PMT18-02895 City of Menifee Permit No.: PMT18-02895
29714 HAUN RD.
40 MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 0 611 31201 8
PERMIT
Site Address: 27951 RADFORD DR, MENIFEE, CA Parcel Number: 335-091-024
92586 Construction Cost: $500.00
Existing Use: Proposed Use:
Description of REPLACE 50 GALLON GAS WATER HEATER IN LAUNDRY ROOM
Work:
Owner Contractor
LORI COATES SANFORD&SON PLUMBING
27951 RADFORD DR 33173 SHORELINE DR
MENIFEE,CA 92586 LAKE ELSINORE, CA 92530
Applicant Phone:9516787299
STEVEN SCHNIERER License Number. 742415
SANFORD&SON PLUMBING
33173 SHORELINE DR
LAKE ELSINORE, CA 92530
Fee Description QQt( Amount
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 perjury that I am Under provisions of with a licensed contractors)pursuant to the Contractors State License law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class C.3C. License No. �J`)2�j I� By my signature below I acknowledge that,except for my personal residence
Expires I 1 I zt, Signature SL.v.;,az Z in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if R has not been constmcted 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:
by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.eav/mlaw.html.
this permit is issued.
Policy If
Date
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 Ay 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 polity 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
with all applicable city and county ordinances and state laws relating to
Carrier NOr'GOCXv A building construction.I authorize representatives of this city or county to
P0lity#SAWc-7OCf2G,S Expires 3,1`1I1-1 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundreds pate 7 zz It.
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 nat emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# B fo 0-7
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 forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
<,,,;� 'r zz. 1 mixture containing a hazardous material equal to or greater that the
Applicant -'a— �i Date amounts spFcified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes IDNO
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)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli es
CONSTRUCTION LENDING AGENCY ayes 0
1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 100D feet of the
lending agency for the performance of thework which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) D Yes �lo
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 penalty of perjurythat I am exempt from the
California
Contractors Ucense Law for the reason hazzardou
s)indicated below by the Health al Safety Code,Section 25505 and 25534concerning
hazardous material reporting.
chsiness and
I have placed next to Any city
applicable item(s)(Section 7031.5
permit �s ❑No �+
Business and Professions Cade).Any city or county that requires apermit to Ju�irr��7 Date 7
construct,alter,improve,demolish or repair any structure,priorto 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 IRRP)
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 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 ownersand property
than($500). managers who do the paint-disturbing work themselves or through their
a 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.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 o An EPA Lead-Safe Certified Renovatorwill 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. in 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 rill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 0 6/1 312 01 8 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ADDITION []ALTERATION [-]DEMOLITION []ELECTRICAL ❑MECHANICAL
❑NEW [E]PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Replace 50 gallon water heater in laundry room
PROJECTADDRESS 27951 Radford Drive 2cl
ASSESSOR'S PARCEL NUMBER 3'55 %—C3 LOT JS TRACT 3938
OWNER NAME Lori Coates
ADDRESS 27951 Radford Drive Sun City,CA 92586
PHONE (909)644-9097 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE (818)735-7876 EMAIL swschnierer@rcadrunner.com
CONTRACTOR'S NAME Sanford&Son Plumbing OWNER BUILDER? ❑YES❑✓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$ $500.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 06/13/2018
l ,i e
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I ' 5MIP
INVOICE I AMOUNT PAID AMOUNT
�/'•� 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES (} NO DL NUMBER. NOTARIZED LETTER O 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
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