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
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