PMT18-03720 City of Menifee Permit No.: PMT18-03720
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 07/31/2018
PERMIT
Site Address: 27328 EL CAJON LN, MENIFEE, CA Parcel Number: 336-231-020
92586 Construction Cost: $12,500.00
Existing Use: Proposed Use:
Description of HVAG CHANGE OUT,3 TON COMPLETE SPLIT SYSTEM
Work:
Owner Contractor
RONALD SCHECK A R S AMERICAN RESIDENTIAL SERVICES OF
27328 EL CAJON LANE CALIFORNIA INC
MENIFEE, CA 92586 965 RIDGE LAKE BLVD.#201
Applicant Phone:9512769744
CHRISTINA CALHOUN License Number:765074
A R S AMERICAN RESIDENTIAL SERVICES OF CALIFORNL
965 RIDGE LAKE BLVD.#201
MEMPHIS, CA 38120
Phone: 9512769744
Fee Description Qtv Amount I$1
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 staled,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).
Chapter!)(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors state license law for
Professions Code and my license is in full force a ffect. he following reason:
License Class ( 20 Chce Lic s 0.1 By my signature below l acknowledge that,except for my personal residence
Expires Signature f 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 DECIA T10 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 self4nsure 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 www.leginfo.ca.gov/r law.html.
this permit is issued.
Polity If Date
-w,10, ve 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 o By my signature below l certify to each of the following:l am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.)have read this
numberare: application and the Information I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier L.t building construction.I authorize representatives of this city or county to
Polity# �(o31..S�0 �� zpires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is orone-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, O? LA
shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# V....t/
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the wor er;scompe eaT{bn visto/1s of5 370D of the labor
Code, shall f 'th co r w (ose visi ' G7G� Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Appiican Date amounts specified on the Hazardous Materials Information Guide?
WAR N ILURETOSEC WORKER'SCOMPENSATI COVE GEIS a Yes '9ND
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FIN ES 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 forguidelines
CONSTRUCTION LENDING AGENCY DYes -00
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) o yes `dblo
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.)understand quire under the State of
Contractors License Law for the reason(s)indicated below by the Cali In&Safeec)ion 2 nd 25534 cancer ing
haze pus aterialr //
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s !!�� 5� A
Business and Professions Code).Any city or county that requiresapermitto Date
construct,alter,improve,demolish or repair any structure,prior to its PROP N ORIZED AGENT
Issuance,also requires the applicant for the permit to file a signed is
that he or she is licensed pursuant to the provisions of the Contractors State LTfARENOVATION.REPAIR AND PAINTING iRRPI
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 licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 70315 by resldenm 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
o 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( )all of or( )portion of the work,and the structure is wim.epa.eov/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 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 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 bemuse:
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.
tl
DATE: 7 I PERMIT/PLAN CHECK NUMBER co) ad
TYPE: COMMERCIAL >RE51DENTIAL ; MULTI-FAMILY O MOBILE HOME POOL/SPA < SIGN
SUBTYPE: 'ADDITION "ALTERATION DEMOLITION ELECTRICAL MECHANICAL
NEW TPLUMBING '.% RE-ROOF NU1M-BER OF SQUARES
DESCRIPTION OF WORK � `(�,.� 1�.. ��-
ME 4
PROJECTADDRESS Z,-] 'JZ`8 61 Go- yO,_j L,l, . ZIP / Z
ASSESSOR'S PARCEL NUMBER
LOT TRACT
OWNER NAME cSC,L1�C�, ,d.�l� City Of Menifee
ADDRESS SaAcM�E� AS JOBSITE oullaIn9 Dept.
PHONE EMAIL JUL 3 0 201E
APPLICANT NAME ,� ,
ADDRESS
PHONE cjP31) EMAIL
CONTRACTOR'S NAME RIGHTIME HOME SERVICES OWNERBUILDER? YES NO
BUSINESS NAME ARS
ADDRESS 3030 MYERS ST RIVERSIDE CA 92503
PHONE 800 660 0675 EMAIL CCALHOUN@ARS.COM
CONTRACTOR'S STATE LIC NUMBER 765074 LICENSE CLASSIFICATION C10 C20 C36
VALUATION S I Z SO L SQ FT
APPLICANT'S SIGNATYdE pATE
CITYSTAFF USE ONLY `
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITYOF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE 1,`^'(6
PERMIT FEE 3 , 14 SMIP y GREEN +-
PLAN CHECK FEE I INVOICE TOTAL O
OWNER BUILDER VERIFIED f,YES - NO DRIVERS LICENSE B NOTARIZED LETTER > YES NO
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