PMT18-03721 City of Menifee Permit No.: PMT18-03721
29714 HAUN RD.
MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 07/30/2018
PERMIT
Site Address: 29906 KRATKA RIDGE LN, MENIFEE, CA Parcel Number: 338-273-005
92586 Construction Cost: $8,200.00
Existing Use: Proposed Use:
Description of REMOVE AND REPLACE HVAC-3 TON AC 60K BTU
Work:
Owner Contractor
JESUS SAUCEDO CONSTANT COMFORT HEATING&COOLING INC
29906 KRATKA RIDGE LANE 27679 AVENIDA HALAGO
MENIFEE, CA 92584 SUN CITY,CA 92585
Applicant Phone:7608846273
CONSTANT COMFORT HEATING&COOLING INC License Number: 1028866
27679 AVENIDA HALAGO
SUN CITY,CA 92585
Phone: 7608846273
Fee Description -qty Amount(51
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.
BldgPerN tTe late.rpt Page 1 of 1
_P "�W11" V ho-j
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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exemptfrom licensure underthe Contractors State License Law for
' Professions Code and my license is in full force and effect. O/ the following reason:
License Class 201tOFC), tense No. a?Op o u By my signature below I acknowledge that,except for my personal residence
Expires Signatu )7 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 R 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 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 wwvr.IaeInfo.ca.gov/caIaw.htmI.permit is issued.
Policy# Date
❑I 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 ❑By my signature below I certify to each of the fallowing:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.1 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
building construction.I authorize representatives of this city or county to
Policy# Expires t he above identified property for inspection purposes.
(This section need not to be completed is the permit Is for one-hundredL�
dollars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
Acertify 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#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the orkers compensation provisions of Section 3700 of the Labor
Code,Ish drthwith omply wnniiIth,,those rovislons. 5—�/ Will the applicant or future building occupant handle hazardous material Ora
Appltc l.6ll� Date "3VV mixture containing a hazardous material equal to or greater that the
amounts ecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS OYes KNo
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(SC construction
or See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli es
CONSTRUCTION LENDINGAGENCY ❑Yes N0
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 permit Is issued outer be ugglary of a school?
(Section 3097 Civil Code) ❑Yes K010
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
Contractors License Law for the reason(s)indicated below by the California Health'&Safety Code,Section 25505 and 25534 concerning
ous al reporting.
at t
checkmark(s)I have placed nett to the applicable item hazard
s)(Section 7031.5 Ayes ,p� Date
Business and Professions Code).Any city or county that requires a permit toeJ (%
construct,alter,Improve,demolish or repair any structure,prior to its PROPERTYO NER 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(RRPI
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 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 Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible forthis 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:
01,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.Novi woodwwd- CVK+k
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: � PERMIT/PLAN CHECK NUMBER �2
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK
OCCUPANCY GROUP Q CONSTRUCTION TYPE SPRINKLERS O YES NO
PROJECTADDRESS (qy�y ,��r(,�^ d..Qi.p(G,' �_ t�iAh �� ZIP
ASSESSOR'S PARCEL NUMBERS ' 213b LOT TRACT
OWNER NAME 6[e
ADDRESS
PHONE lj(�-��j-J /Igo EMAIL
APPLICANT NAME +- t1.,. a . �r ' �'O r
ADDRESS -c5uri_ C.�-d'�
PHONE =I Cal 5 EMAjILL V . y 1 - rk7
CONTRACTOR'S NAAM•E`"' p y�'T OWNER BUILDER? O YES ONO
BUSINESS NAME J Yam,
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER �) ��[P tQ LICENSE CLASSIFICATION
VALUATION$ 0 SQ FT L SO FT
APPLICANT'S SIGNATUR % DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGVEERING FIRE
INVOICE TOTAL 324.& GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
City of Menifee Building &Safety Department 129714 Haun6*bi(M"M 92586 (951)672-6777
www.cityofinenifee.usBUilding Dept.
Nil
JUL 3 0 2018
Deceived
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