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PMT17-01641 City of Menifee Permit No.: PMT17-01641 29714 HAUN RD. Type: Residential Plumbing <ACCEL/-> MENIFEE,CA 92586 MENIFEE Date Issued: 0612412017 PERMIT Site Address: 27726 BLUFF VISTA WAY, MENIFEE, CA Parcel Number: 340-432-009 92584 Construction Cost: $4,890.00 Existing Use: Proposed Use: Description of INSTALL WATER SOFTENER IN GARAGE WITH 85' PVC LINES , Work: Owner Contractor ANDREW RONDON YANCHEWSKI&WARDELL ENTERPRISES, INC 27726 BLUFF VISTA WAY 1351 DISTRIBUTION WAY STE 9 MENIFEE,CA 92584 VISTA, CA 92081 Applicant Phone:7607541960 MITCH BLUMAN License Number.925031 YANCHEWSKI&WARDELL ENTERPRISES, INC DBA ECON 1351 DISTRIBUTION WAY STE 9 VISTA, CA 92081 Fee Description ON Amount IEl Piping/Repiping Single Family Residential 1 163.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 8.15 $199.16 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 carded 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_Permit_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 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 Business and D 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 C'5 r7 Lice set o. .By mysignature below I acknowledge that,except far my personal residence ( f Expires f1 15O 1(is 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 Wit has not been constructed in its entirety by D 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.Ieginfto.ca.gov/caIaw.htmI. Policy# Date dl have and will maintain worker's 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 owner's behalf.I have read this number are: ( application and the information I have provided is correct.I agree to comply Carrier_ MJQ with all applicable city and county ordinances and state laws relating to Policy#AOA4`E4f building construction.I authorize representatives of this city or county to fo`� Expires2�� I10 enter the above identified property for inspection purposes. (This section need not to he 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 employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 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 3700 of the Labor Code,I shall forthwith ca 'Lit those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 40 q mixture containing a hazardous material equal to or greater that the amounts sEEecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes dNo 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 r o ion occupant require a permit far the construct modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCion See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o 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 bourJdary of a school? (Section 3097 Civil Code) ❑Yes No OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.I understand my requirements under the State of Contractor's License Law for the reason(s)indicated below by the California Health&Safe ode,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous ma erial' rting. Business and Professions Code).Any city or county that requires a permit to oYes �s' Z ✓7 construct,alter,improve,demolish or repair any structure,prior to its Date l / 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 casts for the alleged exemption.Any nviolation toci of Section of not o residence or childcare facility to be RRP-certified firms and comply with than Applicant ora permit subjects the applicant too civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the p p J property provided thatthe improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. d'No EPA Lead-Safe Certified Firm is required for this project because: ❑1,as owner of the property am exclusively contracting with licensed . contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. mll;NR� AG��Kii' 'a /°V�,�'I(1S e4i "I,1��1 iA.. i DATE LI 1 PERMIT/PLAN CHECK NUMBER 9MTY1 - U194 I TYPE: [-]COMMERCIAL RESIDENTIAL MULTI-FAMILY DMOBILE HOME POOL/SPA SIGN SUBTYPE: ❑ADDITION ALTERATION [-]DEMOLITION []ELECTRICAL []MECHANICAL ❑NEW EPLUMBING ORE-ROOF-NUMBER OF SQUARES Clty of Menifee DESCRIPTION OF WORK `5.n.5A.0A PROJECTADDRE55 �f v,Sko. Wcq ReCreMad ASSESSOR'S PARCEL NUMBER LOT TRACT PROPERTY OWNER'S NAME A 60e.L,/ P-or,do M f ADDRESS '2-I -12-G SkuF4 V �S�'o_ WOL ! I�d�..�2¢. CP PHONE 9F_^ Z`Y7- L(1IL{ EMAIL APPLICANT NAME k11 ,(VIA ADDRESS � ZZ� 1,� �A d �� . =k$z 43 9(3 b PHONE ''p� EMAIL ( CONTRACTOR'S NAME C((iCOL jo. 6<_ `Jc S Cr JD OWNER BUILDER? ❑YES NO BUSINESS NAME CCOWOCk-C_ 0- 0"(% �2 ADDRESS f I ) LL `a1 PHONE `7(Oo" 1��"' �7Y1� /,� 9 EMAIL CONTRACTOR'S STATE LIC NUMBER y it L�O 5� LICENSE CLASSIFICATION VALUATION $ SQFn L SQ FT APPLICANT'S SIGNATURE DATE 0 , -x_,;r� 6T _ehll,.,, DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE //�� G PAID AMOUNT AMOUNT c(6{'` s CASH CHECK# %CREDR CARD VISA/MC PLAN CHECK FEES PAID AMOUNT {iCASH CCEECK# ==CREDRCARD VISA/MC OWNER BUILDER VERIFIED %.: YES NO DL NUMBER NOTARIZED LETTER YES NO City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92585 951-672-5777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of manifee Building & Safety Dept. MAY 2 4 2017 ' z fc�9 d goo I I _ I � • Z J CITY OF MENIFFE ' MOM BUILDING AND SAFETY DEPARTMENT �; iv PLAN APPROVAL REVIEWED BY `N'v, �I DATE 'ALm ,01of these plans shall not be construedto be a permit for,oran apfairyvilationof any provisions of the federal,state or cityre0 anA nrAinanrac 7Ng cpr of approved plans must be kept on the i jobsite until completion. 4 n R c i w Z 7a �I A,