PMT18-03540 City of Menifee Permit No.: PMT18-03540
29714 HAUN RD.11,11V MENIFEE,CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 07/18/2018
PERMIT
Site Address: 31164 PALOMAR RD,.MENIFEE, CA Parcel Number: 372-270-003
92584 Construction Cost: $800.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING WATER HEATER-SAME SIZE(50 GALLON GAS)AND LOCATION
Work:
Owner Contractor
JULIE LEE ALL STAR WATER HEATERS INC
31164 PALOMAR ROAD 30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone: 9513010067
ALL STAR WATER HEATERS INC License Number.812894
30300 PUERTO VALLARTA WAY
MENIFEE, CA 92584
Phone:9513010067
Fee Description �r Amount(SI
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 Template.rpl 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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractor's Stale License law for
Professions Code and my license is in full force and effect. the following reason:
License Class C21. License Nop .,7.? � By my signature below l acknowledge that,except formy personal residence
Expires .30 ignature ,6d- 0 S in which l must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in Its entirety by
a hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.1 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 websile:
by Section 3700 of the Labor Code,for the performance of work for which yr,�,yy,leeinfo.ca.eav/calaw.lrtml.
this permit is issued.
Policy# Date
Sd have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 370D of the Labor Code,for the performance of the work for which p$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 policy owner or authorized to act on the property owners behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and munty ordinances and state laws relating to
building ronstmction.I authorize representatives ofthis city or county to
Policy#_Jt9,�/r!ly.P?/.47/JS Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundred �-e,� Date
dollars($100)or less PROP z NER OR AUTHORIZED AGENT
01 certify that in the performance of the work for which this permit is issued, != 0 I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# J
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 ofthe Labor
Code,I shall forthwit con ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAI U SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes AyNo
UNLAWFUL,AN 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 1p-No
I hereby affirm that under the penalty of perjury there Is a construction Will the proposed building or modified facility be within 1DD0 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) 0 Yes 'O�No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm underpenalty ofperjurythat l am exempt from the permitting checklist.I understand my requirements underthe State of
Contractors License law for the reason(s)indicated below by the California Health&Safety Cade,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
ayes D No
Business and Professions Cade).Any city or county thatrequiresa permit to
���-= Dale
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORAUTHORIZED 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 IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from llcensure 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 appliant 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
a 1,as owner of the roe or employee with wa es as their sole employees.ees.For more information about EPA's Renovation Program visit:
property,rty, Yg P Y g
compensation,will do( )all ofor( )portion ofthe 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(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. 0 No EPA Lead-Safe Certified Firm is required for this project bemuse:
a 1,as owner of the property am exclusively contracting with licensed
contactors to construct the project(Section 7044,Business and Professions
Code:The Contactors State License Law does not apply to an owner of a If your project does not comply with EPA REP rule please col out the RAP
Acknowledgement.
to
DATE PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL Q✓RESIDENTIAL O MULTI-FAMILY O MOBILE HOME 0 POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION 0 DEMOLITION C ELECTRICAL 0 MECHANICAL
O NEW [�JLUMBING O RE-ROOF-NUMBER OF SQUARES ;
DESCRIPTION OF WORK Replace existing water heater. Same size and location.
PROJECTADDRESS 31164 Palomar Rd.
i
ASSESSOR'S PARCEL NUMBER �� 2, , ��LOT TRACT
OWNERNAME Julie Lee
ADDRESS 31164 Palomar Rd.
PHONE 951-679-7518 EMAIL
APPLICANT NAME Sierra Sprague
j ADDRESS 30300 Puerta Vallarta
PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com
I
CONTRACTOR'S NAME Sierra Sprague OWNER BUILDER? O YES 0 NO
BUSINESS NAME All Star Water Heaters
ADDRESS 30300 Puerta Vallarta Way
J PHONE 951-301-0067 EMAIL allstacsierraQgmail.com --�
CONTRACTOR'S STATE LIC NUMBER 812894 LICENSE CLASSIFICATION C36
VALUATIONS 800.00 SOFT _.._,..__ _ LSQFT
` APPLICANT'S SIGNATURE t DATE
APPLICAN .
��DEPABTMENT DISTRIBUTIDN .p_ I CITY OF MENIFEE BUSINESS UCENSE NUMBER `
BUILDING D NNING ENGINEERING FIRE GREEN _ SIVIIP
INVOICE PAIOAMOUNi
AMODN OCASH OCXECKk OCREDR CARD VISP./MC
PLAN CHECK FEES PAID AMOUNT OCASH OCHECKN OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO _j
.� Gity Of MenfeeBcrli{ling&SOjr�v ueoa�cn,ent 2S`7S4 iJONI Rd.:+Jeri3de, CA 925&6�5r-o"72-6Ti7
!{/W!.i.C.'trOff,,�FlllfP^.I.1�'rRSF1ECTICIi Request Line 95'-246.62.!3
�. d �• o I n y
mn-n7{ •z
m `.� a ^J' "' .o'6 o
w nr r� N n m p mx pm D MR
�i-�
^ » a s o w 'n m
t ^ O S M Q > 2
» n m m y 3 :1 W Tl 1D 0 n'r
CD
•C W UI T m C CC 01 y 9
r d D O S a
m � 1 m D�
m Z n n d Rr O M m O
ro cJ k o a v = xo m
in O — LID
CL
S m (111 _ < tn = �, y
c 3b.• S $ m o ^ o• o 3 w
3 G = n w ? m 3 n a a rpm y
N IF
E o J m u o w m Or Q�
O j � y U d ip a G
R � n J n O— �^�' fJ
_ a
a m
J m PFr C pp m
m C to =
j O ^ R to
o)l d fi m 3
QZE �
o. rt a d
m _
o a 3 N h
a
a f+
m H
Am
W n O• o n J w pci !� m o A �, O
0 °
r 3 o mo a
J o 3 a w e d
OR
sTp o3 3 o a 3 J• £ O 0 r
N H :� � J.. U O N C ( m
/■w����■ ,g w}o
\V �— eyz+�`O Q ro w U F 9 ti y W t m
r ]L �. n• y p, ry V ELL
G m a •A•� A
LD. [ , a
CDi r�3! Ev to S
O (C N w N 6 .e
O o (D m o. n m d ❑. •R fD z N N y
CL
OFFICE COPS
'1 a m .� Vl ,�' m ,rn A ,�i.1 N N p � w � m v, a •p' 'fl
iY m f1
o w N T n p nae 2 <
v a D o f °o m °' d m m p G Z c
o N a O �' ^ a s �. -a
C ID -O N a `� W1 C a 9 R K m W J N ?
O m fc D ro a n i a ' a n' e e m
(D G a D
n T o D 9
D G m N m = a a m < � D m o
O7 a, O L'. b aN°T V N »
G; i9 a y A = W n Z
a, f0 N n n N fl• C ry m j C n
72 N ..• ` = -� 3 n C D m m �' m m RI
OD cr
N a a- C ra U  > R 0w
m O O I a A m _ N 1 .e C
A M. cPo, 3 o D m a o fi N
ar d p A
a°? 3 ? n v ?' iD m M o m o c s m ro
d N 31 0 2L =
Br "a w 3 3
o N G o d o• 2 m � c m a °°
m T Q m
m g a m
YO• ry 'd �• y Rl '� '�' , d_ U
.K 1�0. T C' _ d N A N _ 3 d a• S
a
CZ
I � o. a n � m » n •:
U
N U O, C W d
o
a a o.
0 0 o 0
w d _. n c a j n N a
ppb�� N L
'y O Q ^ CaJ v ] a o m 2
` a m Q a
J . 3 , �'o to w c o i
u+
a a o m
m' m o
o A ` m
w 0 F a
d m d ojp
a O q 'A
p m N N
S.
1 N 1 1
Ac d
Yn
7 �