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PMT18-03111
City of Menifee Permit No.: PMT18-03111 29714 HAUN RD. lb? MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 06/21/2018 PERMIT Site Address: 29505 LUXOR RD, MENIFEE, CA 92584 Parcel Number: 339-223-028 Construction Cost: $3,085.00 Existing Use: Proposed Use: Description of REMOVE AND REPLACE 40G GAS WATER HEATER IN GARAGE Work: Owner Contractor MARLEEN STARKEY A R S AMERICAN RESIDENTIAL SERVICES OF 29505 LUXOR ROAD CALIFORNIA INC MENIFEE, CA 92584 965 RIDGE LAKE BLVD#201 Applicant Phone:9012719700 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIt License Number:765155 965 RIDGE LAKE BLVD#201 MEMPHIS, CA 38120 Phone:9012719700 Fee Description P!Y. Amount l$1 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 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_Pennit_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 or perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors Stale License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and O I 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 License No. � By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION O to ON 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 ❑I hereby affirm under pen of perjury one of the following declarations:laoiq. 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 Cade,Is available upon request when compensation,issued by the Director of Industrial Relations as provided for ONM� this application is submitted or at the following website: by Section 3700 of the Labor Code,far the performance of work for which wwsv.leeinfo.ca.eov/calaw.hlml. this permit is issued. Policy# v _ Date w-fte've and will maintain worker's compensation insurance,as required by C"a"/ PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which O By 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 policy =owner or authorized to act on the property owner's behalf.I have read this number are: I_ 1� application and the Information I have provided is correct.I agree to comply Carrier 1 t InQr� ((i l st�with all applicable city and county ordinances and state laws relating to / building construction.I authorize representatives of this city or county to Policy# (1 �7�StL�,3 1 Expires 1O I/Ilk 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 certify that in the performance of the work for which this permit is issued, I shall not emalov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensate revisions of Section 370D of the Labor Code,I shall in dh camp y h tho a provisions. / Will the applicant or future building occupant handle hazardous material or a Applican — Date rE mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? RN :FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes O No I WFUL,AND SHALLSUBIECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building NOCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant requires permit for the construction or modification from South IN SECTION 370G OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SC_AQMD)?See permitting checklist forguidelines CONSTRUCTION LENDING AGENCY ❑Yes oNo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building at modified facility be within 10DO 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) ❑Yes o No 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 Contractor's License Law for the reason(s)Indicated below by the California Health&Safety Cade,Section 2SSDS and 25534 concerning checkmark(s)I have placed next to the applicable items)(Section 7031.5 haz ous ma erial r port p. _ Business and Professions Code).Any city or county that requires a permit to N Date /e construct,alter,improve,demolish or repair any structure,prior to its PERTYOWNER 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 Stat 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 7032.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant fora 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 ❑I,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 1-8DDA24-LEAD(5323). Code;The Contractor's 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. D 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 Ifyour project does not complywith EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee — DATE 0 6121/2 0 1 8 PERMIT/PLAN CHECK NUMBER P� 1 95111 TYPE: []COMMERCIAL ✓❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION [—]DEMOLITION [—]ELECTRICAL ❑MECHANICAL ❑NEW ❑✓ PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace 40 gallon gas water heater in garage. PROJECT ADDRESS 29505 Luxor Rd ASSESSOR'S PARCEL NUMBER �J p`.cT� -( LOT TRACT OWNER NAME Marleen Starkey ADDRESS 29505 Luxor Rd Menifee,CA 92584 PHONE (951)301-0117 EMAIL APPLICANTNAME J k" ADDRESS 1520 W Linden Street Riverside,CA 92507 PHONE (951)341-9371 EMAIL CONTRACTOR'S NAME ARSRescue Rooter OWNERBUILDER7 ❑YES©NO BUSINESS NAME ADDRESS 1520 W Linden Street Riverside, CA 92507 PHONE (951)341-9371 EMAIL CONTRACTOR'S STATE LIC NUMBER 765155 LICENSE CLASSIFICATION C36 VALUATION$ 3O8 ' FT LSQFFJT APPLICANT'S SIGNATURE DATE 4E' DEPARTMENT DIST IBUT J,. CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP AMOUNT l I ,Jc• PAIDAMOUNT O CASH %CHECK H C CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES XNO DL-NUMBER NOTARIZED LETTER ES O NO City of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 9258AAY-@�Wmfee Dvww.cityo finemfee.us Inspection Request Line 951-246-6213 Building Dept. JUN 21 2018 Received 8lOZ Z Nnf -jdap 6uipling aa1iva o s ' •i o k1 o o a I• m2 o. 47 n v! a -0 n m;7 y m w a c. m m m 3— W N t+ ° ti. O. O _ = m , m Y a N d m _T tom m 3 a Z v ? 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