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PMT18-04605 City of Menifee Permit No.: PMT18-04605 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 09/20/2018 PERMIT Site Address: 28657 MURRIETA RD,MENIFEE, CA Parcel Number: 339-125-002 92586 Construction Cost: $8,976.00 Existing Use: Proposed Use: Description of REPAIR EXISTING DRAIN LINES,20 L FT TO LAUNDRY AREA, 10 L FT TO KITCHEN, 10 LF TO Work: BATHROOM, CONCRETE SLAB REPAIR Owner Contractor ED JONES A R S AMERICAN RESIDENTIAL SERVICES OF 28657MURRIETA ROAD CALIFORNIA INC MENIFEE, CA 92586 965 RIDGE LAKE BLVD#201 Applicant Phone:9012719700 JIM PHILLIPS License Number;765155 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNI/ 965 RIDGE LAKE BLVD#201 MEMPHIS, CA 38120 Fee Description QQtr Amountf$ Plumbing Fixtures and Vents, fixtures 3 116.00 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_Pennit Template.rpt Page 1 of 1 m(YN gK11u, P5�-�/��9,,�RS�,,,��,, ^eeQQ CITY OF MENIFEE VZXL K K 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 D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full farce and effect. e-- the following reason: s I rr�� License ClasT License No. �`y—' �J `S� _ By my signature below I acknowledge that,except for my personal residence Expires 31 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 LA ION have built as an awner-builder if it has not been constructed in its entirety by ❑I hereby affirm under pe(6aiyof 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 Cade,is available upon request when compensation,issued by the Director of Industrial Relations as providedfor this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which www.leginfocagovycalaw.html. this permit is issued. Date Policy PROPERTY OWNER OR AUTHORIZED AGENT O 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 policy owner or authorized to act on the property owner's behalf.I have read this number are: application and the information I have provided Is correct.I agree to comply r l_�`�yfj� with all applicable city and county ordinances and state laws relating to Carrier 1 I yJ.s / building construction.l authorize representatives of this city or county to Policy#116 O�5 Expires Pohl/ 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 emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If 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 forthwit 'th revisions. WIII the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the Applican Date 3� amounts sp Red on the Hazardous Materials Information Guide? WA 1 .FAILURETO SECURE WORKER'S COMPENSATIONCOVERAGE IS in Yes 0 U FUL,AND SHALL SUBIECT 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($100,000),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 forguidelin CONSTRUCTION LENDING AGENCY oYeS a 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 boun ary of a school? (Section 3097 Civil Code) Dyes UTJo 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 Ilh&safety Code,Section 25595 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardouyfi rlal reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.S Oyes No Business and Professions Code).Any city or county that requires a permit to Date J o construct,alter,improve,demolish or repair any structure,prior to its 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 RRP Ucense 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 orthmugh their n1,as owner of the property,or my employee with wages as their sale 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.gov/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 uAn 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 ❑No EPA Lead-Safe Certified Firm is required for this project 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 Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP role please fill out the RRP Acknowledgement. PERMIT/PLANBUILDING & SAFETY APPLICATION I ' ,-Nenifee DATE 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 Repair drain lines in kitchen. d• PROJECT ADDRESS 28657 Murrieta Rd, Sun City, CA 92586 ASSESSOR'S PARCEL NUMBER .� �j-L+Y•1"'1 LOT TRACT City Of Menifee OWNER NAME Ed Jones LI ADDRESS 28657 Murrieta Rd, Sun City, CA 92586 PHONE (614)579-2290 EMAIL Receoved 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 $ $8,976.00 SO FT L SQ FT APPLICANT'S SIGNATUR -- DATE <, CITY SiAFF USE' OIVLY DEPART MENT U15 I RI UT/IOyY CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X INVOICE PAIDAMOUNT /y ` AMOUNT I�—`�1•� )CASH OCHECK# CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED ""YES O NO DL NUMBER NOTARIZED LETTER YES C NO City Of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Building Dept, SEP 2 0 2018 Q 1P or we, dram 1 ice I0Corti0^Is Ira de�e,P��r�ed c��I,MO + -i�acirq F FETY DEPARTMENTl� of9011 Fa°Nt P` DATE Leg val of these plans shall not be corurfrued b be a permit for,or an al of,any violation of any provisions of%federal,state or city Lionsandordinances. Th6setotapprovedppns must be kept onthe 0 rY' 1,e\C. ��c until completion,