Loading...
PMT17-00987 City of Menifee Permit No.: PMT17-00987 29714 HAUN RD. Type: Residential Plumbing �ACCELA—> MENIFEE, CA92586 MENIFEE Date Issued: 04/04/2017 PERMIT Site Address: 32180 LINDENBERGER RD, MENIFEE, Parcel Number: 372-170-016 CA 92584 Construction Cost: $16,000.00 Existing Use: Proposed Use: Description of REPLACE EXISTING LEACH LINES IN 2 LOCATIONS ON PROPERTY, ONE SET FOR THE FRONT Work: HOUSE, ONE SET FOR THE BACK HOUSE Owner Contractor CYNTHIA&JESUS ALFEREZ LE PEW INDUSTRIAL INC 32180 LINDENBERGER ROAD 41735 ELM STREET#303 MENIFEE, CA 925B4 MURRI ETA, CA 92562 Applicant Phone:8889615971 TIM HUMPHREY License Number: 988020 LE PEW INDUSTRIAL INC 41735 ELM STREET#303 MURRIETA, CA 92562 Fee Description OQt Amount fbl Sewer 1 150.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 7.50 $186.50 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_Pemut_Template,rpt 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 1 am under provisions of with a licensed contmctor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my licensee is in full force and effect. /r the following reason: License Class _L��{" License No. b ina By mysignature below I acknowledge that,except for my personal residence Expires 0 — (7` Signature in which I must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION improvements covered bythis permit.I cannot legallysell a structure that I have built as an owner-builder if It has not been constructed in its entirety by o 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 7D44 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 ,„�,�w,leeinfo.ca.eov/calaw.html. this permit is issued. Policy p Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By 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:'n --,_x/ / application and the information I have provided is correct.I agree to comply Carrier V"lc-t.""`r^'�'` L�/ LL Sc'4`� with all applicable city and county ordinances and state laws relating to + building construction.I authorize representatives of this city or county to Policy# '(r/ 7 4 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit is issued, I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE R 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 forthwiti ccomppjy with those provisions. J (J Will the applicant or future building occupant handle hazardous material or a Applicant G ! Date [`^ ` —Q mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:F URE E URE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,ANDS LL SUBJECTAN 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($500,000),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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY o Yes o 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) o Yes o No 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 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 DYes o No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,priorto its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permitto file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 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 workthemselves or through their ❑I,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( )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 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a ❑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. D No EPA Lead-Safe Certified Firm is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 70",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. ABUILDING & SAFETY PERMIT/PLAN CHECK PPLICATION Menifee DATE PERMIT/PLAN CHECK NUMBER Vvm-1 TYPE: O COMMERCIAL O-KfSIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHAlloCf f"Of Menifee O NEW PJkUMBING O RE-ROOF-NUMBER OF SQUARES Building & Safety De DESCRIPTION OF WORK \ jar C� L`- ('�, \ e APR 0 4 2017 PROJECTADDRESS p V v� T//eiu1 Kl v GI- Az/ I ASSESSOR'S PARCEL NUMBER a ` �O J 6 LOT TRACT OWNER NAME Ab e,\// S- a `l a_ 5eSe,,, A I -,cam_ ADDRESS G PHONE 1 K 1 3 9 �Ld q EMAIL APPLICANT NAME '1 /✓�-� (-�_v �� VC 'r r ADDRESS �. 11 13� tiR v-\, 1 Srie-L 7n W\fiv_/_ J `l C- PHONE rj�0 GIG [ EMAIL /I [M�iC B%v CONTRACTOR'S NAME L GS/�'V l� OWNER BUILDER? O YES QAQ-- BUSINESS NAME ADDRESS nU'l� (,vl_\ s� SUG-VCR C ylvio VVI' L PHONE T5 l� U �('v S77 ( EMAIL ^��Nn LE 6,1' LL-I L0,6J(� CONTRACTOR'5 STATE LIC NUMBER Ci (,I,) ' f�0 0)0 LICENSE CLASSIFICATION c� VALUATION$ 1/` G 1 &O69 SQ FT L SQ FT p / APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP ?� INVOICE PAIDAMOUNT Q� O �, AMOUNT '� ' lT,-J � CASH OCHECK# CREDRCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building &Safety Department 29714 Houn Rd. Menifee, CA 92536 951-572-6777 www.cityofinenifee.us Inspection Request Line951-245-6213 K , County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH a www.rivcoeh.org � � OWTS INSPECTION CARD 1 APN: _,?�"�, ) ��^ ( , "l A f_ Permit No.: ON G Q Site Address: 'Jh2 1 (l( 1 [ill n City: Zip: 01 To schedule an inspection please calIVRiverside 951-955-8980 or ❑ Indio 760-863-7570 All cancellations/reschedules must be received prior to 8am on the day of inspection or additional fees will apply. OWTS Components Date Re-Inspection Inspector of Inspection Date Initials Septic Tank IQM city of Wenitee Leach Lines/ Bed , Bui ding & Safety Dept Seepage Pits APR 0 4 • i- SepticTankAbandonment Sewer Lateral Rece �i D-Box LS Risers Effluent Filters Final Inspection TO BEPOSTED ATIOBSITEIN PLAIN VIEW EPO-55(REV 4/16) County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH www.rivcoeh.org I 3 d LAND USE APPLICATION Lif3(i1 r�-e�rft OFFICE USE ONLY 1 te aaw Lemon Street•Suite 200•Riverside•CA•92501-(951)955-8980 PE CODE: FEE: ❑47-950 Arabia Street•Suite A•Indio•CA 922al-(760)863-7570 L4 "-1 EHS# �-Z�y ON# LMS# _ APN: T PM 1 LOT# USE nG o��" 'T• Q^ ^ S Co l:R _ SECTION A Name Cynthia Stan al &Jesus Alferez Front House A APR 1OWNER: zi92584 Address 32180 Lindenberger Rd c; Menifee Phone 951813-9229 Email cindystangl76@gmail.com AGENT/ Company Name Le Pew Industrial, Inc. I Agent/Contractor Dan Murphy OraCONTRACTOR: Mailing Address 41735 Elm Street, Suite 303 city Murrieta zip 92562 Phone 888/961-5971 Email dam le ewindustrial.com PROPERTY INFO: Site Address Same as above city Water en NVel Lot Size "1 APPLICANT'S SIGNATURE: ,/ DATE: Li- SECTION B Below—For Office Use Only ' CHECK BOX IF REQUIRED . If any box is checked,this application shall be considered denied until the information is provided. ❑Holding Tank Agreements Required ❑Floor Plan and/or Plumbing Layout Required ❑Certificate of Existing OWTS Required(C-42) ❑Special Feasibility Boring Report Required ❑WOCB Clearance Required ❑Detailed Contour Plot Plan Required(1 to 5 foot intervals) ❑Soils Percolation Report Required SITE EVALUATION INSPECTION REMARKS: EHS INITIALS/DATE: SECTION C , ❑NEW I REPAIR/REPLACEMENT ❑EXISTING ❑PUMP ❑ATU ❑CONNECT TO SEWER FIXTU7UNSoils Percolation/Bodng Report By: Date:C-42 Certification By: Date: License#Le Pew Industrial, Inc. 3/29/2017 C42Septic tank cap.: Soil Rate: Tested Depth: Max. trench depto Sq.Ft.Bottom Area: Tote near Ft.: Line(s): '7J Length: r­7 0 feet - Each 3 feet wide Sidewall Allowance: Ft.Rock/ Sq.ft.Running foot Rock below drain line: —in. or Plastic Chambers ! Leach Unes/bed special design for slope: ❑N/A ❑Overburden Factor: Pit Diameter: No.pits: Depth below Inlet(bi): Pit Total Depth: Max.allowable depth: CO=NSTAU I N REMgRKSf 1 SECTION D This Application is Approved ❑Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth in Section C above.No nstruction is permitted In the required reserved 100%Expansion area. EHS Signature: Daie: EPo-92(REV 7116) Dislribu9ert WHITE—Office File;YELLOW-Bldg.ospL PINK—AppltrafH COUNTY OF RIVERSIDE Z299 DEPARTMENT OF ENVIRONMENTAL HEALTH tty, of Menifee ,,.,/ CERTIFICATION OF EXISTING SUBSURFACE DISPOSALS YS� Angp& Safety 1Depi. G 3880 Lemon Street•Suite 200•Riverside-CA•92501—(951)955-8990 APR 0 4 20 f ❑47-950 Arabia Street•Suite A•Indio•CA 92201—(760)863-7570 Front House (A) Property Information: APN, 372170016-9 Date of Inspection: 3,29,2017 Receivers 1. Owner: Cynthia Stangl&Jesus Alferez Address: 32180 Lindenberger Rd City: Menifee FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH APPROVAL 2. Show design and location on a scale of 1:20 or 1:40 of the sewage disposal system and 100%expansion area in relation to dwellings, structures,wells, rock outcroppings,drainage,watercourses,etc. 3. a. I examined existing subsurface sewage disposal system at the above location on 3/29/2017 and determined that the tank capacity is 1000 gallons and that there is 585 sq.ft.of leach line bottom area. There are bedrooms in the dwelling and there are _ fixture units. �-�r b. There are 3 leach line(s),each 65 ft long Depth ft. OO Rock ❑ Plastic Chamber c. There are Seepage pit(s),each _ ft. in diameter,and ft.M. ft.81. d. The leach bed is _ fL by _ ft.,total sq.fL of leached area. Depth is _ fL 4. a. Construction of septic tank(Please check one of the following): Rf Concrete ❑ Fiberglass ❑ Steel ❑ Other. b. Internal dimensions of septic: Length 8 ft. Width 5 ft. Depth 5 ft. c. Condition of tank(please check yes or no for each question): Inlet Tee present? Ll7 Yes ❑ No Tank Structure deteriorated? ❑Yes EdNo Outlet Tee present? 0 Yes ❑ No Effluent Filter Present? ❑ Yes EYNo Two compartments? @rYeS ❑ No d. Condition of D-Box: Level? SdYes ❑ No Replaced? ❑Yes &Y No 5. a. While pumping the tank,did effluent flow back into tank from absorption system? Ed�Yes El No b. Prior to pumping,was the liquid level in the tank above the outlet tee? 5 Yes ❑ No c. Was the area around the lids oxidized? ❑Yes E3'No d. Is design of system gravity feed? Ef Yes ❑ No e. Were well(s)observed on this or adjacent property? id Yes ❑ No If yes, indicate distance of well from: Septic tank 757 ft. Leach lines 185 Seepage Pits _ ft. f. Distance from springs, lakes, and natural watercourses(check all that apply): VN/A ❑ Septic Tank _ ft. ❑ Leach lines _ ft. ❑ Seepage Pits — ft. g. Is sewer within 200 ft.of structure and abuts property line? ❑Yes Ed No Additional Comments: h. How long has dwelling been vacant?(if applicable) months weeks GYN/A 6. a. ❑ It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. b. 5d It is my opinion that the system is not in good working order and will not function properly without the following repairs: 'Needs New Leach Lines I certffy underpe�lty of perjury,that the foregoing is true and correct.Signature: Print Name: Daniel E. Murphy Contractor License No.: g88n20 Expiration Date: October 2017 Pumper Co.:, LePew Industrial Inc. Phone Number: 888-961-5971 Address: 41735 Elm Street, Suite 303 City: Murdeta Zip: 92562 DEH-BAN-184(REV 11/14) APN 372170016-9 Cynthia Stangl &Jesus Alferez 32180 Lindenberger, CA 92584 City of Menifee ' ® Building& Safety D Lic.#C42-988020 APR 0 4 201? 5CAW5 I-rf0 %ROPE TO OCG'I @c � o ,� iY102'Ile __ b�VEW��f fix© A o !A3AvK p. C."NP, *V 0[ la ! RS11'F- J t — DEPARTMI. ;;' r.r ',V!;N'; +r r, ;AL HEALTH I 1 ONSITE WAS I EV.:.: R T RSA 71ENT SYSTEM - - - _ elling � , i:•:: lank —QJC.I S'1"�'�' �r _ _ _ ommerdal V r 71 each Line —7 L�f� Seepage Pits _ j _BI_TD_MD® Conned to Sewer lc- Pump Chamber ned to Existing Installation of leach lines are not to exceed ft.in depth • Install risers to grade,leaving lids accessible for cleaning. t7 NoW..Larger tanks (2000 gallons or greater) require 2 risers to soCau primary i of c� Approved cleanable effluent filters must be installed to facilitate senr dng. a WC�L, — — ——bS — — — — •�• No on-site water softening devices shall be discharged into the septic system without clearance from the California Regional Water Quality Control Board. allabon shall conform to the current UPC. — l�f grading in,the area of proposed drip lin shall require new pove _} epl by this Departtm�ent.� 1-7 Date: �_I EHS: a CITY OF MENIFEE BUILDING AND SAFETY.DEPARTMENT W i HT.ace A pLgAi APPROVAL "]Q 70-_ = REVIEWED BY. Pi3oPa5r � - - �3 DATE 'Approval of these plans shall not be construed to be a permit for,or an d regulations and ordinances. This set of approved plans must be kept on the 888.961.5971t r r www.lepewindustrial.com County of Riverside i � DEPARTMENT OF ENVIRONMENTAL HEALTH www.rivcoeh.org Not�S�►3. OWTS INSPECTION CARD APN: ,` �, " 1` 70- CD 1 ( o Permit No.: ON Site Address: t�a, I '3 1 J Adni2i hD a h R-14 City: M_O,n I 0 zip: q )L5 To schedule an inspection please call VRiverside 951-955-8980 or ❑ Indio 760-863-7570 All cancellations/reschedules must be received prior to 8am on the day of inspection or additional fees will apply. CWTS Components Date Re-Inspection Inspector of Inspection Date Is Septic Tank i 3ulldin 6 Safety Dept. Leach Lines/ Bed b Seepage Pits r— Septic Tank Abandonment _ a Sewer Lateral "G D-Box / Risers Effluent Filters Final Inspection TO BE POSTED AT.70BSITEINPLAIN VIEW EPO-55(REV 4/16) don - r County of Riverside DEPARTMENT OF ENVIRONMENTT�LUHEWL'TH' www.rivcoeh.org APR 0 4 201? .r� d, LAND USE APPLICATION �l 3880 Lemon St Suite 200•Riverside•CA•92501-(951)955-8980 OFFICE USE ONLY �{ COIE: FEE: ❑47-950 Arabia Street•Suite A•Indio•CA 92201-(760)863-7570 R�C�9� a -73 ,�2y EHS# 1�y��ryL ON# LMS# APN:� I �-J I O M 1 �` r_•�.'S^' LOT �y USE OF PER IT: SECTION A l0 L �J Name Cynthia San I &Jesus Alferez Back House B OWNER: Address 32180 Lindenberger Rd city Menifee Zip 92584 Phone 951813-9229 1 Email cindystangl76@gmail.com AGENT/ Company Name Le Pew Industrial, Inc. I Agent/Contractor Dan Murphy CONTRACTOR: Mailin Address 41735 Elm Street, Suite 303 citv Murrieta zip 92562 Phone 888/961-5971 Email dan le ewindustrial.com PROPERTY INFO: Site Address Same as above citv ryry cc�� Zi Water A en NVell wo Do Lot Size 1 APPLICANT'S SIGNATURE: DATE: -- SECTION B Below-For Office Use Only CHECK BOX IF REQUIRED If any box is checked,this application shall be considered denied unfil the information is Provided. ❑Holding Tank Agreements Required ❑Floor Plan and/or Plumbing Layout Required ❑Certificate of Existing OWTS Required(C-42) ❑Special Feasibility Boring Report Required ❑WQCB Clearance Required ❑Detailed Contour Plot Plan Required(1 to 5 foot intervals) ❑Soils Percolation Report Required SITE EVALUATION INSPECTION REMARKS: EHS INITIALS/DATE: SECTION C ❑NEW REPAIR/REPLACEMENT 10 EXISTING ❑PUMP ❑ATU ❑CONNECT TO SEWER I FIXTURE UNITS# BDRMS# Soils Percolation/Boring Report By: Date: Project# C42 Certification By: Date: License# Le Pew Industrial, Inc. 3/29/2017 C42 988020 Septic tank cap.: of Rate: Tested Depth: Max. trench depth: I 0-on o. -0-I Sq.FL Bottom Area: tal Linear FL: c) Line(s): rr^^ "feet I , i o Len theE ch 3 feet wide Sidewall Allowance: Ft.Rock/ Sq.ft.Running foot Rock below drain line: in. or Plasfic Chambers Leach Lines/bed special design for slope: ❑WA ❑Overburden Factor. - Pit Diameter. No.pits: Depth below Inlet(bi): Pit Total Depth: Max.allowable depth: CONSTRUCTIONA STALLA I N REM KS: - i SECTION D This Application pproved ❑Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth in - Section C above. nstruction is permitted in the required reserved 100%Expansion area. EHS Signature: , Date: 1 I 2- i—1 EPO-92(REV 7116) N mawweon:WHITE—Orfiw FIW.YELLOW—91dg.OapL PINK—Applicant COUNTY OF RIVERSIDE DEPARTMENT OF ENVIRONMENTAL HEALTH ,,_/ CERTIFICATION OF EXISTING SUBSURFACE DISPOSAL SAT�I�r1P[1& safety-Dept. 111 3880 Lemon Street•Suite 200•Riversides•CA•92501—(951)955-8980 APR O 4 20 I r ❑47-950 Arabia Street•Suite A•Indio•CA 92201—(760)863-7570 Back House (B ecelved. Property Information: APN: 372170016-9 Date of Inspection: 3/29/2017 1. Owner: Cynthia.Stangl&Jesus Alferez Address: 32180 Lindenberger Rd City: Menifee FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH APPROVAL 2. Show design and location on a scale of 1:20 or 1:40 of the sewage disposal system and 100%expansion area in relation to dwellings, structures,wells, rock outcroppings,drainage,watercourses,etc. 3. a. I examined existing subsurface sewage disposal system at the above location on 3/29/2017 and determined that the tank capacity is loot gallons and that there is 630 sq.ft of leach line bottom area. There are bedrooms in the dwelling and there are fixture units. b. There are 3 leach line(s), each 70 ft. long Depth ft. IXRock ❑ Plastic Chamber c. There are _ Seepage pit(s), each _ fL in diameter, and ft.TD. ft. BI. d. The leach bed is _ ft. by _ ft.,total .sq.fL of leached area. Depth is ft. 4. a. Construction of septic tank(Please check one of the following): Ed Concrete ❑ Fiberglass ❑ Steel ❑ Other: b. Internal dimensions of septic: Length 8 ft. Width 5 ft. Depth 5 ft. c. Condition of tank(please check yes or no for each question): Inlet Tee present? -ffYes ❑ No Tank Structure deteriorated? ❑Yes @rNo Outlet Tee present? 0 Yes ❑ No Effluent Filter Present? �y❑ Yes WNo Two compartments? @'Yes ❑ No 1 d. Condition of D-Box: Level? E0 Yes ❑ No Replaced? ❑Yes Ca No 5. a. While pumping the tank,did effluent flow back into tank from absorption system? 00 Yes ❑ No b. Prior to pumping,was the liquid level in the tank above the outlet tee? dYes ❑ No c. Was the area around the lids oxidized? tdYes ❑ No d. Is design of system gravity feed? a Yes ❑ No e. Were well(s)observed on this of adjacent property? 0 Yes ❑ No If yes, indicate distance of well from: Septic tank 260 ft. Leach lines 180 Seepage Pits _ ft. f. - Distance from springs,.lakes,and natural watercourses(check all that apply): VN/A ❑ Septic Tank _ ft. ❑ Leach lines _ ft. ElSeepage Pits ft. g. Is sewer within 200 ft.of structure and abuts property line? ❑Yes Id No Additional Comments: h. How long has dwelling been vacant?(if applicable) months weeks WN/A 6. a. ❑ It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. b. It is my opinion that the system is not in good working order and will not function property without the fallowing repairs: Needs New Leach Lines I certify underrpenalty of perjury that the foregoing is true and correct. Signature: -i/ Print Name: Daniel E. Murphy Contractor License No.: 988020 Expiration Date: Octoher 9017 Pumper Co.: LePew Industrial Inc. Phone Number. 888-961-5971 Address: 41735 Elm Street, Suite 303 City: Murdeta zip: 92562 DEH-SM-184(REV 11114) APN 372170016-9 City of lVlenifee ® Cynthia Stangl &Jesus Alferez 32180 Lindenberger, CA 92584 Building & safety Dept. Lic.#C42-988020 APR 0 4 2017 Ate ��O WK d All I Cf�+ INTv :oF rat„r--,!_,nF .4iy - - - - *DEPAf.TNIE! i.- iALHEALTH - - - - ONSITE WAS i zs.ATL i t....h .mENT SYSTEM ,al Septic Tank i� • __e of Leach Line e� ® Co mercial Cn�'' - Seepage Pits _ r _BI®TD_MDR tCD a Conn ct to sewer _ Concrete Pump Chamber nned to Existing Installation of leach lines are not to exceed ti.in depth j _ Install risers to grade,leaving lids accessible For cleaning. o�� p: Larger tanks (2000 gallons or greater) require 2 risers to access primary tuber. j I 1 I Approved cleanable effluent filters must be installed to facilitate servicing. • No on-ske water softening devices shall be discharged into the septic system without i clearance from the California Regional Water Quality Control Board. 2ufht G ,1 o e `coo Installation shall conform to the current UPC: T�yJit � G�kt uS Any grading in lhearea of proposed drip Ii esshall require new spprovel by9Ws Department. . MO (I,E . Date: IT ® EN�iE I�AND SAFE DEPARTMENT - PLAN APPROVAL 70- REVIEWED BY DATE . Q 'Approval of these plans shall not be construed to be a permit for,or an a�provaloof,arty vlo a on o any provisions of the ero,state or city regulations and ordinances. This set of approved plans must be kept on the 88 41735 303 92562 r