PMT18-04008 City of Menifee Permit No.: PMT18-04008
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Plumbing
MENIFEE MENIFEE Date Issued: 0811412018
PERMIT
Site Address: 27605 BOSTON DR, MENIFEE, CA 92586 Parcel Number: 335-273-035
Construction Cost: $3,335.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 50 GAL GAS WATER HEATER
Work:
Owner Contractor
JOHN YETT A R S AMERICAN RESIDENTIAL SERVICES OF
27605 BOSTON DRIVE 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 CALIFORNIL
965 RIDGE LAKE BLVD.#201
MEMPHIS, CA 38120
Phone:9512769744
Fee Description 01t r Amount t81
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
$115.16
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.
AP._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 contractors)pursuant to the Contractors State License Law).
1 hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3of the Business and D I am exempt from licansure under the Contractors State License Law for
Professions Code and my license is in full force a ffect. he following reason:
Ucenseclassgbz2o C%to U s o.-VO ey my signature below l acknowledge that,except for my personal residence
Expires W 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 DECLA to have built as an owner-builder if it has not been constructed In its entirety by
D 1 hereby affirm under penalty of perjury one of the fallowing declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self4risure 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 website:
by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.eav/calaw.html.
this permit is issued.
Polity to Date
PROPERTY OWNER OR AUTHORIZED AGENT
va'7-have and will maintain workers compensation Insurance,as required by
section 3700 of the Labor Cade,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 L.IlpaK' with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# �)O�slSo.�O� xpires I I FJ enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is far 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, O�-. t�LA
shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the war e{s compe eafjTn yistalisof5 370Dofthe Labor
Code,,,
ode,I shall f th cc. vZ Ease visi Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applican Date ACOVE
amounts specified on the Hazardous Materials Information Guide?
WAR N ILURETOSECU ORKER'SCOMPENSATE IS oyes Flo
UNLAWFUL,AND SHALLSUBIECTAN 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 DOLIARS($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
CONSTRUCDON LENDING AGENCY Dyes VAO
1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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) ❑Yes `T44o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.)understand equire under the State of
Contractors License Law for the reason(s)indicated below by rom the
Californ' It',
Ik Safe ec ion 2 nd Z5534 cancer ing
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 bozo pus aerial r
s p
Business and Professions Code).Any city or county that require sapermi[to Date
construct,alter,Improve,demolish or repair any sWcture,prior to its PROP N ORIZED AGENT
issuance,also requires the applicant for the permit to file a signed is
that he or she is licensed pursuant to the provisions of the Contractors State ARENOVATION.REPAIR AND PAINTING(RRP
License Law(Chapter9(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-certlfied 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($500). managers who do the paint-disturbing work themselves or through their
D 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation;will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a D An EPA Lead-Safe Certified Renovator will he responsible for this project
property who,through employees'ar personal effort,builds or improves the
property provided that the improvements are not Intended or offered for Certified Firm Name:
sale.If,however,the building or Improvement is sold within one year of Firm Certification No:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade:The Contractors State License Law does not apply to an owner of If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
Io UI�r Df��1'ZtS :.e vse f•�! p �1 ii u r{ {l lal 'i 1i �
DATE: 8 Iy 1 PERMIT/PLAN CHECK NUMBER
TYPE: C"COMMERCIAL ot-RESIDENTIAL %MULTI-FAMILY i.' MOBILE HOME POOL/SPA SIGN
SUBTYPE: -ADDITION ALTERATION ' DEMOLITION ELECTRICAL MECHANICAL
NEW KPLUMBING .ARE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK S'U C�-Le.,1
PROJECTADDRESS Z-l(o0$ ZIP Q
ASSE55OR'S PARCEL NUMBER SG6-,-,rj3•&In LOT TRACT
OWNERNAME
ADDRESS SAME AS JOBSITE
PHONE(`)IS1) 24Lo — 3(cO5 EMAIL F4fe- Menifee
APPLICANTNAME rT'SII-� �,p�, t„�, AUG 14 2918
ADDRESS p °
PHONE (W) 'ZOy — 3I 3 1 EMAIL
ved
CONTRACTOR'S NAME RIGHTIME HOME SERVICES OWNER BUILDER? YES NO
BUSINESS NAME AIRS
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 3,?j�JS—/; SO FT LSQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
OWDING PLANNING ENGINEERING FIRE ACCEPTED BY: F E/,Z
PERMIT FEE g° CJ- SMIP K GREEN 1
PLAN CHECK FEE I INVOICE TOTAL 15
OWNER BUILDER VERIFIED YES : ND DRIVERS LICENSE# NOTARIZED LET TER YES .: NO
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