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PMT18-00009 City of Menifee Permit No.: PMT18-00009 29714 HAUN RD. Type: Residential Mechanical <ACCEL/? MENIFEE, CA 92586 MENIFEE Date Issued: 01/03/2018 PERMIT Site Address: 30263 CALLE POMPEII, MENIFEE, CA Parcel Number: 364-121-016 92584 Construction Cost: $8,256.06 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, CARRIER 5.0 TON, 14 SEER R410a, 1 STAGE COOL,2 STAGE HEAT,SPLIT Work: A/C, 110K BTU FURNACE Owner Contractor GUNDA HUEHNKEN MONKS AIR CONDITIONING 30263 CALLE POMPEII P O BOX 128 MENIFEE, CA 92584 SUN CITY,CA 92586 Applicant Phone:9516794502 TIFFANI SELLERS License Number: 912194 MONWS AIR CONDITIONING P O BOX 128 SUN CITY, CA 92586 Fee Description QQt rr Amount($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 carved 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 ❑ 1 am exempt from Ilcensure under the Contractors'State License Law fort I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: 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 gaFi license Is in full force and eB which I must have resided for at least one year prior to completion License Class (� _Licens No. ZI Improvements covered by this permit I banmot legally sell a structure that 1 he Expires 3- I-! R� Signatu built as an owner-building If It has not been constructed In Its entirety by licens 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 ❑ I hereby afire under penalty of perjury one of the fallowing declarations: submitted or at the following Web site. I have and will maintain a certificate of consent of seffminsure for workers' hmo•Jlw .leglrrf6.c:a.Qov1nalsw.htmil. compensation,issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code,for the performance of work for which this Date permit is Issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below,i certify to each of the following: I am the prope I have and w0l maintain workers' compensation Insurance, as required by owner or authorized to act on the property owner's behalf. I have read 9 section 3700 of the Labor Code, for the performance of the work for which this application anti the Information I have provided is correct I agree to coml permit Is Issued.My workers'compensation Insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to buildl Carrier —SC-1 F construction.I authorize representatives of this city or county to enter the Am p r p� Identified property for the Inspection purposes. Policy# 2— /b�� I Z Expires O'— � — ! O Date Property Owner arAuthorized Agent (This section need pot be completed If the permit is for O one-hundred dollars($100)or less) City Business License# 3 ✓YJ7 b 4 1 certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any parsons 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 Code,I shall f mply with those provisions. amounts edged on the Hazardous Materials Information Guide? DYES amounts Appli ant Dcte; /a - o� I Will the intended,use of the building by the applicant or future building WARNING: FAILURE TO SECURE WORKERS' occupant require a permit for the construction or modification from South COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Coast Alr Quality Management Distddt(SCAQMD)?See permitting checkli: SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND for guidelines CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS DYES <NO ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outi DAMAGES AS PROVIDED FOR IN SECTION 3706 OF. THE bounds ofa school? LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES XNO CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued(Section California Health Safety e,Section 25505 and 25534 conoeming 3097 Civil Code) hazardous mate re orti OWNER BUILDER DECLARATION DYES NO �� y I hereby affirn under penalty of perjury that I am exempt from the Contractor's Date License Law for the reason(s)Indicated below by the checkmark(s)I have placed PRO O N AUTHORIZED AGENT next to the applicable item(s)(Section 7031.5.Business and Professions Code: Any city or county that requires a permit to construct,alter,Improve,demolish, EPA RENOVATION REPAIR AND PAINTING fRRPJ 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 Contractors State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint In a pre-1978 Secgon 7000)of Division 3 of the•Businaas and Professions Code)or that he or residence or childcare facility to be RRP-certI ied firms and comply with she Is exempt from licensure,and the basis for the alleged exemption. Any required practices.This Includes rental property owners and property violation of Section 703:1.5 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 mom than($500).) employees.For more Information about EPA's Renovation Program visit ❑ 1, as owner of the property, or my employees with wages as their sole www.epa.gowlead or contact the National Lead Information Center at compensation,will do( )all of or( )porting of the work,and the structure is 1-800.424-LEAD(5323). not Intended or offered for sale.(SBCti3n 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 project who, through employees'or personal effort builds or Improves the property, provided that the Improvements are not Intended or offered for sale.If,however, the building or improvement Is sold within one year of completion,the Owner- Certified Fro Name: Builder will have the burden of proving that it was not built or Improved for the purpose of sale). Firm Cerlificalkin No.: ❑ 1, as owner of the property an exclusively contacting with licensed 0 No EPA Lead-Safe Certified Firm Is required for this project beausa: contactors to construct the project(Section 7044,Business and Professions Code:The Contactors License Law does not apply tdan owner of a property _ who builds or improves thereon, and who contracts for the projects with a C •FETY • • IT/PLAN CHECK APPLICATION Menifee DATE I�'Z-�p-� PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL )(RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: C ADDITION C ALTERATION O DEMOLITION C ELECTRICAL MECHANICAL O NEW C PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK n -6,Ln' .r- s• S Lj I C,6 ,1 5&(c 2. IUrn �o •+ �> :, AIL III PROJECTADDRESS �026 5' CCU U-- 17N1vrJ 1 0 � C,-�), �iZ2- ASSESSOR'S PARCEL NUMBER /�3LPLA- % LOT TRACT City OWNER NAME (�� �•1( I( � �I(,1 (J �'I !'1 k ('_ -) Building Dept. ADDRESS c)— ; ,C// ` . G� L�GV`( JAN 0 2 20irl PHONE �J(9 /j�y� /EMAIL Receive APPLICANTNAME ry 11f ADDRESS 3�530 M u rr Mtri l ref Cry Q25R Y) PHONE rg5lI /) IP !�7/n-Lf 502- EMAII.rnonKSA I y-9D 9 rrvW . Clem CONTRACTOR'S NAME LCL.0 ' V I O OWNER BUILDER? C YES IhO BUSINESS NAME C / i COn�� C�YII ADDRESS //� / J// nn 'rC50 � I CA _125 PHONE (q51� LO�'''1' `f 'nq J], /ENTAIL mon lcsci l r a"� Gt rna:�•1-�7• Ga+�'� CONTRACTOR'S STATE LLIIC NUMBER 'mil I Z 1'/`Y LICENSE CLASSIFICATION cL VALUATION$�i L_,5L SQ FT L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE lO 10 PAIDAMOUNT AMOUNT OCASH O CHECK N OCREDIT CARD VISA/MC PLAN CHECK FFEF PAID AMOUNT 0CASH 0CHECK# 0CREDIT CARD VIWMC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us inspection Request Line 951-246-6213 W M O a W z m o v Ln CD o c LL n N `o m V d Q d d 0 > N d c c a c O m = > Y o v tf v _ _ r � U n E M E c a s 3 C ^ d L C = « W u m o m m o .i0, = N Z C N y Z 'i c4 6 = G — n 3 c a v fO m d v E v ^ h c C j mo 6 y v o 0 9 y O « Z N E E ` -E E ry 3 a "c c M y = a d_ ` ° 3 O _d O N c ' m � N c «• E L C N L W N O K C vVi C C d u 0 D d Q C y N = O y F U A a M1 Y va m E a E y v C L U — E c c M w c ¢ y d Yl E m W C« O H « 9 c M V E O d U N y N l0 u u y to 0 �- O v O a E a E E V C W Y E N N U V d VLO U ¢ d Q V U O O O O O m 9 W a Q V z V J a : ( § ` \ \ (so ) ® }\ ET � \ � \ ® \ ) t iuE _ - | E: \ ° \ \ a {\ R \ \ \\\ \ \\ \ \ \ \ - ` 73r : / / u § 0ow US E �ii } } } \ \ \ � \\\\\\\ \ \ \}\ \ } \ � 6 . u . � � ] . . . o " H m w rt m o m' u •-� ei 6 d O =w " U v 3 � ❑� �� a � s E c u d o E= E w m L ° r ° « c_ p a ry O c v t N a E > � o ° n ° a m OE c o a a a O22 a o l� W d �E 3 1� x y tp m m a u i a ao n ° E > `E u 'O V m v u c Q E' o E n O o m o mt m; o �o Q ate. _u iO g o o c a o y L i ti dd ° u `a a a a m 1p LL C 1°J L u E U u " - o E m c a o u @ a E > C u c t w 0 v_m `a u o 0 0 C E d `° = w« a« cy o m C a y p v c`a o v E � a y vam Euv ov Oo °' C D Y i Zi m o C m w p ❑ m n o m c „ u t _H am m V Y IO O_ V. _O m 0' a s a r .•m•U C Q .0 W Ue f.l r y ry a 9 Yn 9 L C b N EiEj a F d Z E O cc O Q = z p c c ° LL a L Y L ¢ C mEa v` c O Y N ZO m v°pi a c - .c E :2 u N LL m E t' C "J cut cG w v •C L v m Q N U y p ° n y Y ui n w ry ate+ U U oC 6Z „ � ' W 2 't C GZ Wrt1 u Q ❑ ri o � u° ¢ m u � C a •• n m v '^ w p o0 a0 ='Cv o v Q d' U Q m u