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PMT16-04267 City of Menifee Permit No.: PMT16-04267 29714 HAUN RD. Type: Residential Mechanical <A-CCELA—> MENIFEE,CA 92586 MENIFEE Date Issued: 12/2112016 P E R M I T Site Address: 26490 JAMESTOWN DR, MENIFEE, CA Parcel Number: 337-162-017 92586 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of REPLACE 2.5 TON HEAT PUMP PACKAGE UNIT Work: Owner Contractor DARLENE NEED AIR FORCE ONE HEATING AND AIR ING 26490 JAMESTOWN DR 31566 RAILROAD CANYON ROAD MENIFEE, CA 92586 #682 Applicant Phone:9512440916 STEVEN SCHNIERER License Number: 955952 AIR FORCE ONE HEATING AND AIR INC 31566 RAILROAD CANYON ROAD #682 CANYON LAKE, CA 92587 Fee Description QtV 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 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. AkBidgPermit Template.rpt Page 1 of 1 MY OF MENIFEE LICENSED DECLARATION propertywho buildsorlinproves thereon,and whocantracts hirtheprojects I herrabyraffirrin under penalty of peijurythat I am under provEsions of with a licansedcrantradhar(s)purstnuittDIbeContructors State Ifterase Law). Chaptmr9(commencing with sectliar,70013)afDivWton 3 rafthe Business and a I am exempt from Rce"ure under the Contractoesstate License Low for Prornslons Code and my theme Is in full force and effect. the following mason: License Ciao (77—tD License No. 9�47-2- By mysignature below I acknowledge that,except for nrypersonalresidence Expires 31'S1 I I P, Signature In which I must have resided for at lent one year�riorlo completionof Improvements covered by this permit.I cannot legallyselia struoure that I WORKER'S COMPENSATION DECLARATION have built2s;an awnw-buiderifithas not been constructed in[Is enrinety by a I hereby affum under penal"fperjury one ofthe following declarations:I licensed contractors.I understand that a copy ofilm applicable law,Section have and will maintain a certificate of consent ofself-insure for worker's 7044 of the Business and Prarbolons Code,Is available upon request when compensation,issued by the Director ofindustdal Relations as provided for this application is submitted or at the following wabs?te: by Section 3700 ofthe Labor Code,for the performance afivark for which wwwleeinfa.m.govIcalaw.himl. this permit Is Issued. Policy N PROPERTY OWNER ORAUTHORIZEDAGENT Date— Ahave and will maintain vvorker�s compensation Insurance,as required by ( mysignature below I cer MI to each ofthe Rillowin:1 am the property section 37DD of the Labor Code,for the performance ofthe work forwhIch A this permit Is issued.My workees compensation Inswrance carderand policy awnuor authorized to acton theproperly owners 111001L I haveread this numberare: application and the information I have provided is correct I agree ticomply with all applicable cinyand county ordinances and state lam relating to Carrier building consuruction.I authorize representatives ofthis city OrcountYlki Expires I enter the above Identified Property for inspection purposes. (This section need not to be completed Is the permit is for one-hundred ":7— 4 1 Date )S )(- dollars($100)or less PROPERTY OWNER ORAUTHORIZFD AGENT ca I certify that in the performance of the work forwhich this permit is Issued, I shall not emu any persons in any manner so as to became subject to the CITY BUSINESS LICENSE 9 worker's compensation laws ofCalifiennia,and agree that fit should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions ofSection 3700 of the Labor code,I shall forthwith cGmplywltb those provisions. Will the applicant or future building occupant handle hazardous material ora Applicant "�;Czzz'-Mr— Date naticture containing a�anrdmus material equal to orgmater thatthe amoun"ecified an the Hazardous Materials Infarrialkin Guide? MWLARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 a yesdi"No UNLAWFUL,AN13 SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the Intended use ofthe building by the appfficant or future balding AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($10D,000),IN occupant require 2 permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAG ES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See purnitting checklist IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES fbrgu-d R AS CONSTRUCTION LENDING AGENCY a Yes I hereby affirm that under the penalty ol'perjury there Is a construction Will the proposed building or modified facility be within IBOD feet afthe lending agency for the performance of the work which this permit is Issued outer bmuoaly ofa school? (Section 3097 CMI Code) Oyu"'Pke OWNER BUILDER DECLARATIONS I have mad the Hazardous Material Information Guide and the SCAQMO permitting checklist I understand my requirements under the State of I hereby affurn under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors Liceriare Law for the reason(s)Indicated below by the byzardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 703LS Business and Professhans;Code).Any city or county that requhn a permit to Date UJIZSJI(� constmict,alter,Improve,demolish or repair any stnicture,prior to its PROPERTYDWNERORAUTHORIZEDAGENT Issuance,also requires the applicant for the permit to file 2 signed statement that he or she is licensed pursuant to the provision ofthe Contiactor's State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe The EPA Renovation,Repau and Painting(RRP)Rule requires contractors Business and Prafrokins Code)or that he orshe Is exempt from]!censure receiving compensation for most work that disturbs paint in a pm-1978 and the has%for the alleged exemption.Any Violation ofSecthm 7032.5 by residence or childom facility to be RRP-certlfied firmsand complymith an Applicant for a permit subjects th e applicant to a civil penalty of not More required practices.This Includes rental property owners and property than($500). managemwho do the paht-dfishurbingwork therruelvesorthroughtheir z,1,as owner ofthe property,or my employee with wages as theirsale employees.For m6m information about EPK5 Renovation Program visit: compensation,will do( )211 of or()portion ofthe work,and the structure Is www.epa.grayllead or contact the National Lead Information Centerat nut intended or offered for sale.(Section 7044,Business and Professions 1.800-424-LEAD(5323). Ccde;The Contraicher's State License Law don notapply to an owner ofe ar An EPA Lead-Safe Certified Renovatcarvilil be responsible for thisproject property who,through employeesor personal effort,builds crimpromes the property provided that the hopr(amonEno am nothatended or offered for Certified Firm Name: sale.if,however,the building or Improvement Is said within one yearof Firm Certificat'ran No.: completion,the Owner-BuIlderwill have the burden of proving that it was not built or improved for the purpose ofsale. a No EPA Lead-Safe Certified Firm Is required for this project because: cr 1,as owner ofthe property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor'sSlate License Law don not apply to an owner of a Ifyour project don not complywith EPA RRP rule please fill out the RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION ..... DATE 12/21/2016 PERMIT/PLAN CHECK NUMBER TYPE: F-1 COMMERCIAL RESIDENTIAL [—]MULTI-FAMILY F]MOBILE HOME E]POOL/SPA E]SIGN SUBTYPE: [—]ADDITION F]ALTERATION F]DEMOUTION F -AL ]ELECTRICAL [Z]MECHANIC F]NEW E]PLUMBING F1 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace 2.5 ton heat pump package unit PROJECTADDRESS 26490 Jamestown Drive ASSESSOR'S PARCEL NUMBER 337-162-017 LOT 36 TRACT 3527 OWNER NAME Need,Darlene ADDRESS 26490 Jamestown Drive Sun City,CA 92586 PHONE (951)235-9270 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 Air Force One Heating&Air OWNERBUILDER? [—]YESZNO BUSINESSNAME Air Force One Heating&Air ADDRESS 31566 Railroad Canyon Road#682 Canyon Lake,CA 92687 PHONE (951)244-0916 EMAIL service@airforcelair.com CONTRACTOR'S STATE LIC NUMBER 955952 LICENSE CLASSIFICATION C20 VALUATION $ $8,000.00 SO FT 1,344 L SO FT 6,970 APPLICANT'S SIGNATURE DATE 1212112016 CITY STAFF USE ONLY DEPARTMENT LAYFRIBUTION LI I Y Ul-MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING E�EERING FiRE I GREEN SIVIIPT � INVOICE PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC AMOUNT 1,6A I I PLAN CHECK FEES AIDAMOUNT Pj 1 0 CASH 0 CHECK# C'CREDITCARD 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.as Inspection Request Line 951-246-6213 n n > m S m x z @ 0 0 > ID a, m 0 0 M 0 z rdv > 4N 0 an 0 M 0 M m CL qQ. go c 0 7i 3 q cr CD m 0 a w 0 0, a E EL r. 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