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PMT18-03706 City of Menifee Permit No.: PMT18-03706 29714 HAUN RD. '1 MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE MENIFEE Date Issued: 0 712 712 01 8 PERMIT Site Address: 29674 AVENIDA DE SERENO, MENIFEE, Parcel Number: 336-261-006 CA 92586 Construction Cost: $12,000.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, REPLACE 3 TON 75,000 BTU FURNACE COMPLETE HVAC SYSTEM Work: Owner Contractor SYLVIA LOPEZ W C HEATING&AIR CONDITIONING INC 29674 AVENIDA DE SERENO 41085 GOLDEN GATE CIR MENIFEE, CA 92586 MURRIETA, CA 92562 Applicant Phone:9516000700 STEVEN SCHNIERER License Number:779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA,CA 92562 Phone:9516000700 Fee Description gtv Amount(El 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 erors 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 slated,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 Pennit_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 l am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section7000)of Division 3 ofthe Business and o l am exempt from llcensure under the Contractors State License Law for Proressions Code and my license is in full force and effect the following reason: Licenseclass C-20 License No. (�00'F By my signature below 1 acknowledge that except for my personal residence Expires 1o130120 Signature S. inwhich imust haveresided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legallysell a structure that I have built as an owner-builder if it has not been constructed In its entirety by o l 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 Pmressions Code,is avallable upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following webslte: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. www.lecinfo.a.eovycalaw.html. Policy 0 Date have and will maintain workers compensa Ilan insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Cade,for the performance of the work for which ✓XBy my signature below l certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy ✓ owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier Cmp"_t with all applicable city and county ordinances and state laws relating to —f building construction.I authorize representatives of this city or county to Palioyq CJC.LJc 9p>Hcr3 Expires I�r �r� Cnter the above identified property for inspection purposes. (This section need not to he completed is the permit is for one-hundred Date l 5I dollars($lOOJ or less PROPERTY OWNER ORAUTHORIZEO AGENT o I certify that in the performance of the work for which this permit is issued, I shall not employ any persons in any mannerso as to become subject to the CITY BUSINESS LICENSE p 63czn-> workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those pmvisions. Will the applicant or future building occupant handle hazardous material or a � �7 mixture containing a hazardous material equal to or greater that the AApplicant -Swssy s--� Date 15 8 amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes /a,t71 UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant of future building AND CAVIL FINES UP TO ONE HUNDRED TH0USgN0 DOLLARS($10p,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 3705 OF THE LABOR C0DE,INTEREST,AND ATTORNEYS FEES for gufdelt es CONSTRUCTION LENDING AGENCY oYes I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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 Yescpoo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby permitting checklist.I understand my requirements under the State of Contractor's munse Law forte peson(s)ry a[lam exemptbelow tithe California Health&Safety Code,Section 25SO5 and 25534 concerning Contractors License taw d next reason(s)indicated m(s)( by the hazardous material reporting. checkmark(s)I have placed next to the applicable items)(Section 7031.5 �/.'� Business and Professions Code).Any city or county that requires a permit to o �_ C• t Date L S 18 construct, nce,aloalter.improve,demolish or or the permany it tofile,signed to PROPERTY OWNER OR AUTHORIZED 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING fRRPI 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 llcensure 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 childarefadlirytp be RRP-certified Rrmsand comply with than Applicant faro permit subjects the applian[toactvrl 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 a1,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.epa.govylead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Pmfessions 1.800.424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of a aAn 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. 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 Acknowledgement. w�. Menifee DATE 07/27/2018 PERMIT/PLAN CHECK NUMBER CLIP TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBEROFSQUARES City OfMenife DESCRIPTION OF WORK Replace 3 ton 175,000 BTU complete HVAC system wilding Dept. JUL 2 7 2018 PROJECTADDRESS 29674 Avenida De Sereno qQMLQ ASSESSOR'S PARCEL NUMBER LOT TRACT OWNERNAME Sylvia Lopez ADDRESS 29674 Avenida De Sereno Sun City,CA 92586 PHONE (951)445-1716 EMAIL APPLICANT NAME Steven Schnierer ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362 PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com CONTRACTOR'S NAME We Care OWNERBUILDER? ❑YESQNO 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$ $12.000.00 SO FT L SO FT APPLICANT'S SIGNATURE DATE 07/27/2018 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION 1 CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 7C INVOICE r�}}©© PAIDAMOUNT O O AMOUNT (Jr/. 1 O CASH CHECK# 0CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Deportment 29714 Houn Rd. 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