PMT16-02085 City of Menifee Permit No.: PMT16-02085
29714 HAUN RD.
�A_CCEIJ? MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 07107/2016
PERMIT
Site Address: 28136 SUNWOOD PL, MENIFEE, CA Parcel Number: 372-022-004
92584 Construction Cost: $9.200.00
Existing Use: Proposed Use:
Description of REPLACE 5-TON A/C(LEFT SIDE YARD)AND 90,000 BTU FURNACE
Work:
Owner Contractor
JAMES WITT W C HEATING&AIR CONDITIONING INC
28136 SUNWOOD PLACE 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 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 Qtv Amount tSl
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 canted 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_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe 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 7000)of Division 3 of the.Business and O 1 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 CA tLLiicense No.]14 h64 By mysignature below l acknowledge that,except for mypersonal residence
Expires gd Signature 0��1J p(2 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 self4risure 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 welisite:
by Section 3700 of the Labor Code,for the performance of work for which www.Ieminfo.oa.yov/c;ilaw.htmI.permit is issued.
Policy# Date
)r-11 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 o By my signature below i 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 owners behalf.l have readthis
numberare: application and the information I have provided is correct.I agree to comply
D,vrlCshire 1e - with all applicable city and county ordinances and state laws relating to
Carrier, t'�1 - �1 building construction.l authorize representatives of this city or county to
Policy# WGWu10 mag Expires / l I 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, a
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 0--35 o 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 3709 of the Labor
Code,1 shall forthwith comply with those provisions. 1 Will the applicant or future building occupant handle hazardous material or
Applicant W Date r7"'j g' �I<` 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 oyes
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($300,000),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(SCAQMD)?See permitting checklist
IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ciYes "o
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be 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) o Yes r Wo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that lam exempt from the
Contractor's License Law for the reason(s)indicated below by the California HealthalSafety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ¢100
Business and Professions Code).Any city orcounty that requires a permit to
construct,alter,improve,demolish or repair any structure,prio X�llrto its pROPE OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permitto file a signed statement
that he orshe is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRP)
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 of5ection 7031.5 by residence or childare 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
a1,as owner of the property,or my employee with wages as their sole 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.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 Contractor's State License Law does not apply to an owner of a ❑An 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. o No EPA Lead-Safe Certified Firm is required for this project because:
❑1,as owner of the property am exclusively contacting 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.
PERMIT/PLANBUILDING & SAFETY APPLICATION
,Menifee
DATE 06/30/2016 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY [:]MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: [—]ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL [—]MECHANICAL
❑NEW ❑PLUMBING ORE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK REPLACE 5 TON A/C(LEFTSIDE YARD),90,000 BTU FURCE(CLOSET)
PROJECTADDRESS 28136 SUNWOOD PLACE
ASSESSOR'S PARCEL NUMBER -6-jG•e=. C0q LOT TRACT
PROPERTY OWNER'S NAME JAMES WITT City O enl ee
Building Dept
ADDRESS 28136 SUNWOOD PLACE,MENIFEE CA 92584
PHONE (714)915-7833 EMAIL
APPLICANT NAME JILL WESTON Received
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO, CA 92123
PHONE (619)384-6622 EMAIL
CONTRACTOR'S NAME RUSSELLCOCHRAN OWNERBUILDER? ❑YES❑✓ 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$ $9200.00 SQ FT 2100 L SQ FT
APPLICANT'S SIGNATURE 1111
DATE
�Cl TY STAFF.USE-ONLY
DEPARTMEM DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP k
INVOICE PAID AMOUNT '`
AMOUNT • JO "T •ID O CASH 0CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us inspection Request Line 951-246-6213
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