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PMT15-01835 I I City of Menifee Permit No.: PMT15-01835 29714 HAUN RD. Type: Residential Mechanical ` L MENIFEE, CA 92586 Fowmrnnu sdtkman MENIFEE Date Issued: 07/01/2015 i I PERMIT i s Site Address: 29804 COALINGA CT, MENIFEE, CA Parcel Number: 338-111-047 92586 Construction Cost: $10,628.00 Existing Use: Proposed Use: Description of REPLACE 2.5 TON A/C, 2.5 TON COIL, 90,000 BTU FURNACE IN GARAGE&7 DUCTS Work: Owner Contractor EDGARDO MONTECLARO W C HEATING&AIR CONDITIONING INC 29804 COALINGA CT 41085 GOLDEN GATE CIR MENIFEE, CA 92586 MURRIETA, CA 92562 Applicant Phone: 9516000700 STEVEN SCHNIERER License Number: 779604 W C HEATING &AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description O_yt Amount Air Handling/Condensing Units SFR 1 133.00 I I. nc 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_Eldg_Permit Template.rpt Page 1 of 1 i 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 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 Class C20 License No. 7 1_296 who builds or improves thereon, and who contracts for the projects with a Expires IG Signatures! �: Z_ — licensed contractor(s)pursuant to the Contractors State License Law), WORKERS'COMPENSATION DECLARATION ❑ I am exempt from Iicensure 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 acknowledge that, except for my personal residence In compensation,issued by the Director of Industrial Relations as provided for by which must have resided for at least one year prior to completion of li Section 3ssu of the Labor Code, for the performance of work for which this improvements covered b this permit, I cannot legally sell a structure that I have permit is issued. i P Y P 9 Y 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 U- —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:http:LLwww.leginfo.ca.gov/calaw,htmi, permit is issued.My workers'compensation insurance carrier and policy number are; Property Owner or uthorized Agent Data Carrier�u��l� ��hrYer uJc��c(� Expires nlMlle Policy# A-Vw u03-74M 0 1 my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner cr authorized to act on the property owner's behalf. 1 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- ❑ 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 ,;, subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized A Code,I shall forthwith comply with those provisions. P Y gent Date Date; -7 1 IS— Applicant; �u=srZ�- �*._� City Business License# 6352C�Z 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 BUILDING ($700,000), IN ADDITION TO THE COST OF COMPENSATION, EYES OCCUPANT HANDLEA HAZARDOUS MATERIAL OR DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES CA-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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address O 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: c�.,o-�. License Law for the reason(s)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(Section 7031.5. Business and Professions Code: 1 BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, 0 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 Iicensure 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 ❑ 1, 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 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). BUILDING ♦ SAFETY PERMIT/PLAN • 1 APPLICATION .."'Menifee DATE 07/01/2015 PERMIT/PLAN CHECK NUMBER TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION [Z]ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ ME% &t ManfGE Safety opt. []NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace 2.5 ton A/C,2.5 ton Coil,90,000 BTU Furnace In Garage,&7 Ducts JUL 0 1 201. PROJECT ADDRESS 29804 Coalinga Court y� p ASSESSOR'S PARCEL NUMBER J jII - Lkl LOT - 1 TRACE OWNER NAME Edgardo Monteclaro Menifee,CA 92586 ADDRESS 29804 Coalinga Court Menifee, CA 92586 PHONE (951)246-4069 EMAIL APPLICANT NAME Steven Schnierer ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362 PHONE (818)735-7876 EMAIL CONTRACTOR'S NAME WC Heating&A/C OWNER BUILDER? ❑YES❑✓ NO BUSINESS NAME We Care ADDRESS 41085 Golden Gate Circle Murrieta,CA 92562 PHONE (951)600-0700 EMAIL contact@wecareteam.com CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION B, C20,C36 VALUATION $ $ 10,628.00 SO FT L SO FT APPLICANT'S SIGNATURE DATE 07/01/2015 CITY STAFF USEONLY ARM DEPARTMENT DISTRIBUTION CITY or MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN too SMIP INVOICE PAIDAMOUNT AMOUNT ) CASH CCHECK# vCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT iCASH %CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED C%YES C NO DL NUMBER NOTARIZED LETTER O YES C' NO City of Menifee Building&Safety Department 29714 Houn Rd. 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