PMT18-02494 City of Menifee Permit No.: PMT18-02494
29714 HAUN RD. Type: Residential Mechanical
CCEL/4 MENIFEE, CA 92586
MENIFEE Date Issued: 05/22/2018
PERMIT
Site Address: 27075 PETUNIA CT, MENIFEE, CA 92586 Parcel Number: 335-362-022
Construction Cost: $6,759.56
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, NEW CARRIER 3.5 TON 14.0 SEER R410a SINGLE STAGE SPLIT A/C WITH
Work: 90,000 BTU FURNACE
Owner Contractor
DON SLATER MONK'S AIR CONDITIONING
27075 PETUNIA COURT P 0 BOX 128
MENIFEE,CA 92586 SUN CITY, CA 92586
Applicant Phone: 9516794502
TIFFANI SELLERS License Number: 912194
MONK'S AIR CONDITIONING
P O BOX 128
SUN CITY, CA 92586
Fee Description ,O�t Amount
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_Templatexpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from leensure under the Contractors'State License Law for
1 hereby affirmunder penalty or perjurythat 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 rjo{i h��rise Is In full force and eff which I must have resided for at least one year prior to complellon
License Class_(� Ucens No. 2 improvements covered by this permit,I cannot legally sell a structure that I N
Expires 3_3 i_ R� Signatu built as an owner-building If it has not been constructed in its entirety by licem
contractors.I understand that a copy of the applicable law,Section 7044 of
WORKERS'COMPENSATION DECLARATION _ _ Business and Professions Code,Is available upon request when this application
submitted or at the following Web site:
❑ 1 hereby affirm under penalty of perjury one of the following declarations, hao•JAvvnv.leainfo.ca.govlcalaw.html.
I have and will maintain a certificate of consent of seH Insure for workers'
compensation;Issued by the Director of Industrial Relations as provided for by Date
Section 3700 of the Labor Code,for the performance of work for which this
permit is issued. Property Owner or Authorized Agent
P0IIcyW ❑.By my Signature below, I certify to each of the following: I am the propr
V_ I have and will maintain workers' compensation insurance, as required by per or authorized to act on the property owner's behalf. I have read I
section 3700 of the Labor Code,for the perfomrance of the work for which this application and the Information I have provided is correct I agree to corn
permit is issued.My workers'compensation insurance carder and polity number are: with all applicable city and county ordinances and state laws relating to build
construction.I authorize representatives of this city or county to enter the abo
Carder identified property for the Inspection purposes.
Policy#1 L— /b0— /Z Expires �— f —� DateProperty Owner or Authorized Agent '
(This section need Cot be completed If the permit is for 035l�79
one-hundred dollars($100)or less) City Business License#
1 certify that in the performance of the work for which this pemdt is iswied,I HAZARDOUS MATERIAL DECLARATION
shall not emofov any parsons in any manner so as to became subject to the Wig the applicant or future building occupant handle hazardous material o
workers'compensation laws of California,and agree that if I shouttl become mixture containing a hazardous material equal to or greater that the
subject to the workers'compensation provisions of Section 3700 at the Labor amounts s cified on the Hazardous Materials Information Guide?
Code,4 shall mply with those provisions. ❑YES�O
Appll nt• Date; 10 o WIII the Intended.use of the building by the applicant or future building
occupant require a permit for the construction or modification from South
WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management Dlsbddt(SCAQMD)?See permitting check)
COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES <NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($900,000),IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the ou
DAMAGES AS PROVIDED FOR AN SECTION 3706 OF THE bound of a school?
LABOR CODE,INTEREST,AND ATTORNEYS FEES DYES E"O .
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penalty of perjury thsre 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 C e,Section 25505 and 265M concerning
3097 Civil Code) hazardous mate Ire orti
OWNER BUILDER DECLARATIONS DYES NO
I hereby affirm under penally 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 ilem(s)(Section 70315.Business and Professions Code:
Any city or county that requires a permit to construct after,improve, demolish, EPA RENOVATION.REPAIR AND PAINTING(RRP1
or repair any structure,prior to 16 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 contractor
provisions of the Contractor's State License Law(Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978
Section 70D0)of Division 3 of the-86stripss and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with
she is exempt from Jicensure.and the basis fdr the alleged exemption. Any required practices.This includes rental property owners and property
violation of Section 7031.5 by any Applicant fora permit subjects the applicant to managers who do the palnt-disturbing work themselves or through their
a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit:
www.epa.govBead or contact the National Lead Information Center at
❑ I; as owner of the property, or my employees with wages as their sole 1-800-424-LEAD(5323).
compensation,will do( )all of or( )porting of the work,and the structure is
not intended or offered for sale.(Section 7044,Business and Professlons Code;
The Contractor's Stale License Law does not apply to an owner of a property ❑An EPA Lead-Ssfe Certified Renovator will be responsible for this proje,
who, through employees' or personal effort; builds or Improves the property,
provided that the Improvements are not intended or offered for sale.If,however, Certified Firm Name:
the building or Improvement Is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the purpose of sale). Firm Certification No.:
O I, as owner of the property an exclusively contracting with licensed ❑No EPA Lead-Safe Certified Firm is required for this project because:
contactors to construct the project(Section 7044,Business and Professions
Code:The Contractor's License Law does not apply td an owner of a property ..
who builds or Improves thereon,and who contracts for the projects with a -
APPLICATION
Menifee
DATE ] PERMIT/PLAN CHECK NUMBER
TYP : O OMMERCIAL X RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOLISPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL XMECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK f(C Cba= (' f-e ,T C ``-���
ftoC MG Gt L Lw q8 k- I i ,, w v
PROJECTADDRESS Qy7_S 7,1 C" Cf, l ` .}�( C" '2� "
ASSESSOR'S PARCEL NUMBER 3 -2 n -L Z 6 LOT � LA^-r TRACT Bu Ids
OWNER NAME S a —c C
ADDRESS _ ,� n , ' C-t be v-J
PHONE V70 • I-3(,n] EMAIL Received
APPLICANTIN2NA/^MMl.�E aj r
i_J
ADDRESS 5W M VM I' ^ / I d lf �>p� eY " 1 l
PHONE (q5 ) IP (/L?lf502 A EMAILrnonKjQ1r� ►Y�;La - �.om
CONTRACTOR'S NAME l..( LY- ' V I Q L`�� OWNER BUILDER? OYES NO
BUSINESS NAME C MWIC5'
(r Chod I Qn I
ADDRESS
//� J/ C� ( GA q-25
PHONE l '�1SI) Ld 1`�f � C/�J/Z �]� /EMAIL mbnlcS60r r� Gi�"na:�L - GOm
CONTRACTOR'S STATC LIC NUMBER/ "I 12 1-J`y LICENSE CLASSIFICATION CZ0
VALUATION$ ve , S� SQ FT LSO FT
APPLICANT'S SIGNATURE DATE /t7II
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING cNGINEERING FIRE I GREEN SMIP
INVOICE
AMOUNT PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISAIMC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
w m m _0E ."'.
o 9 a u u N
0
Q d ^D
O U ti
m y-
C a N c C
LL O
C
D w ¢ c 0
o 015
°u
« w
A CD x v
c W v
d U
E m 00 mE m
� c c �
o m = > « D v
Z �
v
� m —
E �+ E
0
N d to c a
d C N ✓1 vt a-1 ei �n � «
m c E m a
❑ 4 i c c
n = Ya o r'
d c d O u U c O W
o v 2 U d
s m d Y Y $ a to to —u N
p - C V o 0 e
Go to to to of p d y1 n. 0 0 `+
m d v a v `p E c
J p ' Uc d o o
—y 0 (o O C> u Z U L O N O y .v.
3 E a o o N
v N a 0 a o « .N
d Coo o O ei Gyto
c ❑ >
C E
L d L to Y to O.L
d E a N O K C U
L C C L G a
3 A an d 6 > e�-I O
O N ` O E V
v c u o a v
= V
d
= p H
U d a n Y
Q d 0 L d y d d LL
J Y
o n
m c o E
U c N o p
> u r g u
W o m c .° U N
E F Oo m
C p j N d p C
-� .J. o v
« w v
m t d n c m c u o ;� d ry o ut o
Co0
d O N
m g 3 +d+ a > m v
wD p L VI ad+ O
Z « o w U No �n o
V ❑ N V
C L v �0 N u N J m Q �i
O Q m C C
c W
C d d U d D J .- N U
d ¢ d w w
LLQ d p 0 N c O d OOp d
m c O moo j V c E
Gto
LL .q u c ¢ ¢ m m U N u vtwZ
u ¢ m Q u u 0 0 0 0 o m U c u
W ^� V o
G p J j 'O a w of
U
R' f0 Z � F '°N^ A • d �
+ n >
LL •
V p O
L
O c O w a
O a c u Ory
rl 3 0 C u 2 D
Z � O ti W
CI ay W
G
.p « N �
W N x O O
� O W
ti •o. E > v a
10
m E � ti
c � c w
c •o E
u C W p N' O N
l!1 O
0
C C 41 y- •V O
a
n0 W p 0 c 0 0 _•�- _W U o U YO O O
Q V E ¢ o o
Gl O a W 2 N O' O C O A t o
E
b G E — =m C m W O O O K z u•
0 '0 E A U Q On s rmy 00 V411 V
V Y
T u
_ ; „ 0o 3
u• _v .. °i ry
t V N T
y A L
Q C m E u n o v a a u < o t m s
_ N E E y j .y E w o o
.Z n O v
E rL Y c
u ut v o m r v w a q T U o a U O U
yl u N m
E O W u n O. o c
W N W 6L0Wd TOL Y N CI -°O
5 _ ° .. G o
H N v o
EVa>m+1 N y mW
o
a c OQ
c0
c C wuO O
M - a uv N
ca N y OI v
c c Q S E 4L Eo v Fp - o aLL n y v
U o c V n ° v c 0Y1 •�• V c
n. u m
G N ad, a 6 m v O itw °
a o
u U
m
a u
vu auu
W Y VI C V
f, n -p O w .- E w co_ m vmm � �• T c m
u o a ti y .0 E of u u'�
io9 v i o c
U a v
u v LL
U Q ❑ 9 c U O V � U U w 0 x W W LL C U
N m q ivy_ c' ti
ti a c a R'•J �
n m d �r•
n
a o m n w ry
o u E � � .2•w x 'o
n o o a o y K a
a $ U
n E ei m W m C
u
a �
o a a 5
� a
C �
d U a L 9 p
w SS
m
a
p a
c m o ti o
Y c d 0 w m v u = n c 3 n m 0 a w ry
N E am x b; c c h0v w o c n M
p V a 9 a S a 6 d d ry ey N O r�i
0 o N u a m a w Aat K a N � m am E o > >
u y v a«E
.6 c _gin v of
io av uS° m2 am
� �E
Sc
Q „ ` nn= u
SC c � " E '
�= —o- 'p M. m hu u3 J Q C d Y U y a g O t O C d O �. dj
d C a a R C
U J in w o E m y o Eo - p@ o E
Y 'o
d N 'O o na o
£ E 10 « o e o
."0.. N "—C ICq u m a« w n ?y
Y
E v _0' v e a
M �' K
O m � � m E � dEo '"
•� w
C U W Y N m r OC " rN V N
V Y V T 9 N d O — vni N q y¢ O a
LDg J > N 9 ea N VI
u a an d L° Z It- a Ti
Z m C d 9 .. Z 4! m d
''k
V G G N o O O C E a w w c c Z O O V y w
LL VI O Y « Z 00 y m 'O p N y Z
O.
N c c w « N S m w m O 1° ry o a
a. 'E
m — n
riQ .o
V O W Y m Q J N
w
L' 3 Ol m mY •• w O mY
e: ry m v vi
u Q G 00 0 00