The URL can be used to link to this page

PMT16-03723 City of Menifee Permit No.: PMT16-03723 29714 HALIN RD. MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE Date Issued: 11/1812016 P E R M I T Site Address: 29213 STEAMBOAT DR, MENIFEE, CA Parcel Number: 333-450-004 92585 Construction Cost: $450.00 Existing Use: Proposed Use: Description of CHANGE VALVE FOR SHOWER Work: Owner Contractor RACHELCHAPMAN A A A RESTORATION INC 29213 STEAMBOAT DR 29850 2ND STREET MENIFEE, CA 92585 LAKE ELSINORE, CA 92532-2420 Applicant Phone: 9514715828 LANCE REMINGTON License Number.,834839 AAA RESTORATION INC 29850 2ND ST LAKE ELSINORE, CA 92532 Fee Description pti Amount J$ Plumbing Fixtures and Vents,fixtures 116.00 Building Permit Issuance 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 General Plan Maintenance Fee-Plumbing 0.00 $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 bulliding 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_PenniLTernPlate.rpt Page 1 of 1 CITY OF MENIFEE UCENSED 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). Chapter!)(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure underthe Contractor's State License Law for Professions Code and my license is in full force and effect the following reason: License Class E,C-�d Lice sefo. 'AS, 83 Bymysignature below I acknowledge that,except for my personal residence Expires -�/T,I(ZZ I�6 signature in which I must have resided for at least one year prior to completion of improvements covered by this permit.I ca nnot legally sell a structu re that I WORKER'S COMPENSATTON DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perju ry one of the followmg 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 req uest 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 www.1eginfo.ca.Rov/caIaw.htmI. this permit is issued. Policy# PROPERTY OWN ER OR AUTHORIZED AGENT Date have and will maintain workees compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ci By 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 an the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier A saw�_ MK Lz,-z4e--_ '5--,J qe,_� building construction.I authorize representatives of this city or county to P a I!cy# -72L-5 Expires W 1 lzot7 enter the above identified property for inspection purposes. - __ T___T_ (Thissection need notto be completed is the permit is for one-hundred Date dollars($100)or-less PROPERTY OWNER OR AUTHORIZED AGENT in 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# workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Code,[shall forthwi comp th those provi.sions. Will the applicant or future building occupant handle hazardous material or a e, mixture containing a hazardous material equal to or greater that the Applicapv��. dgzz��__ —Date / 4�-' - amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SIEdU%`RRE WORKER'S COMPENSATION COVERAGE IS a Yes )VNo UNLAWFUL,AND SHALL SUBJECT 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 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 fN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY 0 Yes )"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 boundary of a school? (Section 3097 Civil Code) a Yes XN0 OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMID 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 703ts s 0 Business and Professions Code).Any city or countVthat requires a permitto ER Date g/115�1(0 OPER 'H'RIZE construct,alter,improve,demolish or repair any structure,prior to its AROPERTY OWNER OR-KFJTHORIZED 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(RRP) 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 a n Applicant for a permit subjects the applicant to a civil pena Ity 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 a 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do I )all of or( I portion of the work,and the structure is www.eria.gov/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 ci 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.It 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 im proved for the purpose of sale. ci No EPA Lead-Safe Certified Firm is required for this project became: ci 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business a nd 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. 'Menifee ,,J21, DATE \tj jyjjj (, PERMIT/PLAN CHECK NUMBER ?MTkY , 01�1-21 TYPE: OCOMMERCIAL JKRESIDENTIAL OMULTI-�AMILY OMOBILEHOME O- POOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OAPLUMBING 0 RE-ROOF-NUMBER OF SQUARES_ DESCRIPTION OF WORK C.\-- 2L\%, Vd� e SZ n,4�- 'n" PROJECTADDRIESS ASSESSOR'S PARCEL NUMBER LOT TRACT -.-JI -14T-1 OWNER NAME ADDRESS ag,)LII3 PHONE EMAIL APPLICANT NAME ADDRESS 771 + (2 I PHONE q-51 - 2;Z�55 -Of 5;-- EMAIL CONTRACTOR'S NAME Y--,7-y-- M'Y-\,c:�-, OWNER BUILDER?_, YES NO BUSINESS NAME AAR ADDRESS :a nA PHONE EMAIL CONTRACTOWS STATE LIC NUMBER LICENSE CLASSIFICATION -)3jC-,S1.C3-5 VALUATION$ �/� ),, SQ FT LSQ�FT APPLICANT'S SIGNATURE, DATE //ASJ/(, ELI DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GRIEN SMIP INVOICE PDUN j4qW PAID AMOUNT ANTF OCASH OCHECK# 0 CREDIT CARD VISAINIC HECK MOU T EN t FEES PAIDAMOUNT OCASH OCHECK4 0 CREDIT CARD VISA/MC P C OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building& Safety Department 29714 Hcun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 2S" goo ,0;: IA om SL CD Z MM Pogo m 11 p\dlx� 9. V)I