The URL can be used to link to this page

PMT17-01731 City of Menifee Permit No.: PMT17-01731 29714 HAUN RD. <ACCELA? MENIFEE,CA 92586 Type: Residential Plumbing MENIFEE Date Issued: 0 610112 01 7 PERMIT Site Address: 26867 CHERRY HILLS BLVD, MENIFEE, Parcel Number: 337-341-020 CA 92586 Construction Cost: . $8,387.56 Existing Use: Proposed Use: Description of INSTALL 110'OF PERMA LINER IN 4"SEWER MAIN, INSTALL(1)3"TWO WAY CLEAN OUTS Work: Owner Contractor MARJORIE A. SOTERO PEACH HOME SERVICES INC 26867 CHERRY HILLS BLVD 532 MALLOY COURT MENIFEE,CA 92586 CORONA,CA 92880 Applicant Phone:7144628174 JANE RECKTENWALD License Number: 1018348 PEACH HOME SERVICES INC 532 MALLOY COURT CORONA,CA 92880 Fee Description Qtv Amount(Sl Sewer 1 150.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 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 building operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise staled,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.rpl 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 ❑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 C;;D.(3(o License No. li01 MA�6 By my signature below l acknowledge that,except for my personal residence Expires q-,80'l% Signature C'r 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 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 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. vnvw.leeinfo.ca.eov/calaw.lumi. Policy# Date r>s l 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 o 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 on the property owner's behalf.I have read this number are: application and the information I have provided is CorMCL I agree to comply Cartier .AYDt)n0.tL-�- Mtdw�-� with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy#O1C49TQRq431xR� Expires U-1-0 enter the above identifiedpr 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 AVQT- ED AGENT D I certify that in the performance of the work for which this permit is issued, Ishallnotemolov 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 compensatfm povisions of Section 3700 of the Labor Code,I shall forthwith comply!y h Vase provisions. WIII the applicant or future building occupant handle hazardous material or Applicant Date5-5-11 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 m yes p t40 UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,00 Will the intended use of the building by the applicant or future building 0),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguldelines CONSTRUCTION LENDING AGENCY aYes 'No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) a Yes YNo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous material reporting.$)(Section 7031.5 DYes �J4o Business and Professions Code).Any city or county that requires a permit to Date construct,alter,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 Contractars State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter9(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 or through their al,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 1-8011-424-LEAD(S323). Code;The Contractors State License Law does not apply to an owner of a aAn 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. a No EPA Lead-Safe Certified Firm is required for this project because: o I,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 Ifyour project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. DATE <<o i• ZOt PERMIT/PLAN CHECK NUMBERy_ Q �I j TYPE; COMMERCIAL RESIDENTIAL MULTI-FAVILY MOBILE HOME POOL/SPA - SIGN S SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL VNIECHANICAL i ! NEW PLUMBING RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Lpstall 110' of perma liner in 4" sewer main. Install two 3" two way clean outs PROTECT ADDRESS G�41 Cherry-Hill Blvd Sun CityC—A 92586 lASSESSOR'S PARCEL NUMBER _70700 LOT L(�� TRACT O`✓1" 9 OWNERNAMEtAC(Zi(�.�FS -.sue-�._._._.-_. - ADDRESS 1 2r� r herr _Hill Blvd Sun City, CA 92586 PHONE - _ . _ . . . EMAIL APPLICANT NAME ...J.aae-&e41St4�Wald -_.._ __ _......._...__ ADDRESS PHONE 714-336-6159�_- ____ EiVAIL _jatLeteclt@�aLt r�e�__._ CONTRAC ow NAME Walton,s.heWi—9 & AJr ._—_--___- . OWNER BUILDER? - YES ENO _- SVSINESS NAME ADDRESS _532_MaUoy QLt_QXQGa. CA 2880 ! PHONE _t. . �. 1..._- _.. EMAIL j CONTRACTOR'S STATE LIC NUMBER LlcErrsE CLASSIFICATION VALUATION S 16.775.12 sQ Fr ? j L sd FT APPLICANT'S SIGNATURE DATE D[�'�•RT`.1CN701xTR1ll'TIDN l � � C1T1'3R a4£N1FEE BUxihiSx UGENSE>:UtdBEP I SU;i:+n'G :?V•w.VdtI xa61NFE9r,�G ^jai GF'eEN SN IP INVOICE PAID AMOUNT l �R I AMOUNT l I _.._,.... I CASH .m CRLCX a ti4.DI,rC. n0 w.SAiS1t _ PLAN CHECK FEES PAID AMOUNT , CAxw cRe;K� � , tRl.Ortcaaa vlxnnc { YES aWN$RBUILDERVERIFIED V£S . NO - OL NUMBER -" Y, .- NOTARIZED_E'TER__ - _,N0 _ _ 1 City of Menifee r r• L- 2$800. �a x I e6Y•Y e 26800,�,, k. J; cNER C. COO AIM 46 G A � b I .PI ¢ • r 1 5 r� za ti� �� 3 7S •� � � 1 26748 808 fjs May 23, 2017 1:744 0 0.005 0.01 0.02 mi Parcel Addresses Railroads Street Names ter, ' I '—j .. , . I , I 0 0.01 0.02 0.04 km Parcels Street Names Freeways &Highways Common Lots Freeways &Highways — Freeway Parcels -Outside City Freeway Highway 20IEI erel me BIG Cities — Highway Major Arterials ;L, Menifee Boundary Major Arterials ` � L f d J � V ami ? Z it i n id� dd } 3 : t[j 'S33LL21!91.llie iJDilRItF'ei ''4 «slat due`}o�eaoid.e _ .,lcsuo�srnmd due¢o uo � c ?J YW ue ec �j tea:e s o:rte^iissm aq iou s sueld nal4 p len dctl= r AS F3f1.'i €A3k ma ,if G