PMT18-03981 City of Menifee Permit No.: PMT18-03981
d 29714 HAUN RD.
MENIFEE, CA 9258E Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 0 8/1 012 01 8
PERMIT
Site Address: 27475 CALLE LADERA, MENIFEE,CA Parcel Number: 336-302-021
92585 Construction Cost: $6,285.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING WATER HEATER WITH NEW GAS TANKLESS WATER HEATER IN GARAGE
Work:
Owner Contractor
VICKY AGUILA A R S AMERICAN RESIDENTIAL SERVICES OF
27475 CALLE LADERA CALIFORNIA INC
MENIFEE, CA 92585 965 RIDGE LAKE BLVD#201
Applicant Phone: 9012719700
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNU License Number:765155
965 RIDGE LAKE BLVD#201
MEMPHIS, CA 38120
Fee Description OQt( Amount lSl
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 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 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
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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
Chapter!)(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 fallowing reason:
License Class 1"ns�l- Ucense No. ?`cta—' 15_9 _ By my signature below I acknowledge that,except for my personal residence
Expires 'JI Signature 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 I
WORKER'S COMPENSATION WLARACKCIN have built as an owner-builder If it has not been constructed In its entirety by
D l hereby affirm under pea ofpedury 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 ,N,Nsv_leginfo.ca.gov/calaw.html.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
D I have and will maintain worker's compensation insurance,as required by
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 polity owner or authorized to act an the property owner's behalf.I have read this
number are-i `I�,. application and the information I have provided is correct.l agree to comply
Carder C'! A_ U� with ail applicable city and county ordinances and state laws relating to
�oo building construction.I authorize representatives of this city or county to
Polity#(L� ,?633.$-Dr r-3J Expires VJe 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 employ any persons in any manner so as to become subjectto 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 compensation provisions of Section 3700 of the Labor
Code,I shall forthwitl empl h Fros rovisians. r / Will the applicant a hazardous
building occupant handle hazardous material or a
Applican Date 3� mixture containing fled an the
rial Materials
to Information
ationrthatthe
amounts sp/e��ied on the Hazardous Materials Information Guide?
WA I .FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS O Yes D'No
U FUL,AND SHALL SUB1ECf AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
DCIVIL FINES 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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideline
CONSTRUCTION LENDING AGENCY OYes o
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within IODO feet of the
lending agency for the performance of the work which this permit is issued outer bo`un ary of a school?
(Section 3097 Civil Code) D Yes XZo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California He Ith&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardp� rial reporting.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 oyes No
Business and Professions Code).Any city or county that requires a permit to Date J I 0
construct,alter,improve,demolish or repair any structure,prior to itz ROPER WNER 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 State EP ENOVATION REPAIR AND PAINTING FIR
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 7031.5 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($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 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.epa.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 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:
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.
PERMIT/PLAN& SAFETY APPLICATION
4�'
Menifee
S
e
DATE cJ 101 $ PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION [—]DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑✓ PLUMBING [—IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace gas water heaterwilh gas tankless in garage,same location.
PROJECT ADDRESS 27475 Calle Ladera, Menifee, CA 92585 Building Dgept.
ASSESSOR'S PARCEL NUMBER 30Q` DCQ-a.� LOT TRACT 0 ZO18
OWNERNAME VickyAguila ADDRESS 27475 Calle Ladera,Menifee,CA 92585 G QQ/'�C
elvuu
PHONE (707)712-9269 EMAIL
APPLICANT NAME
ADDRESS 1520 W Linden Street Riverside,CA 92507
PHONE (951)341-9371 EMAIL
CONTRACTOR'S NAME ARS Rescue Rooter OWNER BUILDER? ❑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$ $6,285.00 SO,FT L SQ FT
APPLICANT'S SIGNATUR DATE U
DEPARTMENTT OISTRIBU I CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X
INVOICE PAIDAMOUNT Q GG
AMOUNT , • „V.1 J 1 O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK N 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee
Building Dept. `7
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