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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 - ƒ \ 3 ° rl { ) / m } \ � / ` � I { {{ - \ , ± \ | 7E « Ln rb r \ \ \\ \ # \ ( fm m E M, _ - r0 \ _ -) - � { / 7 \ ; \\ k 3 ° = g � - § - @ 2i � § = 7m CD Pv/Tr |0 ` 0-:51 Z) OFFICE COPY D T m N O N N d N T N p- D n m m m p_ rmr =�• "'r °O oo '? O n n �^ n n h_ �- N Z M M O M » 60 3 3 d 3 N O n 'm z Z Z �^ 3 ' mn H .r m O p ^m w a w w o m m m N S m y n D 2 2 3 o c O < fG n n O n n f. 3AA m < » d O p � 7r O O 'c T o -f0.. 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