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PMT18-02662 City of Menifee Permit No.: PMT18-02662 29714 HAUN RD. S MENIFEE,CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 05/31/2018 PERMIT Site Address: 32055 LINDENBERGER RD, MENIFEE, Parcel Number: 372-140-001 CA 92584 Construction Cost: $5,000.00 Existing Use: Proposed Use: Description of LEACH LINE REPLACEMENT Work: Owner Contractor DAVE OCKUNZZI LANIK ENTERPRISES INC 32055 LINDENBERGER ROAD P O BOX 891416 MENIFEE,CA 92584 TEMECULA,CA 92589 Applicant Phone: 9516767114 ASHLEY TAYLOR License Number:458947 LANIK ENTERPRISES INC P 0 BOX 891416 TEMECULA, CA 92589 Fee Description Oft Amount f$1 Sewer 1 150.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 7.50 $185.50 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 70D0)of Division 3 of the Business and D 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 1—r 1 — Z License No. �S i2s 4 By my signature below I acknowledge that,except for my personal residence Expires Cl Signature in which I 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 a structure that I have built as an owner-builder if It has not been constructed in its entirety by o 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 ,v leeinfo.ca.eovlcalaw.html. this permit�iis'iisssued. ,.�i C� r,,�-� 2 y-�-��1 -' �� '' /� z^ Policyp _l�l�Ct-'`'f f J �vr \ (, I t—l�l" LCc t ' i/Q/V Date J r-� in l have and will maintain worker's compensation insurance,as required by PROPERTY OWNER 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 number are: application and the information I have provided is correct.I agree to comply Carrier�_y e YVI /+o L O nm_LZ with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy q Expires enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date dollars($100)or less 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 N 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 fortlel comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant 1 YLDate 3) mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o 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(SC construction or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCr10N LENDING AGENCY o Yes aft 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 boundary of a school? (Section 3097 Civil Code) o Yes o No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD 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 Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable R hazardous material reporting.em(s)(Section 7031.5 oyes o Na Business and Professions Code).Any city or county that requires a permit to 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(RRP 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 he RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more than($500). required practices.This includes rental property owners and property managers who do the paint-disturbing work themselves or through their o 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 I )portion of the work,and the structure is www.epa.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 property who,through employees'or personal effort,builds or improves the oAn EPA Lead-Safe Certified Renovator will he responsible forthis project 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 PERMIT/PLAN CHECK APPLICATION - Menifee DATE: S 31 PERMIT/PLAN CHECK NUMBER TYPE: '�COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOEIg ing fit• SUBTYPE: O ADDITION 0 ALTERATION O DEMOLITION O ELECTRICAL O MECHA {IC L., C NEW PLUMBING O RE-ROOF NUMBER OF SQUARES 2018 DESCRIPTION OF WORK a %f1e Rem PROJECT ADDRESS Vcd ZIP Ot ASSESSOR'S PARCEL NUMBER 3�12-1y0-Ool LOT TRACT OWNER NAME L' \ ADDRESS p Q Y PHONE -` S, � '�j��^�� EMAIL APPLICANT NAME aY 1 () ADDRESS Z` {, "\ PHONE Ols� (a-1b1�\`.� EMAIL �Y� Q`� •�•�,�' l CONTRACTOWSNAME OWNER BUILDER? OYES O BUSINESS NAME %_ZY>1 �� {• .ADDRESS l ScIL141knZS p 1 PHONE C�'� tp,��L L�l EMAIL CONTRACTOR'S STATE LIC NUMBER L 6?)9L4 1 LICENSE CLASSIFICATION VALUATION S 50(--)u• V G SO FT L SQ FT pp APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION J I/L CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: �1`-�II!`/-�7 PERMIT FEE �J. V SMIP h GREEN PLAN CHECK FEE INVOICE TOTAL .150 OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH www.rivcoeh.org OWTS INSPECTION CARD APN: 1 7,2 -/ 90 — 00 / Permit No.: ON Site Address: 3 aV 55 I 'AdeiA `'� city: Me"t4zetL zip: ei.359 To schedule an inspection please call ❑ Riverside 951-955-8980 or ❑ Indio 760-863-7570 All cancellations/reschedules must be received prior to Sam on the day of inspection or additional fees will apply. OWTS Components Date Re-Inspection Inspector of Inspection Date Initials Septic Tank Leach Lines/ Bed S4ePage.ait Septis-Ta k.Abarrdeni:mant Sewzv_.ateral- D-Box Risers Effluent Filters Final Inspection TO BE POSTED A TJOB SITEIN PLAIN VIEW EM6 )REV 4/16) — City of Merifte Building�Bpt' �IAY 31 2018 �eeeive� >w County of Riverside " - DEPARTMENT OF ENVIRONMENTAL HEALTH - www.rivcoeh.org CIS 'l �U 0151� LAND USE APPLICATION I p.(A � cY^u OFFlCE US IaLYPt ❑3880 Lemon Street•Suite 200•Riverside•CA•92501-(951)955-8980 PE CO,D1E: FEE1E/ ❑47-950 Arabia Street•Suite A•Indio•CA 92201 -(760)863-7570 G f o Menl ��{ 2- -I p L •� EHS# ON* LMS# TWPM I I I LOT# USE OF PERMIT: oC SECTION A ` t O 1 U r, Name a V ` (i I 1Z-Zi OWNER: Address t� (vrcityzi %zsd ( ,/ ' / p 7� 1/ 1 Phone ' •'l� '��f -7 � -1 Y LQ Email LO OC fiI.(Vg2I 0 JVJ- Cl0.i24'�n AGENT/ Cam an Name Agent/Contractor O �� q�411P_ d CONTRACTOR: Mailin Address Zi Phone A� r ,� Email /� �. PROPERTY INFO: SiteAddress3ZSs Ci (A- ?- zip Water A en a Lot Size APPLICANTS SIGNATURE: DATE: SECTIONS low-For c eOnly g CHECK BOX IF REQUIRED If an box is checked,this application shall be considered denied unfil the information is rovlded. Dept. ❑Certificate of Exisfing OWTS Required(C-42) ❑Special lFeas Feaan sibility Boring g Repoumbing rt Required out ed MAY 3 1 2018 ❑WQCB Clearance Required ❑Detailed Contour Plot Plan Required(1 to 5 foot intervals) ❑Soils Per Re ort Re wired SITE EVALUATION INSPECTION REMARKS: Receive EHS INITIALS/DATE: SECTION C ❑NEW REPAIR/REPLACEMENT ❑EXISTING ❑PUMP ❑ATU ❑CONNECT TO SEWER FIXTURE UNITS* BDRMS# Soils Percolation/Bodng Report By: Date: Project# C-42 Certification By: Date: License# of��ro (-anlK 5 -/7-rg 9U Septic tank cap.: Soil Rate: Tested Depth: Max. trench depth: I OU Sq.Ft.Bottom Area: Total Linear Ft.: Une(s): 7 Zl� pa, Length: 1 feel - Each 3 feet wide - Sidewall Allowance: Ft.Rock/ _Sq.R.Runningfoot Rock below drain line: _in. or APiaslic Chambers Leach Linesthed special design for slope: ❑WA ❑Overburden Factor. Pit Diameter. No.pits: Depth below Inlet(b): Pit Total Depth: Max.allowable depth: CONSTRUCTION/INSTALLATION REMARKS: SECTION D. This Application is Approved ❑ Denied regarding the design of the OWiS as indicated on the accompanied plot plan using the requirements set forth in Section C above. o construction Is parnrYded In the required reserved 100%Expansion area. EHS Signature: �� ` /CL, Date: C 143 EPp92(REV Ilta) Drstr"Om WHITE-OIfce File:YELLQW-eldp.Dept.PINK-Appliont 'OiTtpP1 ��OAtf! 11;5ffCTO7t� NO. OFER4i 1 UAiE ICF BIIIlOINL3 APPROVALS MECHANICAL APPROVALS *51ab77 Venulaion SYsram+�s 34 Plenums d�� 37 Can,b..G,-A, 5 Bond 13&e"se 38 1 Compressor e Roof DecK 39 APat Clmronce- 7 Froming 9 40 Fue Damper —...._ 8 Vents 41 5m0ke DoreNwr 0emcr - 9 Garcage Firc Wd 47 Commercial Hoad --__----- - __-- --"- 10 fireplmc� 43 Flnvi — a 10A Fireplace I). ❑ OP'N - NO. ADD TIONAI,1 O MATION 12 Internal to FFs iF1Or/!/ GG �5/ GJV'r 12A Dry.11 13 Finish Grade INSUL,^ M6 Value TA Walls(Basrs) 178 Ceiling(15om) City of Menifee 12C ce ng Building Dept. 14 Final 20 s? MAY 31 2018 PLUMBING A R ALS Received 15 Ground Pl�p-09 b - - II �ecei V ed 10 Water Piprr'ry 17 Rough Pl.rmb III Vents 19 Sewage DisP�sv1 4 ,r 20 Sewer 21 Water Healer, 22 Water Soften/ 23 Water Servico 24 Got Tesn 25 Final S7 SEWAGE SYSTEM SIZE& LOCATION Tank P.r ELLCTRICAL APPROVALS ---_...__....__....__REAR OF PROPERTY LINE 26 Power Pole 27 Conduit 28 Serw<e Entrance r 29 Wiring 06 s . n 29A Grounding Wire P/L P/L 298 Banding 30 FisWres Oii 31 Service 32 Final a7 STREET NAME