PMT16-01468 City of Menifee Permit No.: PMT16-01468
_ 29714 HAUN RD. Type: Residential Mechanical
<ACCEUA—> MENIFEE, CA 92586
MENIFEE Date Issued:
05/11/2016
PERMIT
Site Address: 29030 CROHAM HURST CT, MENIFEE, Parcel Number: 338-024-008
CA 92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of REPLACING 4-TON A/C,90,000 BTU FURNACE AND COIL
Work:
Owner Contractor
JEANNE KEEFER W C HEATING&AIR CONDITIONING INC
29030 CROHAM HURST COURT 41085 GOLDEN GATE CIR
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone:9516000700
JILL WESTON License Number:779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description ON Amount 15)
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 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 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.
M_Bldg_Perrrit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
With a licensed contractor(s)pursuant to the Contractors State License Law).
1 hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the.Business and ❑1 am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class CA13 License No.1—IQ (,6H By mysignature below l acknowledge that,except for my personal residence
Expires Signature rNvya in which l must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that
WORKER'S COMPENSATION DECLARATIO have built as an owner-builder if it has not been constructed in its entirety by
o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work forwhich v�,�,�w,ieeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
Y,11 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
4ection 3700 of the Labor Code,for the performance of the work for which o By my signature below l certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.l have read this
number are: - application and the information I have provided is correct I agree to comply
Cartier►]OY'IC.SI'1LCeJ N( t'y1C�L.b-t/1 with all applicable city and county ordinances and state laws relating to
v building construction.I authorize representatives of this city or county to
Policy# 0C.WC.10myi Expires �� L:7 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# O--3`J oC0 a worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. I Will the applicant or future building occupant handle hazardous material or
Applicant W Date t7 $' k mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FA URE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes "D
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCACUND)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY o Yes "o
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO feet of the
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ❑Yes 9410
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACIMD
1 hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of
California Health al Safety Code,Section ZSSOS and 25534 concerning
Contractors License Law for the reason(s)Indicated below by the
hazardous material reporting.
checkmark(s)I have placed next to the applicable ftem(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to oYes` ¢704 �
construct,alter,improve,demolish or repair any structure,prior to its \\`` L L Date
issuance,also requires the applicant for the permit to file a signed statement PROPEPQ OWN ER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING fRRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation or Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves orthrough their
❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Programvfsit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsiblefor this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
SAFETYBUILDING & . • APPLICATION
Menifee
DATE 0 5/0 912 0 1 6 PERMIT/PLAN CHECK NUMBER 9mv - C*4 us
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK REPLACING 4 TON A/C;90,000 BTU FURNACE AND COIL
PROJECTADDRESS 29030 CROHAM HURST CT 53Qi5910
ASSESSOR'S PARCEL NUMBER lb'! -n;PL4- dd$ LOT TRACT
PROPERTY OWNER'S NAME JEANNE KEEFER r.0tV Of Menifee
ADDRESS 29030 CROHAM HURST CT, MEN IFEE,CA 92586 Building Dept
PHONE (951)310-8037 EMAIL MAY 10 2013
APPLICANT NAME JILL WESTON
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO,CA 92123 e c e i r
PHONE (619)384-6622 EMAIL J
CONTRACTOR'S NAME RUSSELLCOCHRAN OWNERBUILDER? ❑YESQNO
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 SO FT 1784 L SO FT
APPLICANT'S SIGNATURE DATE
i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE
AMOUNT O PAIDAMOUNT 159 --
CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O 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
m!� w o 0 0 0 0 n D D n
w m N e w f+ r�o �"+ o m z
V o N A 1
w T
J o m 01 v N m "o D o o f° D m z o n
m Z 0-O• 3 ry ^• m n O 'nr' .mn. n ^ O m 1
j 3 O m a < » N N 3 m
O m r A 7 m O p
w 3 0 o a N O a u, �, T
m m `t N 3 D d O y n
x o mct m 3 m
J n y 0 O r
O a D
N O el
z
n o m O v
m "+ 3 0 m
N O m » N
W O < O" 1•'1 ti. W J W w p1 In 3
y m l0 p N
0 d d p 3
n T Nno. � 3 3
w' O u<i C w .tee n n •`� j' A
m rTD m m m m A
3 3 u
,m., •" �• m n .�. x
s m R D
o
3 o m' S o
J i M J
� VI N O G1 tl0 01 O pr
• m — N
n rp m m a• �w » d a
a
v W
N z T p p w p J C
N
o o o n 3 o 3
o m
c
N V O > 3 C = m
� 3 �
M O W
• in F+ F+ � LI N
z •� w o °�' m � � -o a
O N > > A T m
3 o rho
m —
m m '�
N
CD i•} �1
O m < N
;, •�+ F as 0o
•'� .'c c
aCD
CE
m ti O. CD
C m
e O O
CD c ^T T
N 3 G w A
m t m D
w n 3 m m w m
:n rnm r r r r P
w M T d ^ n A s A O A c to o N O N S
m .ld.m d ii m i+ m "^
N - O o 3 3 w G (1
O o C F+ Ip 3 Q N D
^' Z 'L'm N O
c w m
m m O d IA T
m O
m m O l"f 2 n3 3 i N i n w a' v ^ N O n 3
O > >
3 3 qxx = N goo ' 3w °
Irp 5F a a I F w O
J IT c 'o D m N O a in f1 rtnl
d V < l i O N m O O •� 3
w W A m c m o m eP .. 3 s y 3 x D all
a m n u F y m m 3 �3„ O .01+ O O d m O I N
ET o
0 o n n w F w
w o 3 mw o d 3 3
o a in
o n .c-. m y
G O i-e n s o .; a m O
m o to d � v Timm jx In 3
^ D
o •G n u O
5 C a m. •e O a O m
o m V1 'o" c. n m
o m a 9L < � V~i r
m < m w O N
ti O. m m �,'a n ^ N A
O 3a 3 F N u m 3 S D
m 3 F a 'o 3 N w m m m 3. O IM
T 3 �„ T o o c m 3 v� �^ x
0o n m c
7 1 S 3 d
? a x w' xo <
�+ ou � D
3 a A
N � _
^ 3 n <
m o
A A o N O
IT n
m m m n m n w W
a as in .e IT d F o m a a L w
w O O O
<
o p a O a 3 as »a m 3 ^ D 3nD
m < < M c
a o =
N � ry a Inm' � o O p m
0 0 0 0• O 5
I, W S F+ S d m a'v m 0O F m 00 a
oI, " a a m
O p�j cD N r
o n in N vi o
o n n o m 9 O O
IT m >
O a n w
N
A Ir v O
N
0
0 w
O m n C
_ N o
d " n
d c �
am IT,
a vi
O O N x m N N
a
m O'
O �
m
o m n a N v m Z
m f+
N 2 m* o O1 m :E
n •�
O m ' m O
m N o o °3 a
o a S ff
m a A Z py F
tNn m N W FOj
W D m
n 9n A DQ rE n nN - A 3n A > �2o no !'
D w o a m m 3 _ O O D m
m a an m N f1 a o fn a w ti 9 '^ m N n ° ° n lY m A
m C y
l a N O N q N O N O J
m O A
P C O 0
0. a a m
0 6 rt V ° Oo m
M S O 9
r
< N m mc D
M via Z
v
a D
i C N
0�1 0 O m
m x 3
3 'a to rn
N o w
ti m
m 3
2
y NfD SN w .v..
ow A o o N a ..
m �.
m C o A »"" A f0 n m Dr
ire n s n o n a "•
m m a v o n a a 0 0 3 G
3 0
3 0
7r Z A a N o C
�0�^ Er
m
E
sa w i T a £
A O m
= A c n� c w G c l0 v J n N rn O O
OwQf0 pm 0c 3
wF,
w ao a N a A » ww - D
42
-
a m mom;;;^' C'1 rn 3 A nm o 0
A
m D C 6
ut m � ¢
m p q c 3
m o S a n m
0
Cq0 0 A Q a o- m
v 3'oc °' O A 30
p
l
@ T m a
m
m o
a a
a 3 o N
N x a ao 3 v
m
9)
O M
a
O
A a o m D
m -
N
N W
w D A 2 m