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PMT16-03031 City of Menifee Permit No.: PMT16-03031 29714 HAUN RD. Type: Residential Mechanical '�A—CCELA—> MENIFEE, CA 92586 ... MENIFEE Date Issued: 09/13/2016 PERMIT Site Address: 26552 MEHAFFEY ST, MENIFEE, CA Parcel Number: 335-281-009 92586 Construction Cost; $9,300.00 Existing Use: Proposed Use: Description of HVAC REPLACEMENT,4 TON A/C,90,000 BTU FURNACE(ROOF)AND ALL DUCT WORK Work: Owner Contractor KAREN YOUNG W C HEATING&AIR CONDITIONING INC 26552 MEHAFFEY STREET 41085 GOLDEN GATE CIR MENIFEE,CA 92586 MURRIETA. CA 92552 Applicant Phone:9516000700 JILL WESTON License Number 779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description City Amount W 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 Administrative Fee 133 133.00 Administrative Fee 149 149.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Mechanical 1 14,10 $606.10 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of en-ors in the plans and specifications or from preventing builicling 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_Pemit Template.ript Page 1 of I 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 a I am exempt from[!censure under the Contractor's State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class C'Q(3 License No. By mysignature below I acknowledge that,except for mypersonal residence Expfres—_QS61 IL signature '��CQ L, t in which I must have resided for at least one year prior to completion of 0 improvements covered by this P21"MiL I cannot legally sell a structure that I WORKEWS 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 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 this permit is issued. vvvvvv.IeR[nfn.ca.gov/caIavv.htmI. Policy# Date ZI ave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT a,t�,on 3700 of the Labor Code,for the performance of the work for which 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 behalf.I have read this number 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 building construction.I authorize representatives of this elty or county to Policy# Expires 1 1�7 enter the above identified property forinspection purposes. (This section need notto be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ci 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 UCENSE# 0-36,�og, 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 Labo, Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater tha t the Applicant !�4'ii 1 Date amounts specified on the Hazardous Materials Information Guide? WARNING:FAVURETO SECURE WORKER'S COMPENSATION COVERAGE IS 0yes " UNLAWFUL,AND SHALL SUBJECrAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TOONE 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(SCACMD)?See pannitting checklist IN SECFICIN 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY oYes i�No 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) ci Yes 9wo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Coda,Section 25505 and 25534 concerning Contmctor'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 703M ciYes itflo Business and Professions Code).Any city or county that requires a permit to L, k3)A2&9n" Date construct,after,improve,demolish or repair any structure,priortoits NER OR AUTHORIZED AGE�� 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 Contra ctor's State EPA RENOVATION,REPAIR AND PAINTING(RRPj 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 l[censure 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 chililcima facility to be RRP-certifled firms and comply with an Applicant for a permit subjects the applicant to a chill 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 ci 1,as owner of the propeft or my employee With wages as theirsole employees.For mom information about EP9s Renovation Program visit. compensation,will do I )all of or( )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 Contractor's State License Law don not apply to an owner of a ci 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 ham the burden of proving that It was not built or improved for the purpose of sale. C1 No EPA Lead-Safe Certified Firm is required for this project because: ci 1,as owner of the property am exclusively contracting vidth licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's State License Law don not apply to an owner of a If your project does not comply With EPA RRP rule please fli I out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION "Menifee DATE 09/1212016 PERMIT/PLAIN CHECK NUMBER TYPE: 0 COMMERCIAL Z RESIDENTIAL F]MULTI-FAMILY F]MOBILE HOME 0 PCIOL/SPA E]SIGN SUBTYPE: F]ADDITION []ALTERATION F]DEMOLITION F]ELECTRICAL ZMECHANICAL FINEW F]PLUMBING F1 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK HVAC REPLACEMENT.4 TON A/C, 90,000 BTU FURNACE(ROOF);ALL DUCT WORK. PROJECTAIDDRESS 01�06W ASSESSOR'S PARCEL NUMBER -6W -SM- ocg� LOT TRACT PROPERTY OWNER'S NAME KARENYOUNG uIty ADDRESS 26552 MEHAFFEY Building DePt PHONE (951)501-9878 EMAIL APPLICANTNAME JILLWESTON ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO, CA92123 RE)CE)lVfd PHONE (619)384-6622 EMAIL CONTRACTOR'S NAME RUSSELLCOCHRAN OWNERBUILIDER? [:JYESRINO BUSINESSNAME 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$ $9,300.00 SQ FT 1813 L SQ FT APPLICANT'S SIGNATURE DATE CITY STAFF USE ONLY DEPARTMENT 111STRIBUTION CITY OF MENIFEE OU51NE55 CICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP INVOICE I I AMOUNT PAID AMOUNT LOCU to OCASH OCHECK# 0 CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER 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 m E N 0 ti m 66 < 0 m E > u u 0 i5 E a) 0 CV 0 u o a_ LLJ bD to w E 0 i7i 75 E E w .2 0 0 0 w W m z U ;z m E JT s W W :t! & r CL co a a 0 0 w to tLo c E > c (v M �o E M u c 3: 3: 0 a ca in C3 a: z > a 0 m E 0 .0 0 > 0 c 0 N 0 0 Ln c 0 o E 0 u u 0 E cr bo w 0 0 RT E 0 u 0 0 EU w 0 — u > 0 a w CL U V 0 u > E > E < 0 W 0 , 'a L) m 0 z w u a < :3 0 ba =i o m bl) r m Z; L� 0 2 s w m -a o 0 0 u E t2 w �p x u m .2 c CL < E w 0 m N :s 0 0 E 0 0 c E c r w w W 0 1 .2 0 E 0 FL u w w u — — H 0 M E E ,u 0 0 w W u 0 z a) 0 � .2 m r 2 0 'j c < -2 :2 t 14 z w 0 u x cn < m 0 66 L 0 PL� 2 d) o La ID m Ln E cr w CC m m E ua w r-I 0 U Ln Ln Do 0 v 0 0 0 u > W v bn bo a 0 E 0 0 a 0 �u �a 0 0 u E < E c a 76 0 (U E m S R u E 0 CL 0 c MW bD M u E sa W 0 CU 0 M L 0 v Ln 0 u u E :79 0 m r w E o' �2 sp U to 0 L 0 0 0 E �6 0 2 u w E xw (U > Ln 0 E u 0 21 u C -tt u m a 0 E .2 -W rx 0 0 0 0 aj 0 E 0 0 m U 1 0 cu u 0 m 0 a —M 0 CL 0 = E E m a) m bo < 0 d) m 0- ' W CL m 'o m M, 6 'L� m u E E CL 0 0 L) 0 1 M u u u 0 u E m 0 0 L: u CL u - u 0 M � 0 3: m 0 m u = u E E CL m E E,0 m D 0 .3 M z Ln m m z E 0 c 0 :L I :L u u u u < 0 M Ld -0 7a 0 z G 0 u Lb -a 0 C u u . u 0 E 0 0 u _0 0 u E U 0 m c CL EZ e 72 c 0 0 e Lb CL E B v 2 E2.9 .0 0 .2 o !2 S2 zS 'o % cc 0 0 u 'o > C 0 0 E E G > 0 E 0 :2 u m 5 , W c 0 u 'a t E r_ m 0) 2S 0 2 0 B. aa u u o 15 ,2 E r_ a2 u uj 0 0 E D E o 0 0 US 'm u is -0 cc w —0 U5 �u u 0 'm v E 6 a w 2 W .- UM M .2 E -a w 0 E u. 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