The URL can be used to link to this page

PMT18-03349 City of Menifee Permit No.: PMT18-03349 y ` 29714 HAUN RD. Type: Residential Plumbing MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 07/05/2018 PERMIT Site Address: 27135 PARK AVE, MENIFEE, CA 92586 Parcel Number: 336-390-005 Construction Cost: $6,314.00 Existing Use: Proposed Use: Description of SPOT REPAIR ON SEWER LINE IN FRONT YARD, 8- Work: Owner Contractor LUIS SALSE A R S AMERICAN RESIDENTIAL SERVICES OF 27135 PARK AVE CALIFORNIA INC MENIFEE,CA 92586 965 RIDGE LAKE BLVD.#201 Applicant Phone:9512769744 CHRISTINA CALHOUN License Number.765074 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNI) 965 RIDGE LAKE BLVD.#201 MEMPHIS, CA 38120 Fee Description Qtr Amount 1$) 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 with a licensed contractor(s)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that I am under provisions of Chapter9(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 a ffect. he following reason: License Class( Lace Lic s o.-7 By my signature below l acknowledge that,except for my personal residence Expires Signature in which Imust have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DE CLA T10 have built as an owner-builder if It has not 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 www.leeinfa.ca.gov/calaw.html. this permit is issued. Policy zl Date PROPERTY OWNER OR AUTHORIZED AGENT se, ve and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,far the performance of the work for which D By my signature below l 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 owners behalf.I have read this numberarel',,,� application and the information I have provided is correct.I agree to comply Carrier�..,t Cd�" with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy N 7(O3. l, 6NOW0( rc—t xpires enter the above identified property for Inspection purposes. (This section need not to be completed is the permit is or one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, ��:zJi�'' I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE g .��cc��1 worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION subject to the wor scompe agvbn p avistdPs ofS 3700 of the Labor Code,I shall 'in ca r i use visa Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applican Dale L amounts specified on the Hazardous Materials Information Guide? WAR N IWRETOSECU WORKER'S COMPENSATI COVE GE IS oyes a ZINo 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 modification 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 for guidelines CONSTRUCTION LENDING AGENCY Oyes t; 0 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be Within 1000 feel of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) o Yes `ek4o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand quire under the State of I hereby affirm under penalty of perjury that I am exempt from the Cafiforn' a Ith&Safe , ec ion 2 nd 25534 tooter ing Contractor's License Law for the reason(s)Indicated below by the ha?; od u> aterialr checkmark(s)I have placed next to the applicable item(s)(Section 7031.S s y p Business and Professions Code).Any city or county that requiresapermitto Date G G �U construct,alter,improve,demolish or repair any structure,prior to its pROP N 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.REPAIRAND 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 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 7032.56y 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 1$500). 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.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 Contractor's State License Law does not apply to an owner of a DAn 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: D 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 If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. ^'41 � 't rL F• kl.dr �'1trP�LFI+��,." iiy' — .: DATE: is- 18, PERMIT/PLAN CHECK NUMBER TYPE: COMMERCIAL ESIDENTIAL : MULTI-FAMILY - MOBILE HOME C POOL/SPA SIGN SUBTYPE: ADDITION is ALTERATION '7 DEMOLITION "I ELECTRICAL MECHANICAL NEW �PCUMBING .' RE-ROOF NUMBER OF SQUARES DESCRIPTION`` OF WORK Z\5 (ZC-eG-�%% r" per, wpr V,_k_ `, �CXIT G PROJECT ADDRESS �aC.k/��T -�- ZIP s (o ASSESSOR'S PARCEL NUMBER Q ;V/[0 -0()L�pT �_ TRACT / SS OWNER NAME 't) ct-U LU 1 S ADDRESS SAME AS JOBSITE PHONE /SI S3Z -\\ _Z18S EMAIL APPLICANT NAME ADDRESS PHONE( /J h 76q- EMAIL 1 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 LICcNUM13ER 765074 LICENSE CLASSIFICATION C10C20C36 VALUATIONS 3� 7 LSQFT APPLICANT'S SIGNATUR DATE 7 5 /8 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER �j BUILDING PLANNING ENGINEERING FIRE �� /✓✓`"' PERMIT FEE SMIP GREEN 1` PLAN CHECK FEE I INVOICE TOTAL OWNER.BUILDER VERIFIED :YE5 NO DRIVERS LICENSE# NOTARIZED LETTER :: YES NO OWNER /ew"i ADDhESS 2-7,3,�-- 5P� '�er CITY ZIP _9z,s-?4 PHONE S,S /-532-2if� LOT NO. TFUCT APN# CONTRACTOR PROPOSED ADDITION(S) SZZ — r CITY OF MENIFEE BUILDING AND SAFETY DEPARTMENT t� PLAN APPROVAL City of rvieniTeE Building Dept. - REVIEWE 17I 1 % JUL 0 5 201 � 1.1 CW'' DATE R 'Approval of these pl s shall not b construed-he a permit for,or an s `e e'v "' approval of,any viola on of any pro isions of:.,e federal,state or city _ regulations and ordin ces. This sel of approvea;sans must be kept on the jobsite until completi n. rc. r A ff STREET