PMT18-02409 City of Menifee Permit No.: PMT18-02409
29714 HAUN RD.
�CCEL/� MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 05/18/2018
PERMIT
Site Address: 29803 PEBBLE BEACH DR,MENIFEE, Parcel Number: 336-126-007
CA 92586 Construction Cost $12,295.00
Existing Use: Proposed Use:
Description of REAPLCE 80,000 BRU FURNACE IN THE CLOSET,4 TON(14 SEER)A/C UNIT ON THE SIDE YARD
Work: &COIL
Owner Contractor
DONALD COLE PEACH HOME SERVICES INC
29803 PEBBLE BEACH DR 532 MALLOY COURT
MENIFEE, CA 92586 CORONA, CA 92880
Applicant Phone: 7144628174
JANE RECKTENWALD License Number: 1023790
PEACH HOME SERVICES INC
532 MALLOY COURT
CORONA, CA 92880
Fee Description QQt rr Amount fS)
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 building 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_Pemxit_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 ❑I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class CEO License No.
\CO3�-__RC7 By my signature below I acknowledge that,except for my personal residence
Expires Signature_ �—�Y 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 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.le info. uv cala rt�nl.
this permit is issued.
Policy# Date
❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWN R DR A ORIZED AGENT
section 3700 of the labor Code,for the performance of the work for which o By my signature below I certify to each of the following:1 am the property
this permit is issued.My worker's compensation insurance carder and policy owner or authorized to act on the property owner's behalf.I have read this
number are: pp {{ ^^ 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
pp building construction.I authorize representatives of this city or county to
Policy S Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundreds Date S Ji�—
dollars($S00)orless PROPERTY OWNERO RI2ED AGENT
❑I certlfy that in the performance of the work for which this permit is issued, j.
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# A1\
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation revisions of Section 3700 of the Labor
Cade,I shall forthwith comply wi os provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date�J���� mixture containing a hazardous material equal to or greater that the
amounts��spSS��Mad on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SEC ORKER'S COMPENSATION COVERAGE IS D Yes ONE
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES Will the intended use ofthe building bythe applicant orfuture building
AND CIVIL FINES UPTO 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(SCAQMD)?See permitting.checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgui lines
CONSTRUCTION LENDING AGENCY D Yes
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 30DD 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 *q,—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
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Cade ion 25505 and 25534 concerning
hazer us material report(n
Businesscheckma and
I have placed next to the applicable that r(Section permit Dyes �}L
Business and Professions Code).Any city or county that requires a permit to Date IJ
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR A HO ZED 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 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 Iicensure 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($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sale employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
DATE 5.17.1.$ -_ -- --_ --- -� _ PcRMl /PLAN CHECK NUR.13,;;
TYPE: =OMMERC:AL RESIDENT '• N.._,L7I-FAMIL, hn_L. _- i :; SIGN I
_._. ` .
NEW .. ✓ ;��-
SUBTYPE. ADDITION ALT :. DCIVlOLlll.
PLUMBING —
I
DESCRIPTION OF V40RK Replace.80.,0000_btu_furnace in the closet,
4 ton (14 seer) A/C unit on the side yard & coil
PROJECTADDRESS 298.03 Pebble Beach Dr _
ASSESSOR'S PARCEL NUN!BER .336-126-0.07 38 22269-1
I --
I OWNER NAME -Donald Cole I
ADDRESS 29$03 Pebble Beach Dr Sun City, CA 92586
PHONE 951-244-1666
APPLICANT NAME Jane_Re ktenwald.
ADDRESS _532_Ma[l0y Crt Corona, CA-92880
l — --
PHONE 714-336-6159 EM1r=„L _janereck@.att.net
CONTRACTOR'S NAME - _ OWNER BUILDER? YES ✓i,.O
BUSINESS NAME Peach Home Servics DBA Goettl Air Conditioning
ADDRESS —_-532 Malloy Crt Corona, CA 92880
PHONE _951-737-4141-___---- ----- - - '- _
CONTRACTOR'S -- L.0 INUt.IeER -1-023790 _ _ - L[CF:•::' ;.I:.,. . .. .,,- C20, C36 _
I VALUATION S _12.295 00- SG:T 1785
APPLICANT'S SIGNATURE DATE 5-17 18
�Ll I 1t-
INVOICE -
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PLAN CHECK '-EES
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