PMT18-02399 City of Menifee Permit No.: PMT18-02399
29714 HAUN RD.^CCELA- MENIFEE, CA 92586 Type: Residential Mechanical
.
MENIFEE Date Issued: 05/16/2018
PERMIT
Site Address: 30694 SONORA, MENIFEE, CA 92584 Parcel Number: 360-491-006
Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACE 3.5 TON CONDENSER AND COIL ONLY
Work:
Owner Contractor
GREG LARSON A R S AMERICAN RESIDENTIAL SERVICES OF
CALIFORNIA INC
965 RIDGE LAKE BLVD.#201
Applicant Phone:9512769744
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNIi License Number.765074
965 RIDGE LAKE BLVD.#201
MEMPHIS, CA 38120
Fee Description OQt Amount 1$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 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_Templatespt Page 1 of 1
CITY OF MENIFEE City of Menifee
LICENSED DECLARATION property who builds or improves tl�8gff� vOiracts for the projects
with alicensed contrector(s)pursuant t—o the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure underopy orw 4todty;if#e License law for
Professions Code and my license is in full force a ffect. a following reason: //1",
License Class ( 20 L3� Uc s o._tt0 By my signature below l acknowledge that,except for my personal residence
Expires �L Signature in which l 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 DECLA 710 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 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 Code,for the performance of work for which www.leginfo.ca.gov/mlaw.htm].
this permit is issued.
Policy If Date
wi l 1,ave and will maintain worker's compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below 1 certify to each of the following:I am the property
this permit is Issued.My worker's 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 correct.I agree to comply
',—^� with all applicable city and county ordinances and state laws relating to
Carrier t� ram• building construction.I authorize representatives of this city or county to
Policy# I(O'S VS'( IWVOElxpires In I I fir 8 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
o I certify that in the performance of the work for which this permit is issued, LA
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 0 ✓�.•�/
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the wor a{s compe aat"fbnpJ�vislo)ts of 5 3700 of the Labor
Code,I shall f [h co Z to visi WIII the applicant or future building occupant handle hazardous material or a
A lican Oate L / mixture containing a hazardous material equal to or greater that the
PP amounts specified on the Hazardous Materials Information Guide?
WAR N • ILURETOSEC WORKER'SCOMPENSATI COVE GEIS OYes VHo
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 DOLIARS($100,ODO),IN occupant require a permit far 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 forguidelines
CONSTRUCTION LENDING AGENCY oyes !R'¢IO
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) o Yes `C44o
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 quire under the State of
Califom' I[h&Safe "ecc ion 2 not 25534 conc/ng
Contractor's License Law for the reason(s)indicated below by the ha:a pus ateriai r //
Iq
checkmark(s)I have placed next to the applicable items)(Section 7031.5 s !�Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,priorto its PROP N ORIZED 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 Contractor's State ARENOVATION,REPAIR AND PAINTING fRRP)
License Law(Chapter 9(commencing with Section 70DO)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 /1
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to he RRP-certified firms and comply with 0
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 J$500). managers who do the paint-disturbing work themselves or through their 1
D I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eria.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800.424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name: L
sale.If,however,the building or improvement is sold within one year of Firm Certification No.: r
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. o No EPA Lead-Safe Certified Firm is required for this project because:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
a
IIItee
DATE: La-� 8 PERMIT/PLAN CHECK NUMBER �$ Q
TYPE: COMMERCIAL RESIDENTIAL MULTI-FAMILY L' MOBILE HOME POOL/SPA :;SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION O ELECTRICAL lyMECHANICAL
NEW PLUMBING C' RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 3 •S .r>
PROJECT ADDRESS j0 p 1 j P.Cti�r ZIP ) Zsg
ASSESSOR'S PARCEL NUMBER ?jl�+-= -��I� -WN LOT TRACT
OWNERNAME Lo-`ES� �✓r
ADDRESS/SAME AS JOBSITE Ll City of Menifee
PHONE _-7 EMAIL Building Dept.
APPLICANT NAME MAY 16 2018
ADDRESS �7
PHONE (7'� }Z O•-L - �i �j 7' EMAIL Recei
^
CONTRACTOR'S NAME RIGHTIME HOME SERVICES OWNER BUILDER? YES NO
BUSINESS NAME AIRS
ADDRESS 3030 MYERS ST RIVERSIDE CA 92503
PHONE 800 660 0675 EMAIL CCALHOUNQARS.COM
CONTRACTOR'S STATE LIC NUMBER 765074 LICENSE CLASSIFICATION C10 C20 C36
VALUATION LSQFT
APPLICANT'S SIGNATURE DATE l8
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY:
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE if NOTARIZED LETTER C' YES O NO
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