PMT16-03060 City of Menifee Permit No.: PMT16-03060
29714 HAUN RD. Type: Residential Mechanical
'(;;.CCIEL/�> MENIFEE,CA 92586
MENIFEE Date Issued: 09/1612016
P E R M I T
Site Address: 29550 PAINTED DESERT DR, MENIFEE, Parcel Number: 340-170-031
CA 92584 Construction Cost: $9,300.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT,4 TON A/C(BACKYARD)AND 90,000 BTU FURNACE(ATTIC)
Work:
Owner Contractor
DOUGLAS CANTINE W C HEATING&AIR CONDITIONING INC
29550 PAINTED DESERT DRIVE 41085 GOLDEN GATE CIR
MENIFEE,CA 92584 MURRIETA, CA 92562
Applicant Phone: 9516000700
JILL WESTON License Number 779604
WC HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description City 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 buillding 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.Bidg_Permit Ternplaterpt Page 1 of 1
CITY OF MENIFEIE
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 Contractors5tate License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from ficensure 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,a 6 License No. :1_6 L66— By mysignature below I acknowledge that,except for my personal residence
Expires—QS61 IL Signature �VgL u�i�eckw? In which I must have resided for at least one year prior to completion of
0 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
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 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 vvvvvv.IeRinfio.ca.eoy1caIavv.html.
this permit is issued.
Policy# Date
-KII have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
�ection 3700 of the Labor Code,for the performance of the work for which 0 By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance ca rrier 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
wifth all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this City or county to
Policy#I&LOQ,-10 5 vvi_Expires ii. enterthe 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
a I certify that in the performance of the work for which this permit is issued,
Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 02-36 -�Q 2,
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 provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant �01 , kj)A_A,<� Date 'b- L% mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAWURE TO SECURE WORKERS COMPENSATION COVERAGE 15 a Yes "o
UNLAWFU L,AN D SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVI L FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,0013),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 SECHON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY ci Yes "a
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified faciflity 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 �Wo
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 Code,Section 25505 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 0yes "o
Business and Professions Code).Any city or county that requires a permit to kZ%,%L, Date -Lfz
construct,after,improve,demolish or repair any structure,prior to its PROPEFV—OWN ER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to th e provisions of the Contra clor's State EPA RENOVATION,REPAIR AND PAINTING(RRP)
Lioense Law(Chapter 9(COMMEnciing with Section 7000)of Division 3 of the The EPA Renovattion,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 7031.5 by residence or childure facility to be RRP-certiried 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
o 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPKS Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.Fowrlead 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 Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator Will be responsible for this project
property who,through emp[Dyeee or personal effort,builds or Improves the
property provided that the improvements am not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold wisthin 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. a No EPA Lead-Safe Certified Finn is required for this project because;
a 1,as owner of the property am 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 wifth EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
""'Menifee
DATE 09/13/2016 PERM IT/PLAN CHECK NUMBER
TYPE: F—ICOMMERCIAL FIRESIDENTIAL [-]MULTI-FAMILY F]MOBILEHOME EIPOOL/SPA []SIGN
SUBTYPE: [—]ADDITION F]ALTERATION F]DEMOLITION []ELECTRICAL ZMECHANICAL
E]NEWE]PLUMBING [_1 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK HVAC REPLACEMENT.4 TON A/C (BACKYARD),90K BTU FURNACE(ATTIC)
PROJECTAIDDRESS 29550 PAINTED DESERT 9Q:2"
ASSESSOR'S PARCEL NUMBER 5L4t) - 110 - 0& LOT — TRAfflt" �f -h-A- nifna
PROPERTY OWNER'S NAME DOUG CANTINE Building Dept
ADDRESS 29550 PAINTED DESERT SEP 14 2016
PHONE (951)294-8881 EMAIL Received
APPLICANTNAME JILLWESTON
ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO, CA92123
PHONE (619)384-6622 EMAIL
CONTRACTOR'S NAME RUSSELLCOCHRAN OWNERBUILDER? OYESRINO
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 $ 01wo SQ FT L SO FT
APPLICANT'S SIGNATURE DATE
-CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE I
AMOUNT 0!4.10 � PAID AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISAIMC
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
FL c n > m > n
0 0 0 0 0 M . I X m
m w �4 w w C,
x z r$ >
(D w 0 rD m 0 r)
rD z
3 rl r) El� @ >
0 3 0 0 — H
0 0 CL 3
:3 m R 0
0 a am z m 0
0 0 , >
X 0 3
m
x 0 m m 0
MD' 0 C)
n 0
aq r) 0 >
M 0 LA (D A! z
m
(D 3
rD rD
tr
(D
D.
rD
m rD
0
CL
iD' 0
m m
(D m
tx
(D
(D 3
0
0
0
0 tA 0
0
m UQ
DO ui*
0
0 a 0 0 0
0 0
0 0, a z 0 0 w 0
m UQ
m m m EL F F
tr — — m
:E — — S. m rL m
m > CL
w
r)
3 0
c c V
M
m onq
0 F n z
0 c
Z3
1p n 0
CL rm;
CL 3
:E CL 0
m A: 0
(D
o
m
C)
tp
rb
0
z a C-f
G) 0 w
M rr
cl
r,: CD
CD 2� CL
C7 (D 0
0 m
m @ CD
3
CD
rD
CL
m
- ± 6
rn
0
M
In z o
m
0
T D T T 0 1- 1 -
o m
05, M >1
z
c m m m a
3
0 m
3
3
m o
M > IA 0 0
0 2 L�
m 91 0 m do N
3 3
> m m :F , ZR " 0
ct
IA 0
w
> IA I
zz. k fR, - 0
w rb E 0 0
0 w �
3 0 M IT 3 M= > cm
M Im
rD rD :E @ FF 3 3 TS M 0 W
0 _0 0 N IV . . . . 0 m a w
a - , - I , - D m =
In - - m
M, M�
0 m 0 mm
o M In
'm 0 1., 0
IrD IMP :E 0
< .
Ln
M�
a
c
0
m a o EL
m Lm ID M IM
m 0 m 0
C 0 c m Im
m M z
0 ILA m - M m I. m
� m
r) -4 * �� Ul
0 <
3 .
rL m . =.
m = - K , IT
3 @ - * X - tr
al 0 m
F 3
m
an Tm
IF. I
0 0
0
0
EA > 0
0 m 0 n @ 0
0
Ul m 0
5- 0 0 3 3 >
o .0 0
m M
06
(M 9L
CD CD
m m
IM
3 a
LA
91 Im
9 co
0
0
0
CL fD
TS Ul IM 0
0 0
G)
F
rn m m c m
E m z
IT m m
a m Er :E
m
IT
o 03 im
IT
0 r)
w < ta m
m z F
m
K n � > >
C::1�
W a 0 0 M a 0 0 0
S� 3 0 �, n
m 0
m
v 0 v rD a n
- 15
0
z
li5 G) sl m
I - M ui G)
0 >
9.0 0
'. q � ET 0 0
z > -0 M z >
z
z > 0
m r) m r
MD 0
0 3 r)
z m ID
F5
FD m o n
aj a m
M
w
0 n
w 4e
m r)
3 - q r) 0
F
13 Ln
0 m
r; M
rD
m Q
(D 3
am m
n
0
3 0
CD
z
o o
2L
6 T o m
0 0
3 p -
V, M- <
0 , i; >
0 m n
r
EF
S. ar n 3
w �T 0 m
jF w
vi CL
D 0
3
<
N) L!
0. 0
6) m
m 0) (D
!E CD m
3
n
0
Cl) 3
0
co
3
1p
FD
EL M- a
3
5. 3
Er
QJ
Er
o 3 0
r)
>
RL
n
m