Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
PMT17-03094 City of Menifee Permit No.: PMT17-03094
29714 HAUN RD.
4�CCEL/? MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE Date Issued: 0 8/3112 01 7
PERMIT
Site Address: 28270 E WORCHESTER RD, MENIFEE, Parcel Number: 337-090-035
CA 92586 Construction Cost: $1,000.00
Existing Use: Proposed Use:
Description of REMOVE AND REPLACE WATER HEATER, SAME SIZE AND LOCATION. 50 GAL WATER HEATER
Work:
Owner Contractor
MARY CHANCELLOR QUALITY CONSERVATION SERVICES INC
28270 E WORCHESTER RD 4751 ARROW HIGHWAY
MENIFEE, CA 92586 MONTCLAIR, CA 91763
Applicant Phone: 9094450450
QUALITY CONSERVATION SERVICES INC License Number:757471
4751 ARROW HIGHWAY
MONTCLAIR, CA 91763
Phone: 9094450450
Fee Description Cltv Amount($1
Residential Water Heater 1 83.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
GREEN FEE 1 0.00
General Plan Maintenance Fee-Plumbing 1 4.15
$115.15
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permil_Template.rpt Page 1 of 1
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE '/ 7 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL (Y,4SSIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA "SIGN
SUBTYPE: :%ADDITIO��N/! U ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW Q�'PLUMBING O RE-ROOF-NUMBER OF SQUARES-
DDDESCRIPTION
rESCRIPTION OF WORK W L col rck
y J0 , il
�l y-yE
PROJECTADDRESS O rJ' '?V, S !
ASSESSOR'S PARCEL NUMBER v�- J" J LOT TRACT
OWNER NAME �'}'1 C h 0-- N c�//'�7v P,
ADDRESS o� �ll .rj C'_
PHONE ��Ot _ �I EMAIL c
APPLICANT NAME Li GL V(/ T
'Y J
ADDRESS /)) ( /, / -12�9 �9 I LU O
PHONE �fn `-fll EMAIL
z
CONTRACTOR'S NAME A// OWNER BUILDER? O YES ONO
BUSINESS NgAM�'t��E oll,-/U� `JAJ -�^
ADDRESS ZC/ 19-I-("}CJCIC LCJ ,_�)
PHONE9(1 /"�/ 1` Ste' 17 J�/ s� EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C-
VALUATION$ 1 1 L"n) SQ FT L SQ FT('j�
APPLICANT'S SIGNATURE DATE 2S ' ) /cnySTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE I " iS PAIDAMOUNT
AMOUNT 0 CASH C CHECK# G CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECKA 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTA {WMB0it"E5 :.}' NO
Etull.ding _._
City of Menifee Building&Safetyy Department 29714 Haan Rd. IUenif e, CAA0639A1=672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Flecei
Z f+ m > o
m o P. w D m m D m m m1
T ti i m `2 y 'n n -A•I (A m
o d w o
A 3 n m f+ D N d m M T A
o .�. o. m p o fD = f° 9: 3 w 'o v 1 Z M n m o
3 " D m m d m m < y Z
G •G C O 'O O z w O ma Q N m O i o
in = m r N m m —i
3 N d d O D Z 0. Q m r D
0 $ D
� y cnv� x Z ZM
v a -0m
N < .< ' M iu o m m E' D r ,.
m d N „ a x N v O1 01 w o m D
d o m 3 3 c £ , m
M m a m !^ O 'm Z _I
w T =
c _ m O
m 'o c v m N m '—' m e x a $ N N
a ^ w o 3 'o n m p o m � m^ 9 4@
o n II' .. a 3 W o I
3 o m cCDi r2
� w m < = m y
N p n Q m T n C i y C a w d tOi� 7
3 N m n a s o rZ1
s ' s x y a N m
.7. -Di
p m m o
c) m
0 A
o O = J
H w £ O. C N o S 3 Q
o m s p m a m
_ o
1 3 N n f O O O
n m
w 3 o w o.
m o o N ? u w m ro' ^. O N �-
m O' m o 10 n w m
0
m 0 O m O <
a 0 - 3 3 m = �
0 S5 o m
T o n o- > > V °i '-'
o w = � 3 �• �- m �e Q �•
m m w 3 Rq m
j 0 � ry m m T z x � ❑
a O O 3 m A G O N 3
H a mn w m y m m fn
O
u w O
c m g 'n s d d �, a N 3. 3 D
n 0 0 3 a m r
o ° m .�. 3 T
3 m m �» ° om D m mo
o'c n •< a �n
m 0-01 3 =
5o m jm = 3mo l ma a w m on
v d 0 0
aoo d m m m m y rt o t' m i
D
° my
m s £ 3 0 N m o
2 m r.m `° w 3
OFFICE COPY
Quality Conservation Services
4751 Arrow Highway, Montclair, CA 91763
...."::::. sus .
888.440.0450 • 909.445.0450 • Fax: 909.445.0446
IiiiN
6/2/2017
RE: Permits — CSLB#757471
To whom it may concern:
The following individuals have my permission to obtain permits and licenses on
behalf of Quality Conservation Services, Inc.
• Steve Gonzalez
• Brandon Dotson
• Diana Olivas
• Scott Devore
If you have any questions regarding this approval, I can be reached directly at 909- S
281-3531 or at one of the numbers listed above. v
O
Thank youin advance for your cooperation,
vnk
Allan Rag
RME/Executive Director VERONICk ZAMORA
Quality Conservation Services, Inc. a Notary Pubk•California
CSLB #757471 = San Commission
County
Z �' ` Commission*2164776
M Comm.Expires Sep 15,2020+
Cc: Employee File
City of McMfee
Building 8 Safety Dept,
AUG 3 1 201? .
Received