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PMT18-02286 City of Menifee Permit No.: PMT18-02286 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 0511012018 PERMIT Site Address: 30025 CARMEL RD, MENIFEE,CA 92586 Parcel Number: 336-133-001 Construction Cost: $10,000.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT,REPLACE 3 TON A/C AND 66,000 BTU FURNACE Work: Owner Contractor MICHAEL FLYNN LUCKY AIR INC 30025 CARMEL ROAD 4049 BURGESS WAY MENIFEE,CA 92586 RIVERSIDE,CA 92501 Applicant Phone:9516828573 NATHAN WALTERS License Number:836498 LUCKY AIR INC 4049 BURGESS WAY RIVERSIDE,CA 92501 Fee Description gty Amount I51 Forced-Air or Gravity-Type Furnace or Sumer 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 correctlon 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). Chapter9(commencing with section 7000)of Division 3 of the Business and an I am exempt from licensure under the Cantractors State License Law for Professions Code and my license is in full force and effect. e�G the following reason: License Class License No. Y17 /�/ By my signature below I acknowledge that,except for my personal residence Expires 7 11 �ti Signature �� in which I must have resided for at least one year prior locompletion of Improvements covered by this permit.I cannot legallysell 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 penally of perjury one of the following declaration:) licensed contractors.I understand that a copy of the applicable 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 Cade,for the performance of work for which this permit is issued. www.leginfo.ca.aov/calaw.himl. Policy If Date O 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 l 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 owner's behalf.I have read this number are: ! application and the information I have provided is correcLI agree to comply Carrier c SSG - with all applicable city and county ordinances and state laws relating to building construction.)authorize representatives of this city or county to Policy# Expires 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 D I certify that in the performance of the work for which this permit Is issued, ©r1C f 5 z Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# UJ.3��� 60 workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers cc nsation provisions of Section 3700 of the Labor Code,I shall fortht�Hf:Mwwith thos ,pravismffs�. Will the applicant or future building occupant handle hazardous material or a Applicant Date G! /! )j mixture containing a hazardous material equal to or greater that the [` amounts s edified on the Hazardous Materials Information Guide. WARNIN URE-T49 WORKER'S COMPENSATION OVERAGE IS ❑Yes No UN UL,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 COMPENSATIDN,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?Seepermitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY oyes KNa hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 3000 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) o 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 California Health&Safety de,Section 255DS and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material orfing. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 7es O No _ Business and Professions Code).Any city or county that requires a permit to _�� Date N�! construct,alter,improve,demolish or repair any structure,prior to its PR- WNER 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 IRRP) 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 70325 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 ❑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.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1400.424-LEAD(5373). Code;The Contractors State License Law does not apply to an owner of rzAn 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 said 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. D No EPA Lead-Safe Certified Firm is required for this project because: a 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 If your project does not comply with EPA RRP rule please rill out the RRP l�. /j f yJ _ Acknowledgement. t/IMI ��j�,�� vv�+1�— HENL,. COPY BUILDING & SAFETYPERMIT/PLAN CHECK APPLICATION Menifee DATE: PERMIT/PLAN CHECK NUMBER 9VM TYPE: G COMMERCIAL 0 RESIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA O SIGN SUBTYPE: 0 ADDITION 0 ALTERATION V DEMOLITION ='ELECTRICAL a MECHANICAL O NEW O PLUMBING 0 RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK kcs, ctu PROJECTADDRESS 3002S ( �7,`�u,, _Mp1 VA ZIP Q2 gpylldingDep ASSESSOR'S PARCEL NUMBER ?7�1Q' �33'CY7� LOT TRACT MAY 10 201 OWNER NAME M ) CIYI . ADDRESS ad OL PHONE ��3- CYI p� �2(Q EMAIL APPLICANT:J/ i NNAMME� 1 ,1J1. ADDRESS I Irnico &Z c' iaz5 PHONE(A !51) Eibl) �� V � EMAIL CONTRACTOR'S NAME OWNER BUILDER? G YESPNO BUSINESS NAME (j 1 1 ADDRESS --1,049 c� C� SS IZII Z PHONE C 5 I - �EiMAIL /1 CONTRACTOR'S STATE LIC NUMBER g�(P1,4q p LICENSE CLASSIFICATION C 21D VALUATION$ 11 VD0 SO.FT/ / L SQ FT APPLICANT'S SIGNATURE `' u 1/ /� DATE S//b DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE SMIP I GREEN 1 PLAN CHECK FEE INVOICE TOTAL -eFa , 10 OWNER BUILDER VERIFIED 0 YES C NO DRIVERS LICENSE# NOTARIZED LETTER C YES C NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672.6777 www.cityofmenifee.us q m n a• co o O O O O T, n D v D m O 00 j N p N x 3 a n n m o o d m 3 3 N m a v m o O a p 1D O d O ^ ^ ^ c ? v n n O N h ..r O an 7 2 0 00 M 0 n a a ° 3 ' D m W o. r m o .Ni ^' fl v 3 O m a m ^ c 2 00 vi m n 3 <u, a . m oo f n= g Nn a O m n m n o T = A < 0 0 TS o A � p•.� v� < �' ^ m 3 m 3 W G ^ 3 o D a o N N o �• m � O W tD W 60i A N a �• m 'm p 'a 3 o m m a m m N o 1n N c "„ »• ». m m � a v o n »• � c ID m J :E C n rDrD n b ° o ^ v m D D W T n m T x r 'r r r m � x o x m v p_ � D n b0 v d m O fl oc o ^ 3 ww %o w °: ^ - 3 » 3 m p O '� `C ^ '� A A A O m A ILN m m c m� Z � � W ^ 33 3 � � '6 0» m ao 3 FD O O m m O O D T o `� ° v v v m N '0 O p 3 N O N W R F N O O J i 3 ] Ip N N m O j N < u_ 0 0 0 _U N •-� m m - o �L 3 N ^ F, g w n of o m 2 .+ 'o o m 3 c m 3 ^ to _ o n 3 � a oa o_ ._r a o m N a < ao o _ 3 O o c e m u G N —N ,On ^• O N � v o rn G n o O 00 co N n n m N � C O m 3 � n W aE m 3b j m n c p 0 < 3 of - Q N m m � 1 � N W 6 a � m p m a ^ ? c m z 6 0 rp N W yl m n n 3 D m m w ^•� �a < p a mE W a xa CR n n mrt S. 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Of O m m _ w m c p r+ m m V (00 mo m 3 a £ ^ v coo .�D. m o_2,ap_� y w a W m n = - Cs rl W T 0 N to w R E [D w A m ?L ' ¢ a A pLo90 O p m w w C w M a o C -' 2 ry m w 5. 3 0 ^° ? a a u s m 3 o � v � bo� o o � N o o w 5 3 3 G) � �11 p v ma m n o f0 0ry1 .Zm1 ^ 00 OS G 2 3 N T 0 ell< Nn •� m S 8 m N A 3 PERMIT NO. 517E PLM NAME Michael Flynn PHONE( ) SITE ADDRESS "- 30025 Cannel Rd.Menifee 92586 ASSESSORS PARCEL NUMBER Provide North Arrow REAR PROPERTY LINE City Of Menife© .3uliding Dept MAY 10 2018 Y S D 1 E D E P R P O R P O E P R 33ft E T 0 8ft R Y Closet Condenser T FAU y L 1 H o u s e L N I E FRONT PROPERTY LINE d1. cfUma Pn t nf9