PMT16-04307 City of Menifee Permit No.: PMT16-04307
29714 HAUN RD. Type: Residential Mechanical
<A-CCELA—> MENIFEE,CA92586
MENIFEE Date Issued: 12/2212016
PERMIT
Site Address: 3072B LAJOE ST, MENIFEE, CA 92584 Parcel Number: 360-433-033
Construction Cost: $3.000.00
Existing Use: Proposed Use:
Description of REPLACE CONDENSING UNIT ONLY
Work:
Omer Contractor
FREDDY MAC LIBERTY PLUMBING HEATING&AIR
5000 PLANO PKWY CONDITIONING INC.
CARLTON,TX 75010 39252 WINCHESTER ROAD#107-371
Applicant Phone:9517604215
JERRY HOWES License Number.761640
LIBERTY PLUMBING HEATING&AIR CONDITIONING INC
39252 WINCHESTER ROAD#107-371
MURRIETA,CA 92563
Fee Description City Amount($1
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 6.65
$167.65
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 building 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—Ternplatexpt Page I of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Ucensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class(LI& e-22b Ucens No. 7�= By my signature below I acknowledge that,except for my persona I residence
Expires Siginature"�7/� ��� in which I must have resided for at least one year prior to completion of
V Improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLAa1ON haw 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 followmg website:
by Section 3700 of the Labor Code,for the performance of work far which www.leRinfo.ca.gov/calaw.htmI.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
in I have and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's com pensation insurance ca rrier and policy owner or authorized to act an the property owner's behalf.I have read this
number a re: application and the information I have provided is correct.I agree to comply
Carrier AJOi2 1",JAP—b yAgopgA&r 'oloz,4�4 with all applicable city and county ordinances and state laws relating to
OV4 - building construction.I authorize representatives of this city or county to
Policy# LI&JO-72 �,36_-q -Expires -7.1n/11ol�?__ enter the a bove identified property for inspection purposes.
(This section need not to he completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
V("';fy 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 become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workerWmpensation provisions of Section 3700 of the Labor
Code,I shall fort c 1ppl ions. Will the applicant or future building occupant handle hazardous material or a
�7JXV Date-/,1./12, W mixture containing a hazardous material equal to orgreater that the
rr - — - /�/� amounts specified on the Hazardous Materials Information Guide?
WARNING:F;dLURE TO SECURE WORKEWS COMPENSATION COVERAGE IS a Yes o No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL11ES Will the intended use of the building by the applicant or future building
AN D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant req uire a perm it for the construction or modifiotion 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 forguidellnes
CONSTRUCTION LENDING AGENCY uYes oNo
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 for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes o No
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 perjurythat 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 haw placed next to the applicable item(s)(Section 7031.5 uYes ci No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY OWNER OR AUTHORIZED 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 alleged exemption.Any Violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
a n 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($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 EPA's Renovation Program visit:
compensation,will do( )all of or( I portion of the work,and the structure is www.epe.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible forthis project
property who,through employees'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 No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sa le. ci No EPA Lead-Safe Certified Firm is required for this project because:
ci 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 fill out the RRP
Acknowledgement.
A
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
�"",''-' 'Menlfee
DATE PERM IT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL QJ/RESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL WgIECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
City uT Menifee
BuIldina & Safety DE pt,
PROJECTADDRESS L'i-7—okT ��J DEC 2 2 2016
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME Lr- 4 Receiver
ADDRESS "—)L �4)e
PHONE EMAIL �
APPLICANTNAME i-i ,�,47-iloA b4, 1'2 7r,,Oel
ADDRESS jj4
PHONE C) EMAIL Z I L3EaJVt�0�1,,q 0 y,4 1400 . e�&4111/
7
CONTRACTOR'S NAME OWNER BUILDER? 0 YES WO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 76 LICENSE CLASSIFICATION
loon
VALUATION$ SQ FT L SO FT
�&� DATE
OTYSTAFFUSEONLY �Jll
DEPARTMENT DISTRIBUTIUN SMIP CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN
INVOICE PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
AMOUNT \ul-u 51 � Iko-1. U5 1
PLAN CHECK FEES I PAIDAMOUNT I I OCASH OCHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 No DLNUMBER NOTARIZEDLETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us inspection Request Line 951-246-6213
r) >
0 0 0 0 0 >
w OR. m m
rD v M X
@ z C) @ -1
fD w n M > :3
z
fD z 0 n
Ct n w
m z 0 0 0
m 0 0 a 0
m c m m I m
3 0 0 CL rcT T vi. 0
x w m
m
x 0
FD m F
> OQ M 0 0
ao
= r) >
M 0
z
n
0 0 m
>
m ID 77
CD 0
0 0 (D
0 0 C,
w 0
w
ft
3
m
(D
(D <
fD 3
n 0
0 n
0 0
0
<
0
!2
n 0
0 00 m X� N w
3 w
swoop
7D< 0 a z Z! 0 0 o
o :E :E
W C) m m FL M,
w I — —
m > S, 3
c: c: -V
0 F
0 M
rp M a
0
a 0
UQ Xv
(D
0
Do
CD jj
0
r�0 CD
> 0 —
CL
CO) 0
M
w
EF 0 D
6
ib
0
E O�
(D
1 0
6� R 3 (D
'r . CL
z m 3 0
I
0
(D
m 0
0 fo
FD. n 0
0 91 0 w
> n A, T o CL 0
T
7�
o
(D Er
0 0 3 OQ
(D (D
0 V)
0
<
(D
n fD fD
0
0 (D
fn <
1p M W
0 go 0 M 6 w (D 0
M
0 Ln
0 -C 2L
0 w
cu, (D 3
3
MB
17
m
0 0 m
M MD' 3:
0 9:
— , M E <
CL r)
m
0
>
n
(D Hi-
ET
M
0 C) zo '0 3 r) >
0
r)
6 2m
(D
0
n
0
m 0
rp
0
m
Ln 0
C� m
�j r)
b
0 0
pr
0
CL
0
G)
m
@ FL
c :0
rD'
0
0
n
0
m
0
0 0 w
g w > p
0 ;a E 0 w >
(D 0
C: 0
(D r
@
rD 0
n
> (D m
ct 0 0
0
F3, vi-
FD' m
n 0
>
n > >1 0
1L.
0 0
'm ID 0 z
0 0
0 90 1 w m
1 0 . . 0 w I F) r)
> ;I w L (D
F; 0
0 0
n - I
o
0
0 z 0
0
:3
ID zi m
0
0
z ID z
0 z z (D
Et 0 L) T 3 o (D
0
�D' 0
0 fD
01 M
<>
12.
Ep 0
CL
5
0
0 E- 'D 0
m
0 fD
r,) rQ
3 S
=n
>
Ul
7 OX
EL
C),
-4
0
rp
Z3 0
4z 5. 3 0
ET
Em 0 0
EL
0
0
3
m 0
0