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PMT14-02606 i i City of Menifee Permit No.: PMT14-02606 i 29714 HAUN RD.A ? MENIFEE, CA 92586 Type: Residential Mechanical s m xsMr, M MENIFEE Date Issued: 09/26/2014 PERMIT Site Address: 27377 COMWELL ST, MENIFEE, CA Parcel Number: 335-321-008 92586 Construction Cost: $6,900.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT ROOFTOP PKG HEAT PUMP HEAT 36,000 BTU COOL 36,000 BTU Work: Owner Contractor KENNETH WOOD MONKS AIR CONDITIONING 27377 COMWELL ST P 0 BOX 128 MENIFEE, CA 92586 SUN CITY, CA 92586 Applicant Phone: 9516794502 GARY MONK License Number: 912194 MONKS AIR CONDITIONING P O BOX 128 SUN CITY, CA 92586 Fee Description QtV Amount I$) 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 affirn under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licen Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044,Business and Professi Professions�¢ my license is in full roe nd effe Code:The Contractor's License Law does not apply to an owner of a prop, License Class l _Q_License N j who builds or Improves thereon, and who contracts for the projects wit Explre,33Jk� -Signatu licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law foi ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent ofself-Insure for workers' By my signature below I acknowledge that, except;for my personal resident compensation;Issued by the Director of Industrial Relations as provided for by which I must have resided for. at least one year prior to completiot 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 I permit is Issued. built as an owner-building If It has not been constructed in its entirety,by licet Policy# contractors. I understand that a copy of the applicable law, Section 7044 0; ❑ 1 have and will maintain workers' compensation Insurance, as required by Business and,Professions Code,is available upon request when this applicatl, section 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto•//wwwv lecinfo ra govicaiaw html. permit is Issued.My workers'compensation insurance carrier and policy number are: r^+ roperty eror.Authorized apt Date Carrier t' Expires I Policy# I�� w I L I /i ❑ By my Signature below, I certify to each of the following: I am the pro Name of Agent Phone# owner or anthor¢ed to act on the property owner's behalf. I have rear (This section need 0Q be completed if the permit is for application and the Info 'on I have provided Is correct. I agree to cc one-hundred dollars($100)or less) - with all appii ble city unty ordinances and state laws relating to bu censWcnooniz r presentatives ofthis city or county to enterthe al ❑ 1 certify that inthe.perfarnance of the work forwhich this,permit is issued,I Identified Ins action purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of Cai'rforr and agree th ff I should become U subject to the workers'compensation proviso of Se n 3700 of the Labor Pro mar Authonzed A ant Date Code,I shall forthwith comply with those p I ns. Zgs I L, City Business License# � Date;+ •kPPII . 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 BUILDIN ($100,000),IN ADDITION TO THE COST OF.COMPENSATION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIU LABOR CODE,INTEREST,AND ATTOR14EYS FEES ❑NO EQUAL TO OR GREATER THAN THE AMOUN- rnucTatrrTIONLENDINGAGENCY SPECIFIED ON .THE HAZARDOUS MATERIAI 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 TI 3097 Civil Code) _ APPLICANT OR FUTURE BUILDING OCCUPANT REQUI] Lender's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATIi FROM THE SOUTH COAST AIR QUALITY MANAGEME Lender's Address ❑NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST Fi GUIDE LINES OWNER BUILDER DECLeROTIONS PRINT NAME: I hereby afire under penalty of perjury that I am exempt from the Contractor's License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILI next to the applicable item(s)(Section 7031.5.Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY 01 Any city or county that requires a permit to construct,after,improve, demolish, ONO 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 MATER provisions of the Contractor's State Ucense Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or AYES INFORMATION GUIDE AND THE SCAQMD PERMITT she is exempt from iioensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMEI violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAF a civil penalty of not more than($500).) CODE SECTION 25605 25533 AND 25534 CONCERN ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL f EPOktl% compensation,will do( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not Intended or offered for sale.(Section 7044,Business and Professions Code; 'um" The Contractor's State License Law does not apply to an owner of a property X "' who, through employees' or personal effort, builds or Improves the property, provided that the improvements are not intended or offered for sale.If,however, -' the building or Improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that It was not built or improved for the purpose of sale). CITY OF M ENIFEE PLCK No: P 't o: 'q 29714 Haun Road Date: Date: Menifee, CA 92586 q C;1(O Phone: (951)672-6777 Arnounb Amo'tIC) Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit G 1 To Be Completed By Applicant Legal Description: a�3 Z_ ( "T \ ZZ Z Planning Case: F: L: Rt: R Property Address: Assessor's Parcel Number. ,,v��� s 'r 3 3 oo� ProjectrTenant Name: Unit#: Floor#: WOOS Name: Pone o. O J' & -:�01.L Fax No. Property Address: Unit Number Zip Code Owner 7 3 �— Email Address: Name: (7f�Q O�k hone No. ax N asp 6'7°1-"1'Sb2 Gtsl C,_a 2aI2 Applicant Address: Unit Number Zip Code q,Z-S-� 30�3D rn��s(�'tY� tZD t-( Email Address: V}sW�� Vt/���t.Govr La e,Mv0V- S yN C ��1,N6-\ci-w' b2 (ecl�\'� (�'72-Zo)2Contractor City State Zip Code 3oS3-o Vv�v(L(Usnet R1 1LO M\FVbTF-1- .F GA cl'Z�"(r s ny usmess tense o. Contractor's City State of California License No. Classification: 3S6 qk2Vq GZu Number of Squares: Square Footage V" 2.� Description of Work: (t..vFtup PI�(n Cost of Work:$ �v�Ac-C.IN,p.,/�6� .v-f- Nuc,M.r -4tivrPc . 361ui'fv twL.3Gk87v Applicant's Signature Date: q 26 -:-To Be Com e pletd By C.Iry StaffOhly 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) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ Plumbing Plan ❑ Single Line diagram for elec.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' Retrofit' Revision to Edstirlg 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 Indicate all Geo-tech.Haz.Znne At Project Spdn rl' that a I Coastal Zone Completion: Construction pp Y Type(s): C Of O YES or NO Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss lAnch.Review Board Landmark Comm. Planning Comm.Zoning Administrator =ee City Pmject I lElec-Vehicle Charger Landmark Seismic Retrofit Spaci case: Idg. Official,Aipprwal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only (� Building/Safely I Permit specialist I City Planning I Transportation Mgmt. I Rent Con Vol )c' THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY 1 \ « z \ © ° / \ § ) § \ _ ( CL : - \ ° � � o \ � { § FD % a- m _ a 0 § - \ \ } \ * \ § \ E « i / ! } \ B _ d ri m ® 9.0 ¢% Ln ( \ - ` \ k ) § 3 \ \ ( / } \ « \ / \ ) + ` ( \ ) V a ° O a N p W > > N q = N LL a > U ° O C a 1 N N U o. 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