PMT18-02410 City of Menifee Permit No.: PMT18-02410
29714 HAUN RD. Type: Residential Plumbing
<A-CCELA> MENIFEE, CA 92586
MENIFEE Date Issued:
05/17I2018
PERMIT
Site Address: 31430 NORTHCREST CT, MENIFEE, CA Parcel Number: 372-392-009
92584 Construction Cost: $600.00
Existing Use: Proposed Use:
Description of REPLACE 50 GALLON GAS WATER HEATER IN GARAGE
Work:
Owner Contractor
JOSHUA TWIST SANFORD&SON PLUMBING
31430 NORTHCREST CT 33173 SHORELINE DR
MENIFEE,CA 92584 LAKE ELSINORE,CA 92530
Applicant Phone:9516787299
STEVEN SCHNIERER License Number.742415
SANFORD&SON PLUMBING
33173 SHORELINE DR
LAKE ELSINORE, CA 92530
Fee Description 01t rr Amount ISl
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 peril 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_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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 70130)of Division 3 of the Business and ❑I 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 L3Co Ucense No. �4'"L'-�I S By my signature below I acknowledge that,except for my personal residence
Expires j 1 1 30 1 1 c5 Signature f� — ��� 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:
by5ection 37GD of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.htmi.permit is issued.
Policy# Date
o 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 ❑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
numberwarre: application and the information I have provided is correct.I agree to comply
ws
Carrier 1 v vc�v with all applicable city and county ordinances and state la relating to
building construction.I authorize representatives of this city or county to
Policy# SAL-3 c9s0190 Expires 3 a enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred ,�� 1-7 lb'
dollars($100)or less '7�— Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I 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# D381o0 7
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 forthw"�ith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
�-- Z� mixture containing a hazardous material equal to or greater that the
Applicant to I IS amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yeslo
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($100,0001,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 guidelin s
CONSTRUCTION LENDING AGENCY oYes lo
1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 100G feet of the
lending agency for the performance of the work which this permit is issued outer boun ry of a school?
(Section 3097 Civil Code) o Yes o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the ha ardour material reporting.
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to "Yes Z � —Date,
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY 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(RRPI
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.S 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
❑I,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.gov/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 o 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:
o I,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.
& SAFETY PERM IT/PLAN CHECK APPLICATION
Meni(ee
DATE 0 5/1 712 0 1 8 PERMIT/PLAN CHECK NUMBER `rVII M 1 o
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
[—]NEW ✓❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 50 gallon gas water heater in garage
PROJECT ADDRESS 31430 Northcrest Court
ASSESSOR'S PARCEL NUMBER ��� �J��a' LOT TRACT yc�
OWNER NAME Joshua Twist
ADDRESS 31430 Northcrest Court Menifee, CA 92584
PHONE (951)858-2071 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 Sanford&Son Plumbing OWNER BUILDER? OYES ✓❑NO
BUSINESS NAME Sanford&Son Plumbing
ADDRESS 33173 Shoreline Drive Lake Elsinore,CA 92530
PHONE (951)505-8499 EMAIL
CONTRACTOR'S STATE LIC NUMBER 742415 LICENSE CLASSIFICATION C36
VALUATION$ $600.00 SO,FT L SO FT
APPLICANT'S SIGNATURE DATE 05/17/2018
Iffelffal"I
DEPARTMENT DISTRIBUTION / CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE 1 '�, tGJ PAID AMOUNT
AMOUNT 1 '-J OCASH 0CHECK# 0CREDR CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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