PMT18-02896 City of Menifee Permit No.: PMT18-02896
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 0611312018
PERMIT
Site Address: 28327 LONE MOUNTAIN CT, MENIFEE, Parcel Number: 340-390-009
CA 92584 Construction Cost: $2,730.00
Existing Use: Proposed Use:
Description of REPLACE 50 GALLON GAS WATER HEATER INSIDE GARAGE
Work:
Owner Contractor
RON GAGNE W C HEATING&AIR CONDITIONING INC
28327 LONE MOUNTAIN CT 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($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
1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and O 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 C2L License No. 7��0 )'
�• By my signature below I acknowledge that,except for my personal residence
Expires, jg Signature Jwrt_. in which 1 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 mot 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:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leeinfo.ca.eov/calaw.html.
Policy# Date
have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 370D of the Labor Code,for the performance of the work for which BY my signature below I certify to each of the following:1 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
—f r building construction.I authorize representatives of this city or county to
Policy# 6JC-JC90-S'93 Expires II, �r� enter the above identified property for inspection purposes.
r
(This section need not to be completed is the permit is for one-hundred Date I 1
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 CIT/BUSINESS UCENSE# h'jczn�
workers 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 .hose provisions. Will the applicant or future building occupant handle hazardous material or a
S'�- mixture containing a hazardous material equal to orgreater that the
Applicant -+-w�-�'7�—� Date 1 5 ff amount�s_ �/o cifred on the Hazardous Materials Information Guide?
J
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS aYes �
UNLAWFUL,AND SHALL SUB1EC17 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 1$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 Alt Quality Management District construction or
moon fro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air
es
CONSTRUCTION LENDING AGENCY °Yes i o
I 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 the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) a yesi-ko
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the 5CAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to ° �_ '
�L Date t S ar
issuance,als alter,improve, applicantsh or repair
permny it
to
a signedor 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 owners and property
than($500). managers who do the paint-disturbing work themselves or through their
a 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.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 15323).
Code,The Contractors 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. O 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 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 RRP
Acknowledgement.
SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATION
"I'Menifee
DATE 06/13/2018 PERMIT/PLAN CHECK NUMBER
TYPE: [-]COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA [-]SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL [—]MECHANICAL
[_]NEW ❑✓ PLUMBING [:IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 50 gallon water heater inside garage
PROJECTADDRESS 28327 Lone Mountain Court
ASSESSOR'S PARCEL NUMBER J(Q IW LOT (6 TRACT 2,5ar.�l- 'I
OWNERNAME Ron Gagne
ADDRESS 28327 Lone Mountain Court Manifee,CA 92584
PHONE (951)301-4080 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 C36
VALUATION $ $2,730.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 06/13/2018
F7, 777777777-
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE t PAIDAMOUNT
AMOUNT ` .' O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECKM 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER 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
= Z I~+ J m < ` n 1\/ n 4 a 'O n toll y
rNe 0 0 0 n W a m m � m
C m F+ j' m m w n •c m 0� m n 1 m
a
m ^ D m o 3w l m n m m � mn
N o o GI2 m ol
CL
D A m m —
c' � � � i m ° ^ dve yv <� daoD Z aOmmr'>
3 m m m 0 n z ui
a rmf 2 •m-s n v=i J 3 C N
m o N °1 < m m p { m w D r
a r m m
3 3 3
fli
3 o n m o o m o a
w = o m cc3 ^_ f° 3 n G 3 N ^ �. '5 O I
= m < N m oa, o a n R r2 `2
NH O A C =' z m C i. w 0� Mxe d d 0 0 m
m 3 x Z ^ o cr 2. v �- 3 m m
u 'O" W m 3 n a s m m cn C m r�
s n < c o N P m 2
C ^ LA m o' O' ' D
v S 1= 3 0 = m o 0
N Nr y ? w t o c b 9 y 0
No � �
o m M a m o o m H
g z >. m - m d o < z 0
d =
�. � m `. " x BCD
N c = O m G CD 7
RL m 3 N n m 'n wco
n
M 0 O.
d - :� 3 N = d m 2 n WCL
V �In = m m] < ! m C
o
d G m C m = C m CtO y fl;
O m = N m �' a ? O W m < w m OG
O' .+ O o. a N .�
FL 3 m m O' a r 3 v
T O n o• > m H d m
m
N a N
n N a C d •a
@ > O vci d m S z m F+ ❑
N n a o m = 3
.e O N m 3 K d C A N
N J 3 O 4 m m m - 0 C A
v3i = M O m M. n 'r m ~
w C �.J
GI S C m < n S L T d VI d GI 6
0 0 o 0 w '
0
3 3 0
°: s m = 'd
m 0 m N
F y = A m
m
m r�o d m m d 3 A N r2 .m-r a
m m O. n m= O m m 0- C o
O m j `nT• m % �' m ` 3 m 5 Ut N m p
S C f 0 �m �- m z
C
O 0
N w
C E ry a
w •
2 y a a°i ° 'o
CO �• Y y@� O d
Lu
3 E « cc
w 3 L a y s
w +' N m o u 3 v a t
J C @ u C C N
.••I E w v u E @
CD
N E E t
J w y J C � C >• u � N
U > w T u m C5 u 0 u y
3 ❑ r 0
o 'a �
O Wc c °
•c ` w �• c c@ O u
O E c
m u •L � Y i, @ N @ _
LZ
O h
L J L @ N O y u > N C @ N 0 SI O
m m y E f`0 N O C • N @ C jj M
N O `_ C J m C O N
u N ,N Ybi
@ C @@ Y y C y p�i
�
N « U 'O N ry N
N a u w 1@ a o a m N
O E @ Y
m m a u O C
C L E C
m a 3 @ a ❑
aj
a+ 01 @ m 'u J @@ J 3 C N @ W
@ v v
aS Ecu @
T N y EO a L a OD V i O C N N V
m , `o °- ,o w E w v ° a
`m w mY°^ J .`� o u; E '^ @ ,)..,° 'n U Y
y y C> « L C J LL O m@ C J @ @ O C d I V C
= N @ Y O �n- @ Q 41 E C 1°i U W E
Y J pC O I- >
@ E v@ p E `m u > a y o u y a C H O C N
.c 0 i u E •g F� v� O z d O V c
lil @ Y L J J Y N aa+ E u ya) W
VI '` J E W L Y W W a N 1+J '- 'O N 6Q' •a l' r•w,, YM
V 0 V CM m Yvmi C Y y ¢ N �i N ` u 0 / V C
w w F > W K tl� M W p •❑ G C i Q m
J Y N a 0 � 6 m u u W 0 ' in 2 a r % .b'
O. Q @ > y �i T m aci w m '^ p E O c O u p °� c
(0� C O d N 6 C W W JO C N Yn p Q @ U 01
U E c o Z N S f�A c
W K N m d Y m m m y] C a m c O Y U v O
f' j Z H E �i C K S 2 vYi W m U 0 CI u Z Y S \ C
C N N
u u E E v` m
U z u ¢ i� u