PMT16-00524 City of Menifee Permit No.: PMT16-00524
29714 HAUN RD. Type: Residential Mechanical
�!-�CCEL:? MENIFEE, CA 92586
MENIFEE Date Issued:
03/02l2016
PERMIT
Site Address: 29276 ANNANDALE RD, MENIFEE, CA Parcel Number: 338-291-021
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING 3-TON A/C, COIL AND 90,000 BTU FURNACE
Work:
Owner Contractor
LEONARD MELBACH W C HEATING&AIR CONDITIONING INC
29276 ANNANDALE ROAD 41085 GOLDEN GATE CIR
MENIFEE,CA 92586 MURRIETA, CA 92562
Applicant Phone:9516000700
ERIC BARNETT License Number:779804
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description gty Amount t51
Forced-Air or Gravity-Type Furnace or Bumer 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 14.10
$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 carded 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_81dg Permit_Templale.rpl Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from Ilcensure under the Contractors'State License Law forth
1 hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that, except for my personal residence i
Professions Code ancjjW license is in full force and effe t. u which I must have resided for at least one year prior to completion (
License Class f License.j�o. 7��6�7 improvements covered by this permit,I cannot legally sell a structure that 1 hav
Expires 61761 kif Signature It built as an owner-building if it has not been constructed in its entirety by license
contractors. I understand that a copy of the applicable law, Section 7044 of th
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application 1
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one of the following declarations: http:/hvww.leainfo.ca.cov/ralaw.html.
I have and will maintain a certificate of consent of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code, for the performance of work for which this
permit is issued. Property Owner orAuthodzed Agent
Policy# El By my Signature below, I certify to each of the following: I am the propert
NO I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read IN
section 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 compl;
permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to building
Q construction.I authorize representatives of this city or county to enter the above
Carrier Pd1rS#1XF identified property for the inspection purposes.
Policy# Expires / /// 7 Date
Property Owner or Authorized A/g�elnt¢�
(This section need no
I be completed if the permit is for City Business License# y"✓✓��
one-hundred dollars($100)or less)
❑ 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emotov any persons in any manner so as to became subject to the Will the applicant or future building occupant handle hazardous material or a
workers'compensation laws of California,and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. DYES $ O
Applicant; Date; Z//7��>i Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelin
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES QNO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary off 'school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYE S boundary
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 pderial reporting.
OWNER BUILDER DECLARATIONS DYES NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's 46— Date /7 / e
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED AGENT
next to the applicable item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct, alter,improve,demolish, EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 State 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 licensure 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 1-500-424-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 Finn Certification No.:
purpose of sale).
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Finn 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
linnncad enntractnrkl nureuant fn tho Cnnhacfnre Ctnte I iran<o 1 awl If vnur nmiact dnes not mmnly wffh FPC RRP ndn nlaam fill nut 1ho RRP
SAFETYBUILDING & . • APPLICATION
" Menifee
DATE 03101/2 01 6 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 3 TON AC,COIL AND 90K BTU FURNACE
PROJECT ADDRESS 29276 ANNADALE RD �Lo
ASSESSOR'S PARCEL NUMBER -5-!A .g>q�- 0'a\ LOT TRACT
PROPERTY OWNER'S NAME LEONARD MELBACH City of Menifse
Buildin 8, Safet De t.
ADDRESS 29276 ANNADALE RD
PHONE (951)679-3370 EMAIL ,..t
APPLICANT NAME ERICBARNETT Received
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO,CA 92123
PHONE (619)384-6622 EMAIL ERIC@WEGREENINC.COM
CONTRACTOR'S NAME RUSSELL COCHRAN OWNER BUILDER? ❑YES QNO
BUSINESS NAME WC PLUMBING, HEATING&AIR
ADDRESS 41085 GOLDEN GATE CIR MURRIETA,CA 92562
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION$ $9,000-00 SQ FT 1500 L SO FT
APPLICANT'S SIGNATURE DATE 03/01/2016
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN ' SMIP X
AMOUNT ,lO PAIDAMOUNT 3aLA• 1{„/ O CASH O CHECK p O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Noun Rd. Menifee, CA 92586951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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