PMT18-02849 City of Menifee Permit No.: PMT18-02849
29714 HAUN RD.
{� MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 06/11/2018
PERMIT
Site Address: 27136 SAWYER RD,MENIFEE, CA 92584 Parcel Number: 360-061-003
Construction Cost: $1,900.00
Existing Use: Proposed Use:
Description of REMOVE AND REPLACE WATER HEATER-SAME SIZE(40 GAL)AND SAME LOCATION(GARAGE)
Work:
Owner Contractor
RICHARD CASAS A R S AMERICAN RESIDENTIAL SERVICES OF
27136 SAWYER ROAD CALIFORNIA INC
MENIFEE, CA 92584 965 RIDGE LAKE BLVD#201
Applicant Phone:9012719700
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORND License Number: 765155
965 RIDGE LAKE BLVD#201
MEMPHIS, CA 38120
Phone:9012719700
Fee Description Oft Amount($1
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_Pemrit_Template.rpt Page 1 of 1
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CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I herebyaffirm under penalty of perjury that 1 am under provisions of with a licensed contractor(sj pursuant to the Contnchns Sta te License Low).
Chapte19(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor'sSlale License Law for
Professions Code and my license Is in full force and effect. la� the following reason:
License Cl QQ— License No J� By my signature below l acknowledge that,except foranypersonal residence
Expires N[Jrq Signature inwhich l must have resided for at least one year prlortocompletion of
WORKER'S COMPENSATION DECLARATION el improvements covered by this permit.I cannot legallisell a structure that I
have built as an owner-builder If it has not been conslNcled in its entirety by
D 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 ma in Win a certificate of consent ofselfFinsure 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 an'at the following wehs0e:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. wway.leeinfo-a.eav/calaw.html.
Policy a Date
9�``ave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
fection 3700 of the Labor Code,for the performance of the work forwhich o�ymy signature below l certify to each ofthe follmftI am the property
this permit is issued.My workers compensation insurance carrier and policy 1ner or authorized to act an the property owners behalf.I have read this
number are application and the information 1 have provided is conert.I agree to comply
Carrier , with all applicable city and coun minces and slztelasys relatingto
''TT qq buildfngc situ .tooth representatives of this city or county to
Policy it " (!o I •L1��I Expires enterth dentiri arty,For inspection purposes.��pp
(This section need not to be completed is the permit is f role-hundred
dollars($SpD)or less Date 7
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 perso in any mannerso to became subject to the CITY BUSINESS LICENSE 9
workers compensation s of C I f�ia,a ree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the wor s coq ion ' tons of Section 3700 of th Labor
Cade,Ishall f/ark nth rfipl wit rovj ions. / Willthe applicant orfuture building occupant handleha:ardous materialora
Applicant/ l/ C Date S (� mixture containing a hazardous material equal to or timer that the
amounts spa 'fled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATIO COVERAGE Is ayes No
UNLAWFUL,AND SHALL SUBIECFAN 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 an'modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District conl(SCtionor See permitting from
South
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airllnes
Qua
CONSTRUCTION LENDING AGENCY D Yes �o
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) a Yes 1c]'kNo
OWNER BUILDER DECLARATIONS I have read the Hazardou sternal Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l am exempt from the permitting checklist. radars i(my require under the Stale of
Contractors License Law for the reason(s)Indicated below by the California Healt Safe de,Section and 255A concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous aria Ing.
Business and Professions Code).Any city or county that requires a permit to ddyes o �/ r
construct,alter,improve,demolish or repair any structure,prior to its Dale S
issuance,also requires the applicant for the permit to file a signed statement ROPERTY OWNER OR AUTHORIZED AGENT
that he or she IS licensed pursuant to the provisions of the Contraction's State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter9(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 70315 by residence orchensationre facilityomost work
that disturbs
ffied aindca pre-19nply th
than
Applicant for a permit subjects the applicant toacivil penalty raFnot more required practices.This includes rental property owneuved property
than($500). managers who do the paint-disturbing work themselvesor through their
re 1,as owner of the property,or my employee with wages as theirsole 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 sahe.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractoes5tate License Law does not apply to an owner of a ciAn 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. a No EPA Lead-Safe Certified Firm Is required for this project because:
ce 1,as owner of the propert"m 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 outthe RRP
Acknowledgement.
I Ili
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 06/11/2018 PERMIT/PLAN CHECK NUMBER '02
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: [—]ADDITION ❑ALTERATION ❑DEMOLITION [—]ELECTRICAL [—]MECHANICAL
[]NEW ❑✓ PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 40 gallon gas water heater-in garage.
PROJECTADDRESS 27136 Sawyer Rd Menifee,
CA�92584
3 t V
ASSESSOR'S PARCEL NUMBER VJ - y1(J I '0050T TRACT
OWNER NAME Ricardo Casas
ADDRESS 27136 Sawyer Rd Menifee, CA 92584 City Of Menifee
PHONE (951)764-1958 EMAIL Building C)ept.
APPLICANT NAME ��(..a r�i (Q n JURI 1 2Q I8
ADDRESS 1520 W Linden Street Riverside, CA 92507
PHONE (951)341-9371 EMAIL
CONTRACTOR'S NAME ARS Rescue Rooter OWNER BUILDER? ❑YESQNO
BUSINESS NAME
ADDRESS 1520 W Linden Street Riverside, CA 92507
PHONE (951)341-9371 E
CONTRACTOR'S STATE LIC NUMBER 765155 LICENSE CLASSIFICATION C36
VALUATION$ 00 SQ L SQ FT 7
APPLICANT'S SIGNATURE DATE 1 J
DEPARTMENT DISTRIBUTION II M CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING P NNING ENGINEERING FIRE GREEN I• SMIP
INVOICE `lIC.+ I PAID AMOUNT CASH CHECKH pf�
AMOUNT ' O vi OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH 0 CHECK It OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O 0 DL NUMBER NOTARIZED LETTER O O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line951-246-6213
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