PMT18-02676 City of Menifee Permit No.: PMT18-02676
29714 HAUN RD.
ui MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 06/01/2018
PERMIT
Site Address: 29140 PAPERFLOWER LN, MENIFEE, Parcel Number: 339-492-014
CA 92584 Construction Cost: $12,445.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, REPLACE 5 TON,90,000 BTU COMPLETE HVAC SYSTEM, NO DUCT WORK
Work:
Owner Contractor
TRISHA TRAN
29140 PAPERFLOWER LANE
MENIFEE, CA 92584
Applicant License Number:
STEVEN SCHNIERER
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description Q_yt Amount lS)
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).
Chapter9(commencing with section 7000)of Division 3 of the Business and O 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 CZQ License No.
By my signature below I acknowledge that,except for my personal residence
Expires 0 Signature S...�ry. � in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed In its entirety by
O 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 workers 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
this permit is issued. ,„HH,.leeinfo.ca.eov/calaw.html.
Policy# Date
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 ,Xy my signature below I 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 owners behalf.l have read this
number are: 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
7r building construction.I authorize representatives of this city or county to
Policy# CJC-L1JC-9p7S43 Expires II, r9 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred - Date 1 4s 1
dollarss($2($100)or less
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# h-z�c7n-2
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith complywith those provisions. Will the applicant or future building occupant handle hazardous material or
Gjmixture containing a hazardous material equal to or greater that the
Applicant -rw Date 11.41491 amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes
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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District construction
t(SCtionor Seemodification
permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airli es
CONSTRUCTION LENDING AGENCY oYes 1* o
1 hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this l@)byiko bletafte outer boundary of a school?
(Section 3097 Civil Code) BDRdling Dept o YeSC94o
OWNER BUILDER DECLARATIONS III ''L1,,�� 1 I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt fi, pw theo 1 2018 permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable items)( li '° ha ardous material reporting.
rdLTS'3p
Business and Professions Code).Any city or county that re Aid" ° s
construct,alter,improve,demolish or repair any structure,prior to its `�� Date L S )$
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIRAND PAINTING[RRP)
License Law(Chapter 9(commencingwith Section 700D)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)orthat he or she Is exemptfrom licensure 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.eoa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a 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:
sale.If,however,the building or Improvement is sold within one year of Finn Certification No.:
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 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
r,�
Acknowledgement. .
�eCfP,V-1 �'.�1 VI 1Cr�n:r — W 1l
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee -��
DATE 06/01/2018 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 Replace 5 ton 190,000 BTU complete HVAC system
PROJECTADDRESS 29140 Paperflower Lane
ASSESSOR'S PARCEL NUMBER 3?Zq_y a z_01y LOT TRACT
OWNER NAME Trisha Tran
ADDRESS 29140 Paperflower Lane Menifee, CA 92584 City of Menifee
PHONE (661)623-1353 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362 Received
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME We Care OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta, CA 92562
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION$ $ 12.445.00 SO FT L SQ FT
APPLICANT75SIGNATURE� �� DATE 06/01/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE pglD AMOUNT
AMOUNT OCASH O CHECK 9 OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED O YES 'C NO DL NUMBER NOTARIZED LETTER C YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line951-246-6213
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