PMT17-00331 City of Menifee Permit No.: PMT17-00331
29714 HAUN RD. Type: Residential Mechanical
�!-�CCEL/-> MENIFEE, CA 92586
MENIFEE Date Issued:
02/03/2017
PERMIT
Site Address: 28961 SNEAD DR, MENIFEE, CA 92586 Parcel Number: 337 385-015
Construction Cost: $10,000.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON A/C IN SIDE YARD, COIL&70,000 BTU FURNACE IN CLOSET
Work:
Owner Contractor
KAREN HINCHCLIFF TOTAL COMFORT INC
28961 SNEAD DR 390 E HARRISON STREET
MENIFEE, CA 92586 CORONA,CA 92879
Applicant Phone:9517352574
STEVEN SCHNIERER License Number: 935238
TOTAL COMFORT INC
390 E HARRISON STREET
CORONA,CA 92879
Fee Description Oft( Amount I$)
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.
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CITY OF MENIFEE
LICENSED DECLARATION property who bullds or improves thereon,and who contracts for the projects
with a licensed contractors)pursuant to the Contractors State license law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and a l am exempt from licensure under the Contractors State License law for
Professions Code and my license Is In full force and effect the following reason:
License Class C;:t7 Uceme No. �32�n� s By my signature below l acknowledge that,except for my personal residence
ExplreslMI 1-1 Signature �.....+rt� in which l 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 l 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 workers 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 following website:
by Section 370D of the labor Code,for the performance of work for which www,leeinfo.m.eov/calaw.html.
this permit is issued.
Policy g Date
,01 -
I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
sect n 3700 of the Labor Code,for the performance of the work for which By mysignature below l certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and Policy owner or authorized to actanthe property owners hehalf.l have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy G Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is forone-hundred C� ��—Bate G 1`z )(e
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
D 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 become subject to the CITY BUSINESS LICENSE N 07S hFE S
workers compensation laws ofCalifornia,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensathm provisions of Section 3700 of the Labor
Code,I shall fort Ilhch comply wnh those provisions. WiII the applicant or future building occupant handle hazardous material a r a
Applicant �l-w�-r�— Cl mate G I4 )b mixture containing a hazardous material equal to or greater that the
amounts tried on the Hazardous Materials Information Guide?
WARNING:FAILURETO SECUREWORKEWS COMPENSATION COVERAGE IS ayes /,gMo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the 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 far the construction or madifiation from South
ADDITION ON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED Coast Air quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideI'es
CONSTRUCTION LENDING AGENCY a 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 for the performance of the work which this permit is issued outer bo�u[p,�d�ory of a school?
(Section 3097 Civil Code) a Yes;Z
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjurythatlam exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concemfng
Contractor's License Law for the reason(s)indicated below by the \h}zardaus material reporting.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 �vns D No c
Business and Professions Code).Any city or county that requires a permit to ��/"`�" C„ ��--Date 9 l lt<
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 Contactors State EPA RENOVATION REPAIR AND PAINTING IRRPj
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contactors
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
an Applicant for a permit subjects the appicant to a civil penalty of not more required practices.This includes rental property,owners and property
than($S00). managers who do the palntwllsturbtng work themselves or through their
al,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()portion of the work,and the structure is www.em.nov/lead or contact the National Lead Information Center at
not Intended or offered for via.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contactors State Umnse taw does not apply to an owner of a D An EPA Lead Safe Certified Renovator will be responsible for this 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 Finn Certification No:
completion,the Owner-Builder will have the burden of proving that It was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
a 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 Sate 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.
SAFETYBUILDING & PERMIT/PLAN CHECK APPLICATIONt
`Menifee
DATE 02/03/2017 PERMIT/PLAN CHECK NUMBER I / ' C
TYPE: [—]COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ✓❑MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Replace 5 ton A/C inside yard, coil,&80,000 BTU furnace in closet
PROJECTADDRESS 31936 Constellation Drive yam,
ASSESSOR'S PARCEL NUMBER � /+ �W`� LOT J3 TRACT
OWNER NAME Rick Gonzales
ADDRESS 31936 Constellation Drive Sun City, CA 92586
PHONE (951)5005890 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362
PHONE (818)735-7876 EMAIL
CONTRACTOR'S NAME OWNERBUILDER? ❑YES❑✓NO
BUSINESS NAME A-Avis Plumbing, Heating,&Air
ADDRESS 600 E Valley Blvd Colton, CA 92324
PHONE (909)825-3600 EMAIL
CONTRACTOR'S STATE LIC NUMBER 630503 LICENSE CLASSIFICATION C20
VALUATION$ $ 16,03B.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 02/03/2017
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP
INVOICE IO PAIDAMOUNT
AMOUNT OCASH GCHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT i OCASH GCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES G NO DL NUMBER NOTARIZED LETTER O YES G NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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