PMT18-03076 City of Menifee Permit No.: PMT18-03076
Fr, { 29714 HAUN RD. Type: Residential Plumbing
W6 MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 06/2012018
PERMIT
Site Address: 29592 PLEASANT PASEO CV, MENIFEE, Parcel Number: 333-560-007
CA 92585 Construction Cost: $800.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 50 GAL GAS WATER HEATER, SAME LOCATION
Work:
Owner Contractor
GREGORY SNELL ALL STAR WATER HEATERS INC
29592 PLEASANT PASEO COVE 30300 PUERTO VALLARTA WAY
MENIFEE, CA 92585 MENIFEE, CA 92584
Applicant Phone:9513010067
SIERRA SPRAGUE License Number.812894
ALL STAR WATER HEATERS INC
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
Fee Description Oft Amount l$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_Templale.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 wntractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and D 1 am exempt from licensure under the Contractors State License Law for
Professions Code and my license Is in full force and effect. 't the following reason:
License Class License No. Q By my signature below l acknowledge that,except formy personal residence
Expires .r Signatures In which l must have resided for at least one year priarto completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that 1
have built as an owner-builder if it has not been constructed 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 maintain a certificate of consent of self-insure for workers 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 wvnv.leeinFo.ca.eov/calaw html.
this permit is Issued.
Policy# Date
have and will maintain workers compensation insurance,as required by
PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which My my signature below I certify to each of the following:)am the property
this permit is Issued.My workers compensation insurance carder and policy owner or authorized to act on the property owners behalf.l have read this
numberare: application and the information I have provided is coned 1 agree to comply
Carrier E with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# ��r/G�/�,P,P/JP7//S Expires enter the above identified property for inspection purposes.
dol(Thlar ($10 need not to be completed is the permit is for one-hundred �rce�_ Date,L�
dollarsify that
or less PROP 1d NER OR AUTHORIZED AGENT
214
D hall not employ
anyhe persons in anyerformance of the work o as to
becoch me
a subpermject issued, ® 15 r Or s
I shall not emolov any persons in any manner so asto become subject to the CITY BUSINESS LICENSE If J 1
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwjlh co ply with those provisions. will the applicant or future building occupant handle hazardous material or
Applicant Date mixture containing a hazardous material equal to orgreater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI U SECURE WORKER'S COMPENSATION COVERAGE IS D Yes t�No
UNLAWFUL,AN SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfulure building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($10D,00D),IN occupant require a permit for the construction or modification from south
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Duality Management Dlstrict cons($Ctionor See permitting from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes igNo
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) Dyes '_gN0
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 l understand my requirements under the State of
Contractors 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 item hazardous material reporting.$)(Section 7031.5 byes D No
Business and Professions Code).Any city or county that requires a permit to ' q
--�— Date
csuancetaoer,improve, applicantsh for the any permit
emit to file,signedor to PROPERTY OWN Elf OR AUTHORIZED AGENT
Issuance,also requires the applicant for the permitto file a signed statement
that he or she Is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRP)
License Law(Chapter9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint ina pre-1978
and the basis for the alleged exemption.Any violation ofSectlon 703L5 by residence ompensor ationre for
mosty to work
that disturbsifted painicamre-197ply h
than
Applicant fora permit subjects the applicant too civil penalty of not more required practices.This includes rental property ownersand property
than($S00). managers who do the paint-disturbing work themselves or through their
❑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.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 Contractors State License Law does not apply to an owner of a aAn 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 ofsale. ONo EPA Lead-Safe Certified Firm is required for this project because:
D 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 roan owner ofa If your project does not comply with EPA RAP rule please fill out the RRP
Acknowledgement
DATE I Q PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL Q✓RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: 0 ADDITION O ALTERATION O DEMOLITION C ELECTRICAL O MECHANICAL
O NEW ✓❑PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace existing water heater. Same size and location,._._
O i City of Menu e
29592 Pleasant Paseo Cove
PROJECT ADDRESS _ dui t.
ASSESSOR'S PARCEL NUMBER �J3�" S�.eCZ,I:a�Z LOT TRACT 11�� C
OWNER NAME Gregory Snell Ju" ' ' u
ADDRESS 29592 Pleasant Paseo CoveReceiva
_ ..1
PHONE 951-723-1908 ---__ EMAIL _ u
APPLICANT NAME Sierra Sprague
ADDRESS 30300 Puerta Vallarta
PHONE 951-301-0067 _ _ EMAIL alistar.sierra@gmail.com
CONTRACTOR'S NAME Sierra Sprague _ _ OWNER BUILDER? ONES ONO
BUSINESS NAME All Star Water Heaters
ADDRESS 30300 Puerta Vallarta Way _
PHONE 951-301-0067 _ EMAIL allstar.sierra@gmail.com
CONTRACTOR'S STATE LIC NUMBER 812894 LICENSE CLASSIFICATION C36
VALUATION$ 800.00 SO.FT L SQ FT
APPLICANTS 5J
SIGNATURE- DATE
l CITYOFMENIFEEBUSINESSLICENSENIIMOEH
DEPARTMENT DISTRIBUTION I
BUILDING PLANNING ENGINEERING FIRE GREEN I 5MIP K_L
INVOICE G PAID AMOUNT
AMOUNT' I I - rJ � O CASH !J CHECK p O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK R ='CREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YE5 O NO DL NUMBER NOTARIZED LETTER C YES O NO
C i 92586 95 t-672-617.''
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