PMT18-00848 City of Menifee Permit No.: PMT18-00848
29714 HAUN RD. Type: Residential Plumbing
9;ACCEL/ MENIFEE, CA 92586
Fwrm-.,rJ B�lwua MENIFEE Date Issued: 02/2712018
PERMIT
Site Address: 27647 WHISPERWOOD DR, MENIFEE, Parcel Number: 340-430-010
CA 92584 Construction Cost: $800.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 50 GAL WATER HEATER, SAME LOCATION
Work:
Owner Contractor
FRANK ELORIAGA ALL STAR WATER HEATERS INC
27647 WHISPERWOOD DRIVE 30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone: 9513010067
SIERRA SPRAGUE License Number.812894
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
Fee Description Qtt( Amount($1
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
$115.16
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_Permit_Template.rpt Page 1 of 1
CITY OF MEN IFEE and who contracts for the projects
property who builds or improves thereon,
LICENSED DECLARATION with a licensed contractor(,)pursuant to the mtr State License Law).
I hereby affirm under penalty of perjury that I am under provisions of D 1 am exempt from licensure underthe Contractoesstas5tate License Law for
Chapter9(commencing with section 7000)of Division 3 of the Business and the following reason:
Professions Code and my license is in full force and effect. e m na
//�� ture below I acknowledge that,except formy personal residence
License No. Jy�.,7R 9� Y Y si g
License Class c�. in which l must have resided for at least one year priorto completion of
Expires .j0 Signature improvements covered by this permit.I cannot legally sell a structure that
WORKER'S COMPENSATION DECLARATION have built n an ownerunde understand
if d has not been constructed in its entirely Section
o l hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.and p standt Code,t a is
ofthea ponce request
have and will maintain a certificate of consent ofself-insure for workers 7044 PPt hcaYunr"�s submitted tted or atthe following wrebsile:pon request when
compensation,issued by the Director of industrial Relations as provided for
this by Section 3700 of the Labor Code,for the performance of work for which www.leginr o law.html. Date
this permit is issued.
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
pxgy my signature below I certify to each ofthe following:I am the property
have and will maintain workers compensation insurance,as required by
owner air authorized to act on the property owners behalf.I have read this
section 3700 ofthe Labor Code,for the performancera the wirier a d policy
application and the information I have provided is correct.I agree to comply
this permit is issued.My workers compensation insurance carrier and policy with all applicable city and county ordinances and state laws relating to
number are:
with all construction.)and
county opresentatives of this city or county o
Carrier E enter the above identified property for Inspection purposes-
Policy# . �G/'�/AVZ74 Expires Date
ORAUTHORf 2
(This section need not to be completed is the permit is for one-hundred PROP NERLED AG
dollars($100)or less
o l certify that in the performance of the work for which this permit is issued, CITY BUSINESS LICENSE#
I shall not emolov any persons in any manner so as to become subject to the HAZARDOUS MATERIALOECIARAMON
workers compensation laws Of California'and agree that iflshould become applicant or future building occupant handle hazardous material or
subject to the workers compensation provisions of Section 3700 ofthe Labor Willtheapp-
Code,lshallforthw co ply with those provisions. mixture containing a hazardous material equal to or greater that the
Date amounts specified on the Hazardous Materials Information Guide?
00�
Applicant aYes We
WARNING:FAI U SECURE WORKER'S COMPENSATION COVERAGE IS
Will the intended use of the building by the applicant or future building
UNLAWFUL,AN SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES occupant require a permit for the construction or modification from South
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN
ADDITION TO THE COST OF COMPENSATION DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)25ee permitting checklist
,
for guidelines
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEE ayes t uo
CONSTRUCTION LENDING AGENCY edified
Will the proposed building or m facility be within 1000 feet ofthe
I hereby affirm that under the penalty of perjury there isacanstrucLion d outer boundary of a school?
lending agency for the performance of the work which this permit is issue oyes t9L;No
(Section 3097 Civil Code) I have read the Hazardous Material Information Guide and the SCAQMD
OWNER BUILDER DECLARATIONS permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concemm
I herebyContractor's
affirm under penalty of Perjury in I am exempt from
by
hazardous material reporting.
Contractors License Law for the reason(,)indicated below oy the �s o No
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ��J�
Business and Professions Code).Any city or county that requires a riorto itsmitto PROPERTY OWN OgAUTHORIZED AGENT
construct,alter,improve,demolish or repair any structure,p
EPA RENOVATION REPAIRAND PAINTING(RR�
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions ofthe Contractors State The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe receiving compensation for most work that disturbs paint in a pre-1978
Business and Professions Code)orthat he car she is exempt from licensure5b residence or childcare facility to be RRP-certiffiedofirmsand
wners cpropertyomplywith
and the basis for the alleged exemption.Any Violation of Section by required practices.This Includes rental property
an Applicant for apermit subjects the applicant toocivil pool of not more managers who do the paint-disturbing work themselves car through their
than($500). employees.For more information about EPA',Renovation Program visit:
o I,as owner of the property,or my employee with wages as their sole s, ,y epa eoy/lead or contact the National Lead Information Center at
compensation,will do( )all of or( )portionf the work,and the structure is o 1-800-4 323).
not intended or offered for sale.(Section 7044,Business and Professions
Code;The Contractors State License Law does not apply to an owner ofa ❑An EPA Lead-Safe Certified Renovator will he responsible for this prole
ct
property who,through employees'or personal effort,builds or improves the Certified Firm Name:
property provided that the improvements are not intended or offered for Firm Certification No.:
sale.If,however,the building or improvement is sold within one year of is required for this project because:
completion,the Owner-Builder will have the burden of proving that it was No EPA Lead-Safe Certified Firm
not built or improved for the purpose ofsale.
o I,as owner of the property am exclusivel�.contra Business end Professions
icensed
contractors to construct the project(Section 7044, If ourproj
Code:The Contractors State License Law does noapply to owner ofa y act does not comply with EPA RAP rule please fill out the RR
Acknowledgement.
5 !�
DATE t/ �� PERMIT/PLAN CHECK NUMBER PMT�Q� ' WfTI�
TYPE: O COMMERCIAL ❑✓RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
W SUBTYPE: O ADDITION O ALTERATION G DEMOLITION -:: ELECTRICAL O MECHANICAL
0NEW ✓ LUMBING ORE-ROOF-NUMBER OF SQUARES _ �)
DESCRIPTION 01"WORK Replace existing water heater. Same size and location.
PROIECTADDRESS _27647 Whlsperwood Dr. 0('9 eta C14 o
ASSESSOR'S PARCEL NUMBER LOT TRACT Building Dept.
OWNER NAME Frank Eloriaga DER 2 6 2019
ADDRESS 27647 Whisperwood Dr.
PHONE 951-723-4005 EMAIL Reraived
APPLICANT NAME Sierra Sprague
ADDRESS 30300 Puerta Vallarta _
PHONE 951-301-0067 EMAIL allstar.sierra@ mail.com
CONTRACTOR'S NAME Sierra Sprague OWNER BUILDER!, O YES O NO
BUSINESS NAME All Star Water Heaters
ADDRESS 30300 Puerta Vallarta Way
PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com
CONTRACTOR'S STATE UC NUMBER 812694 LICENSE CLASSIFICATION C36
VALUATION S 600.00 SQ FT L SQ FT�/_ ---�
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE 8USINESS LICENSE NUMBEF
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP )< d
INVOICE `` PAIDAMIOIINT 0CREW CARD VISA(MC
1
AMOUNT 11 \ 1 CASH O CHECR R
PLAN CHECK FEES PAIDAMOUNT 0CASH O CHECK 9 OCREDITCARD VISAIMC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
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