PMT17-01098 City of Menifee Permit No.: PMT17-01098
_ 29714 HAUN RD.
�A-CCEL/7 MENIFEE, CA 92586 Type: Residential Alteration
MENIFEE Date Issued: 04/13/2017
PERMIT
Site Address: 25660 CRAIG AVE, MENIFEE, CA 92584 Parcel Number: 358-190-010
Construction Cost: $200.00
Existing use: 1 &2 Family Residence Proposed use:
Description of ABANDON EXISTING SEPTIC TANK,CONNECTING TO SEWER,WILL-SERVE LETTER PROVIDED
Work: BY EMWD
Owner Contractor
FAVIAN VASQUEZ
25660 CRAIG AVE
MENIFEE, CA 92584
Applicant License Number.
FAVIAN VASQUEZ
25660 CRAIG AVE
MENIFEE, CA 925B4
Phone:9513474058
Fee Description Oty. Amount t$)
Sewer 1 150.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Building 1 0.00
General Plan Maintenance Fee-Plumbing 1 7.50
$185.60
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 slated,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 contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of /
m
Chapter9(commencing with section 7000)of Division 3 of the Business and P'I a exempt from licensure under the Contractors State License Law for
Professions Code and my license is to full force and effect. e following reason:
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
01 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 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 Cade,for the performance of work for which vvww le¢info ca gov/olaw.html.
this permit is issued. q
Policy# Date
❑1 have and will maintain workers compensation insurance,as required by PR ERN OWNER OR AUTHOR17ED 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: 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
building construction.I authorize representatives ofthb city or county to
Policy# Expires enter the ove rdent" ed property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred /' Date -,V
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
1 certify that in the performance of the work for which this permit is issued,
I shall not emnlov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING'FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES of
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant
the intended usermit f buildingst theapplicantorfuture building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7 See permitting checklist
for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is Issued outer boundary of a school?
(Section 3097 Civil Code) 0 Yes ❑No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of re son($)in I am exempt horn the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reasons)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,aker,improve,demolish or repair any structure,prior to 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 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
and the basis for the exemption.Any violation of Sect
alleged exem ion 7031.5 b receiving compensation for most work that disturbs paint in a pre-1978
an g P y residence or childcare facility to be RRP-certified firms and comply with
than($S00).Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than
managers who do the paint-disturbing work themselves or through[heir
❑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 eoa.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
Property who,through employees'or personal effort,builds or improves the o An EPA Lead-Safe Certified Renovator will be responsible for this project
Property provided that the improvements are not intended oroffered 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 roving that It was
not built or improved for the purpose of sale. p 0 No EPA Lead-Safe Certified Firm is required for this project because:
01,as owner of the property am exclusively contracting with licensed
�'- - -contractors to construct the project(Section 7044,Business and Professions
hs Code:The Contractors State License Law does not apply I to an owner of a
If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
3
CUILDING & SAFETY PERMIT/PLAN CHECK A. • •
Menifee
DATE �?j 1 1 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL 0 RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION kDEMOLITION O ELECTRICAL O MECHANICpI
Ctty of Menffe
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES BHlldin apt.
DESCRIPTION OF WORK Ce ! n k
PROJECTADDRESS Q
ASSESSOR'S PARCEL NUMBER 26%-10tD-010 LOT TRACT
OWNER NAME � �� �i -
ADDRESS 2 5' 6 .. rct; mew l'r�-C. cGiA'
PHONE EMAIL 1 �,t a0s ekl)
APPLICANT NAME
AUDHESS -�2�t� U cam,
PHONE '7ol• 3gj,,-1o58 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? k YES ONO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
')00
VALUATION$ SO FT L SO FT
j
APPLICANT'S SIGNATURE DATE �I �� • 2v i�
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION y CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP /�
INVOICE
AMOUNT -� PAIDAMOUNT , � OCASH `?CHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH O CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O' YES O NO
City of Menifee Building&Safety Department 29714 HDLIn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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City of Menifee
Building & Safety Dept.
APR 13 2017
Received
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CITY OF MENIFEE
BUILDING AND SAFETY DEPARTMENT
PLAN APPROVAL
REVIEWED BY l L�5i DATE
'Approval of these plans shall not be construed to be a permit for,or an
approval of,arty violation of any provisions of the federal,state or city
regulations and ordinances. This set of approved plans must be kept on the
jobsite until completion.
,�n� EASTERN
April 11, 2017 7 MUNICIPAL
W WATER
--� 1 DISTRICT
Mr. Emiliano F.Vasquez
25660 Craig Avenue
Menifee, CA 92584
Subject: SAN 53—Will Serve APN: 358-190-010 City of Safety
e
1 building & Safety Dept.
Dear Mr. Emiliano F. Vasquez: APR J 3 201/
Eastern Municipal Water District (EMWD) is willing to provide sewer service to thesubA,"
The provisions of service are contingent upon the developer completing the necessary arrangements
in accordance with EMWD rules and regulations. EMWD expects the developer to provide proper
notification when a water demand assessment is required pursuant to Senate Bill 221 and/or 610.
EMWD expects the developer to coordinate with the approving agency for the proper notification.
Further arrangements for the service from EMWD may also include plan check, facility construction,
inspection,jurisdictional annexation, and payment of financial participation charges. The developer
is advised to contact EMWD's New Business Development Department early in the entitlement
process to determine the necessary arrangements for service, and to receive direction on the
preparation of a facility Plan-of-Service, which is required prior to final engineering.
EMWD's ability to serve is subject to limiting conditions, such as regulatory requirements, legal
issues, or conditions beyond EMWD's control.
Expiration-one year from date of issue
Thank you for your cooperation in serving our mutual customers. If you have any questions, please
call me at (951) 928-3777, extension 4467.
Sincerely, 21
f ' 6k ' � _'
Brian A. Raines, P.E.
Civil Engineer II
New Business Department
Eastern Municipal Water District
BR:emn
2270 Trumble Road • P.O.Box a3o0 - Perris,CA 92572-B300
T 951.928.3777 ^ F 951.928.6177 www.emwd.org