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PMT18-05008 City of Menifee Permit No.: PMT18-05008 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 1 0/1 512 01 8 PERMIT Site Address: 29639 AVIDA DR, MENIFEE, CA 92584 Parcel Number: 339-262-012 Construction Cost: $1,500.00 Existing Use: Proposed Use: Description of REMOVE AND REPLACE 50 GALLON NATURAL GAS WATER HEATER LOCATED IN GARAGE. Work: Owner Contractor ALEJANDRO ORNELAS&JESSICA HERNANDEZ A REEMDY ROOTER&PLUMBING INC 29639 AVIDA DRIVE PO BOX 77355 MENIFEE,CA 92584 CORONA,CA 92877 Applicant Phone: 9512728966 A REEMDY ROOTER&PLUMBING INC License Number:730544 PO BOX 77355 CORONA, CA 92877 Phone:9512728966 Fee Description gyl Amount!$1 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_81dg_Pe=it_Terrpla1e.rpt 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 70DO L4 Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in f forc and effect. the following reason: License Class1 G-3� Lice �5q4 By my signature below.I acknowledge that,except for my personal residence Expires 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 ❑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 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 www.leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below 1 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 with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy a Expires enter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT )(I certify that in the performance of the work for which this permit is issued, I shall not o any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's ompe laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject o th k s mpensation provisions of Section 3700 of[he Labor Code,I all the w'th thos rovisions. Will the applicant or future building occupant handle hazardous material or Applicant Date 16 `j mixture containing a hazardous material equal to or greater that the amounts specified an the Hazardous Materials Information Guide? WARNING:FAILURE TO S CURE WORKER'S COMPENSATION COVERAGE IS ❑Yes I'No UNLAWFUL,AND 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)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes '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 boundary of a school? (Section 3097 Civil Code) ❑Yes }(No OWNER BUILDER DECLARATIONS evere e Hazardous Material Information Guide and the 5CAQMD I hereby affirm under penalty of perjurythat I am exempt from the 'st.I understand my requirements underthe State of Ith afety Code,SeRlan Z5505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the tericheckmark(s)I have placed next to the applicable item(s)(Section 7031.5 9 Business and Professions Code).Any city or county that requires a permit to I 15 1 8 construct,alter,improve,demolish or repair any structure,prior to its + Date PROPERTY OWNERO AU HORIZED 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 Iicensure 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 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.epa.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 Contractors State Ucense Law does not apply to an owner of a ❑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. ❑No EPA Lead-Safe Certified Firm is required for this project because: 4as owner of the property am exclusively contracting with licensed tractors 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 RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER(?�ATJD ✓ �� GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK (Q.� 5O Gc ( NAE CRS W0.1,Zr 4Ma et- V42�t ( fCl SrAftlg OCCUPANCY GROUP CONSTRUCTION TYPEE� SPRINKLERS 0 YES r'NNO PROJECTADDRESS oL-(�O�Jq P,%C,Q. 16C I1ju I, L� ,Vim. ZIP ASSESSOR'S PARCEL NUMBER 33ol'21P2" bra LOT TRACT OWNER NAME A Q f- ADDRESS A\AC\ Q) '14 '�, PHONE �a3 g TI, -QLypy EMAIL City Of Menifee A6 G Building Dept. APPLICANT NAME /yAME !n1 ADDRESS P.C)- 5� [rt^'J��i 1.�c)mw kCj-,�3ejo OCT 15 2018 PHONE gr,( ?•'Z';L %(.tLA EMAIL CONTRACTOR'S NAME OWNER BUILDERS O YES `i%NO BUSINESS NAME A`RSjQXY-A IZ. C)kr C Pil7mb' ..irJc . ADDRESS P . . QO )( 17 512. Cc)co CA . A.Rq 9 ''C3 PHONE qs( �rla $gULv EMAIL Uj CONTRACTOR'S STATE LIC NUMBER `I3osL{y LICENSE CLASSIFICATION G'3Cp VALUATION$ (FjOG, SQ FT L SQ FT APPLICANT'S SIGNATURE DATE 10 f VrS (� CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE 0�1L.YG> INVOICETOTAL I ' GREEN I SMIP I -4;J OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofinenifee.us Goss LTC 63S t�3 ,. �. t�-(311 t� R ENIFE ( 1 ti::r w o a v A d z a ® Apmp� IL n 3 m z Sol. n -1 v WWI W NW r. 6m0 � m \ ^ 3w � m nzz�QQF� rSo ��,, ,� 3 � 3 � ;6 � � � • � b♦�S � o Ds v . 3 m o "' w w Sr' .d. � �� ® ® Dr9� m `: m y Y .. � � a d , � 3 � �. mwCd 1 ® 2 -1 9O d O = ~ 6 3 P s r pe t _ ++ m^ 3 m C o o m d o` m O 0 < = m x z Q M 'No co, p N ? 0ca ... d � m W O -- „ N � � 3 a v.� •• � is m. e � ® ffl O OYm S G.A 6 .Oi m p g y m a E � � $ m : 0 3 n _ m s 3e - � d C y N CL Fee m d m FL a" < o = a C :�- ,'� ga $ 19 CD O «GEM n n n f m -mow sS T# 0 C7 c v c m -i '4 -1 CD o ODi XD - N d u agh 3 n ami m m v c o 3 o • G ? 4 �� -POT 1T - ri � m 7 'J <- St 36 9 c iit_ i s.w c 3 �. 0 O CA -41 t e, $ @ y' .o © a OL CL aZb c h in � � SRC. 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