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PMT18-04293 City of Menifee Permit No.: PMT18-04293 29714 HAUN RD. ® MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 08130/2018 PERMIT Site Address: 33275 LEON RD, MENIFEE,CA 92586 Parcel Number: 472-030-013 Construction Cost: $4,691.00 Existing Use: Proposed Use: Description of INSTALL NEW 80 GAL WATER SOFTENER IN GARAGE, ECOWATER SYSTEMS MODEL ESD Work: 2502R39 Owner Contractor RAICE WICKLAS YANCHEWSKI&WARDELL ENTERPRISES,INC 33275 LEON ROAD 1351 DISTRIBUTION WAY STE 9 MENIFEE, CA 92586 VISTA, CA 92081 Applicant Phone:7607541960 MITCH BLUMAN License Number:925031 YANCHEWSKI &WARDELL ENTERPRISES, INC 1351 DISTRIBUTION WAY STE 9 VISTA, CA 92081 Fee Description ON Amount ISI Building Permit Issuance 1 27.00 Inspections not specified 116 116.00 GREEN FEE 1 1.00 General Plan Maintenance Fee- Building 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_Pemnit_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 Chapters(commencing with section 7000)of Division 3 of the Business and o 1 am exempt from licensure under the Contractors State License Law for Professions Code and my license is In full force and effect, the following reason: License Class C 20 Llcens0o. S I l q'5N S By my signature below l acknowledge that,except for my personal residence Expires 31 Signature in which I 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 DECLARATION have built as an owner-builder if it has not been constructed In its entirety by D 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 workers 7044 of the Business and Professions Cade,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this appliation is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which www.lezinfo.ca.eov/alaw.html. this permit is issued. Date Policy If PROPERTY OWNER OR AUTHORIZED AGENT D'ol1 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 ❑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 owners behalf.I have read this numberare: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier O'er aUCd `�—e^ /n1 building construction.l authorize representatives of this city or county to Policy# J(K 7��'�O� Expires "1 23 (� 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 ❑1 certify that in the performance of the work for which this permit is issued, I shall not emolov 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 become HAZARDOUS MATERIAL DECLARATION subject to the war rs compensation provisions of Section 3700 of the Labor Code,I shal rtl i comply with those provisions. Will the applicant or future building occupant handle hazardous material or � 30 mixture containing a hazardous material equal to or greater that the Applicant .0 Date amounts sp}}cified an the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes d44o UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant orfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,060),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)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelic%s CONSTRUCTION LENDING AGENCY oYes 9(No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer bou99dary of a school? (Section 3097 Civil Code) 0 Yes N'. OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that I am exempt from the California Health Safety Code,Section 25505 and 25S34 concerning Contractors License Law for the reason(s)indicated below by the ha[ardous at ri reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �� cs Business and Professions Code).Any city or county that requires a permit to Date (j construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER 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 Contractors State EPA RENOVATION REPAIR AND PAINTING IRRP) 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 in 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.eoa.aov/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 D 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 ❑Na EPA Lead-Safe Certified Firm is required for this protect because: not built or improved for the purpose of sale. 01,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RRP Acknowledgement. DATE: PERMIT/PLAN CHECK NUMBER fe TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME C POOL/SP/CRRqoDept. SUBTYPE: O ADDITION O ALTERATION 0 DEMOLITION O ELECTRICAL O MECHANA66 3 Q 2018 O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK 7 YLA'5 d`k1 Wa d 7CYIFAt,rgje' Received PROJECTADDRESS 332,15 ZIP 2 �G ASSESSOR'S PARCEL NUMBER LA-p,• OCO•Q jZj LOT TRACT OWNERNAME ?a.r-t W%C.�c\a- ADDRESS 332'lS i„21��'L _ M4.t'�:�e.2. 2,5(x(o PHONE IN- r.�� 1I ��3 EMAIL APPLICANT NAME �� +YyC- ADDRESS �j12�j l.a ij A `✓`C. Z13 W'�j�s4'�0.lcYi. C'Q' ��?J�?'L PHONE ��'•7?JT7 �p EMAIL CONTRACTOR'S NAME' CCD 43 OWNER BUILDER? O YES O NO BUSINESS NAME hCO�JVJu��11E-S' S c �,(V� ADDRESS J'Sff7l " � ,�r5�. •'�" Lq/a1 M C� PHONE �rj I '(0�-'�aD EMAIL CONTRACTOR'S STATE LICNUMBER �2"7�J+ LICENSE CLASSIFICATION C.,Sfj VALUATION$ SO.FT L SO FT 1 APPLICANT'S SIGNATURE DATE +� I rgTYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: mb PERMIT FEE + SMIP x, GREEN '— PLAN CHECK FEE INVOICE TOTAL % O0 OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES 0 NO &Ik City of Menifee s� l%5`^ Building Dept. �`� b�ks AUG 3 0 2018 . f s Received t g ® � 73- 17� C'2 rr, cmCOD CITY OF MENIFEE EUILDING AND SAFETY DEPARTMENT PLAN APPROVAL REVIEWED BY �11 ATE 'h.ppre,ai of these plans shall not be construed to be a permit for,or an appra:alty of any vioiationof any provisions of the fed smustatekee or e Or ion ttY he regul3,ions and ordinances. This set of approvedp job-lie until completion. I