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PMT16-02360 City of Menifee Permit No.: PMT16-02360 29714 HAUN RD. <ACCEL/-> MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 07/22/2016 PERMIT Site Address: 28658 WEE BURN WAY, MENIFEE, CA Parcel Number: 339-125-019 92586 Construction Cost: $7,917.00 Existing Use: Proposed Use: Description of REPLACE HVAC SYSTEM 2.5-TON A/C&70,000 BTU FURNACE Work: Owner Contractor MARLENE OGAS AIR FORCE ONE HEATING AND AIR INC 28658 WEE BURN WAY 31566 RAILROAD CANYON ROAD MENIFEE, CA 92586 #682 Applicant Phone:9512440916 STEVEN SCHNIERER License Number. 955952 AIR FORCE ONE HEATING AND AIR INC 31566 RAILROAD CANYON ROAD #682 CANYON LAKE, CA 92587 Fee Description OOt Amount(Sl 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 Pernit_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 7000)of Division 3 of the Business and ❑I 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 GZp License No. By my signature below I acknowledge that,except for my personal residence Expires 3 31 19 Signature Jw+ry s2 in which l must have resided for at least one year prior to completion of improvements covered by this permit.)cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been consbucted in its entirety by ❑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 workers 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 www.leginfo.ca.goy/calaw.horil.permit is issued. Policy If Date �ave and will maintain workers compensation insurance,as required by JPROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which el4y 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.)agree to comply 7 et�y�b��r Carrier with all applicable city and county ordinances and state laws relating to Uv.elar•s.�r.}�r�_ building construction.l authorize representatives of this city or county to Policy#AN-Lzpo,&23r-ocrp Expires to1.9T'J% enter the above identified property for inspection purposes. (This section need not to be completed is the permit Is for oneone-hun �.r.,�y C��--mate it Lte dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑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# 035 S'48 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 Applicant �-�`^ �� Date '7 ll I\e mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS OYes 6940 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,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 CAo 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 1:11,40 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 I am exempt from the Contractors License Law for the reason(s)indicated below by the hpza California Health al Safety Code,Section 25505 and 25534 concerning rardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 O No Business and Professions Code).Any city or county that requires a permit to Date yl i'Al_ construct,alter,improve,demolish or repair any structure,prior to its PROPERTY 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 exempt from licensure receiving compensation for most work that disturbs paint in a pre-1976 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 or through their ❑1,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.eva.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 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. ❑No EPA Lead-Safe Certified Firm is required forthis project because: ❑1,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 rill out the RRP Acknowledgement - SAFETYAPPLICATION Menifee DATE 0 7/2 212 01 6 PERMIT/PLAN CHECK NUMBER 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 Replace 2.5 ton A/C&70,000 BTU Furnace City of Menffee PROJECT ADDRESS 28658 Wee Bum Way O( ep . ASSESSOR'S PARCEL NUMBER ' - \arJ (�q LOT TRACT Received as Marlene O OWNER NAME 9 ADDRESS 28658 Wee Burn Way Menifee,CA 92586 PHONE (951)309-1695 EMAIL APPLICANT NAME Steven Schnierer ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362 PHONE (818)735-7876 EMAIL CONTRACTOR'S NAME Air Force One Heating&Air OWNER BUILDER? ❑YES©NO BUSINESS NAME Air Force One Heating&Air ADDRESS 31566 Railroad Canyon Road 9682 Canyon Lake,CA 92587 PHONE (951)244-0916 EMAIL service@airforcelair.com CONTRACTOR'S STATE LIC NUMBER 955952 LICENSE CLASSIFICATION C20 VALUATION$ $7.917.00 SQ FT L SO,FT APPLICANT'S SIGNATURE DATE 07/22/2016 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN ` SMIP k INVOICE PAID AMOUNT AMOUNT •�� ��• �� 0CASH 0CHECK# CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT I --CASH 0 CHECK# <%CREDITCARD VISA/MC OWNER BUILDER VERIFIED C'YES NO DL NUMBER NOTARIZED LETTER 0 YES G NO City of Menifee Building&Safety Department 29714 Houn Rd. 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