PMT16-04003 City of Menifee Permit No.: PMT16-04003
29714 HAUN RD. Type: Residential Mechanical
<A_CCEO� MENIFEE,CA 92586
MENIFEE Date Issued: 12107/2016
P E R M I T
Site Address: 23941 VISTA WAY, MENI FEE, CA 92587 Parcel Number: 351-084-014
Construction Cost: $10,310.00
Existing Use: Proposed Use:
Description of REPLACE 4 TON A/C IN BACK YARD, COIL&80,000 BTU FURNACE IN CLOSET
Work:
Omer Contractor
KEVIN RENO A-AVIS PLUMBING HEATING&AIR CONDITIONING
23941 VISTA WAY INC
MENIFEE, CA 92587 600 EAST VALLEY BLVD
Applicant Phone: 9098253600
STEVEN SCHNIERER License Number.630503
A-AVIS PLUMBING HEATING&AIR CONDITIONING INC
600 EAST VALLEY BLVD
COLTON, CA 92324
Fee Description ON 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 bullicling 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.
Ao�._l31dg_Pem1LTernp1ate.rpt Page 1 of 1
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).
Chaptej'J(commencing wilth section 7000)of Division 3 of the Business and a I am exempt from ficensure under the Contractor's State License Law for
Professions Code a nd my license is in full force and effect. the following reason:
License Ciao UcenseNo. By my signature below I acknowledge that except for my personal residence
Expirol in which I must have resided for at least one year prior to completion of
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
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 mainta in a certificate of consent of self-insure for workers 7044 of the Business a nd 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 370D of the La bar Code,for the performance of work for which www.leginto.m.giry/calaw.litmi.
this permit is issued.
policy Date—
PROPERTY OWNER OR AUTHORIZED AGENT
and wil in k.r's pensati-ninsurimceasrequir"d by
for ft a . f
a Lam or com By my signature below I certifyto each of the following:I am theproperty
I have ?of I ma in '�ia By ml
S. -37 the to Cad the pe animce, h k 0"h h /;;? —
this permut's'o..cl My 'k. compensation ms..'m carrier and policy I .nror 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
Carrier !��t Ip'- a building construction.I authorize representatives of this city or county to
Ex '81SII--7 enter the above Identified property for inspection purposes.
Policy 0 'Alz4 Firm
(This section need not to be completed is the permit is for one-hundred ate czi )4c�
dollars($200)or less I
PROPERTY OWNER OR AUTHORIZED AGENT
a 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 became subject to the CITY BUSINESS LICENSE 9 07S(' r)& 0,
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 370D of the Labor
Code,I shall forthwith comply with those provisions. Will the a pplicant or future building occupant handle hazardous material or a
Applicant mixture containing a hazardous material equal to or greater that the
amountss cified on the Hazardous Materials Information Guide?
MLARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES �41'
Will trie intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modifintion from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR . yality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES farguidelfries
CONSTRUCTION LENDING AGENCY 0 Yes OAIQ-
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 113100 feet of the
lending agency for the performance of the work which this permit Is issued outer b u dary of a school?
(Section 3097 Civil Code) 0yesX
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 h zardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s ciplo
Business and Professions Code).Any citi,or county that requires a permit to A <�� 9 IL�
construct,alter,improve,demolish or repair any structum,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also req uhm the applimnt 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 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 childcam facility to be RRP-certiried firms and comply with
an Applicant for a permit subjects the applicant to a civil Pena Ity of not more required practices.This Includes rental property owners and property
than($Sf]O). managers who do the paInt-disturbing work themselves or through their
a 1,as owner of the property,or my employee with wages as their sale employees.For more information about EPXs Renovarion Program visit:
compensation,will do( )all of or I )portion of the work,and the structure is www.epa.goy/lead or contact the National Lead Inforniation Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractoes State License Law dam not apply to an owner of a ci An EPA Lead-Safe Certified Renovator will he responsible for this project
property who,through emplayees'or persona I effoM 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 Ms
not built or improved for the purpose of sale. m No EPA Lead-Safe Certified Firm is required for this project bemuse:
u 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business a nd Professions
Code:The Contractor's State License Law dam not apply to an owner of a If your project dam not comply with E PA RAP rule please fill out th e RRP
Acknowledgement
& SAFETY PERM IT/PLAN CHECK APPLICATION
�,-Wlenifee
DATE 12/06/2016 PERMIT/PLAN CHECK NUMBER
TYPE: F-ICOMMERCIAL [Z]RESIDENTIAL [-]MULTI-FAMILY F]MOBILEHOME F]POOL/SPA [-]SIGN
SUBTYPE: F]ADDITION E]ALTERATION F]DEMOUTION []ELECTRICAL [ZIMECHANICAL
F]NEWEIPLUMBING [-I RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 4 ton A/C in backyard,coil,&80,000 BTU ftimace in closet
PROJECTADDRESS 23941VIstaWay
ASSESSOR'S PARCEL NUMBER 094- O(Lf LOT TRACT
OWNER NAME Reno, Kevin
ADDRESS 23941 Vista Way Menifee, CA 92587
PHONE (951)522-6001 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME A-Avis Plumbing Heating&Air OWNERBUILDER? [-]YESZNO
BUSINESSNAME A-Avis Plumbing Heating&Air
ADDRESS 600 E Valley Blvd Colton, CA 92324
PHONE (909)825-3600 EMAIL
CONTRACT OR'S STATE LIC N UMBER 630503 LICENSE CLASSIFICATION C20
VALUATION$ $ 10,310.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 12/06/2016
CITY STAFF USE ONLY CITIOFMINIF BUSINESS LICENSE NUMBER
DEPARTMENT UIbTKIBUTIUN
BUILDING PLANNING ENGINEERING FIRE I GREEN �SMIP
INVOICE PAID AMOUNT
AMOUNT 50Lf-P 0 CASH 0 CHECK# 0 CREDIT CARD VISAIMC
PLAN CHECK FEES PAID AMOUNT 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED C)YES 0 No DILNUMBER 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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