PMT15-02703 {
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City of Menifee Permit No.: PMT15-02703 {
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 0 9101/2 01 6
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PERMIT
Site Address: 27101 COMWELL ST, MENIFEE, CA Parcel Number: 335-351-035
92586 Construction Cost: $11,709.00
Existing Use: Proposed Use: j
Description of REPLACE 4 TON PACKAGE UNIT ON ROOF
Work:
Owner Contractor
KAREN DIX W C HEATING &AIR CONDITIONING INC
27101 COMWELL ST 41085 GOLDEN GATE CIR
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone: 9516000700
STEVEN SCHNIERER License Number: 779604
WC HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRI ETA, CA 92562
Fee Description Qtv Amount is
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
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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 licensed
Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the protect(Section 7044,Business and Profess(ons
Professions Code and my license Is in full force end effect. Code:The Contractor's License Law does not apply to an owner of a properly
License Class C22> License No. �'7=1lrvOr-J who builds or improves thereon,and who contracts for the projects with aI,
Expli 30 Signature _.�_ 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 el-i sure 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 3 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. built as an owner-building y if it has not been constructed In its entiretyb licensed
Policy# 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 requestwhen this application Is
section 3700 of the Labor Code, for the performance of the work for which this submitted or atthe following Web site:hS(p:llwww leginfo ea gmdcalawhtml.
permit Is Issued.My workers'compensation insurance carrier and policy number are:
Carrier.Y�
^,�e?w\aVL Property Wnerbr Authorize gent
urnc�cct„)Ci�'CI"=+
Expires- tit I lto Policy#AT-LJ CA 3-741JC,I „�
Name of Agent Phone# ,U'4y 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 S100)or less) with all applicable city and county ordinances and stale laws relating to building
construction.I authorize representatives of this city or county to enter the above-
0 1 certify that in the performance of the work for which this permit Is issued,I identified property for the Inspection purposes.
shall not emolov 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 Seoflon 3700 of the Labor Property Owner orAuthorized
Code,I shall forthwith comply with those provisions. P rN Agent Date
�-�� ZO'7.
Date; `R t (IS Applicant; City Business License OBS '
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
($900,000), IN ADDITION TO THE COST OF COMPENSATION, AYES 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 AD 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 op
O DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDELINES
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, P10 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 S INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from densure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant fora permit subjects the applicant to p NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500)J CODE, SECTION 25505 25533 AND 25534 CONCERNING
El I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I EPORT'ING.
compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code; - �.� •..
The Contractor's State License Law does not apply to an owner of a property X
szzsz—
who, through employees'or personal effort, builds or Improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
SAFETY • APPLICATION
Y . .:"
Menifee
DATE 09/01/2015 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA []SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION []ELECTRICAL ❑✓ MECHANICAL
❑NEW ❑PLUMBING [—IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 4ton Package Unit On Roof
PROJECT ADDRESS 27101CoroellStreet
ASSESSOR'S PARCEL NUMBER LOT 10 TRACT
OWNER NAME Karen Dix
ADDRESS 27101 Cornwell Street Sun City, CA 92586
760 720-1102 City of Menifee
PHONE ( ) EMAIL Buildin & Safety Dept.
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362 p�
PHONE (818)735-7876 EMAIL Received
`eceived"'
CONTRACTOR'S NAME WC Heating&A/C OWNER BUILDER? ❑YES❑NO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta, CA 92562
PHONE (951)600-0700 EMAIL contact@wecareteam.com
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION B,C20,C36
VALUATION$ $ 11,709.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 09/01/2015
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I -, CASH OCHECKq "CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKU C)CREDITCARD VISA/MC
OWNER BUILDER VERIFIED ()YES C) NO DL NUMBER NOTARIZED LETTER O YES C) NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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