PMT15-02954 1
City of Menifee Permit No.: PMT16-02954
29714 HAUN RD. Type: Residential Mechanical I
"Y�MEL,/ . MENIFEE, CA 92586 I
MENIFEE Date Issued: 09/24/2015
I
1
PERMIT
i
S Ito Address: 27305 VENTAN ST, MENIFEE, CA 92586 Parcel Number: 335-332-004
Construction Cost: $121000.00
Existing Use: Proposed Use:
Description of INSTALL NEW 3-TON PACKAGE UNIT HEAT PUMP, NEW R-8 DUCTWORK
Work:
Owner Contractor
GINGER RENDON W C HEATING&AIR CONDITIONING INC
27305 VENTAN ST 41085 GOLDEN GATE CIR
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone: 9516000700
RUSELL COCHRAN License Number: 779604
WE CARE HEATING &AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description Oft Amount
Air Handling/Condensing Units SFR 1 133.00
1: lit 11,11!11 111
GREEN FEE 1 1.00
ee-
a,r
$324.10
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_Bltlg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the
following reason:
I hereby affirm under penalty or perjury that I am licensed under provisions of
Chapter 9 (commencing with section 7000)of Division 3 of the usiness and By my signature below I acknowledge that, except for my personal residence in
Professions Code and license is in full force and e c which I must have resided for at least one year prior to completion of
License Class ® License No. L improvements covered by this permit, I cannot legally sell a structure that I have
Expires ^ l Signature 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
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the billowing died i iafons: http://www.leginfo.ca.gov/calaw.htmi.
I have and will maintain a certificate of consent of elf-insure r workers'
compensation,issued by the Director of Industrial Re tions provided for by Date
Section 3700 of the Labor Code, for the performan e ork for which this
permit is issued. Property Owner or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the property
have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this
sectiN 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply
permit is issue My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
I construction. I authorize representatives of this city or county to enter the above-
Carrier , identified property for the inspection purposes.
Policy#�.�3 W3)yuJ_``IJI Expires � � Date
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
one-hundred dollars($100)or less)
HAZARDOUS MATERIAL DECLARATION
❑ certify that in the5omply
ance of the work for which this permit is issued,
shall not employ anys in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a
workers;fort
sa' of California, and agree that if should became mixture containing a hazardous material equal to or greater that the
subjectr eensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code, Iwit with those provisions. ll ❑YES ❑NO
Applica Date, ` d' ` Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARURE O SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMI VERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJEMPLOYER TO CRIMINAL PENALTIES AND ❑YES ❑NO
CIVILUP TO ONE HUNDRED THOUSAND DOLLARS
($100 ADDITION TO THE COST OF COMPENSATION, Will the proposed building ormodified facility bewithin 1000 feet ofthe outer
DAMAS PROVIDED FOR IN SECTION 3706 OF THE boundary of a school?
LABOE, INTEREST,AND ATTORNEYS FEES ❑YES ❑ NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist. I understand my requirements under the State of
agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS [I YES ❑ NO
Date
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the resson(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable ileri(Section 7031.5. Business and Professions Code: EPA RENOVATION REPAIR AND PAINTING(RRP)
Any city or county that requires a permit to construct, alter, improve, demolish,
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 The EPA Renovation, Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's Slate License Law (Chapter 9 (commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from Iicensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than ($500).) employees.For more information about EPA's Renovation Program visit:
www,epa.gov/lead or contact the National Lead Information Center at
❑ I, as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation, will do ( )all of or ( ) porting of the work, and the structure is
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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
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 Firm Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed 11 No EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Code:The Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who contracts for the projects with a
licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECKAPPLICATION
M e n i fe le
DATE 09/23/2015 PERMIT/PLAN CHECK NUMBER -
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL OMECHANICAL
NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK INSTALL 3 TON MAYTAG PACKAGE UNIT HEAT PUMP NEW R-8 DUCTWORK
I y o Menifee
PROIECTADDRESS 27305 VENTAN STREET SUN CITY 92586 Building & Safety Dept.
ASSESSOR'S PARCEL NUMBER TRACIJEP 2 4
PROPERTY OWNER'S NAME GINER RENDON
ADDRESS 27305 VENTAN STREET SUN CITY 92586 MSCaw-e
PHONE (951)679-2833 EMAIL GINGER@GINGERRENDON.COM
APPLICANT NAME WE GREEN INC.
ADDRESS 4540 KEARNY VILLA RD SAN DIEGO, CA 92123
PHONE (888)991-4377 EMAIL ERIC@WEGREENINC.COM
CONTRACTOR'S NAME RUSELL COCHRAN OWNER BUILDER? ❑YES❑J NO
BUSINESS NAME WE CARE PLUMBING(WC HEATING&AIR)
ADDRESS 41085 GOLDEN GATE CIR MURRIETA, CA 92562
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION
VALUATION$ $ 12,000.00 SQ FT 1500 L SQ FT
APPLICANT'S SIGNATURE DATE
OTYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE
PAID AMOUNT
AMOUNT t?CASH ^CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH `%CHECK# CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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