Loading...
pmt18-05022 City of Menifee Permit No.: PMT18-05022 29714 HAUN RD. Type: Residential Plumbing MENIFEE, CA 92586 MENIFEE MENIFEE Date Issued: 10/17/2018 PERMIT Site Address: 28891 DEL MONTE DR, MENIFEE, CA Parcel Number: 92584 Construction Cost: $800.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 50 GAL GAS WATER HEATER,SAME LOCATION Work: Owner Contractor PATRICK QUIOCHO ALL STAR WATER HEATERS INC 28891 DEL MONTE DRIVE 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9513010067 SIERRA SPRAGUE License Number: 812894 ALL STAR WATER HEATERS INC 30300 PUERTO VALLARTA WAY MENIFEE, CA 92584 Fee Description city Amount($1 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 $115.15 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_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 I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter!)(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 License No. — By my signature below l acknowledge that,except for my personal residence Expires O Signature -- in which i must have resided for at least one year priorto completion of WORKER'S COMPENSATION DECLARATION O improvements covered by this permit.I cannot legally sell a structure that I Ol hereby affirm under penalty of perjury one of the following declarations; have built as an owner-builder if it has not been constructed in its entirety by B 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 Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code,for the performance of work for which this application is submitted or at the following website: this permit is issued, www.IeRinfo.ca.goy/caIaw.html. Pollcya Date Qd 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$y my signature below l certify to each of the follmvinit:I am the property this permit is Issued.My workers 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 Carrier G L with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of thb city or county to PaliryR &eZ�R7/1 E Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred � � dollars($300)or less Date PROPEFITY NER OR AUTHORIZED AGENT o 1 certify that in the performance of the work for which this permit is issued, O I shall not employ any persons in any manner so as to become subject tothe CITY BUSINESS LICENSE workers compensation laws of California,and agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor HAZARDOUS MATERIAL DECLARATION Code,I shall forthw' co ply with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAI U SECURE WORKER'S COMPENSATION COVERAGE IS a Yes :n'No UNLAWFUL,AN SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the Intended use of the building by the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)7See Permitting checklist for guidelines CONSTRUCTION LENDING AGENCY Dyes la 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 perm it is issued outer boundary of a school? (Section 3097 Civil Code) Oyu 'ONo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 255D5 and 2S534 concerning checkmark(s)I have placed neat to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to .GYes ONo construct alter,improve,demolish or repair any structure,priorto its �'=' - Date issuance,also requires the applicant for the permit to fileasigned statement PROPERTYOWNEA ORAUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt from Iicensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with than($500), required practices.This includes rental property owners and property r managers who do the paint-disturbing work themselves or through their 01,as owner of the property,or my employee with wages as theirsole 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.epv/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-80OA24-LEAD(5323). Code,The Contractors State license Law does not apply to an owner of a property who,through employees'or personal effort,builds or Improves the O An EPA Lead-Safe Certified Renovator will be responsible for this project 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 completion,the Owner-Builder will have the burden of proving that it was Firm Certification No.: not built or improved for the purpose of sale. In 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 Contractors 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. yam# *{yaic r` � 1 ad .'1St4�f al� '.r I l� .s.. �'Y. �`as vl f�4 iKd`•G�AflkiaN °` 2Y- �L�� '�'w W. - �' .. ra .li 1a �z"h^ -�'.y.w { 4F' SAS sS �.ryy e'. DATE �Q�l�1t�Li�'z PERMIT/PLAN CHECK NUMBER _9riy0 TYPE: o COMMERCIAL ❑✓RESIDENTIAL O MULTI•FAMILY O MOBILE H_0_M_E_ O POOL/SPA C_SIGN_. ( SUBTYPE: O ADDITION O ALTERATION o DEMOLITION O ELECTRICAL O MECHANICAL CI_N_EW_FPLUMBING uRE-ROOF-NUMBEROF SQUARES __ DESCRIPTION OF WORK Replace existing Water heater. Same size and location. PROJECT ADDRESS 28891 Del Monte Dr. ASSESSOR'S PARCEL NUMBER LOT TRACT Cify_Of_Menifee- OWNER NAME Patrick Quiocho Building Dept. — - ADDRESS _28891 Del Monte Dr. DcT��1118- PHONE 901-487-3604 EMAIL ive APPLICANTNAME Sierra Sprague I ADDRESS 30300 Puerta Vallarta PHONE 951-301-0067 EMAIL allstar.sierra@gmail.com _ R, CONTRACTOR'S NAME Sierra Sprague ___ __ OWNER BUILDER? �' YES •->NO _I BUSINESS NAME All Star Water Heaters iADDRESS 30300 Puerta Vallarta Way NI PHONE 951-301-0067 EMAIL allstarsierra@gmail.com CONTRACTOR'S STATE LIC NUMBER 812894 - LICENSE CLASSIFICATION C36 — VALUATIONS 800.00 SQ FT L SQ FT /��— APPLICANT'S SIGNATURE _— _ - —._ E_—_ /-� -/ --- .._.-�- ..__— _.".._ ..—__ __ _. DATE JQI C@._1�= , ---- DEPARTMENT DISTRIBUTION — ---- -- -- I UT'OF MENIFEE BUSINESS LICENSE NUMBER i 1 Y BUILDING PLANNING ENGINEERING FIRE GREEN ` SMIP Ix -- INVOICE -- PAID AN90UMT AMDUN'i_1 ,1 • ,�•` CASH '-'-NECKK __%CREDIT CARP VISA/MC I PLAN CHECK FEES VAID AMOUNT O CASH G CMECK# -.-_ O CREDITCARD VISA/MC OWNER BUILDER VERIFIED DYES `7 NO DL NUMBER_ 111 NOTARIZED LETTER O YES U NO yp1 - - - r Ity Of MBnlfee^Bultding m Rd, Mize ltiee, CA 92186 951 ' www.cilyOimenrj,: est Lio 951 246 6,113 z r✓ w S o z � � m n 114 ZS n P M P _r W T N m m re m ,� n o of tp 3 rya c m m 5 a u' > n N N 00OD �! tD •p O ,c N 3 w � a n o N � ~,' � n � � as r9 C ,H,� � On °.-.' T N. � w � �~ � Y W "�• � a of 7 d 64 CD a M y fdJ CT W O G 4s C O n 0 !° S �^ N C i 9 o-o •oS, m < •10'0 • , T• � a a d en m i0 Cr I !" 0 0 0 ^ •'� o a s .a r d •a .G a' _ � ^• in iv n � � 1 o' o 1p A ^ o a 3 � m v n u, a •tea a o w n m 3 Oia n •, q �' � ram? � v � c, a a C W� i< .� •r{ 3 nt 8 ww � m 140 w ro '� `b iO DI �• to g N m CL fa 3 .Q 3 rL CID CD c N CD 7 CID co CID CL � n s a ro p .1 W ,day gcn O� bJ G. 0 c m G R 7 Ol. ro D O C '.u'. C c 3 CD u N y CD 10 CO 6f N Sf o. m. n c b m m o$ min ,SV' Q ro ? N ro ro .. EP 10, r F a S at si N 3 » T IM 2 O N 0 2 Y 3 O O S a T d T D d Imp 'C e ' � v � �_ m can e � � 3 � � •" E, d0 aro _ w a l d '•� N a s w 3 0 N o ul' a a PL £ 00 m °. o c ro m m W :� o q w c o s c SL 30 o o 3 c N Oµf S O Y d to j. O w 'mLLI o •r m :^ ,3, ac �7q9 W 0. 42 .J 0 0 a