PMT18-03392 City of Menifee Permit No.: PMT18-03392
29714 HAUN RD.
> ® MENIFEE, CA 9258E Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 0 710 912 01 8
PERMIT
Site Address: 26342 ERISE SPRINGS RD, MENIFEE, Parcel Number: 360-551-010
CA 92584 Construction Cost: $7,500.00
Existing Use: Proposed Use:
Description of REMOVE&REPLACE 5 TON 14 SEER AC UNIT&COIL
Work:
Owner Contractor
JIM BIESTERFELD PEACH HOME SERVICES INC
26342 ERISE SPRINGS ROAD 532 MALLOY COURT
MENIFEE, CA 82584 _ CORONA, CA 92880
Applicant Phone:7144628174
PEACH HOME SERVICES INC License Number. 1023790
532 MALLOY COURT
CORONA,CA 92880
Phone:7144628174
Fee Description OQt v Amount(3)
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
$324.10
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing building operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_BIdg_Permk_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. 2 9 the following reason:
`License Class j6 G7(} Uu,e No. d�37�d By my signature below I acknowledge that,except for my personal residence
Expires ��z$ Signatureo 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
this permit Is issued. www.IeRinfo.ca.Rov/caIaw.htmI.
Policy# Date
KI have 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 I certify to each of the following:I am the property
this permit 1s 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
Carrier 7' /" Npp�Z1 Y�(1�(N.�Us� with all applicable city and county ordinances and state laws relating to
%Z�OLo{�?� Z _J��8 building construction.I authorize representatives of this city or county to
Policy# Aires 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 r'
o I certify that In the performance of the work for which this permit is issued, r)w 1
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# v "l
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensatio revisions of Section 3700 of the Labor
Code,I shall fo rt 'L c mply ose provisions. Will the applicant or future building occupant handle hazardous material or a
> mixture containing a hazardous material equal to or greater that the
Applicant I t Date, amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 7pNo
UNLAWFUL,AND SHALL SUBJECTAN 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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes kia
I 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) ❑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
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
hazardous
checkmark(s)I have placed next to the applicable items)(Section 7031.5 material re rting.
Business and Professions Code).Any city or county that requires a permit to DYes AN 7--
construct,alter,Improve,demolish or repair any structure,prior to its Date
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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(FIRM
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 sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( I 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 Contractor's 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. ❑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
offaa If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
.. 1YT�I ll
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE 7-9-18 PERMIT/PLAN CHECK NUMBER ? jam �I733�
TYPE: COMMERCIAL /RESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA -,SIGN
SUBTYPE: C ADDITION � ALTERATION DEMOLITION ELECTRICAL VIVIECHANICAL
NEW PLUMBING - RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 5 ton (14 seer) A/C unit & coil
PROJECT ADDRESS 26342 Erise Springs Rd Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER 280-551-010 ✓ LOT 109 TRACT 30064 I
OWNER NAME Jim iesterfeld
ADDRESSN ise S rin s Rd Menifee CA 92584
PHONE 951-301-1971 EMAIL
APPLICANT NAME Ja Is Recktenwald I
ADDRESS 532 Mallooy Crt Corona CA 92880
PHONE 714-336-6159 EMAIL ianereck0att.net
CONTRACTOR'S NAME OWNERBUILDER? YESVNO
BUSINESS NAME Peach Home Servics DBA Goettl Air Conditioning
ADDRESS 532 M Hoy Crt Corona CA 92880
PHONE 951-737-4141 EMAIL
CONTRACTOR'S STATE LIC NUMBER 10237 0 LICENSE CLASSIFICATION C20 C36
J
VALUATIONS 7.500.00 SOFT 2,562 L SO FT , 47
APPLICANT'S SIGNATURE DATE 7-9-18
DEPARTMENT MSTRIBUIIO`J I CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING NGINEERMG ARE j GREEN SNIIP
INVOICE 2 I�. UD I PAIDAMOUNT
AMOUNT J7_ - I I -'CASH CHECK a CREDIT CARD VISA)MC
PLAN CHECK FEES PAID AMOUNT -,CASH CHECK; CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED : YES NO DL NUMBER NOTARIZED LETTER YES NO
Gt L;jn^Enrje2 +'Ur11r'(t;,; :)pn :.:c;r, . .tl .. i ._:; .�I� - .u *2e I_y •J7
t a l City of Menifee
Building Dept.
JUL 0 9 2018
Received
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