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PMT18-03998 City of Menifee Permit No.: PMT18-03998 29714 HAUN RD. j MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE MENIFEE Date Issued: 0 811 312 01 8 PERMIT Site Address: 26597 CHAMBERS AVE, MENIFEE,CA Parcel Number: 335-231-018 92586 Construction Cost: $7,600.00 Existing Use: Proposed Use: Description of REMOVE AND REPLACE HVAC WITH 14 SEER UNIT Work: Owner Contractor MARY HAYES LEY HEATING&AIR CONDITIONING INC 26597 CHAMBERS AVE 578 GRAND MENIFEE, CA 92586 SAN JACINTO, CA 92582 Applicant Phone: 9096541871 LEY HEATING&AIR CONDITIONING INC License Number:745249 578 GRAND SAN JACINTO, CA 92582 Phone:9096541871 Fee Description 02 Amount ISI 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_Bldg_Pennit_Template.rpt Page 1 of 1 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 contractor(s)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I 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 C" ZG se No. 7 LIT7_49 B m signature below I acknowledge that,except for m y y g g p y persona l residence Expires Signat re � 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 it has not been constructed 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 website: by Section 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.goy/calaw.html.permit is issued. Policy# Q.ST 5612-Z0L( 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 following:I am the property this permit is issued.My worker's compensation insurance carrier and policy 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 L.J✓oj-Tcv !2%-"V._ with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy# UI S"K}.a&'1 ID k'-W Expires 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 1 ❑I certify that in the performance of the work for which this permit is issued, N QG '2'' I shalt not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Cod shall forth h co ly with those provisions. Will the applicant or future building occupant handle hazardous material or a Appli Date /3 '/mil mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS '*Yes ❑No 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 LIBOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlines Qua CONSTRUCTION LENDING AGENCY rages o No 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 forthe performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) ayes ❑No 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 hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s 0 o Business and Professions Code).Any city or county that requires a permit to Dale A construct,alter,improve,demolish or repair any structure,prior to Its —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 IRRP) 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 Cade)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 510 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 rr�&,af not more required practices.This includes rental property owners and property than($500). O{ 10 managers who do the paint-disturbing work themselves orthrough their z�\�M \n9 �� ��_��,qqq��� ❑I,as owner of the property,or my employ 2e�q .ages as tfrgj�bla employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion-oi�Ltthhe work,%n%th structure i www.epa.gov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Bu nA�ilan�l Profession �► 1-800�24LEA0(5323). Code;The Contractor's State License Law does not y to an o ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or s the property provided that the improvements are not intendp,Q r ed for Certified Firm Name: sale.If,however,the building or improvement is e year of Firm Certification No.: completion,the Owner-Builder will have the burd o oving that it was not built or improved for the purpose of sale. ❑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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION L�,� � I�FE •`_.. DATE:8/13/2018 PERMIT/PLAN CHECK NUMBERI N= - 039a8 GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL (D RESIDENTIAL MULTI-FAMILY ©MOBILE HOME O POOL/SPA O SIGN SUBTYPE: OADDITION E) ALTERATION 0 DEMOLITION O ELECTRICAL O MECHANICAL ()NEW OPLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK HVAC- Change Out OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS D YES ONO PROJECTADDRESS 26597 Chambers Avenue, Sun City ziP92586 ASSESSOR'S PARCEL NUMBER 33S 3I� LOT TRACT OWNER NAME Mary Hayes ADDRESS 26597 Chambers Avenue, Sun City CA 92586 PHONE 246-3415 EMAIL leyacinc@gmail.com APPLICANTNAME Ley Heating & Air Conditioning, Inc. ,2r�✓J c 6�e eea� ADDRESS 578 Grand Avenue, San Jacinto, CA 92582 PHONE 951-654-1871 EMAIL leyacinc@gmail.com CONTRACTOR'S NAME Ley Heating &Air Conditioning, Inc. OWNER BUILDER? OYESQNO BUSINESS NAME Ley Heating & Air Conditioning, Inc. ADDRESS 578 Grand Avenue, San Jacinto, CA 92582 PHONE 951-654-1871 EMAILleyacinc@gmail.com CONTRACTOR'S STATE LIC NUMBER 745249 LICENSE CLASSIFICATION C20 VALUATION$ 760//0 ` SOFT 1500 L SQ FT APPLICANT'SSIGNATUR DATE8/13/2018 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENG EERING FIRE fLi Q INVOICETOTAL 31 `b GREEN SMIP OWNER BUILDER VERIFIED OYES O No DRIVERS LICENSE# NOTARIZED LETTER C YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 ,q wwwAtyofinenifee.0 bty of Menifee Building Dept. NIFE AUG 13 2018 Received n n m LtF nWN Nna 0enn~n 0wvNoJ 0NvAZ3 nAONm.J. nAONnQ- D A9mW mDD m o0 11 I x D D fb M,G Z .ldOnr nm?nif9 m 0 no 3 0 0 a N m 0 O 0 c x o m O fro 0 mn3-rp+ D No p u' m e o V m o X 2 w n o m o .�. 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