PMT17-01900 City of Menifee Permit No.: PMT17-01900
29714 HAUN RD. Type: Residential Mechanical
�ACCELX-1 MENIFEE,CA 92586
MENIFEE Date Issued: 0 6/1 412 01 7
PERMIT
Site Address: 27934 HIDE AWAY CT, MENIFEE,CA Parcel Number: 333-370-038
92585 Construction Cost: $12,985.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON A/C,COIL,80,000 BTU FURNACE AND AIR HANDLER
Work:
Owner Contractor
KERRY MCCRAY A-AVIS PLUMBING HEATING&AIR CONDITIONING
27934 HIDEAWAY COURT INC
MENIFEE,CA 92585 600 EAST VALLEY BLVD
Applicant Phone:9098253600
STEVEN SCHNIERER License Number:630503
A-AVIS PLUMBING HEATING&AIR CONDITIONING INC
600 EAST VALLEY BLVD
COLTON,CA 92324
Fee Descrlption ON Amount fS1
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_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
C
❑I am exempt from licensure under the Contractors State License Law for
hapter9(commencing with section 7000)of Division 3 of the Business and
Professions Code and my license is in full force and effect. the following reason:
License Class GAO License No. g3�`�-� By my signature below I acknowledge that,except for my personal residence
in which I must have resided for at least one year prior to completion of
Expires �1 I� Signature --�
improvements covered by this permit.)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
n 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 www Ieeinfo ca.eov&alaw.html.
this permit Is issued. Date
rdicy#
(/lic PROPERTY OWNER OR AUTHORIZED AGENT
aye and will maintain workers compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I 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 act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier ot`GL.,a,.A building construction.I authorize representatives of this city or county to
Policy# Expires 1 " enter the above identified property for inspection purposes.
(This section need not to be completed is the permit isfor one-hundred y � - Date 1k.)17
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o 1 certify that in the performance of the work for which this permit is issued, CITY BUSINESS LICENSE#
I shall not employ any persons In any manner so as to become subject to the
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 Will the applicant or future building occupant handle hazardous material or
Code,I shall forthwith comply with those provisions.
mixture containing a hazardous material equal to or greater that the
Applicant 5,,czaz_ Date 11 amounts sp cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yeslo
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 for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 370E OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli as
CONSTRUCTION LENDING AGENCY 0 Yes 70
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 bourldary of a school?
(Section 3097 Civil Code) D yes
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 penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the Ijazarclous material reporting.
gheckmark(s)1 have placed next to the applicable item(s)(Section 7031.5 o No
Business and Professions Code).Any city or county that requires a permltto ��-Date �o yr'f 1�
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 EPA RENOVATION REPAIR AND PAINTING(FIRM
that he or she is licensed pursuant to the provisions of the Contractors State
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 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 paint-disturbing work themselves or through their
O I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
www epa.eov/lead or contact the National Lead Information Center at
compensation,will ( )all ( )portion of the work,and the structure is 1-800-424-LEAD(5323).
not intended or offered for sale.
((Section 7044,Business and Professions
Code;The Contractors 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 o No EPA Lead-Safe Certified Firm is required for this project bemuse:
not built or improved for the purpose of sale.
❑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 & SAFETY PERMIT/PLAN CHECK A• • •
JhMenifee
n
DATE 06/14/2017 PERMIT/PLAN CHECK NUMBER -1 - 0 —1co
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,&80,000 BTU furnace City Of Me Hee
Mulluing ept
and air handler
PROJECTADDRESS 27934 Hide Away Court 0('0 JUN 14 Z 17
ASSESSOR'S PARCEL NUMBER 333-370-038 LOT 90 TRACT 3071 2` d
OWNER NAME Kerry McCray �
ADDRESS 27934 Hide Away Court Romoland,CA 92585
PHONE (760)458-7841 EMAIL
APPLICANTNAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME OWNERBUILDER? ❑YES❑✓NO
BUSINESS NAME A-Avis Plumbing Heating and Air
ADDRESS 600 E Valley Blvd Colton,CA 92324
PHONE (909)825-3600 EMAIL
CONTRACTOR'S STATE LIC NUMBER 630503 LICENSE CLASSIFICATION C20
VALUATION$ $12,985.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 06/14/2017
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINES ICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP O
ul
INVOICE PAID AMOUNT
AMOUNT O CASH O CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUM.BER NOTARIZED LETTER O YES O 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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