PMT16-02184 City of Meniffee Permit No.: PMT116-021184
_ 29714 HAUN RD.
`A_CCELA? MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued:
07/15/2018
Site Address: 32861 SECRETARIAT C, MENIFEE,CA Parcel Number: 372-320-013
92584 Construction Cost: $9,200.00
Existing Use: Proposed Use:
Description of REPLACE 5-TON A/C(BACKYARD),90,000 BTU FURNACE(ATTIC)
Work:
Owner Contractor
ALISA MIRANDA W C HEATING&AIR CONDITIONING INC
32861 SECRETARIAT COURT 41085 GOLDEN GATE CIR
MENIFEE,CA 92584 MURRIETA, CA 92562
Applicant Phone:9516000700
JILL WESTON License Number:779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRI ETA, CA92562
Fee Description Qty Amount($
.;I-= - — ---=-:aoF&uner I 149.00
Air Handling/Condensing Units SFR 1 133.00
1 27.00
GREEN FEE 1 1.00
rera� ,, .,,;amtenance Fee-Mechanical 'I 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 staled,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
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).
Chapter!)(commencing with section 7000)of Division 3 of the.Business and 0 l am exempt from ifcensure under the Contractor's State License Law for
Professions Code a�tnd my license is in full force and effect the following reason:
License Class C,Q6 License No.:1 Eid� By my signature below l acknowledge that except for my personal residence
Expires (at`5611t, Signature dlQU 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
❑1 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 wwv,leeinfo.ca.eov1mlaw.html.
this permit is issued.
Policy# Date
Y-I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
rsection 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
numberare: application and the information I have provided is correct I agree to comply
Pto�kshire 1 1e — with all applicable city and county ordinances and sta te laws relating to
Carrier, WC� !� �TCt. 1/) building construction.I authorize representatives of this city or county to
O Policy# 10"MACI Expires enterthe 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
❑I certify that in the performance of the work for which this permit is issued, a
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to orgreaterthatthe
Applicant W Date r7 g' (L amounts specified on the Hazardous Materials Information Guide?
WARNING:FA URE TO SECURE WORKER'S COMPENSATION COVERAGE IS oyes
UNLAWFUL,AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applimnt 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 pemrtting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ciYes E�No
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) ❑Yes I�idp
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury thatlam exempt from the permitting checklist l understand my requirements underthe State of
Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. !� /
Business and Professions Code).Any city or county that requires a permit to OYes �L� 01 �. Date 5" 2�'lf6
construct,alter,improve,demolish or repair any structure,prior to its O_ UT
issuance,also requires the applicant for the permit to file a signed statement PROPER (OWNER OR AUTHORIZED AGENT
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 exempt from lirensure receiving compensation for most work that disturbs paint in a pre-1973
and the basis for the alleged exemption.Any violation of5ection 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($50(l). managers who do the paint-disturbing work themselves orthrough their
❑I,as ownerorthe property,or my 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.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-B00-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a 0An 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. a No EPA Lead-Safe Certified Firm is required for this project bemuse:
❑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
.41�m-k-
DATE 07/11/2016 PERMIT/PLAN CHECK NUMBER - ca\
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION [-]ELECTRICAL El MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK REPLACE 5 TON A/C(BACKYARD),90,000 BTU FURNACE(ATTIC)
PROJECTADDRESS 32861SECRETARIAT CT
ASSESSOR'S PARCEL NUMBER ?j-JQ- '�Qo- 0a LOT TRACT C1' Ot
Safet
PROPERTY OWNER'S NAME ALISA MIRANDA Bul Ingl & y Dept.
L
ADDRESS 32861 SECRETARIAT CT,MENIFEE CA 92584 12 20 66
PHONE (951)858-2448 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? ❑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$ $9,200.00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION '�Q FMENIFEEB CITYOUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT 2�
AMOUNT • I 10 O CASH O CHECK p OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-5777
www.cityofinenifee.Lis Inspection Request Line 951-246-6213
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