PMT14-02070 I
i
I
City of Menifee Permit No.: PMT14-02070
MENIFEE,
EE, C 92 Type: Residential Mechanical
MENIFEE, CA 92586
MENIFEE Date Issued: 08/08/2014
PERMIT
e
I
Site Address: 28128 NORTHWOOD DR, MENIFEE, CA Parcel Number: 337-161-008
92586 Construction Cost: $8,152,80 �i
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, PACKAGE UNIT, 2.5-TON A/C, 40,000 BTU FURNACE
Work:
Owner Contractor
SUZANNE SMITH MONKS AIR CONDITIONING
28128 NORTHWOOD DRIVE P O BOX 128
MENIFEE, CA 92586 SUN CITY, CA 92586
Applicant Phone: 9516794502
GARY MONK License Number: 912194
MONKS AIR CONDITIONING
P0 BOX 128
SUN CITY, CA 92586
Fee Description Qty Amount
d - r�GrarVit�jype�F�rn2�'�"ceoc erne 1' d 00'
Air Handling/Condensing Units SFR 1 133.00
ul ng-Pe Is uahre. - q- =«00-
GREEN FEE 1 1.00
$310.00
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 buillding 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.rpl Page 1 of 1
3
City Of Menifee
I
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an -:exclusively contracting with licans i
Chapter 9(commencing withsection 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professlo 1
Professions Co d my license is in rce and effe Code:The Contractor's License Law does not apply to an owner of a props 9i
License Cla! _License N Tuli C, - _ who builds or Improves thereon, and who contracts for the projects with y
Expire3 a F I6 -Signatue licensed oontractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ I am exempt from Iicenaure under the Contractors'State License Law for I '.
❑ I hereby aifittn under penalty of perjury one of the following declarations:
following reason:
I have and will maintain a certificate of consent of se -Insure for workers' By my:signature below I acknowledge that, except,for my personal residence
compensation;Issued by the Director of Industrial Relations as provided for by which I must. have resided ;for. at. least one year prior to completion
Section 3700`of the Labor Code, for the.performance of work for which this -'improvements covered by this permit,I cannot legally sell a structure that I N
permit Is issued. built as an owner-building If it has not been constructed In its entirety by Iicem
Policy# contractors. I understand that a copy of the applicable law, Section 7044 of
❑ 1 have and will maintain workers' compensation insurance, as required by Business and,Professions Code,is available upon request when this applicatloi
section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site: ttttg'/!¢atw leeinfo ca aovlcalaw html.
permit Is Issued,My workers'compensation insurance carrier and policy number are:
/^+ , rope wneror. ut ooze gent � � ,.Date
Carrier - C' ����//�� �I .
Expires �� Policy# Z� W �� Z
Cl By my Signature below, I certify to each of the following: I am the props
Name of Agent Phone# owner or authorized to act on the property owner's behalf. 1 have read
(This section need not be completed If the permit]a for application and the Info"on I have providedis correct. I agree to oon
one-hundred dollars($100)or less) with all app11 ble city a ounty ordinances and state laws relating to bulk
constructio or z r presentatives of this city or county to enter the abr
❑ I certify that In the.performance of the work for which this,permit is Issued,I Identified erty f ins edon purposes.
shall not employ any persons In any manner so as to become subject to the
workers'compensation laws of Califomia, and agree th if I should become
subject to the workers'compensation provisio of Se n 3700 of the Labor Pro ner Authorized Agent Date
Cod:,;I shall forthwith comply with those proN ors.
_ // City Business License# J /
Date; Appliedt; � .
WARNING: FAILURE- TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDINC
($100,000), IN ADDITION TO THE COST OF-:COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORy
DAMAGES AS PROVIDED FOR IN SECTION"3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAI
LABOR CODE, INTEREST,AND ATTORNEYSFEES - ❑NO EQUAL TO OR GREATER THAN THE AMOUNT:
CONSTRUCTION LENDING AGENCY SPECIFIED ON .THE HAZARDOUS MATERIAL:
INFORMATION GUIDE?
I hereby affirm that under the penalty of perjury there Is a construction lending
agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THI
3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRI
Lender's Name - OYES A PERMIT FOR THE CONSTRUCTION ORMODIFICATIOI
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOI
GUIDE LINES
OWNER BUILDER DECLARATIONS
I hereby affirm under penalty of perjury that I am exempt from the Contractor's , PRINT NAME:
License Law for the resson(s)Indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILIT'
next to the applicable Item(s)(Section 7031.5.Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF,
Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL?
or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERN
provisions of the Contractor's State License Law (Chapter 9 (commencing with
Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAQMD PERMITTIP
she Is exempt from licensure and the basis for-the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMEN'
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFE'
a civil penalty of not more than($500).) - CODE S U TIONMAT 5505RIAL E 5533,AND 25534 CONCERNIt
HAZAR❑ 11 as owner of the property, or my employees with wages as their sole
compensation,will do ( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, `
provided that the Improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or Improved for the
purpose of sale).
CITY O _•`ENIFEE PLCK No: Permit No:
City of Menifee Mt"e 0
29714 Haun Road Building & Safety Depi. Date: Date:
Menifee, CA 92586 8
Phone: (951)672-6777 AUG 0 8 2014 A nount: Amount:OCV
Fax:(951)679-3843 Ck#: Ck#:
.T9 e,c.eived
Building Combination Permit
To Be Completed By Applicant
Legal Description: . 2�� b lAT 3�V 1- 3 � I
Planning Case: F: L: Rt: R:
Property Address: Assessor's Parcel Number.
Z�12S1 v\ovt.-TtA�nn7oO 'PAIL 6 I oo 8-
Project/Tenant Name: Unit#: Floor#:
Svv�n�1�
Name: z
Phone o. Fax No.
�s3S`�Jv`I
Property Address: Unit Number Zip Code
'Z !�T 6
Owner 'Lb-\ T ', V\0 9^-\1 V. J o 9 OY2-
�l
Email Address:
Name: hone No. ax N
(7�� VY1o✓\1c qs� 61%�`�Sb2 qsl 6'72_7-012
Applicant Address: Unit Number Zip Code q,Z,S�
30>3O 'Mv�'s1s�'rA 2'fl t-(
Email Address:
V*r�� C�ivNv�l.{.ovh
Name: ee,,
lMoV1�S `C k�1 61°1-�tSb2 �°IN1� 1�72 -Ztol2
Contractor Address: City State Zip Code
305-3-0 VV^vaN&Ve1-fa Y1L0 M\FY 'VF\,M CAA 1 01z!"(
ontractor 3 uvness icense o. Contractor's State of Calitomia License No. Classification: �z V
Number of Squares:
Square Footage 1.0(o
Description of Work: N V 1),C_ Ch�JND 1 ur wT — '�" -• Z-C"7ti H Cost of Work:$
plob Gf�s ��t,�t.r �,n.r: HVKtSr� �I.SZ-$o
Applicant's Signature Date:
-. Tq.Be Completed By.City Staff Only "-- -
Indicete As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
❑ Structural Calculations
❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair' Retrofit' Reuislon to Epsting Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indtcate all Geo-tech.Haz.Zone
At Project Construction Sprinklered that apply: Coastal Zone
Completion: Type(s): C Of o Noise Zone
Required? YES or NO
Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss JArch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Pmject Elec.Vehide Charger Landmark Seismic Retrofit Spatial Case:Bldg.
ofgdal Approval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist City Planning Civil Engineering EPWM-Admin Transportation Mgmt. Renl Con7ol
�—7— THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
w m m b v°i w O N n G w m
^- •�• � V' w n < O OnJ f1 N t1 a a 3 'D O .^r .O+ 'n
O N tIt a
N x !? o ro N O a 3 o
r 3
�n — d
< o oa o to m 0
v, o
v a
°' (D m
� o � '�^ •� a � m w a s n �^ 3
m o M m 3 S m w m `° 0 3 n o
3
N O
A
n va 3 n
3 m M' o
NfD - 3 N eT
a S y w q U
Q = Q _.
° 6. x ° =
e
m to a ^ w a
W l0 _ 03q `_+' O •J f _ N T R w ryp w N fl C
n N t1 Z a 7
m o to ao
0 o w A T = V u t3D j
C C
a f0
o 0 3 5 o c
t^p n ' o 3
a £ ^ o 'm °° 0 3
3 o a
V
m m 0 9 ^ D
R 3
3 o m 3 °
G F �
N p a N
A O D CD _ eT
a D 0 0
O O O N 90
W
O m a
� m = p,
N
w to V T
C
fl A T m 2 O T r r r O n N 6 O D n
D N N, v N pOj zN C N T
a a0 ... Axv xc xo m y
as .•< n v '° o � 3 a 3 D
as N 3 3 m
m F
� � O o
D 3 ^ x ti \ tip o 0 3 w O. n r
w � fD = ma aAin I Fw=
ry
o. ➢ N n b F w v m 3 3i n 9 9 U o IA
IV = b m O O O y O N
nA o
= N
oa o .3s s o o
v
0. n
DT c O 9 b w T
n
p S O n o 3Tm
°' H
c n n
O
3 0 3 a D
� S O
q-
cu
N r! N N n T T
� 3
0 °
0 0
N
Ol O
CL 0 y m m
m0 A
a
F+ �
m Z
o
A
O] < T
N N N
O Q O ° N a N
w A y T
f �
_ 7 .
� ,
CIQ
rl
{
. \
\ \ 7 ¢
\ \ \ \
t� z � n w D 3 0 A - � n w D � o � o t+
D (° m � a 03 O a fD N m � a 03Er 0
D m
y w m J En W N Z y F 3 A w N N 9 J In W to Z a F 3 O (f ry y
C N i C1 N - _ _ N n N i D O1 M G f'1
S n w
3 m
O .. 1°. o
< o• W A Z � a c o n 3 Q ao fD
O Z � w > > „ y c in A O O S O v n
'° c O
n N n O m „d, u o n vi 0 3
A Z w 0 mi » m 0 a Z fD S O
r
n o 01 R O m
N m
o }
A ¢ J
6 D gyp' d o ff d m �
o
M
o �° Ol y •-.
nv 'n0
F o < m s N O1 ». o a O. m
ti G o m
0 m
3
n
o N
C % 3 n ry a. 0 c M 3 F
9
N O a N N M' 0 W n O O
m 3 - d 3 o 3 7 G
,-.0
a w •0n 0 O
0 „
Q
J O N' VI O N N V 6 �. �' 14 O: j
O R 12 O 1D O <. j F+ N
N m\ R V o A O � ¢ Fw' m '^ N m m vAi 0 �3 m N
y o tD n ry �'m 3 o „ 1p n OD o m
w
>
c
N
pR W w m m o5 w' 3 W in
A
W
�
y S j O M M
0
A < S m S 0-
O a no io
� a 0 a ry v
w o > ; v d
o -
�
y ° ¢ 0 'm
0 3 0
m 0
3 n
m o a o „
N A u w 3 Q
m a F f0 w o N
K.
l a m 0 A
w o a 3
n o
O p N
w S m
Vf m