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PMT18-03924
City of Menifee Permit No.: PMT18-03924 29714 HAUN RD. MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE MENIFEE Date Issued: 0 8/0 812 01 8 PERMIT Site Address: 27065 FLAGLER ST, MENIFEE, CA 92586 Parcel Number: 335-352-019 Construction Cost: $1,400.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT,4 TON HEAT PUMP PACKAGE UNIT REPLACEMENT,SAME LOCATION Work: Owner Contractor ANNA RHEA A R S AMERICAN RESIDENTIAL SERVICES OF 27065 FLAGLER STREET 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 CALIFORNIi 965 RIDGE LAKE BLVD.#201 MEMPHIS, CA 38120 Phone:9512769744 Fee Description gtv Amount f51 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. AA Oldg_Pemft_Template.rpl Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects with a licensed contractors)pursuant to the Contractors State License Law). I hereby affirm under penalty of perjury that t am under provisions of Chapter9(commencing with section 7DOD)of Division 3 of the Business and D I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force a ffect. a following reason: License Class alb L a(4' Uc s o.V A By mysignature below I acknowledge that,except for my personal residence Expires Signature , in which l 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 DECLAF ATIO 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:) 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 www.leeinfc.ca.eov/calaw.html. this permit is Issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT �3 . ve and will maintain workers compensation insurance,as required by section 3700 of the labor Code,for the performance of the work for which D By my signature below l certify to each of the following:I am the property this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information 1 have provided is correct.I agree to comply Carrier�.l with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Polity# -16st 1_�xpires In I I enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT D I certify that in the performance of the work for which this permit is issued, O�J-.('�J^t�J l LA any persons in any manner so as to become subject to the CITY BUSINESS LICENSE i ry workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wor r�s compe eati3r vislpJts of 3700 of the Labor Code, shelf th co l Ifose visi Willthe applicant afuturebuildingoccupanthandlehazardous material or mixture containing a hazardous material equal to or greater that the Applican Date d amounts specified on the Hazardous Materials Information Guide? WAR N • ILURETOSEC WORKER'SCOMPENSATI COVE GELS oyes loft UNLAWFUL,AND SHALL SUBIECf 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(SCAQMD)?See permitting checklist IN SECTION 37060FTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY aYes ©Plc 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) ❑Yes `e4lo OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that l am exempt from the Permitting checklis[.I understand quire he ece ingf Contractors License Law for the reason(s)indicted below by the Californ' a ItjWrecfran nil 25534 to ing haze raw atecheckmark(s)I have placed next to the applicable Items)(Section 7031.5 s Business and Professions Code).Any city or county that requires a permI to Date alter,improve,demolish or repair any structure,prior to its PROP N ORIZEDAGENT 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 ARENOVATION.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 licensum 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 he RRP-certified firms and comply with an Applicant fora 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( )all of or( )portion of the work,and the structure Is www.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 In 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 because. D 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. sUE Zijf c�I FYI ���{LIP i ,';l`lii°ILtD L:A'll"IC{� (.•ire 1_',IC; \IR!�.�1'� [DATE: CHECK NUMBER -1 TYPE: C:COMMERCIAL \!RESIDENTIAL :1 MULTI-FAMILY ;i MOBILE HOME �;;IMECHANICAL A >SIGN SUBTYPE: 'ADDITION ALTERATION DEMOLITION ELECTRICAL 77NEW . PLUMBING RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK •y � � — �,` / '��CK� IkcPROJECTADDRESS e7(��p�j -1'f��1 V=�S j �� � � ZIPASSEESSOR'S PARCEL NUMBE�R 11y -(S,q LOT TRAC OWNERNAME IV KI t^c City of Menifee ADDRESS SAME AS JOBSITE suffilmutupt— PHONE 64�)O '75N,7—�-i,7 3 > EMAIL AUG 0 8 APPLICANT NAME ADDRESS _ \� '�(2.5l Receiv PHON<g[t,,) (o(GO c.> 7 EMAIL CONTRACTOR'S NAME RIGHTIME HOME SERVICES OWNER BUILDER? YES NO BUSINESS NAME AIRS ADDRESS 3030 MYERS ST RIVERSIDE CA 92503 PHONE 800 660 0675 EMAIL CCALHOUN@ARS.COM CONTRACTOR'S STATE LIC NUMBER 765074 LICENSE CLASSIFICATION ClO C2O C36 VALUATIONS s'�"I� LSQFT APPLICANT'S SIGNATURE �� / DATE CITYSTAFF USE ONLY DEPARTMENT 015TRIBUTION CITY OF NIENI%EE lIU51NESS LICENSE NUMBER 8W!OING PUNNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE SMIP k I GREEN PLAN CHECK FEE I I INVOICE TOTAL 'JJ pq ,1 O OWNER BUILDER VERIFIED YES ' NO DRIVERS LICENSE# NOTARIZED LETTER YES NO S P a ca o O o o O T T D v D m m - m n A A m c 3 n u P1» < O e V D O -ri O Z O f1 m O y O A m m N O 0� GI 3 n m C 7 O 3 7 m ry r n vi 7 !? O 0 °� 3v O O �. ON o w xa r 7 o m a y 3 ry m p PO m A O 7 N O p V m0 < O G O < N O B O T u W N n B N n ^ w n O S p O < S N O n � d � o u C w p � w � m 3 3 m aa3 m a m as 9 j c c •G m '. 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