PMT18-02275 City of Menifee Permit No.: PMT18-02275
29714 HAUN RD.
<ACCt=L/� MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE Date Issued: 05109/2018
PERMIT
Site Address: 29176 BOULDER CREST WAY, Parcel Number: 341-210-004
MENIFEE,CA 92584
Construction Cost: $9,341.00
Existing Use: Proposed Use:
Description of INSTALL NEW TANKLESS WATER HEATER, NORITZ EZ98DV
Work:
Owner Contractor
MEGAN&ANTHONY BUSCEMI W C HEATING&AIR CONDITIONING INC
29176 BOULDER CREST WAY 41085 GOLDEN GATE CIR
MENIFEE,CA 92584 MURRIETA,CA 92562
Applicant Phone:9516000700
STEVEN SCHNIERER License Number: 779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description QtV Amount f$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
$115.15
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_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 perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a 1 am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class C_Z0 License No.77 9��- By my signature below I acknowledge that,except� g g p y personal residence
Expires 1 % Signature 5.. -x_ in which I must have resided for at least one year pdor to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it hasmot been constructed in its entirety by
a I hereby affirm under penalty of perjury one of the fallowing 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 workers 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
this permit is Issued. www.leefnfo.ca.eov/calaw.html.
Policy# Date
have and Will maintain worker's compensatton insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for whichy my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy r 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# WC,I.WC907543 Expires I 19 enter the above identified property for inspection purposes.
—ram
n
(This section need not to be completed is the permit is for one-hundred Date f S 1
dollars($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT
01 certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It 6 3czn-2
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,l shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
S' mixture containing a hazardous material equal to or greater that the
Applicant y��-� Date 15 S amounts sp tied on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes /?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)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli.ens
CONSTRUCTION LENDING AGENCY aYes 1 0
1 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 boundary of a school?
(Section 3097 Civil Cade) ❑Yes�o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California ate al Safety Code,Section 25505 and 75534 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hJardous material reporting.
Business and Professions Code).Any city or county that requires a permit to C:,-=
tG S 18
construct,alter,improve,demolish or repair any structure,pdortot PROPERTY OWNER OR AUTHORIZED AGENT
Date t
issuance,alsolso 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 1RRP1
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 apre-3978
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 rentalproperty
than($500). 4 P selves and property
managers who do the paint-disturbing work themselves or through their
01,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.eov/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 0 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:
a I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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 RAP
Ir Acknowledgement. .
�'�lli7an �'�'1 i7 fCr�n;r+ — Yu lV
C APPLICATION
" Menifee
DATE 05/09/2018 PERMIT/PLAN CHECK NUMBER ' -,O?,?-
TYPE: []COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [-]ELECTRICAL ❑MECHANICAL
❑NEW ❑✓ PLUMBING FIRE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Install of anew tankless water heater, Noritz EZ98DV
PROJECT ADDRESS 29176 Boulder Crest Way
ASSESSOR'S PARCEL NUMBER 3 + -c21 0-01C�4 LOT TRACT
OWNER NAME Megan and Anthony Buscemi
ADDRESS 29176 Boulder Crest Way Menifee, CA 92584
PHONE (760)707-2226 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village.CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME We Care OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta, CA 92562
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20,C36
VALUATION$ $9,341.00 SQ FT L SC,FT
APPLICANT'S SIATURE ��'�`^^ ��`� DATE 05/09/2018
GN
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE PAID AMOUNT
AMOUNT '' O CASH O CHECK# O CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECKB O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee
Building Dept
MAY G y 2018
Deceived
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