PMT18-03741 City of Menifee Permit No.: PMT18-03741
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 0713 112 01 8
PERMIT
Site Address: 29850 CALLE SAN MARTINE, MENIFEE, Parcel Number: 340-084-002
CA 92584 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of REMOVE AND REPLACE 3 TON CONDENSOR AND COIL
Work:
Owner Contractor
BRYON NUTTALL W C HEATING&AIR CONDITIONING INC
29850 CALLE SAN MARTINE 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9516000700
W C HEATING&AIR CONDITIONING INC License Number.779604
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Phone:9516000700
Fee Description Qtv Amount fSl
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1 0.00
General Plan Maintenance Fee-Mechanical 1 6.65
$166.65
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.
AA Bldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION propertywho builds cr Improves thereon,and who contracts far the projects
I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractors)pursuant to the Contractors State License Law),
Chapter!)(commencing with section 7O0D)of Division 3 of the Business and O l am exempt from licensure under the Contractor's State license Law for
Professions Code and my license is in full force and effecL the following reason:
License Class 1C7..f✓ license No.77(I(cV* By mysignature below l acknowledge that,except formy personal residence
Expires 4101F 20 Signature - �i � in which l must have resided for at least one yearpdorto completion of
WORKER'SS COMPENSATION DECLARATION improvements covered by this permit.I cannot Iegallysell a structure that I
have built as an avmer-builder if it hasnot 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 worker's 7O44 of the Business and PraFessions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted Drat the following webslle:
by Section 3700 of the Labor Code,for the performance of work for which www.leoinfo.n.gov/calawhtmi.
is submitted
this permit is Issued.
Policy# Date
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 'y my signature below l certify to each of the following:)am the property
this permit is issued.My worker's compensation insurance carrier and policy r 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 C.r nrwAt with all applicable city and county ordinances and state laws relating to
T' building construction.I authorize representatives of this city or county to
Policy# LJCk)C90 r6eZ. Expires I�s �r' en ter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred ��
dollars($100)or less — Date f 4 !
PROPERTY OWNER OR AUTHORIZED AGENT
01 cerllfy that in the performance of the work for which this permit Is Issued,
I shall not employ any persons In any manner so as to become subject to the CITY BUSINESS LICENSE 6"3czn�
worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant Date 1 5
�.�j T�1ff mixture containing a hazardous material equal to or greater that the
y �� amountss�sp''��cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS DYas�, so
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 Districtcons(SCtionor Seepation fro Southfiirgu
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air
eps
CONSTRUCTION LENDING AGENCY Dyes l 0
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) D Yes--a.r10
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
herebypermitting checklist.I understand my requirements underthe State of
I Contractor's
affirm under penaltythe perjury that I am exempt from the California Health&Safety Code,Section 25SCS and 25534 concerning
Cantraark(slicense law for the to
pplicfcatedbelpwbythe liVardpus material reporting.
checkmark(s)I have placed next to the applicable tlem(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to o s
construct,alter,Improve,demolish or repair any structure,prior to its ""�— rf Date tS IS
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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING MRPI
License Law(Chapter 9(commencing with Section 7011D)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 7O31.5 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
than($S00), required practices.This Includes rental property owners and property
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.eoa.stay/lead or contact the National Lead Information Centerat
not intended or offered for sale.(Section 7044,Business and Professions 1.800-424-LEAD(5323).
Code,The Contractor's State Ubense law does not apply to an owner of oAn 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:
ci 1,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 nut apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
APPLICATIONBUILDING & SAFETY PERM IT/PLAN CHECK
Menifee
iik
DATE 0 7/3112 0 1 8 PERMIT/PLAN CHECK NUMBER ( t " ► O ��,�
TYPE: [-I COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME [7]POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION []DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW []PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Replace 3 ton condenser and coil
am rCPU=PP-
PROJECT ADDRESS Calle San Martine 92584 City of Menifee
ASSESSOR'S PARCEL NUMBER 340-084-002 LOT TRACT Building Dept.
OWNER NAME Byron Nuttall JUL 31 2018
ADDRESS 29805 Calle San Martine Menifee, CA 92584 Received
PHONE (951)809-6922 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunneccom
CONTRACTOR'S NAME We Care OWNERBUILDER? ❑YES❑✓NO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta, CA 92584
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION$ $8,500.00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE 07/31/2018
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING' OENG'I/ENGINEERING FIRE GREEN SMIP
AMOUNT I v µ , PAIDAMOUNT
O CASH O CHECK q J CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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