Address: 31481 EASTRIDGE AVE, MENIFEE, CA Parcel Number: 372-393-007
92584 Construction Cost: $1,000.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 50 GAL WATER HEATER IN GARAGE
Work:
Owner Contractor
LISA ULRITH W C HEATING&AIR CONDITIONING INC
31481 EASTRIDGE AVE 41085 GOLDEN GATE CIR
MENIFEE,CA 92584 MURRIETA, CA 92562
Applicant Phone: 9516000700
JILL WESTON License Number:779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description City Amount(S
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 othervorise 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_Permt Template.rpt Page 1 of 1
CITY OF MENIFEIE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapters;(commencing With section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license Is in full force and effect. the following reason:
UicenseClass (',*A License No..71_12 E64— By mysignature below I acknowledge that,except for my personal residence
Expires Q.S611L signatum t6_�NCN'Ci in which I must have resided for at least one year prior to complerion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKEWS COMPENSATION DECLARATil have built as an owner-builder if it has not been constructed in its entirely by
n 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 worker's 7044 of the Business and Professions Code,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,for the performance of work for which
this permit is issued. www.IaRinfo.n.goy/c;iIa%vhtmL
Policy# - Date
-KII have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
!secrton 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I am the property
this permit is issued.My workees compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
numberare: application and the information I have provided is correcL I agree to comply
with all applicable city and county ordinances and state laws relating to
building consimaction.I authorize representatives of this city or county to
Poll # Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($3.00)or less PROPERTY OWNER OR AUTHORIZED AGENT
a I certify-that in the performance of the walk for which this permit is Issued,
I shall not employ any persons in any manner m as to become subject to the CITY BUSINESS LICENSE N 0--3r, -�Q 9,
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 370D of the Labor
Code,I shall forthwith comply With those provisions. Will the applicant orfuture building occupant handle hazardous material or a
mixture containing a hazardous material equal to orgreater that the
Applicant �J, Date amounts specified an the Hazardous Materials Information Guide?
WARNING:FAVURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes "
UNLAWFUL,AND SHALL SUBJECr AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED T14OUSAND DOLLARS($100,000),IN occupant require a permit for the constnuction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM D)?See permitting checklist
IN SECFION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguildelines
CONMUCTION LENDING AGENCY D Yes "o
I hemby 21141711 that under the pena Ity of perjury there is a construction Will 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 Chriii Code) ci Yes �Wo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's 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 Dyes 0
Business and Professions Code).Any city or county that requires a permit to .%*% L� kl)&2wn� Date
construct,alter,improve,demolish or repair any structure,prior to its PROPEFOROWNER 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 th.at 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). managerswho do the paint-disturbing workthemselves orthrough their
a 1,as owner ofthe propeft ormyemployee With wages as theirsole - employees.For more information about EPA's Renovation Program visit:
compensation,Will do( )all of or I I portion of the work,and the structure is www.epa.amy/lead or contact the National Lead Information Center at
not intended or offered forsale.(Section 7044,Business and Professions I-BOD-424-LEAD(5323).
Code;The Contractor's State License Low does not apply to an owner of a C3 An EPA L�d-Safia Certified Renovator Will be responsible for this project
property who,through emp[Dyeesor personal effort,builds or improves the
property provided that the Improvements are not intended or offered for Certified Firm Name:
salm 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. (3 No EPA Lead-Safe Certified Firm is requiired for this project because:
a Ij as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
' 'I'Menifee
DATE 08123/2016 PERMIT/PLAN CHECK NUMBER Con 6-1
TYPE: El COMMERCIAL RESIDENTIAL E]MULTI-FAMILY E]MOBILEHOME [:]POOL/SPA []SIGN
SUBTYPE: []ADDITION F]ALTERATION []DEMOUTION [-]ELEcrRICAL [JMECHANICAL
FINEW RIPLUMBING [-IRE-ROOF-NUMBEROFSCLUARES
DESCRIPTION OF WORK REPLACE 50 GALLON WATER HEATER. (GARAGE)
PROJECT ADDRESS 31481 EASTRIDGE AVE okc�t:'
ASSESSOR'S PARCEL NUMBER W7,;L-2fT,77
,,v. LOT TRACT
PROPERTY OWNERS NAME LISAULRITH
ADDRESS 31481 EASTRIDGE AVE, MENIFEE
PHONE (240)925-0823 EMAIL
APPLICANTNAME JILLWESTON
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO,CA 92123
PHONE (619)384-6622 EMAIL
CONTRACTOR'S NAME RUSSELL COCHRAN OWNERBUILDER? DYESRINO
BUSINESSNAME WC PLUMBING, HEATING&AIR
ADDRESS 41085 GOLDEN GATE CIR MURRIETA,CA 92562
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION$ $ 1-000-00 SQ FT 1600 L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
y
BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP
I N V 0 1 C�E
AMOU T PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARL) VISAIMC
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
FOWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityof,menifee.us Inspection Request Line 951-246-6213
Z m 'o ;v 4
M qm>
6, cn
n5. CL m
10
Pi �j ta ;� m = m E5 0
. 3 CL Z m M
ct I m = 9
m m z
A 0 C)
-s! 8 cr om 0 ;u
Y! > —1 a �o
G)
m 0 z
-n m
m m 0 0
00 No OR X iu,
ID m
00
W rn m > >
rn 2
0
;
0
D
3 Et 0
3 o
c
0 0 m
3
3 ET 2. m
o
3 Ei- I m X om X
n ID
u , = w
0 * mm * — m
w rb
m 0 ,
a m
DM
0 0 Dr 0
M
m m 9-a
G) D cn
0 A7 00
I
0 DM4
Jh
m 3
I
co
< m
lm=
0
Zi r)
m
rl
ET
rm
0 m
0
CR
z
UQ ul
>
m
0
m z
0 rn
m n M 0
m
C,
rn
0 ;:p m w 0
T)"7 I ne?--q
n > r) z m
a 0 w m
3 3 0
w 0 . . . .
< >
w m
0 0 m w X M W M X M
0 0
M
�O 3 w- 0, �m A �= , I
0 a a 5 6 � = r)
n m m m 3 0
X 0 0 :R M c
0 3 U K
w - -M, -M,
0 m
0
(D
m x 0 >
M M m Z
m n ,
n. a m a 0 . w r)
m
n m m 0 m
L 0 c 0 w >
C-r* 7 = - c m m n- m
0 m
m 0 m El
u A a I = m m -
0 m Z -1 S. 3 W, 3 - n
I .. — , n , M
m , 1 m 3 =0 mw M, 3
3 0 a' no' w
3
M 0 < n ET
> 0
3
C) 0
0 E
0 C I
0
fn 0 a A
-q 0 0
. = m� 3
0 - I - --I - m " , 3 3
, z - x w o m
0 1 , M r .- r � z
M M , M -. -. <
0
8 3 E o S
0 3
3
<
0 M
mn 0 n 0 3
0 0 0
0 S :E r) 0
M w
3 w
0
m 0 0
0 0 m
0
3
2L
0
0 0 1 a I m
0
0 0
q;j lA ,= DO- wlm30 w
w
m
m
p 0
0 0 C)
0
0
3 o 0
0 0 � .:2 m
0 n m — 0 m
A m m
�w/ M 0 m M
n 3 = 4
<
0 w
0 3 m 0 E
3 3
m m m
0 0
Sl m m
0
m 3 3 M,
w 3
M!
0
ET 42
0 3
w rD
w 0
c m
FL
0
rn
FL m
3
0
0