Loading...
PMT18-05020 City of Menifee Permit No.: PMT18-05020 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Plumbing MENIFEE MENIFEE Date Issued: 1 0/1 612 01 8 PERMIT Site Address: 27325 EL RANCHO DR, MENIFEE, CA Parcel Number: 336-130-002 92586 Construction Cost: $12,447.00 Existing Use: Proposed Use: Description of INSTALL TWO-WAY CLEANOUT AND LINER ON SEWER LINE IN FRONT YARD Work: Owner Contractor ANN MARIE ROPPERT A R S AMERICAN RESIDENTIAL SERVICES OF 27325 EL RANCHO DRIVE CALIFORNIA INC MENIFEE, CA 92586 965 RIDGE LAKE BLVD 9201 Applicant Phone:9012719700 JIM PHILLIPS License Number: 765155 A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIi 965 RIDGE LAKE BLVD#201 MEMPHIS, CA 38120 Fee Description r3Yt Amount f$1 Sewer 1 150.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 7.50 $185.50 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 carded 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_Permil_Template.rpt Page 1 of 1 J;(y\ PK%W `05 s CITY OF MENIFEE tcetJL a 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 o 1 am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full farce and effecct�� the following reason: License Class 1"- Ucense No. �`�-' _ By my signature below I acknowledge that,except for my personal residence Expires j 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 DE6A ION have built as an owner-builder if it has not been constructed in Its entirety by o I hereby affirm under pe 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.m.eov/calaw.html. this permit is issued. Policy 8 Date ❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 an the property owner's behalf.I have read this number are- < application and the Information I have provided is correct.I agree to comply Carrier / 1 with all applicable city and county ordinances and state laws relating to .s // building construction.I authorize representatives of this city or county to Polity tl(J�t?(a7�Sa�G31 Expires 4Q11/I enter the above identified property for Inspection purposes. 1� (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 d 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 Cade,Ishall forthwitl/temply w(<h revisions. C mWillix the applicant afuture building occupant handle hazardous material or a A lican `� Date 3� amounts containingo hazardous material Ma equal In or Information Guide? the PP amounts sp�Red on the Hazardous Materials Information Guide. WA 1 .FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes two U FUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building D 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)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideline 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 1000 feet of the lending agency for the performance of the work which this permit is issued outerboun ary of a school? (Section 3097 Cwll Code) oYes 9VI 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 l am exempt from the California He Ith&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardou rial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7032.5 oyes No Business and Professions Code).Any city or county that requires a permit to Date ��� 0 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 fRRPI License Law(Chapter 9(commenting 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 orthrough their or',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 ofthe work,and the structure is www.eoa.eav/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 ❑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. o No EPA Lead-Safe Certified Firm is required for this project because: O 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. BUILDING • SAFETY PERMIT/PLAN CHECK APPLICATION ie.. Menifee DATE 10/16/2018 PERMIT/PLAN CHECK NUMBER TYPE: []COMMERCIAL ❑✓ RESIDENTIAL [—]MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA —]SIGN SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL []MECHANICAL [-]NEW ❑✓ PLUMBING ORE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Install two-way cleanout and liner on sewer line in front yard. PROJECT ADDRESS 27325 El Rancho Drive Building Dept. ASSESSOR'S PARCEL NUMBER ?j'�U- J'aO- C)= LOT TRACOCT 16 2018 OWNER NAME Ann Marie Roppert ADDRESS 27325 El Rancho Drive, Sun City, CA 92586 Received PHONE (951)679-5266 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 $ $ 12,447.00 SO FL L SO FT APPLICANT'S SIGNATURE _ DATE �. DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 1— SMIP X INVOICE G PAIDAMOUNT `QI(i�, ,` AMOUNT i„J v.� OCASH OCH ECK# -CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# O CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Building Dept. OCT 16 2018 Received 7�aeil��r� J , CS n¢� on 5' 2r CITY OF MENIFEE MNC AN ,0,, Y DEPARTMENT WONT L PLAN APPROVAL y�� ,� REVIEWEDByw �-� & DATE Approval of these plans shall not be construed to be a permit for,or an approval of,any violation of any provisions of the federal,state or city regulations and ordinances, This set of approved plans must be kept on the jobsite until completion.