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PMT17-01665 City of Menifee Permit No.: PMT17-01666 29714 HAUN RD. Type: Residential Plumbing <ACCELA MENIFEE, CA 92586 MENIFEE Date Issued: 05/2612017 PERMIT Site Address: 28172 CHULA VISTA DR, MENIFEE,CA Parcel Number: 336-233-002 92586 Construction Cost: $1,400.00 Existing Use: Proposed Use: Description of REPLACE EXSISTING WATER HEATER 30 GAL, SAME LOCATION Work: Owner Contractor DANIEL ESPINOZA CARON PLUMBING&DRAINS 28172 CHULA VISTA DR 27758 SANTA MARGARITA#556 MENIFEE,CA 92586 MISSION VIEJO,CA 92691 Applicant Phone: 9492050736 JARRED CARON License Number:997735 CARON PLUMBING&DRAINS 27758 SANTA MARGARITA#556 MISSION VIEJO, CA 92691 Fee Description ON Amount ISl Residential Water Heater ., 1 83.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 4.15 $115.15 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_Templale.rpt Page 1 of 1 CITY OF MENIFEE ICENSED 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 ❑I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class e -36 Li An p[�se No. 1- By my signature below I acknowledge that,except for my personal residence Expires 10131 Signature in which I must have resided for at least one year prior to completion of TT improvements covered by this permit.I cannot legally sell a structure that I KER'S COMPENSATION DEC TION have built as an owner-builder if it has not been constructed in its entirety by riI hereby affirm under penalty o 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 Code,for the performance of work for which ivµµ,,leginfo.ca.gov/calaw.html. this permit ti is Issued. PoIi # I��fk/rlgYZ Date 7I have and Will maintain workers compensators insurance,as required by PROPER TY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,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 1 have provided is correct.I agree to comply Carrier/'t 4OV'I\G -1/J S vtif�-..e f C(i rsn/7�%-n�/ with all applicable city and county ordinances and state laws relating to it building construction.I authorize representatives of this city or county to PolicyNMwC-n046,-5',sr-o of 4� — f� -'/� enterthe above identified propertyfor inspection purposes. (This section need notto be completed is the permit is for one-hundred Date dors($100)or less PROPERTY OWNER OR AUTHORIZED AGENT 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 If workers compensation laws of California,and agree that if I should become ARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor e,I shall fo hwith comply with those provisions. WIII the applicant or future building occupant handle hazardous material or a pplicant �G-�, Date O`V mixturecontal ' ga hazardous material equal to or greaterthat the amounts speoffied on the Hazardous Materials Information Guide? WARNI :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes o 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 fonthe construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quali_ anagement District(SCAQMD)?See permitting checklist - IN SECTION 3706OF THEIABORCODE,INTEREST,AND ATTORNEYS FEES- --- - - --- ----- -- - - --.T- far guidelin CONSTRUCOON LENDING AGENCY ❑Yes o 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 bounder of a school? (Section 3097 Civil Code) ❑Yes g . OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exemptfrom the permitting checklist.I understand my requirements under the Stake of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning ha rd s material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 ❑No Business and Professions Code).Any city or county that requires a permit to Date e t� construct,alter,improve,demolish or repair any structure,prior to its PERTY 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 PA RENOVATION,REPAIR AND PAINTING(FIRM 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($500). managers who do the paint-disturbing work themselves orthrough their ❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit compensation,will do( )all of or( )portion of the work,and the structure is www.epa.ltov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. Z BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE ©$ 2 / PERMIT/PLAN CHECK NUMBER �vivn 0 TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION// O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW W`PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPPTIIOON�OFF WORK C k�c rr �w►T lfC PROJECTADDRESS Ctj ASSESSOR'S PARCEL NUMBER �f J�'�93��M17' LOT _a'� TRACT OWNER NAME p„7; F-51PI,17ame, ADDRESS Z c- e Cam- PHONE CUI�U 3XI-'/9ZS EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME r {.� ADDRESS a — r u. /fir a pro PHONE C°IY9��o�-U�-? 6 EMAIL e, . CONTRACTOR'S STATE LIC NUMBER c/ a/ 1}3S LICENSE CLASSIFICATIO E- VALUATION$ tf OLJ9 �- SO FT L SO,FT APPLICANT'S SIGNATURE L'� �'��� DATE C9 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN l SMIP INVOICE «•1S PAID AMOUNT O O O AMOUNT CASH CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 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 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 g z d s o A v� v n o m m D m Amy Cl)o d i d S J0 3 n 3 �"� D N O' Z w ti N ? 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