PMT18-02101 City of Menifee Permit No.: PMT18-02101
29714 HAUN RD.
'C;kCCELA>. MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 05102/2018
PERMIT
Site Address: 29792 AVENIDA DE CORTEZ, MENIFEE, Parcel Number: 336-252-007
CA 92586 Construction Cost: $9,121.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, RELOCATE 3.TON CONDENSER TO SIDE YARD WITH DISCONNECT,
Work: REPLACE 70,000 BTU FURNACE IN GARAGE
Owner Contractor
MARIO COSTA TRUE HOME HEATING AND AIR CONDITIONING
29792 AVENIDA DE CORTEZ 4 FARADAY
MENIFEE, CA 92586 IRVINE,CA 92618
Applicant Phone:9493826337
STEVEN SCHNIERER License Number. 1025397
TRUE HOME HEATING AND AIR CONDITIONING
4FARADAY
IRVINE, CA 92618
Fee Description Q1t r Amount 1E1
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 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).
Chapter!)(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 and my license is in full force and effect. the following reason:
License Class CZd License No. LNZ.`J 3 R By my signature below I acknowledge that,except for my personal residence
Expires 4 1 3b Signature -z t 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
01 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of theapplicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 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.ieeinfa.ca.eov/calaw.html.
this permit is issued.
Policy It Date
have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
Il
section 3700 of the labor Code,for the performance of the work for which D By 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.1 agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy rl Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Bete 1511
Z )p
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
�'�yT certify that in the performance of the work for which this permit is Issued,
1 sha I not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p
workers compensation laws of California,and agree that if I should become �}1A7ARDOUS MATERIAL DECLARATION
subject to the workers 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 y S ` Date S 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 15 ❑Yes7o
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(SCAQMDI?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelii es
CONSTRUCTION LENDING AGENCY ❑Yes r%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 bou dory of a school?
(Section 3097 Civil Code) o Yes 12
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 2550S and Z5534 concerning
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 Hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to �`l'�" S �_��� �—��n,.e .�'2-')�
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(RRPI
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 ex=�1�Q,bf MINT 6Sof Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit suhjec6BU gpII''r,� Civil penalty of not more
than($500). �U1�CTIIty p required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
❑1,as owner of the property,or m em 1-0 29 w ges as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( I all of or( i t k,and the structure is www.ena.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-SDO-424-LEAD(S323).
Code;The Contractors State License Law does not p I wrier of a
property who,through empl es mproves the
t D An EPA Lead-Safe Certified Renovator will be responsible for this project
property provided that the im { e mtended 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:
D 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.
SAFETYBUILDING & PERMIT/PLAN APPLICATION
fgf, y
Menifee
DATE 05/02/2018 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION [-]ELECTRICAL ❑✓ MECHANICAL
❑NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Relocate 3 ton condenser to side yard with disconnect,replace 70,000 BTU furna in r e
' e
Building Dept.
PROJECTADDRESS 29792 Avenida De Cortez
ASSESSOR'S PARCEL NUMBER LOT TRACT /'�
OWNERNAME Mario Costa Received
ADDRESS 29792 Avenida De Cortez,Menifee,CA 92586
PHONE (951)609-4437 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME True Home Heating&Air Conditioning OWNER BUILDER? ❑YES❑✓ NO
BUSINESS NAME True Home Heating&Air Conditioning
ADDRESS 4 Faraday, Irvine, CA 92618
PHONE (949)382-6337 EMAIL
CONTRACTOR'S STATE LIC NUMBER 1025397 LICENSE CLASSIFICATION C20
VALUATION $ $9,121.00 c SO FT L SO FT
APPLICANT'S SIGNATURE 5. 7y —�'/�� DATE 05/02/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION v CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X 4V a
INVOICE PAID AMOUNT
AMOUNT •1D I 3 •`� 0CASH 0 CHECK# OCREDI CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA,'MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building &Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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