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PMT17-03011
City of Menifee Permit No.: PMT17-03011 29714 HAUN RD. 4gVDCE1_/_> MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 08/24/2017 PERMIT Site Address: 28392 SUNGLOW RUN LN, MENIFEE,CA Parcel Number: 372-512-034 92584 Construction Cost: $12,206.00 Existing Use: Proposed Use: Description of HVAC REPLACEMENT,CONDENSER, FURNACE, COIL,4 TON, 16 SEER Work: Owner Contractor TRAVIS OVERLIE RKM HEATING AND AIR CONDITIONING 28392 SUNGLOW RUN LANE 11801 PIERCE ST#200 MENIFEE, CA 92584 RIVERSIDE, CA 92505 Applicant Phone:9516569970 RKM HEATING AND AIR CONDITIONING License Number.936726 11801 PIERCE ST#200 RIVERSIDE, CA 92505 Fee Description Clyt Amount lSl 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 staled,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_Penr it_Templatespt 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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License Law for Professions Code nand my license is in full force and effect^ the following reason: Llcense Clas Ci 0 Lic No. //A '- _—_ By my signature below I acknowledge that,except formypersonal residence Expires 3 Signature in which I must have resided for at least one year prlorto 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 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.IeRinfo.ca.gov/caIaw.htmJ.permit is issued. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT 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 inssura/annce carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: / /LIr.LCD Yl aiC..� application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to i building construction.I authorize representatives of this city or county to Policy# ires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT 09-1 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 It 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 Code,I shall foo w h comply with those provisions, Will the applicant or future building occupant handle hazardous material or �I Date tl/ mixture containing a hazardous material equal to or greater that the Applicant amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE W KER'S COMPENSATION COVERAGE IS O Yes o No 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(SC construction or See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forCoast Airlines Qua CONSTRUCTION LENDING AGENCY o Yes ❑No 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 Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Oyes ❑No Business and Professions Code).Any city or county that requires a permit to Date 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 that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI 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 beRRP-certifiedwork thatdisturbs p and comply with than Applicant fora permit subjects the applicant toacivil 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 1,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.gov/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 Contractors State License Law does not apply to an owner of a O 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: ❑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 4 SAFETY PERMIT/PLAN APPLICATION Menifee DATE 0 8/2412 0 1 7 PERMIT/PLAN CHECK NUMBER - 1 TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILEHOME POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ©MECHANICAL ❑NEW ❑PLUMBING [IRE-ROOF-NUMBER OF SQUARES City Of MeIlle DESCRIPTION OF WORK hvac replacement condenser,fumance,coil 4 ton Building & Safe Dept. AUG 2 4 2 17 PROJECT ADDRESS 28392 Sunglow Run Lane Menifee CA 92584 ASSESSOR'S PARCEL NUMBER +�j�-_C'Z� D LOT TRACT PROPERTY OWNER'S NAME Travis Ovedle ADDRESS 28392 Sunglow Run Lane PHONE (619)708-7572 EMAIL travis.ovedie@yahoo.com APPLICANT NAME RKM HEATING AND AIR CONDITIONING ADDRESS 6236 RIVER CREST DRIVE SUITE A RIVERSIDE, CA 92507 PHONE (951)656-9970 EMAIL COMFORT@RKMAIR.COM CONTRACTOR'S NAME RKM HEATING AND AIR CONDITIONING OWNER BUILDER? ❑YES❑✓NO BUSINESSNAME RKM HEATING AND AIR CONDITIONING ADDRESS 6236 RIVER CREST DRIVE SUITE A RIVERSIDE, CA 92507 PHONE (951)656-9970 EMAIL COMFORT@RKMAIR.COM CONTRACTOR'S STATE LIC NUMBER 936726 LICENSE CLASSIFICATION C20 VALUATION$ $ 12,206.00 SQ FT L SQ FT APPLICANT'S SIGNATURE DATE 08/24/2017 OrYSrAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT , 'O AMOUNT . �U ->CASH ' CHECK# (: CREDITCARO VISA/MC PLAN CHECK FEES PAIDAMOUNT CASH OCHECK# UCREDITCARD VISA/MC OWNER BUILDER VERIFIED C%YES NO DL NUMBER NOTARIZED LETTER '.) 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