PMT16-02805 City of Menifee Permit No.: PMT16-02805
29714 HAUN RD. Type: Residential Mechanical
<ACCr=uA> MENIFEE,CA 92586
MENIFEE Date Issued: 08/30/2016
P E R M I T
Site Address: 29486 CATANO RD, MENIFEE, CA 92586 Parcel Number: 339-222-005
Construction Cost: $4,595.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT CARRIER 1.5 TON, 15 SEER, SINGLE STAGE R41 OA HEAT PUMP SPLIT
Work: SYSTEM
Owner Contractor
LINDA CONAWAY MONKS AIR CONDITIONING
29486 CATANO RD P 0 BOX 128
MENIFEE,CA 92586 SUN CITY, CA 92586
Applicant Phone:9516794502
GARY MONK License Number: 912194
MONKS AIR CONDITIONING
P 0 BOX 128
SUN CITY, CA 92586
Fee Description Qtv Amount
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__131dg_Permit-Ternp1aterpt Page I of 1
City Of Menifee
LICENSED DECLARATION 0 lam exempt from Ilcensure under the Contractors'State License Law for 0
1 hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing With section 7000)of Division 3 of the Business and By my signature below I acknowledge that except for my personal residence
Professions Code conse Is In full force an eff which I must have resided for at least one year prior to completion
License Class LIcens No. 2- Improvements covered by this permit,I cannot legally sell a structure that I he
Expires Signatu built as an owner-bufli ding if it has not bean constructed In Its entirety by 11cans.
contractors. I understand that a copy of the applicable Law,Section 7044 of t
WORKERS'COMPENSATION DECLARATION Business and Professions Code.Is available upon request when this application
submitted or at the following Web�sfte:
0 1 hereby adfirrif under penalty of perjury one of the following declarations: http)NAvwiminfo.m.goytc�lawhtmi.
I have and will maintain a cerlifficate of consent of saff-Insure for Workers!
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 370D of the Labor Code,for the performance of w6rk for which this
permit Is Issued. Property Owner orAuthorized Agent
Policy# 0 By my Signature below, I certify to each of the following: I am the prope
)5( 1 have and will maintain woftrEV compensation insurance, as required by owner or authorized to act on the property owners behalf. I have read 0
section 3700 of the Labor Code, for the performance of the Work for which this application and the Information I have provided Is correct I agree to coml
permit Is issued.My workers'compensation Insumnoe carder and policy number am: with all applicable city and county ordinances and state laws relating to buildl
construction.I authorize representatives of this city or county to enter the abD%
Carder Identified property for the Inspection purposes.
Policy#if 2-72W- 1'2— Expires Property Omer or Authorized Agent —Date
(This section need not be completed If the permit Is for City Business License# 0:55(0-79
one-hundred dollars($100)or less)
4 1 cardly that in the performance of the work for which this permit Is Issued,I HAZARDOUS MATERIAL DECLARATION
shall not emplo any persons In any manner so as to beoorne subject to the Will the applicant or future building occupant handle hazardous material or
wollikers'compensation laws of California,and agree that If I should become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 of the Labor amounts eciffed on the Hazardous Materials Information Guide?
Code,I shall I mply With those provisions. DYES VN'O
AppI10> Date; Will the Intended use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checkli
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES )(NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the out
DAMAGES AS PROVIDED FORAN SECTION 3706 OF THE boundalol a school?
LABOR CODE,INTEREST,AND ATTORNEYS FEES OY NO
CONSTRUCTION LENDING AGEN I have read the Hazardous Material Information Guide and the SCAOMD
I hereby affirm that under the penalty of perjury there Is a construction lending permitting checklist.I understand my requirements under the State of
agency for the performance of the work which this permit Is Issued(Section California Health A Safety a,Section 25505 and 25534 concerning
3097 Civil Code) hazardous mate I rel Ord
OWNER BUILDER DECLARATIONS 11YES0 NO
I hereby affirm under penallty of perjury that I am exempt from the Contractor's ff7 —Date
License Law for the reason(s)Indicated below by the checkmark(s)I have placed PRAR�OdNl&_01(AUTHORIZED AGENT
next to the applicable Item(s)(Section 7031.5.Business and Professions Code:
Any city or county that requires a permit to construct.after. Improve,demolish. EPA RENOVATION,REPAIR AND PAINTING flRRPI
or repair any structure,prior to its issuance.also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint In a pre-1978
Section 7000).of Division 3 of the-Businjass and Professions Code)or that he or residence or childcare facility to be RRID-certified firms and comply with
she Is exempt from Jlcensure and the basis f6r the alleged exemption. Any required practices.This Includes rental property owners and property
violation of Section 7031.5 by any Applicant for.a permit subjects the applicant to managers who do the paint-disturblng�vork themselves or through their
a civil penalty of not mom than($500j.y employees.For more Information about EPA's Renovation Program visit:
www.epa.govAead or contact the National Lead Inficrimston Center at
1. as owner of the propeft or my employees with wages as their sole 1-800424-LEAD(5323).
compensation,Will do I I all of or 1 1,porting of the Work,and the structure is
not Intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property 13 An EPA Lead-Safe Certified Renovator will be responsible for this projec
who, through employees� or personal effort; builds or Improves the property,
provided that the improvements are not Intended or offered for sale.If.however. Certified Firm Name:
the building or Improvement Is sold Within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or Improved for the
pumse of sale). Firm Certification No.:
0 1, as owner of the property a.n exclusively contracting With licensed 0 No EPALead-SafeCerUfled Firm Is required forthis project because:
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply W an owner of a property
who builds or Improves thereon, and who contracts for the projects with a
I .......1---------11 "-.- —------ —., .1......... .11 DOD
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
"I 'Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE:' 0 CO�MER�LAL )(RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOLJSPA 0 SIGN
SUBTYPE: OADDITION OALTERATION CDEMOUTION OELECTRICAL JKMECHANICAL
CNEW OPLUMBING ORE-ROOF-NUMBEROFSQUARES�
DESCRIP-nONOFWOR-.' CIV All+ C(-
,Lj-vj,0 (- I . s- 15 0
51 12 + - (s f�,�< 5 A
L, 7' -"4� ,
PROJECTADDRESS C-A OZSIL4
ASSESSOR'S PARCEL NUMBER 33cr 7� C)06� LOT TRACT
OWNERNAME " j/jd (j) CC)n n i � 20 � J,
ADDRESS �5r� ,nj 0 C( C�- 2�b CT-7 �� I
PHONE (q I:ZD-7 EMAIL
APPLICANT NAME rJ/1
-,C--M-�
ADDRES53bs-;50 MUY*-),�� lzde tr�, CA
PHONE rqV) (r1:7 5CX2- EMAILIrrion K50 I v-tD cbrn
CONTRACTOR'S NAME 0 YES.�140
OWN
BUSINESSNAME MOnV--16 A�ir- Cbndihbr) 1'
i
ADDRESS f Lknj,fe-o I Q25314
-ion le rD -%
PHONENQ� (;Iq� 4, n9- EMAIL ry -sa:l r a 9 C-D ry
COKTRACrOR'S STATE LIC NUMBER P12-1C114 — LICENSE CLASSIFICATION C2_0
VALUATION SO FT L SO FT
APPLICANVS DATE
CITYSTAFF USE ONLY
DEPARTMENT DISMIBUTION MENIFEE BUSINESS UCENSE NUMBER
'IS
B U,
IRLDING PLANNING ENGINEERWIG FIRE GREEN MIP
4
INVOICE PAIDAMOUNT CHECK# 0 CREDIT CARD VISA/MC
AMOUNT 1 0 CASH 0
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK N 0 CREDIT CARD vLWmc
OWNER BUILDER VERIFIED 0 YES 0 NO IBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line.951-246-6213
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FCERTIFICATE OF COMPLIANCE
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC)
Documentation Author's Declaration Statement
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Monk,Gary Documentation Author Signature: 06
Company: Signature Date:
MONK'S AIR CONDITIONING 2016-08-25 18:59:59
'Address: CEA/HERS Certification Identification(if app
30530 Murrieta Road
city/State/zlp; Phone:
menifee CA 92584 951-679-4502
Responsible Person's Declaration statement
I certifythe following under penaltyofperjuM underthe lawsof theState of California:
2. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on
3. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or system ck
requirements of Title 24,Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided
calculations,plans and specifications submitted to the enforcementagency for apProval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available With the building permit(s)issued for the building,ar
inspections.I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder
Responsible Designer Name: Responsible Deslin 7 erSIgna;u-re;
Monk,Gary
Company: 0
DateSigned:
MONK'S AIR CONDITIONING 2016-08-25 18:59:59
Address: License:
30530 Murrieta Road 912194
City/State/Zip: Phone:
Menifee CA 92584 951-679-4502
Digitally signedby Ca[CERTS, This digilals;gnature isprovidedin order to secure 1he content of this regisiereddocumenn,andin no way;mplies Registratio,
Registration Number:216-AG318642A-000000000-0000 Registration Date/Time: 2016-08-25 18:59:59
CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007
Schema Version:0.555SCID