PMT16-02782 City of Menifee Permit No.: PMT16-02782
29714 HAUN RD.
'5A—CCELA> MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 08124/201S
P E R M I T
Site Address: 29570 DUNKIRK ST, MENIFEE, CA 92586 Parcel Number: 338-255-007
Construction Cost: $9,500.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON A/C,90,000 BTU FURNACE HEAT PUMP&AIR HANDLER,SIDE YARD
Work:
Owner Contractor
MONICA CATALDI A PLUS GENERAL CONTRACTORS INC
29570 DUNKIRK ST 11330 KNOTT STREET
MENIFEE,CA 92586 GARDEN GROVE, CA 92841
Applicant Phone:7149010500
ROY DOMINGUF7 License Number.763154
A PLUS GENERAL CONTRACTORS INC
11330 KNOTT STREET
GARDEN GROVE, CA 92841
Fee Description Amount($1
Forced-Air or Gravity-Type Furnace or Burner 149.00
Air Handling/Condensing Units SFR 133.00
Building Permit Issuance 2TOO
GREEN FEE 1.00
General Plan Maintenance Fee-Mechanical 1 14.10
$324.10
The issuance of this permit shall not prevent the building offidal 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_Perrnit—TernpJate.rpt Page 1 of 1
CITY OF IVIENIFEE
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 Contractois State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and in I am exempt from licensure under the Contmacies State License Law for
Professions Code and my license is in full force and effect. the following mason:
License Classe ci 4 License No By my signature below I acknowledge that,except for my personal residence
Expires 7Si,natu,, 1Cr 7 in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION) improvements covered by this permit.I cannot lega Ity sell a structure that I
have built as an owner-builder if it has not been constructed in Its entirety by
a 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 workees 7044 of the Business and Professions Code,is available upon request when
cam pensation,issued by the Director of Industria I 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.leRinfo.ca.gov/czilaw.html.
;Pol 31? R —Date
�Irt-vll and will maintain workees compensation insurance,as required by pRfPER1_Y OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work ficirwhich ci 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 owner's beha If.I have read this
num ber are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
CarrierAMtt�-A th4&t_ A at,�-a iL4A)A,2zo__ building construction.I authorize representatives of this city or county to
Policy# W C 0 G I I Lt 1 177 was, ::�! _/_/�� enter the above identified property for inspection purposes.
(This section need not to be completed is the permit f Is for onehundred P-1(� !:� Date 6P
dollars($100)or less PR�JPERTY OWNER OR
o I certify that in the performance of the work for which this permit is issued, ��RIZED AGENT
lshallnotempi 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,I shall forthwith comply With those provi.sions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Date amounts specified on the Hazardous Materials Information Guide?
i:FAIL RETOSECUREWORKE MPENSATION COVERAGE IS a Yes o No
JL,A�SHALL SUBJECT AN E LOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applfca nt 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 3706 OF THE LABOR CODE,INTEREST,AN D A77ORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ciYes oNo
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 a No
OWNER BUILDER DECLARATIONS I have mad 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 California Health&Safety Code,Section 2S505 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 7031.5 oye 0 No
Business and Professions Code).Any city or county that requires a permit to —Date
construct,alter,improve,demolish or repair any structure,prior to Its PRrORTt-IOWNER OR AUTHO ENT
issuance,also requires the applicant for the permit to file a signed statement
RE
that he or she is licensed pursuant to the provisions of the Contmetoes State E RENOVATION.REPAIR AND PAINTING(RRPI
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 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
ci 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 I I all of or I )portion of the work,and the structure is www.epa.goy/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 Contractoes 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,th rough 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. u No EPA Lead-Safe Certified Firm is required for this project because:
a 1,as owner of the property a m 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 ru le please fill out the RRP
Acknowledgement.
& SAFETY PERM IT/PLAN CHECK APPLICATION
"'Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL J(RESIDENTIAL OMULTI-FAMILY OMOBILEHOME 0— POOLISPA OSIGN
SUBTYPE: OADDITION ALTERATION ODEMOLITION -- ELECTRICAL OMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Ped�eWf,> -
c- 3 7o,\) 1;/ /3 P- VA 9,0 -YL gr
PROJECTADDRESS,4(�E- ZQ DUA-XAK
ASSESSOR'S PARCEL NUMBER b0 LOT LM TRACT
OWNER NAME /140 �Uj'Cp+ CAT 0
ADDRESS o195-7e) Dq�akk 157-,
PHONE &j 3 EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILIDER? OYESONO
BUSINESS NAMEA PUL� LleG-, x)6 Y-At�- c DINA0
ADDRESS 8�3c) lKboZi 57� roAabw ro�� c--A 17,;.'�
PHONIC -- -D EMAIL
7/4) ��& -&-5 CX
CONTRACTOR'S STATE LIC NUMBER763z--5- LICENSE CLASSIFICATION C—d D-8
C:�,� �— I
VALUATION$ SO,FT L SQ FT
APPLICANT'S SIGNATURE DATE
GTYSTAFFUSEONLY
UhPAHIMENI DISIRIBUHUN Ito SMIP CITYOFMENIF BER
(01
BUILDING PLANNING ENGINEERING FIRE GREEN
INVOICE
AMOUNT 1?76'�0 PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISIVNIC
P PAIDAMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Deportment 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
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