PMT18-03893 City of Menifee Permit No.: PMT18-03893
29714 HAUN RD.
Ar MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 0 810 712 01 8
PERMIT
Site Address: 26900 CHAMBERS AVE, MENIFEE, CA Parcel Number: 335-323-006
92586 Construction Cost: $0.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON CONDENSER ONLY
Work:
Owner Contractor
IMOGENE KLINGMAN W C HEATING&AIR CONDITIONING INC
26900 CHAMBERS AVE 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
Fee Description QQrt Amount ISI
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_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION propertywho 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 contractors)pursuant to the Contractors State License law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and a l am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class Cz{, License No,779( C)4
By myslgnature below I acknowledge that,except for my personal residence
Expires�o'.30I 2c7 Signature S..— in which l must have resided 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 hasnot been consWcted 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 self-insure for worker's 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 webslte:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leeinfo.ca.gov/calaw.html.
Policy# Date
have and will maintain worker's compensation insurance,as required by �PRROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which 76By 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 r owner or authorized to act on the property owner's behalf.I have read this
number are: application and the information 1 have provided is correct.I agree to comply
Carrier—C4 Pr aS with all applicable city and county ordinances and state laws relating to
� building construction.I authorize representatives of this city or county to
Policy# CJC.LJC qO>543 Expires I'Ir �r— enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred ._..._ f
dollars($100)or less Date I S I
- PROPERTY OWNER ORAUTHORREDAGENT
O 1 certify 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 h-`9SC2P7
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,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Gj mixture containing a hazardous material equal to orgreater that the
Applicant z —� Date 1 5 $ am—nt�ssspnried on the Hazardous Materials lnfprma kin Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS DYesl`
UNLAWFUL,AND SHALLSUBJELT AN EMPLOYER 7O CRIMINAL PENALTIES Will the intended use ofthe building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant requires permit for the construction or modification from5outh
IN SECTIITIONON
375OFTHHE LABOF OR CODE,INTEREST; ADATTOGES AS REYSFEOVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
INSECTION 37060�THE LABOR[ODE,IMEREST,AND ATTORNEYS FEES forgufdelf ez
CONSTRUCTION LENDING AGENCY Dyes
I hereby affirm that under the penalty of perjury there Is a construction Will the proposed building or modified facility be within 10M 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) 0 Yez—•a. o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
Contractor's
Law
rtlty ererjurytha[lam exempt from the California Health&Safety Code,Section Z5505 and 25S34 concerning
Check arks I LicenseeLaw fortheto the pplic bleat belpwhythe hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to a �— '
�.� Date L S l8
issuance,construc also alter,Improve. applicantsh f repair
ermi structure,
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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING IRRPL
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 formes[work that disturbs paint ins pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compeor nsation
n for most
to RRP-hat distd firms in in a pr -1978
y with
than
Applicant fora permit subjects the applicant too civil penalty of not more required practices.This Includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves orthrough their
al,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 vmw.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 Contractor's State License Law does not apply to an owner of oAn EPA Lead•SafeCertified 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 Flim 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:
a I,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 not apply to an owner of a Ifyour Project does not comply with EPA RRP rule Please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
4
Men1fee
DATE 08/07/2018 PERMIT/PLAN CHECK NUMBER e' IT,
TYPE: [—]COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA [—]SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ UI IfI nepL
[-]NEW [-]PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 3 tan condenser AUG 0 7 201E
PROJECTADDRESS 26900 Chambers Avenue .- � 1
ASSESSOR'S PARCEL NUMBER ? 5�3a,3�t�(o LOT Co TRACT -�v
OWNER NAME Imogene Klingman
ADDRESS 26900 Chambers Avenue Sun City, CA 92586
PHONE (951)370-1088 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 OWNER BUILDER? ❑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 SOFT LSQFT
APPLICANT'S SIGNATURE DATE 08/07/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION l CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP
INVOICE 11 ^,�Y{ _� PAID AMOUNT
•� OCASH OCHECK# OCREDIT CARD VISA/MC AMOUNT Iiic(0
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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