PMT17-01080 City of Menifee Permit No.: PMT17-01080
29714 HAUN RD.
"ACCELA_. MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 04/12/2017
PERMIT
Site Address: 28777 MILL BRIDGE DR, MENIFEE, CA Parcel Number: 364-151-017
92584 Construction Cost: $5,500.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON A/C, COIL&60,000 BTU FURNACE
Work:
Owner Contractor
LEONARD GRILL ENERGY EXPERTS
28777 MILL BRIDGE DR 29405 STAMPEDE WAY
MENIFEE,CA 92584 CANYON LAKE, CA 92587
Applicant Phone: 9514452325
STEVEN SCHNIERER License Number.546327
ENERGY EXPERTS
29405 STAMPEDE WAY
CANYON LAKE, CA 92587
Fee Description Div Amount lSl
Foroed-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.
AA_Bldg Permit Template.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 o 1 am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class Czp License No.5`1G32---7 By my signature below 1 acknowledge that,except for my personal residence
Expires 131 1 I Signature Sxr. Z. — cZ ,� in which I 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 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 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 3700 of the Labor Code,for the performance of work for which ,,vww,leeinfo.ca.zov/calaw.html.
this permit is issued.
Policy# Date
}��,j h 0ave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
�
'�section 3700 of the Labor Code,for the performance of the work for which 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 owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier k kh with all applicable city and county ordinances and state laws relating to
a+r 5 rc�� a n.,.s� building construction.I authorize representatives of this city or county to
Policy# rl c3 W c.7 33231 Expires a 1--11� enter the above identified property for inspection purposes.
(Thissection need notto be completed isthe permit isforone-hundred ��2 , Date 1 I�
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
a I certify that in the performance of the work for which this permit is issued,
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 025qz}g6
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or
mixture containing a hazardous material equal to or greater that the
Applicant"Su=<SZ Date IZ- t�7 amounts—sr�ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes �flo
UNLAWFUL,AND SHALLSUB1ECi 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 for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Alr Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli es
CONSTRUCTION LENDING AGENCY o Yes !do
1 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 bou�}dary of a school?
(Section 3097 Civil Code) ❑Yes aJJ.
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License law for the reason(s)indicted below by the California Health&Safety Code,Section 25505 and 25534 concerning
rdous material reporting.
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 ha
es o No
Business and Professions Code).Any city or county that requires a permit to Date `) 1 lz i-7
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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License law(Chapter9(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 7032.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty 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 I,as owner of the property,or my employee with wages as theirsole 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.epa.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 Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will he 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 Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors 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.
BUILDING : APPLICATION
Menifee
DATE 04/12/2017 PERMIT/PLAN CHECK NUMBER ' low
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 3 ton A/C,coil,&60,000 BTU furnace
PROJECTADDRESS 28777 Mill Bridge Drive
ASSESSOR'S PARCEL NUMBER �'� I�(� LOT TRACT
OWNER NAME Lenard Grill
ADDRESS 28777 Mill Bridge Drive Menifee,CA 92584
PHONE (951)240-5572 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 112 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME Energy Experts
ADDRESS 29405 Stampede Way Canyon Lake,CA 92587
PHONE (951)445-2325 EMAIL
CONTRACTOR'S STATE LIC NUMBER 546327 LICENSE CLASSIFICATION C20
VALUATION$ $5,500.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 04/12/2017
DEPARTMENT DISTRIBUTION CITY OF MEN EE SS LI NSENUMBER
BUILDING PLANNING E GINEERING FIRE I GREEN SMIP
INVOICE I PAID AMOUNT AMOUNT I 0CASH O CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-6 72-6 777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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