PMT17-01806 City of Menifee Permit No.: PMT17-01806
29714 HAUN RD. Type: Residential Mechanical
�!-�CCEL/1� MENIFEE,CA 92586
MENIFEE Date Issued:
0610812017
PERMIT
Site Address: 28748 DEL MONTE DR,MENIFEE,CA Parcel Number: 337-202-026
92586 Construction Cost: $6,742.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT,2.5 TON, 14 SEER, 12.2 EER,80%AFUE,70,000 BTU FURNACE,SINGLE
Work: STAGE A/C
Owner Contractor
JIM MCGEE MONKS AIR CONDITIONING
28748 DEL MONTE DRIVE P O BOX 128
MENIFEE, CA 92586 SUN CITY, CA 92586
Applicant Phone:9516794502
TIFFANI SELLERS License Number.912194
MONKS AIR CONDITIONING
P0 BOX 128
SUN CITY, CA 92586
Fee Description OQt Amount($)
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.
AA_Bidg_Permit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'Slate License Law fort[
I hereby affirm under penalty or perjury that I am licensed under provisions of following reason:
Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence
Professions Code license is in full tome and eff ', J which 1 must have resided for at least one year prior to completion
License Class_t�_License No. I Z[ L improvements covered by this permit,I cannot legally sell a structure that I har
Expire;3-3 i_/ � Signatur� ,�' built as an owner-building if it has not been constructed in its entirety by licensr
contractors. i understand that a copy of the applicable law,Section 7044 of tf
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application
submitted or at the following Web s'te:
❑ 1 hereby affirm under penalty of perjury one of the following declarations: httnAmn w.ieainfo.ca.gov/plaw.html.
I have and will maintain a certificate of consent of self-insure for workers'
compensation,issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code,for the performance of work for which this
permit is issued. Property Owner orAuthorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the proper
I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read th
section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comp
permit is issued.My workers'compensation insurance carder and policy number are: with all applicable city and county ordinances and slate laws relating to buildir
CCam�. ' rram^ construction.I authorize representatives of this city or county to enter the abov
Carrier c. r identified property for the inspection purposes.
Policy# Z Expires_ 6'— — l Date
Property Owner or Authorized Agent 22
(This section need not be completed If the permit is for City Business License# 0;J5�Q7 g
one-hundred dollars($100)or less)
I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emolov any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or.
workers'compensation laws of California and agree that if I should become mixture containing a hazardous material equal to or greater that the
subject to the workers compensation provisions of Section 3700 of the Labor amounts s ecified on the Hazardous Materials Information Guide?
Code,I shall wi mply with those provisions. DYES amounts
Applf n• Date; Wiil the intended.use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management Distddt(SCAQMD)?See permitting checkliE
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines '
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES J<NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or moo,fied facility be within 1000 feet of the outE
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE bounds ofaschoo19
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES NO
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of
agency far the performance of the work which this permit Is Issued(Section California Health' Safety tCe,Section 25505 and 25534 concerning
3097 Civil Code) hazardous mate Ire ortiOWNER BUILDER DECLARATIONS DYES NO —` I�
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
License Law for the reason(s)indicated below by the checkmark(s)I have placed PRO 'O N AUTHORIZED AGENT -
next to the applicable item(s)(Section 7031.5.Business and Professions Code: EPA RENOVATION.REPAIR AND PAINTING fRRPI
Any city or county that requires a permit to construct, alter,improve, demolish,or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the The EPA Renovatiom,Repair and Painting(RRP)Rule requires contractors
provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 7000).of Division 3 of the•Businjess and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from.licensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 703',1.5 by any Applicant fora permit subjects the applicant to managers who do the paint-disturbing work themselves or through their
a civil penalty of not more than($504)' employees.For more information about EPA's Renovation Program visit:
www.epa.govllead or contact the National Lead Information Center at
❑ 1, as owner of the property, or my employees with wages as their sole 1-800.424-LEAD(5323).
compensation,will do( )all of or( )porting of the work, and the structure is
not intended or offered for sale.(Section 7044.Business and Professions Code;
The Contractor's Slate License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
who, through employees' or personal effort; builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name:
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that It was not built or Improved for the purpose of sale). Finn Certification No.:
❑ I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contactors to construct the project(Section 7044,Business and Professions
Code:The Contractors License Law does not apply tdan owner of a property
who builds or Improves thereon, and who contracts for the projects with a
I:.....,..,I.....w..b..re1,....o...M t.th. Qf.t.I b... I.,,A If vm,r nmiert dwe not rmmnly mah FPC PPP ndo nln.ec fill n,rt tho PPP
SAFETYBUILDING & . • APPLICATION
-Menifee
DATE Z- PERMIT/PLAN CHECK NUMBER V1' lto(,f
TYPE: O COMMERCIAL )(RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION b DEMOLITION- O ELECTRICAL XMIECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Pr(- Q . Car Z •5 4Z:n I9 oS
12 .2 6()7, /}W E 17 0 k 13TU n1a S
PROIECTADDRE55 q�O • M 0
ASSESSOR'S PARCEL NUMBER � � 'a� -CQU LOT TRACT
OWNER NAME C City of Menife
ept.
ADDRESS Y
PHONE (L35) z,-) �I - 42-14 EMAIL
APPLICANT NAME & r
ADDRESS uyr�r CA O`^5��--F
PHONE (`7Jt J 4>7q L 11 502 t/EMAIL MiDnKSO V-9'7 rrka:d . Cora
CONTRACTOR'S NAME 1.1 Iry M QT L.� OWNER BUILDER? O YES NO
BUSINESSNAME 1 (r Conde 'on (
ADDRESS //�� 5/Lp�/�7 450
( GA qZS T
PHONE ( !SI I�1� nZ /], /EMAIL mon I�sc I r rJ v*-�a �L�7• Go m
CONTRACTOR'S STATE LIC NUMBER qi2 11 `y LICENSE CLASSIFICATION CZ-0
VALUATION$� Z , 0(O SO FT L SQ FT 7
APPLICANT / Z'S SIGNATURE DATE LO - ' / -7
CITYSTAFF USEONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BU51NM LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT • ID OCASH CCHECK# OCREDITCARD VISNMC
PLAN CHECK FEES PAIDAMOUNT 0CASH C CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIX O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-572-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
FL ?� o 0 m 0 o n n y v a n ..
oc m w to w F+ "., N 0 �. m
c x ,� ,�., � v ape m' m 1
n �+ »mn
m 'o a o o -ri -ri CD z o n
m 3 m = m n w to m
7
' p p N d D
Z N
'm c F' 3 0 m c •c M 3 .r m
0
< 3 �. O' M O O W r N N T
m m m •*. o m 3 c �' v n
3 n 3
m J K O 7 O �. 0. •_! n
•nG DO OA Or N N 04 M O r
w, Z
O b r O N O N N n 3 O m
to V1 F+ D 3
• 0 3 3 o n`Di 3 $ a
In 7 to N V n 09 w
o G1
p N
� O •'� W N e�T 2
n S <
n
m
m 3 3 r
v n n =
n o"i n
n
P1 3 0
M
n Z O O O O
ti ry O O in ` O F F C' N j
mm a m an
Fm low
w o
a+ �„ o n o 3• o m. c c .
0 S 0 n m o m n
n
9
I MOW
D
a
Z N d p = O W N
O N < _ 0 w v C
A 0 0 O m
3 f0
F 3 O 3
- V C
ry N m N
00
N N
O N < = b W O
D
" F CD
o x C.)
N A 0 CD o m P
Qa co
m 5. p 0 o0'r CD •� o r
0 � V CD
CL
F+ n '0 O N D
O A N N O N 1 N
V v�i •3 V .W. of
m m r n
n -IliT N O N N m N O H O. O D rl
m
D n R a x A C A C 10
MW
t' 3 n m
J o w w w p 3 °: 3 mCL a a
z Z Z N w 3 3 3 3 'T m V p T
n n D n A N m
3 3 3 io x x _ x c u - n v Om
IX
'^ O
n J J J _ v n Ill OIn
? V O O NNn
3 xm Fw" o o m a 300c a JC D
W0 J
v' a N olJ o u m w O R Z
N N w T !w E np O j' 3 T
a ry
per.° m 3 TD 3 m D 00 w
n w fp A a d m p X m IN
J N
m o m .< ° 3 3
z O 3 3 aNN oo N
N o O III F J i ° F a H
^at
0
o T x 3
^. OI O O
N ^ AIX
7 J
O O N H u
O 3 O O
Y+ O C m v = =A O m T � m
3 a a
m O o o 'o Ny Nw c y 3 m M
O
o ° 3 .'. P r c m 3 .de uoi m x
n N w
• N H N � � O p o.�. � C CL
m
n M' ', eT O F � OJo N ] VI
p
3 � o n
p. v� a M r A a °' D
in S A
m m m n m m
oq
IN
3 � J o e AAN N � o
G S o
o• o p II II 7 w a a a ¢ 3 n D 3 0 D
0 z O
J N O . O n C S 3 d N`W' O O J
p y CrQ S 3
m w N a J w F 3 09 6
3 m �
N o II II m
Of uoi o o C u x a m H
w J T
on
Vro01 m m m 9 1D W
P F D 3 J
m O m S A C 00
N
d F+ N x
ut m 3
o
Q A C lD 3 � tp
F+ J 1D n C Ni
0 T < 3
N
7 p A
Q — N N G
O-
G1 O'
m
m s O m
v A N » m Z
m T o-o F II m
.... n J FD-
N Q N C p N O
C
O G T
m
II m D
V In
n wa a N - a n wD � o � o �'
n q oa 3 3 „ o _ 0 a n n
m w o W Z a 'o �n a w u F- O w W 'm Z 9 M c n n
c H w O - N '�' O N d O u JC Fm m C 1
a ,tea, o m � � �n:� G7 c z 3 m � � w�` G ° . e�• � m
• b N > N 10 A V1 N YI .dr p ()
m D? i •� m v £ = n m — o Q ^y v JJ 'Z .�i u0i y
u 0
O 'n'• ° •p1.• m' m 0 o S to w
m m n A O O Z u�i m M � > j � 3 c N A p p � •* 7 N /'1
n 2 O d d T< o. m O- O
j n Z m a N oo ti m m y Z m S
'� O y Z w w. a m m e 2_O', c, m � Z '1• �_ O. D
'o n Ll =t N w Z
01y,
� n w O m .me• m tmi
N 0 o m °� ry m p1 •O v3i
_' o• G m s
q'
3 n m 0 2 o A
m m e
°' N y
a� n
w C
_ �p < p 01 � N •t
�v na o f.
° T n O.
< N n f0 T ca c m n
N. O = e F� j N j O m v C.C_ ° fl °-� F+ j O W c •O
V Ll 3 mN
o '�'• A O c E,w ry N H N O 'm
�+ H 'A 3 e W A n O) p ':
0i° 0
N O c N w 6 N a S S
c
N O
01 w a S C.� w
[j N w N 6 ry^ •O (IJ O
N O 3
� 0 w
Z
N A N j T •di �j - C
V H R C 9 j O
O O N N
N v
C N T O O
N N fil 0 0 9 R 9
N C GI o
N d m N
X
0 9
0
a
n
a o m D
w a a 3 w
p c
V Ian m n w T