Loading...
PMT16-04258 City of Menifee Permit No. PMT16-04258 29714 HAUN RD. Type: Residential Mechanical <ACCEI-ilt> MENIFEE, CA 92586 MENIFEE Date Issued: 12120/2016 P E R M I T Site Address: 28862 CAPANO BAY CT, MENIFEE,CA Parcel Number; 388-060-004 92584 Construction Cost: $8,500.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT,60,000 BTU FURNACE,60,000 BTU A/C Work: Owner Contractor STEVE HOAK RIZZO HEATING&AIR CONDITIONING 28862 CAPANO BAY COURT 29092 RAMBLING BROOKS CT MENIFEE, CA 92584 MENIFEE,CA 92585 Applicant Phone: 9516720397 ROXANNE EASLEY License Number: 349958 RIZZO HEATING&AIR CONDITIONING 29092 RAMBLING BROOKS CT MENIFEE, CA 92585 Fee Description Pty Amount($ 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 pennft 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. AkBIdg_Pemift—TempIate.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). Chapter9(commencing with section 7000)of Division 3 of the Business and Cr I am exempt from licensure under the Contractor's State Cicense Law for Professions Ca icense is in full force and effect. the followhig reason: ense u1cense-/I SZ By mysignature below I acknowledgethat except for my personal residence Expires Vpr Signature inwhich I musthave resided for at least one year prior to completion of improvements covered by this permit.I cannot legallysell a structure that I WORKEWS COMPENSATION DECLARATION have built as an owner-builder If it has not been constructed in its entirety by cs 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 com pensafilon,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the La bar Code,for the performance of work for which vvvvvv.IegInfo.ca.gcy/caIaw.html. this permit Is Issued. Policy# Date 'XI have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT geEfloss 3700 of the Labor Code,for the performance of the work for which 4 V 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 an the property OWIIEFS behalf.I have read this number are: applicatlian 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 City or county to Policy# VV I -119VI 2MIT d If d f ' Expires ,--essarrdre-alinve I enti te property or inspection purposes. Dateol 2,1-1(9_ N N T (doliam($100)or less -��PRORTYOW�NEROR U �RIZED AGE T This section need not to be completed Is the permit is for one-hundred Aartily that in the performance of the work for which this permit is Issued, 1111notemol any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If ()D ri5D worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION subject tbizAvarker'sxompensad In provisions of Section 3700 of the Labor Code,I I rovisions. Will the applicant or future building occupant handle hazardous material or a Applicant. Dat,,1- I mixture containing a hazardous material equal to orgreater thatthe amounts ecifted on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE"ER'S COMPENSATION COVERAGE IS cs Yes 9NO UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or furtu re building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,(300),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 SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguid lin CONSTRUCTION LENDING AGENCY 0 Yes 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 far the performance of the work which this permit is issued outer Is dary of a school? "Unc (Section 3097 Civil Code) u Yes 1-Ao OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD pe C"Ist;'llanderstand my requirements under the State of ec r I hereby affirm under penalty of perjury that I am exempt from the CaRT'nt,Heallil Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazVdaul_Tater'sal orting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Date Business and Professions Code).Any city,or county that requires a permit to construct,a Iter,improve,demolish or repair any structure,prior to its PROPERTY 6WNER ORAU IZED 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(RRP) 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 a Ileged exemption.Any violation of Section 7031.5 by residence or childcare facillitV to be RRP-certified firms and comply With a n Applicant for a permit subjects the applicant to a civil pena Ity of not mare required practices.This includes rental 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 sale employees.For mom information about EPA's Renovation Program visit: compensation,will do( I all of or( I portion of the work,and the structure IS www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LFAD(5323). Code,The ContractoesState License Law does not applyto an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employeee 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 Noz 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 Firm is required forthis project lodcause: D 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 with EPA RRP rule please rill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION "Menifee DATE �2 '0'lq PERMIT/PLAN CHECK NUMBERPMO - C�afv?. TYPE: OCOMMERCIAL �kESIDENTIAL � MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOUTION OELECTRICAL�<MECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK %)AC,, 00606 CUP Vanq V-�TU �00,0-JD N3,*9 M4 kx),= w PROJECTADDRESS ASSESSOR'S PARCEL NUMBER LOT TRACT OWNERNAME 0�-Qvp, City af 11denifoo ADDRESS Building & Safety Dept. PHONE EMAIL DEC 2 0 2016 APPLICANTNAME ADDRESS 7(AtDo Cot PHONE (�V )kUDLA�01--5+ EMAIL CONTRACTOR'S NAME OWNERBUILDEL? 0YESJkNO BUSINESS NAME ADDRESS '2qOoVl WAW)&rVA )bW7W- ki EMAIL PHONE 0115\ �nl ()L CONTRACTOWS STATE LIC NUMBER ;�LkqqSt LICENSE CLASSIFICATION VALUATION$ V-MIJ-0 SO FT L SO FT APPLICANT'S SIGNATURE DATE rci WS-TA---F-F"-U,-S-E,-O"N-,L,Y ULPARIMENI UlhIRIBUIUN CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN INVOICE PAID AMOUNT AMOUNT %0 � I zQ4. I t) CASH 0 CHECK It OCREDITCARD VISA/MC PLAN CHECK FEES I PAIDAMOUNT I I C)CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO City of Metiffee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofn7enifee.os inspection Request Line 9SI-246-6213 r) > > CL. z ID M @ n m 0 0 m 0 1 < 0 C) m o w 0 CD a m 0 71 m m m 0 rr 0 0 0 0 n m 0 0 o C C ;7F m n ao r(.D m 0 c 0 c(4 rn EL > > 0 M m w m c kA k 5 k ;d, z :;t Yn 0, 2 -- .0 1 m '0 n CL >1 m z 0 m m m a m m m m m 0 0 F, r) 0 m 'n CL 0 ;a F-. aR (M CL m FF 0 o w :E m 5S (D F;' m > w 0 0 m ai, EL :E Es m S: 0 El M :r 0 CL n M � 0 0 0 a 0 M- m c . 0 CD 0 m m w Pr Pt M m 0 3 13 99 0 3 r) > 0 0 0 m 0 0 0 Ln 0 (D IP 9 cl 0 FD 0 Qm m m CL m 0 0 A m m @ m a :0 . P. m Z n 0 m 0 CL 0 N > w n ri � = F, 0 - � a 0 0 > r) 3 m m z a 0 . 0 @ m m w (D 0 cl m z > b, Er 0 3 dF lo T 0 2- o 0 m z > =r 0 m > z 0 Q 0 =r 0 0 z m z ;t 0 n 0 m n X 0 90 m A m !2. M 22 m R 50 0 (D 3 0 0 1 - CL m 0 Ej. r) 3 3 0 71 E5 R @ (D R & > rl 19. C 9 0 o- K I n 3 WX m 0 G, CL L 0) L! 0 2 ELM 0) - i A C� C) co 00 0 F. 91 (n 9 m aw 4K k- m FE 02 n 0 0 3 0