PMT18-02897 City of Menifee Permit No.: PMT18-02897
�+ 29714 HAUN RD.
AV MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 06/1312018
PERMIT
Site Address: 24355 TRAILBLAZER LN,MENIFEE,CA Parcel Number: 358-562-003
92584 Construction Cost: $5,500.00
Existing Use: Proposed Use:
Description of INSTALL ECOWATER ECR 3702 R40 WATER SOFTNER, INSIDE GARAGE
Work:
Owner Contractor
MICHAEL PINTO YANCHEWSKI &WARDELL ENTERPRISES, INC
24355 TRAILBLAZER LN 1351 DISTRIBUTION WAY STE 9
MENIFEE, CA 92584 VISTA, CA 92081
Applicant Phone: 7607541960
STEVEN SCHNIERER License Number:925031
YANCHEWSKI&WARDELL ENTERPRISES, INC
1351 DISTRIBUTION WAY STE 9
VISTA, CA 92081
Fee Description ON Amount ISl
Plumbing Fixtures and Vents,fixtures 1 116.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 5.80
$149.80
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).
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 Ucense No. c7 ZS 03) By my signature below I acknowledge that,except formy personal residence
Expires I I I L-C, I tr Signature_ 5...^z o in which I must have resided for at least one year prlorto 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 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 webute:
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
'
PROPERTY OWNER OR AUTHORIZED AGENT
I have and will maintain workers compensation insurance,as required by '
section 3700 of the Labor Code,for the performance of the work forwhich copJ
y my signature below l certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and polity owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier m. a ee,'s,"y with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#.A 0 G ai &011(o19 Expires 2-I to I1S enter the above identified property for inspection purposes((.
(This section need not to he completed is the permit is for ane-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 emolovany persons in any manner so as to become subject to the CITY BUSINESS UCENSE# Cyi O Z't l�l
workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,1 shall forthwith comply with those provisions. WIII the applicant or future building occupant handle hazardous material or
Applicant Date 10 h 1-7 mixture containing a hazardous material equal to or greater that the
` amounts s eci0ed an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes/fXN0
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 modNwtion 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 forguideli es
CONSTRUCTION LENDING AGENCY o Yes Ala
l 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) Dyes A'c
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
CaliforniaContractors License Law for the reason(s)indicated below by the
Califo Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 19zardaus material reporting.
s O Na
Business and Professions Cade).Any city or county that requires a permit to �. .yS2- +ate fO 4 17
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI
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[!censure 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
01,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 1-890-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a ❑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 role please fill out the RRP
Acknowledgement
S�v.�+ Soh F"t12f¢oe�� Ecow-�.-i-cs2
SAFETYBUILDING & • APPLICATION
t4f{
Menifee
ldllllDATE 06/13/2018 PERMIT/PLAN CHECK NUMBER
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 Install Ecowater ECR 3702 R40 Water Softener inside garage
PROJECTADDRESS 24355 Trailblazer/
ASSESSOR'S PARCEL NUMBER �o� 5(0a-0Q5 LOT (61 TRACT
OWNERNAME Michael Pinto
ADDRESS 24355 Trailblazer Menifee,CA 92584
PHONE (714)541-3330 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 Ecowater Systems of San Diego OWNER BUILDER? ❑YES ✓❑NO
BUSINESS NAME Ecowater Systems of San Diego
ADDRESS 1351 Distribution Way Suite 9 Vista,CA 92081
PHONE (760)754-1960 EMAIL
CONTRACTOR'S STATE LC NUMBER 925031 LICENSE CLASSIFICATION C55
VALUATION$ $5,500.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 06/13/2018
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE (, / � PAID AMOUNT
AMOUNT `T 0CASH O CHECK N OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKN OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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