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PMT17-01457 City of Menifee Permit No.: PMT17-01457 29714 HAUN RD. - 'E;kCCEL/? MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 05108/2017 PERMIT Site Address: 25890 RIDGEMOOR RD, MENIFEE, CA Parcel Number: 339-142-010 92586 Construction Cost: $1,900.00 Existing Use: Proposed Use: Description of REPLACE FAU ONLY SAME LOCATION, HALL CLOSET 60,000 BTU Work: Owner Contractor BRADLEY FAUST TRUTEAM OF CALIFORNIA INC 25890 RIDGEMOOR RD 260 JIMMY ANN DRIVE MENIFEE, CA 92586 DAYTONA BEACH, FL 32114 Applicant Phone:3863042222 EDWARD PONCE License Number.221517 TRUTEAM OF CALIFORNIA INC 260 JIMMY ANN DRIVE DAYTONA BEACH, CA 32114 Fee Description Dort Amount 18l 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. AA_Bldg_Permil_Templatespt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contacts for the projects 1 hereby affirm under penalty of perjury that I am under provisions of with a licensed cantractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from lice isure under the Contractor's State License law for Professions Code and my license is in full force and effect the fallowing reason: License Class L'-2o License No.�1 -y�7 By my signature below l acknowledge that,except for my personal residence Exp1res-7 Y _Signet... i. 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 I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that 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 following website: by Section 3700 of the Labor Code,for the performance of work for which ,n, .leeinFo.ca.eov/calaw.iztml. this permit is issued. Policy fJ Date '12W have 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 O By my signature below l 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 on the property owner's behalf.I have read this numberare: q - application and the information I have provided is correct.I agree to comply Carrier�(sr' /YJ'f L�scr(' a.J with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to PoRcYN Ut JEC g7PL ns,rn_Expires (_4io?L2� /7 enter the above identified property for inspection purposes. (This section need not to be completed is the perm it is For one-hundred _,tee Date /0�/71ZalF P dollars($10D)or less - �P�iv OWNER OR AUTHORIZED AGENT o I certify that in the performance of the work for which this permit Is Issued, 1 shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 8 worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor Cade,l shall forthw comply with�tjo�se-provisions. Will the applicant or future building occupant handle hazardous material or Applicant f' 1-- Date /0171/ � mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE is oyes pi[;lo UNLAWFUL,AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES Will the intended use ofthe building by the applicantor 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 Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY Dyes 07 To I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 2000 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) 0 yes cy�No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penaltyof perjury that lam exempt from the Contractor's License Law for the reason m s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed nextto the applicable Rem(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to oyes d'jGo construct,alter,improve,demolish or repair any structure,priorto its Date /D�7 /r'/ issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER ORR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 llcemure 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 applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). - managers who do the palm-disturbing work themselves or through their or',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.eaa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800424-LEAD(5323). Code,The Contractor's State License Law does not apply to an owner of a ❑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 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: 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 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 & SAFETY PERMIT/PLAN CHECK APPLICATION ,- Menifee DATE 05/08/2017 PERMIT/PLAN CHECK NUMBER r t1 TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: [—]ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL []NEW []PLUMBING [I RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace FAU in same location.(Hall closetI60KBTU) PROJECT ADDRESS 25890 Ridgem000r RRd ASSESSOR'S PARCEL NUMBER ;5 1 ' 'oto LOT _ TRACT o�J PROPERTY OWNER'S NAME Bradley Faust ADDRESS 25890 Ridgemoor Rd,Sun City,CA 92586 PHONE (760)577-3258 EMAIL APPLICANTNAME Edward Ponce ADDRESS 475 Rivera St, Unit:D, Riverside,CA 92501 PHONE (951)505-5017 EMAIL CONTRACTOR'S NAME Truteam of CA Inc OWNER BUILDER? ❑YES❑✓NO BUSINESS NAME ADDRESS 475 Rivera St, Unit:D, Riverside,CA 92501 PHONE (951)6834429 EMAIL CONTRACTOR'S STATE LIC NUMBER 221517 LICENSE CLASSIFICATION C20 VALUATION$ $1,900.00 SO FT 109E L SQ FT APPLICANT'S SIGNATURE DATE 05/08/2017 1. CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MEIJIfU,Ee I�NSE NUMBER BUILDING PLANNING EN IN ING FIRE GREEN SMIP ��f✓� INVOICE PAIDAMOUNT AMOUNT • CASH "CHECK# '-�CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT '_ CASH %'CHECK# ", CREDITCARD VISA/MC OWNER BUILDER VERIFIED C YES 0 NO DL NUMBER NOTARIZED LETTER O YE City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 - F , \ \ � - ( _ : k \ ( � 0 ° / ) \ § : _ ' \ 0 ] \ \ ( \ ` m \ }� \ } 5 } \ ( e ( : \ § - ) ) * \o ! 4co }\ § � \ ` ( % c% � kCA « � 7 \ \ 7 E _ ( ¥ CA 0CA - CA - PC RL } nm ( \ \ � 0 }\ ( ; 3 / \ CA 6 \ \ | � CO % ; \ % m \ ! � � � ° \ ry CD CA § § / ` & Q » n m " m mho ti ti m d o N m C O D m w o c 3 N wwm w °: oa 3 3 T 3 C a m Z m In, 3 Nm O 9 p m ? x Aow'„ e, o0 N C av �a 9rD w ° a v J n oo ° < m p �• � m m N n < z o 3 3 a w' c in o F a` m m d a 0 O n `G d I4 K j 0 C VI T 3 ° N ao s Ol � > n D e o w 3 0 3 o n n. 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