PMT17-03231 City of Menifee Permit No.: PMT17-03231
29714 HAUN RD, Type: Residential Mechanical
"ACCE LA> MENIFEE, CA 92586
MENIFEE Date Issued: 0 9/1 412 01 7
PERMIT
Site Address: 30495 LAKE WATCH CT, MENIFEE, CA Parcel Number: 364-132-016
92584 Construction Cost: $11,925.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT,4 TON A.0 IN SIDE YARD, COIL,90,000 BTU FURNACE IN CLOSET
Work:
Owner Contractor
MICHAEL DRIEVER LUCKY AIR INC
30495 LAKE WATCH COURT 4049 BURGESS WAY
MENIFEE,CA 92584 RIVERSIDE, CA 92501
Applicant Phone:9516828573
STEVEN SCHNIERER License Number:836498
LUCKY AIR INC
4049 BURGESS WAY
RIVERSIDE, CA 92501
Fee Description ,9,yt Amount I$)
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 forthe 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 Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class C--rJ License No. S3(a49 R By my signature below I acknowledge that,except for my personal residence
Expires-7131 11 Signature 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 DECLARATION 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 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.Ieginfo_ca.gov/caIaw.html.permit is issued.
Policy# Date
Ahave 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 ABy 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
Carrier
with all applicable city and county ordinances and state laws relating to
of :..J0.e`a
building construction.I authorize representatives of this city or county to
Policy# LU t,JC$41o113 Expires 6,I I ITS enter the above identified property for inspection purposes.
T
(This section need not to be completed is the permit is for one-hundred S y , Date 4 1`I' 17
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑1 certify that in the performance of the work for which this permit is issued, L
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
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 forthwith comply with those provisions. WIII the applicant or future building occupant handle hazardous material or a
Applicant s TL �Z--Date �11 14 1-7 mixture containing a hazardous material equal to or greater that the
amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes amounts
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($300,000),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 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli es
CONSTRUCTION LENDING AGENCY ❑Yeso
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
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
Contractors License Law for the reason(s)indicated below by the
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 !YiXhazardous material reporting.
'�
Business and Professions Code).Any city or county that requires a permit to escp No e_'
construct,alter,improve,demolish or repair any structure,prior to Its - 4l, ` Date
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 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
❑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.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 ❑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.
SAFETY PERMIT/PLAN CHECK APPLICATION
� Menifee
DATE 09/14/2017 PERMIT/PLAN CHECK NUMBER -
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑StGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
[-]NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 4 ton A/C in side yard,coil,&90,000 BTU furnace in closet
CItv
u ing& Safety Dept.
PROJECTADDRESS 30495 Lake Watch Court Q
ASSESSOR'S PARCEL NUMBER ajq- � ,��,� LOT TRACT SEP4 201/
OWNER NAME Michael Driever
eceaved
ADDRESS 30495 Lake Watch Court, Menifee,CA 92584
PHONE (909)720-1459 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite213,Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑JNO
BUSINESS NAME Lucky Air Inc.
ADDRESS 4049 Burgess Way, Riverside, CA 92501
PHONE (951)682-8573 EMAIL
CONTRACTOR'S STATE LIC NUMBER 836498 LICENSE CLASSIFICATION C20
VALUATION $ $ 11,925.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE 09/14/2017
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN S M I P
INVOICE PAIDAMOUNT Ci
AMOUNT .Jo" CASH >CHECK# CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT i CASH 0 CHECK$1 i:)CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 'r` NO
jC 5,
D w m A W b V VOi W FO+
2 .l�r vji Z y: N N n N f1 V •O D D 7 .^r » �+
O H T 3 ^y N fU V D O O Z O f1
' m
Z ° O
O 3
as O O. N r Z O O A O
< Q ^ O a n d 0
m ^ m
MD 0 3
J 3 O 'O'OrQ U w nO
< DO 00 = w A O ^ °J O r
A
w N Om p 3 K O .n.
O 0 n
O N A = N O N A 3 ° m
O
D � N
o �
n T N m ^ m m A m D
m 3 3 r-
� `D' S a d n n x
n of f1
N M ^
^ 3 3 n
°
� ut � o m• � _ ut
� N N N S V OY e1 GI �
O W
O
a3i <
m y v CO O (D
Ym 3 N ° 3 m va3 � ro m ¢ m as
n
004
N O m 00 Op m W
C C .G
1p m o c v'+ m Z a. m m
F+ Z
O O 6 d = H rt
a Am
N
n O O N
O K = W A n m V 6
N > > D m O
3 3
N A A M
a n = m °
m m
N m
G1 Z N O d O A °-
O O
3 m w CIS PH ° 3
f -o
n CD
m O
< N ? Cn
a m m CD C m m n
n A r m ,^, �
m xxoI'M r ^NNd T Np EL O D n
D
m w m w w o
m o O
m cCL
Z N � n n 3 n m j p v O m
m
3
N m v c a n v n p
m' v p n 2 D F o m 0 .- n 0
m m a w O. O O
of
w oN m N 3 �a '° ? � a mw O -^• fZ1
ii n
a m a < w r m F vy O p
qQ tlo
a N 3 3
OO d N C 0^ ?
o F v N =w
N< � d O O m
3 a 0 Q. A sSmw n < N n
3 0 m 3 'N` o c m
3 3 m' v J m O c m G
iD N m x 0
N ~ H O - N
a'o a 3 n <
J J C 2xm 3 m .J. m 0
n m N m N m m w F O1 a n 01 3 O'
m o 0o N n N ,O F o m m n .• a � w
G H 6 - c
o o a o n o w da a s i n n 3 n D
Oo 0 O Q O n c > n m= 7 N
= O
S
o -o On
m
GT
b N a 0 m < C. O
m n m a 9 2.jF
000
jF A m
N F+
u, 3
. n
O °s
ai
a o F fD N m
J �
m O
tp O T
N m U ? 2 A O N
f f A F n A D r n a - A n A D r n p
D �m 2 A n n 3a m N n 3 30 ~ O D f1
m o. 'n t° 'NO 3
� N 5F A A A A
a 3
� o ¢¢
O O d W
pQ
V N
N O M O Hi N di.
O (D @ O
o n 3 A 2- d 9 a 3 o d 3 3
M 4 3 -a a R i
o ^ O O d
o b u a m 0 a,-
o
a� p
mN °' m N d 3
a d ? O S
n �
ma 9. m2m zi
Fy
CL
aw
a G. n0 m 6 F+ F+ w V
w C� � m bm OW 3,N n =°° u=i n w Oi 1° 2 � c 3 fD
yi
ELC00 EL
Q
n
< 3 ° w � Q
na
a
39 a E
v Q a n m
C_ N
A �
7 O
N
!D N a
2 C » C n O
v
l0 O p T
P
N m N p O O
T O N
O1 N O T w T
N