Loading...
PMT17-02950 City of Menifee Permit No.: PMT17-02960 29714 HAUN RD. "'ACC€LA> MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 08/21/2017 PERMIT Site Address: 26731 SUN CITY BLVD, MENIFEE, CA Parcel Number: 337-353-004 92586 Construction Cost: $7,983.88 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, CARRIER 3.0 TON, 14.5 SEER R410A SINGLE STAGE SPLIT A/C, 60K BTU Work: FURNACE Owner Contractor CHARLES&LINDA LAKE MONK'S AIR CONDITIONING 26731 SUN CITY BLVD P 0 BOX 128 MENIFEE, CA 92586 SUN CITY, CA 92586 Applicant Phone:9516794502 GARY MONK License Number: 912194 MONKS AIR CONDITIONING P0 BOX 128 SUN CITY, CA 92586 Fee Description Owl Amount!$) 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_Bldg_Permit_Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law fort I herebyaffirm under penalty or following reason: pe ty perjury that I am licensed under provisions of 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 force and eft t which I must have resided for at least one year prior to completion License Class U ns No. Z improvements covered by this permit, I cannot legally sell a structure that I he Expires'3'-3 — Signatu built as an owner-building if It has not been constructed in its entirety by[loans contractors. I understand that a copy of the applicable law. Section 7044 of t WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application submitted or at the following Web site: ❑ I hereby affirm under penalty of perjury one of the following declarations: hftp://www.leginfo ca.aov/calaw 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 Cade, 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 prope ¢L 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 ti 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 coml permit is issued.My workers'compensation Insurance wrier and policy number are: with all applicable city and county ordinances and state laws relating to buildi Ci^ construction.I authorize representatives of this city or county to enter the abo% Cartier ��Z��7! Q identified property for the inspection purposes. Policy#'Z Z Expires tt7 Q1 Date Property Owner or Authorized Agent 2 (� (This section need Dot be completed N the permit is for C•nY Business License# O351v7 a 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 employ 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 pacified on the Hazardous Materials Information Guide? Code,I shall f hwl mply with those provisions. ❑YES A NO Appli nt• Date; �/�) �I WIII 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 District(SCAOMD)?See permitting checkli COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND OYES )(NO FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, WIII the proposed building or modified facility be within 1000 feet of the out DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE bounds of a school? LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES �. 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 permbng checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health ASafety C e,Section 25505 and 25534 concerning 3097 Civil Code) hazardous mate/( [re orti OWNER BUILDER DECLARATIONS ❑YES NO// Date �(7�i�I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reasons)indicated below by the checkmark(s)I have placed PROk-"6dNk9l4 AUTHORIZED AGENT next to the applicable item(s)(Section 7031.6.Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, EPA RENOVATION REPAIR AND PAINTING(RRPj 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 Renovation,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-Businpss and Professions Code)or that he or residence or childcare facility to be RRP-certified firths and comply with she is exempt from Jicensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 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($500).) employees.For more information about EPA's Renovation Program visit: www.epa.gov/lead or contact the National Lead Information Center at ❑ I, as owner of the property, or my employees with wages as their sole 1-800424-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 State License Law does not apply to an owner of a property ❑An EPA Lead-Safe Certified Renovator will be responsible for this projec 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 Finn 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). Firm 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: contractors to construct the project(Section 7044,Business and Professions _ Code:The Contractors License Law does not apply td an owner of a property who builds or Improves thereon, and who contracts for the projects with a u-----I ___.___._­_.._____.._u._ n._._ ,:_____ , _..n 11 „ .._—:7..11—_.1 Q1.. .en-.1.-1----f." . I,k. O00 k"I' Menifee DATE PERMIT/PLAN CHECK NUMBER VMTrff�- DO TYPE: O COMMERCIAL )i RESIDENTIAL C MULTI-FAMILY O MOBILE HOME 0 POOL/SPA 0 SIGN SUBTYPE: O ADDITION C ALTERATION C DEMOLITION O ELECTRICAL MECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 5ocy, kqlocis PROJECTADDRESS 2-(0-7,z,)j'j C' ASSESSOR'S PARCEL NUMBER 337--4- j 0OL-ILOT LA TRACT Z OWNER NAME ADDRESS PHONE (`{9 J a :31 1 G� EMAIL -^ APPLICANT NAME r ADDRESS 3p/ 53o M t1 ...�.. Ivl eri, let CAg25g,.¢ / PHONE ` S �>7q�-g502 p EMAIL IY-DtjKSjOLY'gD �� �m CONTRA l.�CONTRACTOR'S NAME L / vl Qa K^^ OWNER BUILDER? C YES NO BUSINESS NAME J r wnU 11 ADDRESS/ �S CA `"/25 PHONE 6751 1 60q- 4 Y)2- EMAIL mon k-sa)r c`aIf ,r1cG-L . GO,r-� CONTRACTOR'S STATE LICNUMBER P121-/ L/ LICENSE CLASSIFICATION CZ VALUATION$ �, y� SQ v� ®� L SQ FT APPLICANT'S SIGNATURE GATE OTYSTAFFUSEONLY DEPARTMEM DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE AMOUNT 4 I0 PAID AMOUNT O CASH C CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH O CHECK# C CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Menifee Building&Safety Department 29714 Haun Rd, Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 D D m' c ry o, m On d C n n 0 0 _ oZi N D ;; .. 3 V in N N d T F L 00 ry � nl h .P m � 0 ry n S O A fD N .�•r O D O F+ � w .Os v 0 YT. O O m °p rn T o Z �' O O m O m m s m O N O O O EA Co O' O a m O F c 'V F Oi OJ O "T J � � b A � 0 3 m j n n m m � N O O _ C N r N 3 M N " w P "i� - GRq5o wt * f'n c CM. N N T 7 T n r n a m ry N y N C 7 m � ,d r� zz ark z ut fi ;' m p p D O A n .w. ry a°° n n m n n Z 2 O w p7 m o A c � m .. nTa nc x 3 9 F. G r r u o 3 m 2 z a Z m xxa xca m to O O p g a wvNi � o m n a m n r ¢n b S 1D 2 3 o c i V N N N Q 0 Xt f n m u� a $ j p 'c D s ole u O .°. n w 0 = N A 3 2 0 3 3 ix FW 3 w a o w m ZR > > o n w a ° m z5 ^ O. D jV w ma A ,°. m Aw O Z m v R w c It a ^w m < 3 0 2. m N A c w m Y m 7 N ➢ fAD ¢d m o o� X £m o 3 a d D 9 p w Im W a CD 10 m o m 3 aw ' »oa ° N 3 lb £ 22 M ° aK O� n 1 m 3 n o n [� ".1 °' 2 n o a C R w p N ° o N c O1 F £ Ul f ° 3 X a� 3 N avo2 m w n 2• w O F+ �1 -I 3 -I x S v, p ; fix 23 °p C D 3 a n > > o ". n a C A x m 3 D D a w N O N m w W m n N 3 = m 9 m O w ° F+ m 3 m°p a A i < O M 00 a s w n p N �, � � - g 3ab 3 no D y o � O V O s m' n = a0 O O (p O ma °g w a w £ tr tm C. m o• a s m Ri > >. W yY i° Q m d 1 f1 00 m C N N N Y O m o m N n c G 3 0 P p A d A O O _ s a - N A a N N3 c o O n R m m a N 4 o tin A l T 0' N S y m m \ o a aad x oa0o n m \ oZ 03 0 3 ~ O Z p(t Dw nm A A O u` G) v 3 N to 7�i ,_�, 3 ^ T b N. . N N n i L. - 'D 0 n w d Dv D �_ z '� . O N 1 ? w N n oo q m a o'a ~ m 3' £ N N n � S w O m w 3 w Z m a j _n 3 °°. o w M W z Z o .dr G V 0 En m n A N w N p_ 3 c z 3 w N o o Z_ m w �', n5 ti m ? a Z 1D N S O < a Z o c o d O Z .� �_ G D E < 1'1 Gl n N n y ON -I n N N C a O n O OI y p G T 2 N e w _ " z o c n n 3 n o m o m m u (3D w O T oo n 5 N w °t o' q 0 M N W G u' 0 N O0 8 d .� O 0 0 3 p o 3 3 0 o ¢ 3 a 0 a o m � 3 C d A p d o v N w 3 d n 0 S m 3 m < m »' o i° a 3 - D . moo 'm P' vi n o 3 0 = m d g 9 N N d j n d < 0 m o 3 = N g c. = n a m E. 3 N sa ao m a F zD a O. 3 G n 3 0 .. A n w m o o c Oa LDC N O o- � 'm to Ow o d � u, N O 3 N N m J A O Q F oo m ",} 'o^ m tJD N O 'm fD l m m o co N o m rn c tAn � 0 3CA - aoa ut m pp m m F 3 ,nd. m a m N o m N o � d 3 N o m w m 3 j a a o N n 3 3 o w Q n N m ? m m o m a a n m c m m Ao o a o 3 a m 9 oclun 0 ^m M m o 3 2 m a N w d 0 0 3 Q o v S a v v o on, v 3 0 1 N m ❑ Q o M N W m UI N