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PMT17-03372 City of Menifee Permit No.: PMT17-03372 29714 HAUN RD. rACCEL/-> MENIFEE,CA 92586 Type: Residential Plumbing — MENIFEE Date Issued: 09/25/2017 PERMIT Site Address: 28881 AMERSFOOT WAY, MENIFEE,CA Parcel Number: 337-131-013 92586 Construction Cost: $2,000.00 Existing Use: Proposed Use: Description of REMOVE AND REPLACE 40 GALLON GAS WATER HEATER FOR TANKLESS 7.1GPM WATER Work: HEATER.SAME LOCATION. Owner Contractor JOHN ROBINSON BILL MORLET MASTER PLUMBER 28881 AMERSFOOT WAY 306 N EL NORTE PKWY STE 130 MENIFEE, CA 92586 ESCONDIDO, CA 92026 Applicant Phone:9513236994 BILL MORLET License Number:578272 BILL MORLET MASTER PLUMBER 306 N EL NORTE PKWY STE 130 ESCONDIDO, CA92026 , Fee Description q_yt Amount 151 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 $116.15 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 Men fee.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_Pennit_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 contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 70D0)of Division 3 of the Business and ❑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 4_1 12� to License No. -7 Z- By my signature below I acknowledge that,except for my personal residence Expires ID —2 — 17 Signature �`YYT in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed In Its entirety by ❑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 www.Ie2info.ca.izov/caIaw.htmI. this permit is issued. -_-- - Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain worker's compensaton insurance,as required by 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 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 correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# Expires enter the above identified property 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 AUTHORIZED AGENT 61 cemfy 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 ITY 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 comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant .Q r/ti/ Date �2`7r�( 7 mixture containing a hazardous material equal to or greater that the amounts spegcified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes a No 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 for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY o Yes trl 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 boun a school? (Section 3097 Civil Code) ❑Yes 1514o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reasons)Indicated below by the haze ounia Health al Safety Code,Section 25505 and 25534 concerning haze pus material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to es �lk--7(,+12 �IILZ r Date construct,alter,improve,demolish or repair any structure,prior to Its PROPERV 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 IRRPI 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 or through their ❑1,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.Rov/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 ❑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: in 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. C AP• • Menifee DATE: , ' 2 r U It 7 PERMIT/PLAN CHECK NUMBER 1 1'1-0 J3'7 TYPE: O COMMERCIAL 61RESIDENTIAL 0 MULTI-FAMILY OMOBILEHOME O POOL/SPA OSIGN SUBTYPE: O ADDITION O ALTERATION '3 DEMOLITION " ELECTRICAL O MECHANICAL O NEW `151UMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK p �< w PROJECTADDRESS Z� 9P> ' %rS �rXl`� (p" ZIP 1 � ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME 'J1 O n O yl ADDRESS PHONE ) EMAIL a �- APPLICANT NAME a IA 1)r l ADDRESS PHONE �9 EMAIL CONTRACTOR'S NAME 1 q�\t p,/ OWNER BUILDER? C YES eNO BUSINESS NAME _gel 1 1 MtV /: �- ��j...t ADDRESS /J(n If0efvT W 7j0 PHONE C� � 3 03 G TIV EMAIL 6 I (i}uD ,COh, CONTRACTOR'S STATE LIC NUMBER tS 7 0 Z-7 Z- LICENSE CLASSIFICATION VALUATION$ Z SQ FT L SQ FT -7 APPLICANT'S SIGNATURE DATE U `2 C CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINES LICENSE N�tNIBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: • Q.� 40 PERMIT FEE I ls, IS SMIP GREEN �, 0% 0 PLAN CHECK FEE INVOICE TOTAL OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER i; YES =✓ NO "i(y q;'+:,,_ _ ^/d;nc Sofeel�D�portlnent 29%Yk Neun ; _„ °2�3a®"itl �- e t. WW"v.Ci t>lo�c In?r;if Ee.us 22>5 )7 Rbt 'o owi I. u D G a G� f1 �n D P1 m .77 m w :i m 0 s m M m A z .J. „ m F < N O a n m m w N F+ n J p m = \ ' 3-A m m m > N a m =. T Q 0 m f0 °1 �^ ,,,] 0 3 °° m A to m r m a D O 2 r J C. H m 3 --1 iu F n o cf �n x = m r m m z 3 rSo m m o' o. 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' x w 3 n D n� o 0 F K 3 s o 0 w c w v QoO 3 31 m m m a o n D ch ui ,�.. m .J. w ~ r w m li s w * 20 — m 0 w J z d m i^ 0 m '^ n- < w c n m e O J S < N in '� A N G Z °- a m 'mrm m N w u Jn a w 01 J 3 w A 0 ET m 0 N W C 3 OFFICE COPY C O � LL � cc E m m J W WO '� 'o N 2 N OC Ob Lu C u J w c a u 3 c n v AI d m w C O -m = c E .E r .�-� a o v LL J O Y E ad+ O u > _� ° O v m N u 3 u m uo a d o 1 J = w r M 4S m o Y 4 = 'nv v 3 .• a C U O o a Ou N N Y d d O v o m J O w m m v� Y v E m E m +' o c Y �n E w v j o o o w o f m o f m N f0 Y CO C Y L+ J L O J Y C N ++ V a d m d �••1 o m au m U c L ? °c° v m u E c = m W O a �° m m o L m a w c cd W d J cc V u C m o LL o y > c E u 3 ;" .3 m Clc m. d Q c m C O ` m p O. O W- i+ s aO m o m x _ r o w •Y � Q o n E a LL U`o C E w d Y 6 L C d C O j > L E LL E 6 c h O C m W ad+ y �. 6 d ll r = Y u W F N Z d 3 C p H a+ y d u d = N C a m 5 E C Z a1°i v E '^ a w "' F j O 1 N N X -° K l0 N 'a. N o p c O m a d m d Y m 2 Cy V o OC O J y i d O. O. W W s C '� O J M p Q u � lA J O y m L w > c c a `o_ E o Z h W K Z A j d 'fwp' d d d u d C F d Z N 3 E LL Y. N. S S ix W om u p U Z 11477 WRL 1• ad+ N C N m F U u •m u E E a m K y o - m o a `p w ., p z u Q u LL U a WN- THIS BOND SHALL BE FILED WITH THE REGISTRAR OF CONTRACTORS - - - -�:- H47 STATE OF CALIFORNIA SS103169 CONTRACTORS STATE LICENSE BOARD _ 578272 Contractor's Bond The premium on this bond is %1rl) 00 for the term 08/17/2017-08/17/2018 KNOW ALL BY THESE PRESENTS. Thai Bill Morlet Master Plumber whose address for service is 306 N El Norte Pkwy#130 Escondido CA 92026 as Principal and State National Insurance Company a corporation organized under the laws of Texas and authorized to transact a general surety business In the State of California. as Surety.are held and firmly bound unto the State of California, for the penal sum of Fifteen Thousand Dollars(S15,000)for the payment of which well and truly to be made we bind ourselves. Our heirs. administrators. successors and assigns jointly and severally.firmly by thes preOsentant WHEREAS.The provisions of Sections 7071 6 and 7071 8. Business and Professions Code. require thati t NMI Qellht p Q10,1004d4Fand have on file wrath the Registrar a bond issued by an admitted surety in the sum of 515.000 and this bond and tendered in accordance therewith. �p��pp II NOW THEREFORE.The conditions of the foregoing obligation are that if the Principal shall comply with and bSUjelt54011 provisions of Division 3. Chapter 9(commencing with Section 7000)of the Business and Professions Code then this obligation shall be null and void otherwise to remain in full force and effect PROVIDED HOWEVER, This bond is issued subject to the following express conditions. Receive I 1 This bond may be cancelled by the Surety In accordance with the provisions of Sections 996 310 et seq of the Code of Civil Procedure. 2 This bond shall be deemed continuous In form and shall remain in full force and effect and shall run concurrently with the license ry 1 period for which license is granted and each and every succeeding license period or periods for which said Principal may be O1 licensed after which liability hereunder shall cease except as to any liability or indebtedness therefore incurred or accrued hereunder 3 The limitation of the liability of the surety and the conditions of the bond are as set forth in Sections 7071 5 and 7071.6, Business and I Professions Code and any person claiming against said bond may bring an action in a proper court on this bond for the amount of the damage he may suffer as a result of such acts or omissions by the Principal except that such action must be brought wthin two(2) years after the expiration of the license period during which the act or omission occurred or within two(2)years of the date of license of active licensee was inactivated canceled or revoked,whichever occurs first except provided further that a claim for fringe benefits shall be brought within six(6)months after the date the fringe benefit delinquencies were discovered, and any civil action thereon shall be fi led within two(2)years after the date the fringe benefit contributions were due 4 This bond is executed by the Surety to comply with the provisions of Division 3. Chapter 9. (commencing with Section 7000)of the Business and Professions Code and of Part 2,Title 14 Chapter 2(commencing with Section 995 010)of the Code of Civil Procedure and said bond shall be subject to all of the terms and provisions thereof 5 This bond to become effective 08/17/2017 State National Insurance Company 1900 L.Don Dodson Drive Bedford TX 76021 — I'T I certify(or declare)under penalty of pequry under the laws of the State of California that I have executeo the foregoing bond under an unrevoked powerof attomey. Executed in Carlsbad CA on 0811 611 7 9:37AM under the laws of the State of California Certificate of Authora Y# 08874 Signature of Attorney-in-Fact `✓ r Printed or Typed Name of Attorney-in-Fact Shellie Emery Address of Attorney-in-Fact 3250 Grey Hawk Ct Carlsbad CA 92010 IIIIIIIIIIII IIIIIII IIIIIIIIIIIIIIIIFII IIIII�IIII Telephone Number of Attorney-in-Fact 866-716-7242 SNIC-56051513 ODniractorsUcense nd tion Bo a Card Instructions 1 . Print this page. PRINCIPAL:Bill Morlet Master Plumber LICENSE NUMBER 578272 2. Cut along the dashed line. BOND NUMBER. SS103169 3. Fold your card in half. EXPIRATION DATE 0811712018 SURETY COMPANY.State National Insurance Company 4. Laminate. This yard is M pmd or W,,m Ixsti g3us For amen;Status of oontl antl hoarse anov WBtea a l cetsrnq Cartornm Contractor State Lcerse eora w co cagov or 800 321 CSLB l scs+an 1 ravrxrs��r+si rnax LVLZ-L99(DOB) 'a9wnN au04d 069Z6 VD'elnP ual og asoIS MD SS W aung'i0 seo oi&,s oszgz ssarPPY soon os muemsui sawoossv g uo a oN Axra6v uewppp ueN 4LuON Iua6V .wolaq rw.ogs suabo moA polooD asoald p.uj si,uo uoquuuosui 0,6wpa,60.suoi;wnb an04 n0A q City of Menitet Building & Sat/etp©e t SEP 15 1W. Received