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PMT14-02376 City of Menifee Permit No.: PMT14-02376 _ 29714 HAUN RD. Type: Residential Mechanical ' CR1..A> MENIFEE, CA 92586 II MENIFEE Date Issued: 09/04/2014 PERMIT Site Address: 29791 CAMINO CRISTAL, MENIFEE, CA Parcel Number: 340-100-007 92584 Construction Cost: $10,000.00 Existing Use: Proposed Use: Description of HVAC REPLACEMENT 3 TON A/C&90,000 BTU FAU Work: Owner Contractor JEAN WHITCHER COOL AIR SOLUTIONS INC 29791 CAMINO CRISTAL 41162 SANDALWOOD CIR STE 101 MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone: 9516762665 MORIAH NEUGEBAUER License Number: 874502 COOL AIR SOLUTIONS INC 41162 SANDALWOOD CIR STE 101 MURRIETA, CA 92562 Fee Description ON Amount rForcetl- iraorGraity'T �e.Fu���.rnaCe�o�rBurnery -� �,�., Nr'1�'7"�."�`. h�r� 1��A,00.= Air Handling/Condensing Units SFR 1 133.00 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 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_Bidg_Permit_Template.rpt Page 1 of 1 City Of Menifee 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 licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full f roe and effect. Code:The Contractor's License Law does not apply to an owner of a property License Cla s - License No. 02- who builds or improves thereon, and who contracts for the projects with a Expires 61 S Signature ---"-� licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION CL RATION ❑ 1 am exempt from licensure under the Contractors'Stale License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in 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 of 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 have permit is issued. Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the ❑ I have and will maintain workers' compensation insurance, as required by Business and Professions Code,Is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto'//www.leginfo.ca.csov/calaw.html. permit is issued.My workers'co pensatign insurance carrier and policy number are: Carrier yfQ Property Owner or Authorized Agent Date Expires.S S Policy#-lou l3kell4l ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and%o unty ordinances and state laws relating to building construction.I authorize�b as tives of this city or county to enter the above- ❑ I certify that in the performance of the work for which this permit is issued, I identified property fore i spectio purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Property Ow er or thorized Agent Da e Code, I shall forthwith comply with those prgisions. City Business License#_ s5 Date; rF Applicant; WARNING: FAILURE 1y S CURE 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 BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, ❑YES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A 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 provisions of the Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or AYES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SEC N2y505 25533 AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDS MATE AL I4IEPORYING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPER OW R 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 OF I'Vt INIFFF PLCK No: P «nit No: '� *V1 29714 Haun Road Date: Date. • Menifee, CA 92586 9/4 4 Phone: (951 )672-6777 Amount Amount Fax:(951 )679-3843 ck# ck : Building, Combination Permit To Be Completed By Applicant Legal Description: 1/1 Plzinning Case: p_ L_ Rl : R; Property Address: !L Assuasur is Parcel Number: 2g�gl Calatino (24"Po D IDOr)7 Project/Tenant Name: Unit#: Floor#: Name: E� .—lo7Z Phone o Fax No. Property S 2 Address: ? Owner 5eA'm C- _ Unit Number Zip Cade Email Address: —1 Name: /V6Of7tLS'" -�UW tuJ2J' P� No ne ;t saw y Address T � lNCO 2lDaO� Zip code, Applicant � 1 ,J C rt 7 e 1 1 Untl h r Z, 7�t .��.J�.s'l y:'iq Lv_�� uY =;rt�l P Code Email Address: / i�l c mot✓ r 9zsc . /Y3L'rOCch �CDO,L'r�/3'®�i.�7'BOHS.Ga6^-L. Name- P ne//4.01 iA/ SoWQYiS �J Con a or Address Z& 9��� ��� 4dd/4 1 101 CnY / y� Sta� Zip Co e 5 - - >-- r JTf,"1T F K A 4 I .� 1.i.y-F.., ., Li � .,� 1,... lonlr ie .t ram— 1 - C, 55,t -4� � $S��of>a!iforni�Liccnsa Na cias ifieanon_a Number of trquares: s aorre Fovtaue 2015 Pesc 'wTIcr ,tior•of Work: �a� w-F- ��� � Cost of Work:$ _ d-w, � 9ot r Apphc�nts Signature Dale: 4114 To Be Completed;By City 5?aFF.OnIy Ind tale As R-Received cr N/A-fJor Applicable 5 Completes sets of fully horenmoned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electricai Plan ❑ Geo Tech/Soils Report(on ctl only) ❑ Plot I Sita Plan ❑ Rool'Ptan ❑ Mechanical Plan ElY litle 24 Energy(on a ,x 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram For elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing plan h Details ❑ Shoring Plan ❑ Sound Report-P.esldenlial Class Code: Indicate New Construction Alteration' Addition' w Means/Methods %Au,k Type: Repair' Retrofit' Revision to Existing Permit' Regmraa3 YES NO Proposed Builtling Use(s): Existing Building Use(s) Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Btdq Code Occupancy Group Indisare if Geo-tech. Ha,.Zone At Project Indicate YES or NO Indicata all - F Construction Sprinklared that apply: Coastal Zone Completion: Type(s): C Of O YES or NO Noise Zone Regidred� Usted bn Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS. Costal Commins Arch_Review Board Landmark Comm. Planning Comm. Zod,ng Administrator Fee Exempt. City Project Elec-Vehicle Charger Landmark Seismie Retrofit Joeciai case emg_ OR,aat HpF'io+al expedite Prolect(s): Child Care City Project Groan Building Landmark Affordable Housing For Staft Use Only BuAcinnf5afety Perms Soerial st City Plan n j_Ci n _..nr ! c- J -. h1 ,v iranspw« wui of THANK.YOU FOR HELPING US CREATE A BETTER COMMUNITY D m f1 2 W v°i w O T D a D m 3 ° 3 a D o, °• m D m z ° S 3 0 6 N !° o O O u a T FD O �N^ N OV IC c O p V v, o m o vni rl n Q a D m ao n o ct 3 m m v Nnp_ o 0' ? 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