PMT17-02830 City of Menifee Permit No.: PMT17-02830
29714 HAUN RD.
<-CCEL/> MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 08/15/2017
PERMIT
Site Address: 26216 GOLDENWOOD ST,MENIFEE, CA Parcel Number: 335-424-003
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT, 3-TON A/C(BACKYARD)90,000 BTU FURNACE(CLOSET)
Work:
Owner Contractor
PAUL BASILE W C HEATING&AIR CONDITIONING INC
26216 GOLDENWOOD STREET 41085 GOLDEN GATE CIR
MENIFEE,CA 92586 MURRIETA, CA 92562
Applicant Phone:9516000700
JILL WESTON License Number:779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description O_Yt Amount 1$1
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
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from Rcensure under the Contractor's State License Law for
Professions Code and my license Is in full force and effect. the following reason:
License Class C egb License No. '11e1 E,04 By my signature below I acknowledge that,except for my personal residence
Expires 4130119s Signature w.Oo sv 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 DECLARATI have built as an owner-builder if it has not been constructed in its entirety by
❑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 worker's 70"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 this permit is issued. www.leeinfo.ca.xov/calaw.html.
r�
Policy# WC—UC.-L7US36S Date
❑I 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 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 on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier rU a(eS5 with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 1jGl.�C.�7S7E0 Expires /). / �! enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certify that in the performance of the work for which this permit is Issued, !�
I shall not emoloV any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# �S^a O(-
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
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant \5A ;i A— `),1 � Date mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:F4aURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes IiAo
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
IN SECTION
3 THE COST LABOR CODE,INTERTION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY Dyes pNo
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 boundary of a school?
(Section 3097 Civil Code) ❑Yes ❑No
OWNER BUILDER DECLARATIONS I 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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's License Law for the reason(s)Indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 oyes ❑W
Business and Professions Code).Any city or county that requires a permit to uoc� Date
construct,alter,improve,demolish or repair any structure,prior to Its PROPERTY NER OR AUTHORIZED AGENT
issuance,also requires the applicant forthe permit to file a signed statement
that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION.REPAIR AND PAINTING fRRPI
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 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 fora 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 workthemselves or through their
❑I,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.eoa.eov/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 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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑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.
Menifee
DATE 08109/2017 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL 11 MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION [-]DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK HVAC REPLACEMENT.3 TON A/C(BACKYARD),90K BTU FURNACE(CLOSET)
PROJECT ADDRESS 26216 GOLDENWOOD ST.SUN CITY A
o enttee
ASSESSOR'S PARCEL NUMBER •L L - LOT BUildingAbrfefy Dept.
PROPERTY OWNER'S NAME PAUL BASILE AUG
ADDRESS 26216 GOLDENWOOD ST.
PHONE (909)732-3243 EM/•.IL Receivec4
APPLICANT NAME JILL WESTON/WE GREEN
ADDRESS 3645 RUFFIN RD.#330,SAN DIEGO CA 92123
PHONE (949)630-1550 EMAIL
CONTRAcrOR'SNAME WECARE 0WNERBUIL.DER7 ❑YES❑NO
BUSINESS NAME WE CARE
ADDRESS 41085 GOLDEN GATE CIRCLE.MURRIETA CA 91362
PHONE (951)600-7000 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION$ $9-000.00 SQ FT 840 L SQ FT
APPLICANT'S SIGNATURE DATE
i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP X
INVOICE [ AID AMOUNT . 10 0CASH 0CHECK# OCREDITCARD VISAtMC
AMOUNT
PLAN CHECK FEES PAIDAMOUNT BUSH 0CHECK# 0 CREDIT CARD YLSA/MC
OWNER BUILDER VERIFIED O YES 0 NO OL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Deportment 29714 HDun Rd. A4enifee, CA 92586 95 1-672.6777
www.cityo/menifee.us Inspection Request Line 951-246.6213
Scanned by CarnScanner
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