Loading...
PMT16-03225 City of Menifee Permit No.: PMT16-03225 29714 HAUN RD. Type: Residential Plumbing <A-CCEU� MENIFEE,CA 92586 MENIFEE Date Issued: 0913012016 P E R M I T Site Address: 29680 THORNHILL DR, MENIFEE, CA Parcel Number: 336-120-026 92586 Construction Cost: $6,750.00 Existing Use: Proposed Use: Description of INSTALL 4"CLEANOUTS ON SEWER LINE Work: Owner Contractor PAUL FULLER A R S AMERICAN RESIDENTIAL SERVICES OF 29680 THORNHILL DR CALIFORNIA INC MENIFEE, CA 92586 965 RIDGE LAKE BLVD SUITE 201 Applicant Phone!9012719700 ANDREW ALLEN License Number:765155 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNU 965 RIDGE LAKE BLVD SUITE 201 MEMPHIS, CA 38120 Fee Description Qty Amount Plumbing Fixtures and Vents,fixtures 2 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 $149.80 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 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_Perrnit-Ternplaterpt Page 1 of 1 CITY OF MENIFEE 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). Chapter9(commencing with section 7000)of Division 3 of the Bgpintss anl,-;7 ri I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full fn�me a nd oeffect the followin reason: .11 License Clas; a 3(0 License N By my signature below I acknowledge that except for my personal residence Expires :fii/oe—Signature- in which I must have resided for at least one year prior to completion of I I. improvements covered by this permit.I ca root 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 a 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 Industrta I Relations as provid ad for this a.pplication is submitted or at the following websfte: by Section 3700 of the Labor Code,for the performa nce of work for which www.leginfo.ca.goy/calaw.html. this permit is issued. Policy# Date PROP TY OWNER OR AUTHORIZED AGENT (1�have and will maintain worker's compensation insurance,as required by Z section 3700 of the Labor Code,for the performance of the work for which y my signature below I certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this number am application and the information I have_0,w0ded is correct.I agree to comply :L With all applicab:le�clj��noun"Oiffances an e laws relating to C, "�.uth rrier buildi con tr 0 au 5i�-�fepresenta e f this city or county to Policy It :2 Expires ente t e�Z Eva- nti�e�dpropertyfior` ion purpos -a P (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT I work for which this permit is issued, ci I certify that in the performance n�p I shall not employ any persons. Yma as to rime subject to the CITY BUSINESS LICENSE# 41� at if worker's compensation IPO a; anrcsao�fXeft' at if I should become HAZARDOUS MATERIAL DECLARATION subject to thew rk. P 4EKO.E.:crWjection 3700 of the Labor Code,I shall f co - III vislo"'. Will the applicant or future building occupant handle hazardous material or a Applk:5��� I Date mixture containing a hazardous material equal to or greater that the amountsspeci ied on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS Yes ,2c" UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the a pplicant or futu m building AND CIVIL FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant reci uire a permit for the construction or modification from South ADDITION TO TH E COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for gu idey,.%es CONSTRUCrION LENDING AGENCY a Yes ci No I hereby affirm that under the penalty 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 bou dary of a school? (Section 3097 Civil Code) a Yes j?No OWNER BUILDER DECLARATIONS I have read the H d Mat J 1'�7 azar ous :,rpa 1,=�;InfZm ation Gu 11 61D ' 'r"U" at -Z-r heCAQ a .p quir permitting cl cklit,ipcleV�.Wncl a," the State of I I U 'th f old I herebyaffirm under penalty of perjurythatl am exemptfirom the California He c!tion 255 aD 5534 concerning ii I P., 'KI Continictor's License Law for the reason(s)Indicated below by the ia checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 h3-4i'dous m Kal,�P-vii Business and Professions Code).Any city or county that requires a permit to 7't' construct,alter,improve,demolish or repair any structure,prior to its PR61PERTY OWNER OR AUTHORIZED AGE1.1 issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pu nivant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 ficensure 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-certifiecl firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes renta I property owners a nd property than($500). managers who do the paint-disturbing work themselves or through their a 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPKs Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.epa.goy/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323): Code;The Contractor's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for th is 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 of Improvement is sold within one year of Firm Certiflution No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ci No EPA Lead-Safe Certified Firm is required for this project because: ri 1,as owner of the property a in 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. SAFETY PERMIT/PLAN CHECK APPLICATION '�FMenifee DATE PERMIT/PLAN CHECK NUMBER TYPE: DCOMMERCIAL aRESIDEN-nAL F]MULTI-FAMILY F]MOBILEHOME F]POOL/SPA [:]SIGN SUBTYPE: F]ADDITION DALTERATION F]DEMOLITION []ELECTRICAL FIMECHANICAL [:]NEW 2[PLUMBING [-IRE-ROOF-NUMBER OF SQUARES- DESCRIPTION OF WORK erVIQ,-4,75 on 5et,3e-V rne- PROJECTADDRESS k0rjN�1, Qr 0 ASSESSOR'S PARCEL NUMBER "D�"L T TRACT D40-3 OWNER NAME Pao I &11,or ADDRESS (RII(A 0 —T-TIOM hL11 Or f-t-7 —15ji'l Cite (A PHONE &Iq 8-n -lan EMAIL APPLICANT NAME Wl� Mer, ADDRESS I'GD o �,j Lmderl givtv,6�t CA q,16-1-7 PHONE 9&-1 3L41 q3-7 1 EMAIL CONTRACTOR'S NAME k5we- YL 5 QWNER BUILDER? DOf ti [:]YESPN& BUSINESS NAME ADDRESS J!�aD LA VIj?JA 6�- (VtfC3 IA eO PHONE qYI '�ql -TY7 1 EMAIL CONTRACTOR'S STATE LIC NUMBER 7&15-115� LICENSE CLASSIFICATION C,3�, VALUATION$ 5Q-F LSQFT APPLICANT'S SIGNATURE DATE 171W167 DEPARTMENT DISTRIBUTION Ito SMIP CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN INVOICE PAIDAMOLINT AMOUNT I 1 0 CASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I I OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 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.cityoftnenifee.us Inspection Request Line 951-246-5213 City of Menifee Building & Safety Dept. Received 1-1 Y OF MENIFEE 3UILDING AND SAFETY DEPARTMENT APPROVA I ;�EVIEWE;B DATE *Approvalof these plans shail not�e construed to bea*Mf6r,or an approval of,anyviolation of anyprovisionsof the federal,state or city regulations and ordina nces. This set of approved plant must be kept on the jobsite until completion.