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PMT16-02897 City of Menifee Permit No.: PMT1 6-02897 29714 HAUN RD. Type: Residential Mechanical <A—CCF-LA—> MENIFEE, CA 92586 MENIFEE Date Issued: 08/3112016 P E R M I T Site Address: 27826 PANORAMA HILLS DR, MENIFEE, Parcel Number: 340-360-012 CA 92584 Construction Cost: $9,000.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT 3 TON Work: Owner Contractor ANNE TUNNELL GUARANTEED QUALITY RESTORATION INC 27826 PANORAMA HILLS DR 3001 REDHILL AVENUE MENIFEE,CA 92584 SUITE 6-107 Applicant Phone:7143893925 ISIDRO HERRERA License Number.,991810 GUARANTEED QUALITY RESTORATION INC 3001 REDHILL AVENUE SUITE 6-107 COSTA MESA, CA 92626 Fee Description Qtv Amount Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units SFR 1 13100 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_Permit-Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho builds or Improves thereon,and who contracts for the pmjects 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 cr I 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 Clam 9-0 —Lice0e No. By my signature below I acknowledge that,except for my personal residence Expires_%�t �Signture in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot lega lly 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 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 worker's 7044 of the Business and Professions Code,is available upon req uest when compensation,issued by the Director of Inclustria I Relations as p rovilded for this application is submitted or at the followmig website: by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.htmi. this permit Is issued. Policy# a F 67>q 93 PROPERTY OWNER OR AUTHORIZED AGENT Date ci I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certily 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 an the property owner's behalf.I have read this number are: application and the information I have provided is correct.I agree to comply 1p L)l 6A with all applicable city and county ordinances and state laws relating to Carrier blrt- ASOCICA building construction.I authorize representatives of this city or county to Policy# Expires 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 o I certify that in the performance of the work for which this permit is issued, Ishalinotempi any persons in any manner so as to become subject to the CITY BUSINESS UCENSE# 63'77_5 � 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 lyw those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the AppIk:ant._:=_%VX1Z ary'#V-0 Date A-1 amounts specified on the Hazardous Materials Information Guide7 WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes MT-� UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL F1 NES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a perm it 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 0 yes 9416 I hereby affirm that underthe 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) cr Yes An 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardou aterial reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 cryes rN, Business and Professions Code).Any city or county that requires a permit to I I I-'D J+lt Date 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair a nd 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 •nd 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 •n Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rento I 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 all of or( )portion of the work,and the structure is www.eva.goy/fead 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 Contractor's State License Law does not apply to an owner of a cr 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. o No EPA Lead-Safe Certified Firm is required for this project because: o 1,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 70",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 rule please fill out the RRP Acknowledgement. & SAFETY PERMIT/PLAN CHECK APPLICATION "Menifee DATE 6 PERMIT/PLAN CHECK NUMBER TYPE: OCOMMERCIAL 0"RESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION �ALTERATION ODEMOLITION OELECTRICAL OMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES— DESCRIPTION OF WORK J 00 PROJEcTADDRESS �2-7@�2-6 Pct"rrt-,�.a_ 4,L� ASSESSOR'S PARCEL NUMBER 15!fo - 000% LOT 10 TRACT 2152�_( OWNER NAME Ktt, _T_fA(tcjj , ADDRESS PcZjt)rt!!,, 1, PHONE EMAIL APPLICANT NAME 61 0 44A 94 ,riaes. ADDRESS �i 44 14 1o7 PHONE EMAIL CONTRACTOR'S NAME 61 Q 4�N A, /ag)L_�4dAbWNER BUILDER? rw�YES ONO BUSINESS NAME ADDRESS :300 11 Ut A It 6 5 L) ol PHONE �OC)) Zq_� EMAIL CONTRACTOR'S STATE LIC NUMBER 9?191() LICENSE CLASSIFICATION VALUATION$ Tca)0 Ie SQ FT I 1z C1 -7 LSQFT L= IGNATURC=—i#3;--��"LALC�—r-t3�'Te DATE 8-11 6 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CiTyOL&AEhUjF &I,5JE,15 LICENSE NUMBER 140 1 , BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP w)7 N INVOICE 10 PAIDAMOUNT AMOUNT OCASH OCHECK# 0 CREDIT CARD VISIVIVIC PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 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 City of Menifee Building & Safety Dept. AUG 3 1 2016 ) UALITY HEATING&AIR Received 3001 Red Hill Ave., Bldg. 6, Sz die 107, Job Site Plot Plan Costa Mesa, CA 92626 PH: 800-243-8108,FX 714-839-3928 (N Job Address: 'OdDKVI A City: m 5.) State: C14 Zip Code: Contractor: Guaranteed Quality Heating and Air U Contact: N ContactPhone: -/0 �z e7l C) n m r) > m m m c n r) 0 FD 0 UQ M 0 0 m m 0 Cr z 0 0 03 a CL a C rw m n IL 7 CD a 97- Lis a 6m z 3 El Om ra -2 0 E3 n b FD' n IA n 0 L27 ("D C, c z a 0 0 1 Ax I CL CD :0 0 w dq- 0 D 5. 0 3 0 0 0 n n w7a 91 0 1 0. FD FD EL m 93 0 CL M m iL 81 r) 0 w > C) n 0 = W > a) n 00 a = 0 0 > 3 o-, � R- c T � > 0 01 Fr z �i M.5 m 0 -Ei, w 0 m t� Fr m n 3 A V 5w Ei' 0� 0- n c m c 0 z > C: mn CR, (D 0 io gq no m > z z CR 0 3 nm -65 0 a I m 0 0 F, m v 0- CL m so 0 0 m iu. 0 4. n a� 0 0 ' m c 0 m 0 m ID 2L 0 on 4c ;01 > rl lu 3 0 7' 0 CL M M m OD C, co CD Lo 91 C9 2: w n - 0 m C? q. 3 0 0 A 0. 0 o M El 2 0 3 0 iN