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PMT18-01337 City of Menifee Permit No.: PMT18-01337 29714 HAUN RD. �!-�CCEu/i,. MENIFEE,CA 92586 Type: Residential Plumbing MENIFEE Date Issued: 0 312 612 01 8 PERMIT Site Address: 27834 TALL SHIP DR,MENIFEE, CA Parcel Number: 333-700-003 92585 Construction Cost: $600.01) Existing Use: Proposed Use: Description of IN GROUND 3/4"GAS LINE 20 L FT FOR FIRE PIT Work: Owner Contractor JASON CARLIN BILL&DAVE'S LANDSCAPE MAINTENANCE INC 27834 TALL SHIP DR 1153 HARLEY KNOX BLVD MENIFEE,CA 92585 PERRIS,CA 92571 Applicant Phone:9519436455 DAVID LEIDENFROST License Number:751707 BILL&DAVE'S LANDSCAPE MAINTENANCE INC 1153 HARLEY KNOX BLVD PERRIS,CA 92571 Fee Description Otty Amount!$) Plumbing Fixtures and Vents,fixtures 1 116.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 5.80 $149.80 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 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 70001 of Division 3 of the Business and o I am exempt from Iicensure under the Contractor's State License law for Professions Cade and my license is in full force and effect. 7`,7 the following reason: License Class C-� License No. S / pp�� By my signature below lacknowledge that,except for my personal residence Explres�UZ-/-9_Slgnature L J� in which l 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 D I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that 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 Cade,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.leginfa.ca. ov calaw.html. this permit it Issu/ed. �) Policy 6 L 0 U l`l 1 Ll Date D I 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 a By my signature below l certify to each of the following:I am the property this permit is Issued.My worker's campensatlon insurance carrier and policy owner or authorized to act an 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 �"'�LC- I' V �r" I lt.N '� with all applicable city and county ordinances and state laws relating to 1 building construction.I authorize representatives of this city or county to Policy If ? L L%U(3/YJ 1('I 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 D l certify that in the performance of the work for which this permit is issued, F5�j 1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS UCENSE q 1 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the warkees compensation provisions of Section 3700 of the Labor Cade,I shall f^ortfti,t(r complywith those provisions. Will the applicant or future building occupant handle hazardous material or ` () �, S , mixture containing a hazardous material equal to or greater that the Applicant L� Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes A0 0 UNLAWFUL,AND SRALLSUB1ECfAN EMPLOYERTO 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 Distric:(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines - CONSTRUCTION LENDINGAGENCY oyes Pvc- I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet ofthe lending agencyfor the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) D Yes ;a ci 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 penaltyof perjury that lam exempt from the Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section Z5505 and 25534 concerning hazardoaterlal reporting. checkmark(s)I have placed nex[to the applicable Item(s)(Section 7031.5 Dyes--D No (\ I (r Business and Professions Code).Any city or county that requires a permit to 1---�-' iDate `-' dJ 7 construct,alter,improve,demolish or repair any structure,prior to its PR PERTY OWN R'A RED 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(RRP) License Law(Chapter9(commencing with Section 70001 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 Iicensure 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 mare required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves orthrough their D 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.eoa.eav/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 D 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-Bullderwill have the burden of proving that it was not built or Improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because: D 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 Ucense 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 MENIFEE DATE: k PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL 2 RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK C7 e PROJECTADDRESS � ''�JA c� �, 2 ZIP !�S LL ASSESSOR'S PARCEL NUMBER �J�100-003 LOT TRACT :j?440(0 OWNER NAME ADDRESS s %' PHONE * I _.� j — 6 `1 �_K EMAIL APPLICANT NAME ADDRESS 1 � S �� 1 PHONE J EMAIL OAF CONTRACTOR'S NAME OWNER BUILDER? "YES ��NO BUSINESS NAME ` ADDRESS 1 S Q 1 1�J PHONE 9 l ^ ( ��j Cj y �'S//'' EMAIL CONTRACTOR'S STATE LIIrC``NUMBER �� 7C./ LICENSE CLASSIFICATION VALUATION$ V r' SO FT L SQ FT APPLICANT'S SIGNATURE DATE C� DEPARTMENT DISTRIBUTION ACCEPTED BY' CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIUURE INVOICETOTAL DV GREEN SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF ti,� City of Me nifee f� Building Dept. G/�S MAR�2 6 2018 - I Sitep Fl re P SW '`° Co�cnl�r�� 1� l f��.loR� �e11 ow .,,v� S, w f ic ® LU A ` ( A. c coo Y�JF MEN( E * k� BUILDING AND SAFETY DEPARTMENT PLAN APPROVAL LAM" O! 4 ® 4 f (0 REVIEWED BY i DATE LAJA 0Approval of these plans shall not be construed to be a perm;i for,Oran approval or,any violation of any provisions of the federal,stave or city regula,ions and ordinances. This set of approved plans muscat kept ty the `— ^ jobsit until completion. ; I I i10 � - 7r — uUa-!S, f t I E