PMT16-02107 City of Menifee Permit No.: PMT16-02107
29714 HAUN RD.
�l-� A—> MENIFEE, CA 9258E Type: Residential Mechanical
MENIFEE Date Issued.
07I07/2016
PERMIT
Site Address: 26785 MATRIX CT, MENIFEE, CA 92585 Parcel Number: 331480-025
Construction Cost: $9,300.00
Existing Use: Proposed Use:
Description of REPLACE 5-TON A/C(LEFT SIDE YARD), 90,000 BTU FURNACE(ATTIC)AND ALL DUCTWORK
Work:
Owner Contractor
CHERAN DAVIS W C HEATING&AIR CONDITIONING INC
26785 MATRIX COURT 41085 GOLDEN GATE CIR
MENIFEE, CA 92585 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 Oyt 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 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 Permit_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 contractors)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the.Business and O l 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 r'06 License No. 1-IQ kdi� By mysignature below l acknowledge that,except for mypersonal residence
Expires ('(S611t, Signature ��ia,ufJp0 2? in which l must have resided for at least one year prior to completion of
U 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
❑I hereby affirm under penalty of perjury one of the following declarations:) 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
this permit is issued. www.leeinfo.ca.eov/calaw.html.
Policy# Date
rhave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
tion 3700 of the Labor Code,for the performance of the work for which n By my signature below l certifyto each of the following:)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.)have read this
number are; 6 application and the information I have provided is correct I agree to comply
Cartierbe-V V'Swre, ,,A'tr1LC.L iA with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this dry or county to
Policy#•QCWeJ1.0r3`Lq Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit Ls for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
O I certify that in the performance of the work for which this permit is issued, O�5 ao a Ishallnotemolav any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date r3-q$' �� mixture containing a hazardous material equal to or greater thatthe
amountsspecified on the Hazardous Materials Information Guide?
WARNING:FA URE TO SECURE WORKER'S COMPENSATION COVERAGE IS aYes "
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($10D,DUD),IN occupant requires permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air require
Management econt(SCtionor Seepation fro checklist
IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES foastAirllnes
Qua
CONSTRUCTION LENDING AGENCY oYes 00
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) DYes r/Wo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that lam exempt from the permitting checklist l understand my requirements under the State of
California Health alSafety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 70315
Business and Professions Code).Any city or county that requires a permit to Dyes r�'Igo
construct alter,improve,demolish or repair any structure,prior to its Date a
issuance,also requires the applicant for the permit to file a signed statement PROPE !OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's 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 exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 703L5 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 theirsole employees.For more information about EPA's Renovation Program visit:
compensation,wLll do( )211 of or( )portion of the work,and the structure is www.eoamov/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 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. 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 RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
� Menifee
DATE 07/05/2016 PERMIT/PLAN CHECK NUMBER O1
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [-]SIGN
SUBTYPE: []ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL
❑NEW ❑PLUMBING FIRE-ROOF-NUMBEROFSOUARES
DESCRIPTION OF WORK REPLACE 5 TON A/C(LEFTSIDE YARD),90,000 BTU FURNACE(ATTIC),ALL DUCT WORK.
PROJECT ADDRESS 26785 MATRIX CT clgCJ
ASSESSOR'S PARCEL NUMBER LOT TRACT
PROPERTY OWNER'S NAME CHERAN DAVIS City of Menifee
Buildhig Dept
ADDRESS 26785 MATRIX CT,MENIFEE CA 92585
PHONE (858)337-0460 EMAIL L U 6 2016
APPLICANT NAME JILL WESTON
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO, CA 92123
PHONE (619)384-6622 EMAIL
CONTRACTOR'S NAME CAR We, ectyk OWNERBUILDER? ❑YES❑✓ NO
BUSINESS NAME CfJRFi�Y BA1F�R HF�TIyC ar n nitz I�Ir
ADDRESS
PHONE (95 - — EMAIL
CONTRACTOR'S STATE LIC NUMBER .895 -J-jq W QLJ LICENSE CLASSIFICATION C20
VALUATION$ $9,300.00 SO FT 1974 L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP
INVOICE l PAID AMOUNT /� rf
AMOUNT 'CJQ�"1.10 ;J • 10 0 CASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haut) Rd. Menifee, CA 92586 951-672-6777
www.cityo(meni(ee.us Inspection Request Line 951-246-6213
W ^ rl E
N
trl O
0 0 -o n
Q y N C a ~ a N V •~i
N m N E C a O ~ a+ W C O
W �• O a � N m O � n
u a CD
La
c O •YI Q Q C 6 ei
J U a w
E __ C
�
C O ^ O 7
� Z
OCq N
� � a N
p C Y O
> x � �
1 -° o
• ,� a l0 m W n W > N O
` o- o c rn o m >
a
a E c a v o
a` m
« a y - O N N
m L c .2= m ma
a
Y c E m N
Y O m Y r a o
O G m O a '^ O C a 0 } n
r o
c E u $ o
m > > 7 m "" E a o
� 3 m m m a « vui a > c
w v d c c c ¢ 3 „ a v
,n a s v
N m m 3 3 °o E u c c w c o c
C_ C to C1 a a: Z
C O O O O N O
3 c a E
M1 4
m m y N o s ¢ 5
c c c c n O
d > ei O
C y ti c E C u
C L u y Y N
N
IaA L
Y
J N H m w E a
¢ m O L a u « } W C
c Y Y n O T p 2
'O H a G
u O O c
V Y m O
C p O _ L u
N c0 — x x c0 y V N 0 1O
a 3 m m m 2 N v +a' o a
a E
m L W L Y «
N a U
a a a ip t0 ca N O V E O O
N am N N L .-V
a y O E m « O "
c E c u"i E a in ¢
E a a m
w c O E 'n « LO d
O N n c
2 " m u U vTi o w
L 0 N V
O O m -0 m •� N C ¢ C
c C O
d w m a No o c ,,, 'c
p m E j E '� c O w ••
W VI w h ¢ Z N O O E m
E o LL c o E o c z' c
a m H u a a u E u .� N m a E c m
U O 2 a s : O ¢ d ._ u O T u �Ep « C O c
W '� c ¢ c d d` u iv c7 m '^ ?E Z a « m v
C Y p rl a LA
W tO
V ¢ d Q U j O 0 0 O O O) V K V
M L'
J N •i 3 � K �j .�-�
Q W
LL a Z 9 0
r
U 0O O
L c
9 a 0
0
2 m � i e LL a
LD
N
Y n mN t Yu a 0
` O w m L lOfl o.
0 Q E > a m N a
a 5
O ti
m E r
E a = o a H a
O V E m '+ u N o
O � �
E ~
C N
t p O
OD u ?
c c W z 3 a '« o
N
o x 7 O O C
v ma ; my E E my mL. E � ✓
n C c a c 'y E .c .0am L y o o c
O y Q D C O U Q u a N
O O. a ° E u 'Q c m Y T N , 0 c �
c O p
Q U u p
C OQ aC. CL Y C. Y 10 > tl
N 01 E 2 a O O .. r
a m m 'j c $ c '^ o f
cF n w `o x cr in ++ �n 'oo a L
w _ u E 5 '0'^ W O W O z v
O O E m ¢ E '= sry ? =
° ° c E u o 0 o E co_
uN V 00 O d 3 N Y U w U
�i w E = ocx
y a ry u N to
a c mE u SYm �
„ sQ oba
_N O O `o y ry o aL+ H C !-
E co 3 O a
C L U
E +' c
LL Ln L i0 V
u
CL d o m u
3
0 m
Q W a O
E W F ¢ c q O v o p o c
> Ln
v C Y o v
yoa2 oma E E O w
E E N N N O mw = y
Y GI 'O 00 c C y m m �LO ` V N u u O O
T N W c C N m C p C m U M ¢ a m m OO N
V1 T M W " O c O Y N E N m p O. a p
C m O ~ O E ¢ t E
m m
W C C Q O n o 'o 5 Y N .m-I C
U O c V m ; I �^ ¢ n a C W y m
O c a m
a Y = ,� y = opN � wAa E E Q >
c
O c E ma ory N ^•' u c
N U
O. y O N > F c c u cu � um .3' «c U
u
m a � E 3v
ou O O v w
o u a
u e! V E E 3 3 E m
E N 'a Z Z C
a¢ O E w c x o x x N Z w
U O N E n E ~ oo z � -WN2 .. E o c
10 Y O N :L Z L U U y U LL O N m m �iV Y
T
« Q VI C N � ¢ t5 � u "u 4 = ycj lL m m
W _ W
cc z ¢ ¢ y m
V Q W 4L
2 z u u u u 2 V
W ^ v d Vf O
M r o
O C $ m W N
V
to E .a
Q y o
V N _
ti O c ° E w O
um y o c > n
d q N
n a w a
a ° � m
w
EV 0-
lot
$ c o
d Y m w a
o i
(p' N a t a s fFl,�ypyaO ,a_
c v o c ¢ o 0
v c a «
v m c o y c c o
°
in � y w m LO0 CM c o n
c o
Q O m .- O m a C
v
o � O w c 3 E « o o `< E v.q m V O m a E v $
DO w O 9 a y n °c3 c 0 V O W Oc
c m O
o a
CD
a im cmU a ONl D a m '� d o ¢ a Cl � n a oNi .mow.,
E
N ° 6
m m nr
a -a E
2 p Q v c
u n
m 5
Q N A a! d O �
C ° o E= N v - E v
J
= O o m o m .« m `
Q Y U d a p O O y u 6 a a
2v .a- o v_ E n A m
a
'-° w '°- oC E
O
a+ u w '� c a c ti �j
?' C o o a o V
W V n o ' - a s ° t ¢ m
d ° i E a O 8 w g o
y r a U C a
p C 3 V c = Y W a u > > o v
N w
t o �'`o m L a °u c O W
r ¢ y . 5 � iD y E
No
O u ap+ c 'a` m Ea E ''" " w V 0 0
VI L Y� C = Z 0 N
U L O U
w N Z n o c M. 1p i v « Z F a
C OC 0
C Zu nn
0 N O m qm
O 0 uw C o - . u
z O E ❑ZO w N a�UwC
uc
w in O a+ t Q Z
W ~ d rEmn r E_ mst °
0 CU
C
m N
Q C m
Z ❑ a V m u
NOQl mO i aZE wC c w
�i .2
W a w C « a C �,W d w 9
~ u u E ` m2 w '^ K O .2 c n2
a0+ O _ u u n u v n \ w G .E ri ri `+i v �n ¢L n u u 1� \ K .m m
tw.7 Q G rj o 0 u° �i ¢ N u� C " z V u > a vO1i 2' O ¢ u
> Q N U