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PMT14-02382 i I i City of Menifee Permit No.: PMT14-02382 29714 Type: Residential Mechanical �GC�.'1.1k?' MENIFEE,EE, C CA 92 92586 MENIFEE Date Issued: 09/05/2014 PERMIT Site Address: 26361 SPANIEL LN, MENIFEE, CA 92586 Parcel Number: 335-632-046 - Construction Cost: $10,981.00 Existing Use: Proposed Use: Description of REPLACE 3 TON A/C, COIL&90,000 BTU FURNACE Work: Owner Contractor LINDA GIRON W C HEATING &AIR CONDITIONING INC 26361 SPANIEL LN 41357 DATE ST MURRIETA, CA 92562 Applicant Phone: 9516000700 STEVEN SCHNIERER License Number: 779604 W C HEATING&AIR CONDITIONING INC 41357 DATE ST MURRIETA, CA 92562 Fee Description QtV Amount Fgrce'`=;i o, r G`��r�auity�e�Fil�nac�r barn � `' � �x 1. 9 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_Bldg_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 force and effect Code:The Contractor's License Law does not apply to an owner of a property License C ass C�' License No. "?7�t wC)q who builds or improves thereon, and who contracts for the projects with a _ ExpireaL 3O lc. Signature _'`✓�,xy c,.—., licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State 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 acknowled a that, except for m compensation,issued by the Director of Industrial Relations as provided for by 9 P y personal residence In Section 3700 of the Labor Code, for the performance of work for which this which must have resided for at least one year prior to completion of permit is Issued. Improvements covered by this permit, I cannot legally sell a structure that I have 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 Business and Professions Code,is available upon request when this application Is I have and will maintain workers' compensation insurance,"as required by section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http:U ww leginfo ca gWcalaw html. permit is Issued.My workers'compensation insurance carrier and policy number are: Carrieravl�l:c Uy.,A rr. r:��r5 Property Owner or Aut orized gent Date _ r Expires 1' 15 Policy#_AS'S"yJt'Xjel L LK)D Name of Agent Phone# �&By my Signature below, I certify to each of the following: I am the property 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 county ordinances and state laws relating to building construction.I authorize representatives of this city or county to enter the above- El I certify that In the performance of the work for which this permit is issued,I identified property for the inspection 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, <7 S subject to the workers'compensation provisions of Section 3700 of the Labor h Code,I shall forthwith comply with those provisions. Property Owner or Authorized Agent Date Date; n S' 14 Applicant; City Business License# b3�'�O WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL HAZARDOUS MATERIAL DECLARATION 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, OYES OCCUPANT HANDLEA HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION.3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES .N,p 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 3097 Civil Code) WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT ICIO 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: y'-�.y� �V\N erx.,^ License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES 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. 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 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, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. 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 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 MlliNIFEE PLCKNo: it �4-0 ga 29714 Haun Road Date: Date: Menifee, CA 92586 y 1 Phone: (951)672-6777 Amount: mouni 00 City of Menifee Fax:(951)679-3843 Building & Safety De til Ck#: Building Combination PermiJEP 0 5 2M G To Be Co ant Legal Descdpi I WEZ, ' Planning Case: F: L: Rf: R Property Address: Assessor's Parcel Number. 26361 Spaniel Lane 37j�— -0 (0 Projectrfenant Name: Unit#: Floor#: Name: Linda Phone No. Cyron9.91-212-6286 Fax No. Property Address: Unit Number Zip code Owner 26361 Spaniel Lane p 92586 Email Address: Name: Steven SClTnlerer Phone No. Fax No. 951-241-6876 Applicant Address: Unit Number Zip Code 25251 Alessandro Blvd, Moreno Valley, CA 92553 Email Address: Name: Phone No. Fax No. WC Heating & NC 51- 0 Contractor Address: City St�leA Zip Code41357 Date Street Murrieta 11 92562 ontractoro3t5Y in2 oss U4 icense o. Contractor's Mf California License No. Classification: b ybU4 C20 Number of Squares: Square Footage Description of work: Replace 3ton NC, Coil, & 90,000 BTU Furnace cost of Work:$10,981.00 Applicant's Signature Z _ Date: �� September 4, 2014 To Be Completed By City Staff Only - Indicate 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 else.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration` Addition' Means/Methods Work Type: Repair" - Bel lP Revision to Existing Perall Required? YES No Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have at Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate it Indicate all Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): Coll Noise Zone YES or NO rl Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. I Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special case: m9. Official Alp roval Expedite Project(s): Child Care city Project Green Building I I Landmarkil I Affordable Housing For Staff Use Only Building/Safety Permit Specialist City Planning I Civil Engineering I EPWM-Admin Transportation Mgml. 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