PMT15-01837 1
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City of Meniffee Permit No.: PMT16-01837
29714 HAUN RD. Type: Residential Mechanical
' CCEL%? MENIFEE, CA 92586 j
s""A3°t`""" MENIFEE Date Issued: 0 710112 01 6 '
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PERMIT
Site Address: 27724 VIA ENTRADA, MENIFEE, CA Parcel Number: 333-273-008 ,
92586 Construction Cost: $8,016.00
Existing Use: Proposed Use:
Description of REPLACE 3.5 TON A/C IN SIDE YARD, 3.5 TON COIL&90,000 BTU FURNACE
Work:
Owner Contractor
CARL ATKINS W C HEATING&AIR CONDITIONING INC
27724 VIA ENTRADA 41085 GOLDEN GATE CIR
MENIFEE, CA 92585 MURRIETA, CA 92662
Applicant Phone: 9516000700 -
STEVEN SCHNIERER License Number: 779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description OQt Amount
Air Handling/Condensing Units SFR 1 133.00
uid' Rer i Issua ' 'f 0'
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
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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 licensedI,
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 j
License Class ? License No. _7-79(t� who builds or improves thereon, and who contracts for the projects with a
Expires fe.36k, Signature,.5e.�L -�tr- - 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 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
Section 3ssu of the Labor Code, for the performance of work for which this im improvements covered b this permit, I cannot legally sell a structure that I have
permit is issued. P Y P g 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
--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:llwm_y.leginfo.ca.gov/oalaw,html,
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier_r?,� L Lw A,jt ��c.Cs Property Owner or uthorized Agent '.
Date
Expires 111I14, Policy# ATwu 3-71-1y61
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 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 ;-��,
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; -2 Applicant; ��7 City Business License# Cu-3S ZOZ
t �� �''"� •—
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
($100,000), IN ADDITION TO THE COST OF COMPENSATION, EYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE ^' MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES D6-NQ 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ::I_9NO 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 EYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable itern(s)(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, A vO 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 !/'�YF-S. 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 I EPOR7ING.
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).
PERMIT/PLANBUILDING & SAFETY APPLICATION
'°Menifee
DATE 07/01/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW []PLUMBING FIRE-ROOF-NUMBEROFSQUARES
oMMIGl
DESCRIPTION OF WORK Replace 3.5 ton A/C In Side Yard,3.5 ton Coil,&90,000 BTU Furnace In�dZyg Oa'Safety
Del I.
JUL 0 1 2015
PROJECTADDRESS 27724 Via Entrada 2 1
ASSESSOR'S PARCEL NUMBER 33/ 'p��'l— LOT TRACT We
OWNER NAME Carl Atkins
ADDRESS 27724 Via Entrada Menifee, CA 92585
PHONE (909)496-4736 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 $ $8,016.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 07/01/2015
rC1TY STAFF USE ONLY
DEPARTMENT DISTRIBUTION /rf� CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN `'✓ SMIP
INVOICE ` n PAIDAMOUNT
AMOUNT `�/ CASH UCHECK It CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT li CASH %CHECKN 'D CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED C�YES C' NO DL NUMBER NOTARIZED LETTER - YES C% NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-5213
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