PMT18-03108 City of Menifee Permit No.: PMT18-03108
29714 HAUN RD.
JF MENIFEE, CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 06/22/2018
PERMIT
Site Address: 30650 PIER POINTE CIR, MENIFEE, CA Parcel Number: 364-172-014
92584 Construction Cost: $23,229.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 50 GAL GAS WATER HEATER IN GARAGE, REPIPE WHOLE HOUSE WITH PEX
Work: PIPE
Owner Contractor
PAUL WOODWARD A R S AMERICAN RESIDENTIAL SERVICES OF
30650 PIER POINTE CIRCLE CALIFORNIA INC
MENIFEE, CA 92584 965 RIDGE LAKE BLVD.#201
Applicant Phone:9512769744
CHRISTINA CALHOUN License Number..765074
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNL
965 RIDGE LAKE BLVD.#201
MEMPHIS, CA 38120
Fee Description ON Amount 1$1
Piping/Repiping Single Family Residential 1 163.00
Residential Water Heater 1 83.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 12.30
$286.30
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 building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise slated,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
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that 1 am under provisions of
Chapter!)(commencing with section 700D)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Cade and my license is in full force a ffect. he following reason:
License Class ( L3J� U s o.��O By my signature below i acknowledge that,except for my personal residence
Expires �� Signature f in which l must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that
WORKER'S COMPENSATION DECLA TIO N C 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 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 Cade,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.eoy/calaw.html.
this permit is Issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
Tdrttave and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy 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 Lk R-y` with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Poliry# —1(Al96R62V01Jxpires Ln 1. 18 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certlfy that in the performance of the work for which this permit is issued, O �LA
any persons in any manner so as to became subject the CITY BUSINESS LICENSE it
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subjectto the wor e{s compe ration visicins of5 3700 of the Labor
Code,I shall f th co pl r' case visi Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to or greater that the
Applican Date L amounts specified on the Hazardous Materials Information Guide?
WAR N MILURE TO SEC WORKER'S COMPENSATI COVE GE IS oYes 'flo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0001,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)?See permitting checklist
IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY Dyes ID�ffo
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) oYes `dbla
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 equire under the State of
Californ' a I[h&Safe ec ion 2 nd 25534 cancerKIle
Contractors License Law for the reason(s)indicated below by the haza aus aterial
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 s fff��� $Business and Professions Code).Any city or county that requires a permit to Date ' `
construct,alter,Improve,demolish or repair any structure,prior to its �IPR71011WN ORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she Is licensed pursuant to the provisions of the Contractors State A RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Cade)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 70325 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($S00). managers who do the paint-disturbing work themselves or through their
D1,as owner of the property,or my employee with wages as their sale 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 Contractor's State License Lawdoes not apply to an owner of a oAn 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. D No EPA Lead-Safe Certified Firm is required for this project because:
01,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.
e
J r mil'
AA
DATE: Zt 8 PERMIT/PLAN CHECK NUMBERpmff IQ)
TYPE: COMMERCIAL 1RESIDENTIAL MULTI-FAMILY -D MOBILE HOME POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION c•DEMOLITION ELECTRICAL MECHANICAL
NEW PLUMBING . RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Sp Gl. �` ke—Qx::k. '
PROJECTADD �Olos'O �e�r- �c� v�.>42, (Z.Z . zip 9Z58
ASSESSOR'S PARCEL NUMBER ,t— `"k ,�l.t LOT TRACT
OWNERNAME y I—RJ Building Dept.
ADDRESS SAME AS JOBSITE
PHONE L7CaD) —781 —b EMAIL
APPLICANTNAME {�5�`\/�g� Received-
ADDRESS
PHONES zo�- �� 9 EMAIL
CONTRACTOR'S NAME RIGHTIME HOME SERVICES OWNER BUILDER? YES NO
BUSINESS NAME ARS
ADDRESS 3030 MYERS ST RIVERSIDE CA 92503
PHONE 800 660 0675 EMAIL CCALHOUN@ARS.COM
CONTRACTOR'S STATE LIC NUMBER 765074 LICENSE CLASSIFICATION C10 C20 C36
VALUATIONS Z� z FT �� L SC1 FT
APPLICANT'S SIGNATURE DATE ZY �8
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING Pl4AfN1NG ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE I SMIP GREEN
PLAN CHECK FEE I INVOICE TOTAL
OWNER BUILDER VERIFIED YES NO DRIVERS LICENSER NOTARIZED LETTER YES -' NO
OWNER 5uzaNr ��p�1L WooDun%Ro
ADDRESS %3065D Pir-9-- Fott41- C.tic•
CITY /tar;-yrr-ee- ZIP 42 PHONE
LOT NO. TRACT APN# G ty of enifee
Building Dept.
�1� �1 JUN 21 2018
PROPOSED WORK : Pf�C �Nolt 42"' Deceived
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•Approval of these plans sha I not be c n W to be permit for,or an
approval of,any violation of ny provq federal,state or city 10 5UPpi q
regulations and ordinances.
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