PMT16-02512 City of Menifee Permit No.: PMT16-02512
29714 HAUN RD. Type: Residential Mechanical
<A_CCEL/_> MEN IFEE, CA 92586
MENIFEE Date Issued:
08I05l2016
PERMIT
Site Address: 31477 HALLWOOD CT, MENIFEE,CA Parcel Number: 372-032-012
92584 - Construction Cost: $9,200.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT,5 TON A/C(RIGHT SIDE YARD)AND 90,00 BTU FURNACE(CLOSET)
Work:
Owner Contractor
AARON GRANT W C HEATING&AIR CONDITIONING INC
31477 HALLWOOD 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
MURRIETA, CA 92562
Fee Description Qtv Amount IEI
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 carried 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_Pennit 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(commencfng with section 7000)of Division 3 of the,Business and ❑l 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 r-16 License No.1—)Q �iC�� By my signature below l acknowledge that,except for mypersonal residence
Expires `Sri tLi
signature _ L, t6a/- Y in which i must have resided for at least one year prior to completion of
V 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
o 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 mnsent 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 or work for which www.IeRinfo.ca.gov/caIaw.htmI.permit is issued. ynv
Policy# Date
rII have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
4edion 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
number are: �66 __ application and the information I have provided is correct.I agree to comply
CarriergGlrICSI LLCC, 1'Y-iGlln�t� with all applicable city and county ordinances and state laws relating to
4 building construction.I authorize representatives of this city or county to
Policy# Ocwe 10 yl(1 Expires 1%% �L7 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
c 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#
workers compensation laws of California,and agree that if l 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
Applicant Date r7 $' (� 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 ❑Yes "
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(SCAQMD)?See permitting checklist
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY DYES "0
hereby affirm 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) oYes �Wo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that lam exempt from the
Contractors License Law for the reason(s)Indicated below by the hazardous
Health alSafety Code,Section 25505 and 25539 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 Dyes ¢5qo
Business and Professions Code).Any city or county that requires a permit to % k1� Date
construct,alter,improve,demolish or repair any structure,priorto its PROPE 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 orshe 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 7032.5 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
a1,as ownerof the property,ormyemployee 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 1-80D-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of 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 offeredfor 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 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
C APPLICATION
Menifee
DATE 08/03/2016 PERMIT/PLAN CHECK NUMBER fj
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA [-]SIGN
SUBTYPE: [-]ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW ❑PLUMBING [-IRE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK HVAC REPLACEMENT. 5 TON A/C(RIGHTSIDE YARD),90,000 BTU FURNACE(CLOSET)
PROJECT ADDRESS 31477 HALLWOOD CT
ASSESSOR'S PARCEL NUMBER 3�-0ZQ-O%Z LOT TRACT
PROPERTY OWNER'S NAME AARON GRANT
ADDRESS 31477 HALLWOOD CT, MENIFEE CA 92584 City of Menifee
Bul Ing
PHONE (951)306-4401 EMAIL
APPLICANT NAME JILL WESTON AUG 0 3 20%
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO,CA 92123 Reeeived
PHONE (619)384-6622 EMAIL
CONTRACTOR'S NAME RUSSELL COCHRAN OWNER BUILDER? ❑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$ OQOO SO FT L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION y CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT ,10 O CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 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 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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