PMT16-01940 City of Menifee Permit No.: PMT16-01940
29714 HAUN RD.
<ACCEL/ MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 0 612 312 01 6
PERMIT
Site Address: 25346 RIDGEMOOR RD, MENIFEE, CA Parcel Number: 339-361-008
92586 Construction Cost: $9,300.00
Existing Use: Proposed Use:
Description of INSTALL 5-TON A/C(LEFT SIDE YARD),90,000 BTU FURNACE(ATTIC)AND ALL DUCT WORK
Work:
Owner Contractor
KATHERINE HANNIGAN WE CARE PLUMBING, HEATING&AIR
25346 RIDGEMOOR ROAD 41085 GOLDEN GATE CIRCLE
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone:9516000700
JILL WESTON License Number:779604
WE CARE PLUMBING, HEATING&AIR
41085 GOLDEN GATE CIRCLE
MURRIETA,CA 92562
Phone:9516000700
Fee Description ON Amount W
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 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_Bldg_Permil_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 700D)of Division 3 of the.Business and ❑I am exempt from licensure under the Contractor's State License law for
Professions Code and my license is in full force and effect. the following reason:
License Class es License ND.]`IQ � 69 By mysignature below l acknowledge that,except for my personal residence
Expires Signature w—GO t? 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 I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
01 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 for which ,n„z,,yy,leeinfo.ca.eov/calaw-html.
this permit is issued.
Policy# Date
Y-111 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
'section 3700 of the Labor Code,for the performance of the work for which D By my signature below l certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information 1 have provided is correct 1 agree to comply
PwYlCshirr✓ , t �6 with all applicable city and county ordinances and state laws relating to
Carrier _ 4.� YYILL.Iw�.ti1 building construction.l authorize representatives ofthis city orcountyto
Policy# b)wulo31ZR Expires L!7 enterthe above identified property forinspection purposes.
(This section need not to be completed is the permit is for one-hundred �I Q�, ��� _Date L j Q3 11S.
dollars($100)or less PROPERTtbWNER OR AUTHORIZED AGENT T T'
o l certify that in the performance of the work for which this permit is issued,I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If O2-35 ao a worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant orfuture building occupant handle hazardous material or
Applicant W Date `r)�$' �� mixture containing a hazardous material equal to or greaterthat the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FA URE TO SECURE WORKER'S COMPENSATION COVERAGE 15 Dyes
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(SCAQM D)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY oYes "o
I hereby afrm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 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 1�010
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe State of
I hereby affirm under penalty of perjury that lam exempt from the
California
Contractor h
s License Law for the reason(s)indicated below by the Health&SafetyC Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardous material reporting.
.
Business and Professions Code).Any city or county that requires a permit to DVesA¢'IOo _0I. 5� 2!' r1/
��)� 1 .�,1 Date a lit]
construct,alter,improve,demolish or repair any structure,prior to its PROPS OWNER OR AUTHORIZED AGENT
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING[RRP)
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 exemptfrom licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of 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
Dl,as owner of the property,ormy employee with wages as theirsole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-SOD424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a oAn EPA Lead-Safe Certified Renovator will be responsible for 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. D No EPA Lead-Safe Certified Finn 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 Contractors 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
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 06/22/2016 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION []ELECTRICAL [-]MECHANICAL
[-]NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK INSTALL 5 TON A/C(LEFTSIDE YARD), 90,000 BTU FURNACE(ATTIC)
AND ALL DUCT WORK. Build City of Menifee
PROJECTADDRESS 25346 RIDGMOORE RD
ASSESSOR'S PARCEL NUMBER '7 _a(a I. LOT TRACT
PROPERTY OWNER'S NAME KATHERINEHANNIGAN Received
ADDRESS 25346 RIDGMOORE RD,MENIFEE 92586
PHONE (708)267-6010 EMAIL
APPLICANT NAME JILL WESTON
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO,CA 92123
PHONE (619)384-6622 EMAIL
CONTRACTOR'S NAME RUSSELL COCHRAN OWNER BUILDER? [:]YES J❑NO
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$ $9,300.00 SQ FT 2476 L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION _ CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN i SMIP
INVOICE PAID AMOUNT
AMOUNT 59 •1O 0 CASH O CHECK If O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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