PMT16-00390 City of Menifee Permit No.: PMT16-00390
29714 HAUN RD. Type: Residential Mechanical
<A-CCFLA— MENIFEE,CA 92586
MENIFEE Date Issued:
02/16/2016
PERMIT
Site Address: 28691 TROON CT, MENIFEE, CA 92586 Parcel Number: 337-122-018
Construction Cost: $7,641.00
Existing Use: Proposed Use:
Description of REPLACE 30 TON A/C SIDE YARD&70,000 BTU FURNACE IN CLOSET
Work:
Owner Contractor
REBECCA MONEY AIR FORCE ONE HEATING AND AIR INC
28691 TROON CT 31568 RAILROAD CANYON ROAD
MENIFEE,CA 92586 #682
Applicant Phone:9512440916
STEVEN SCHNIERER License Number: 955952
AIR FORCE ONE HEATING AND AIR INC
31566 RAILROAD CANYON ROAD
#682
CANYON LAKE, CA 92587
Fee Description Qtty Amount ISI
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Mechanical 1 14A 0
$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_Sid9 Permit_Template.rpt Page 1 of 1
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 pmjecl(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 properly
License Class CZO License No. s s2 _ who builds or Improves thereon, and who contracts for the projects with a
Expiresj.(Q Signature licensed conbactor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECLARATION
❑ lam exempt from Ikx:nsure under the Cortredors'State License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of set-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 I must have resided for at least one year prior to completion of
Section 3700 of the Labor Code,for the performance of work for which this
permit is issued. Improvements covered by this permit,I cannot legally sell a stnxAure that I have
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 Cade,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:hfio.,/Avww leminfo ce.gov/nlaw.hbnl.
permit is issued.My workes compensation insurance carrier and policy number are:
{ ry Omer or onzege
Carter�'�Ub1�G Uhn C�.eJL 5.7:s`�'LT�+ roper Date
E,pires I DL30 h u,. Policy R Wrwoo SZz6 7ty
Name of Agent Phone# Ay my Signature below, I certify to each of the following:I am the property
owner or authorized to ad on the property owner's behat. I have read this
(This section need Ept be completed tithe permit is for application and the information I have provided is coned. 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 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 S..�sz— �� ZI(W l�
subject to the workers'compensation provisions of Section 3700 of the Labor Properly Owner or Authorized Agent Date
Code,I shall forthwith,comply with those provisions.
Date;`2 Lb U, Applicant; ^� City Business License#
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, DYES OCCUPANT HANDLE HAZARDOUS MATERIAL OR
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE, INTEREST,AND ATTORNEYS FEES dNO 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 OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address ,,, O FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
A 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 9�eajex-a Sc- L level
License Law for the mason(s)indicated below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable Item(s)(Section 7031.5.Business and Professions Code: BE WITHIN'I DOO 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 far the '
permit to file a signed statement that he or she is licensed pursuant to the
provisions of the Contractor's State License Law(Chapter9(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 lrcensure and the basis for the alleged exemption.Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by anyApplicam fora permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole RiCDPADOUS MATERIAL REPOWING.
compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees'or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or Improvement Is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
r�l SAFETY -
BUILDING & PERMIT/PLAN APPLICATION
Menifee
DATE 02/16/2016 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECQ1ip11QhMenifee
❑NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES Building & Safety Dept.
DESCRIPTION OF WORK Replace 3ton A/C In Side Yard&70,000 BTU Furnace In Closet FEB 16 2016
Receive d
PROJECTADDRESS 28691 Troon Court
ASSESSOR'S PARCEL NUMBER ,—I c—X—V%S LOT _ TRACT a.
OWNERNAME Money, Rebecca
ADDRESS 28691 Troon Court Sun City,CA 92586
PHONE (951)656-7339 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL
CONTRACTOR'S NAME Air Force One Heating&Air OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME Air Force One Heating&Air
ADDRESS 31566 Railroad Canyon Road#682 Canyon Lake,CA 92587
PHONE (951)244-0916 EMAIL
CONTRACTOR'S STATE LIC NUMBER 955952 LICENSE CLASSIFICATION C20
VALUATION$ $7.641.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE 02/16/2016
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT I O CASH O CHECK R 0 CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK$I 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777
www.cityCfmenij`ee.us Inspection Request Line 951-246-6213
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