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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