PMT18-04051 City of Menifee Permit No.: PMT18-04051
29714 HAUN RD.
Type: Residential Mechanical
'� MENIFEE,CA 92586
MENIFEE MENIFEE Date Issued: 08/16/2018
PERMIT
Site Address: 26845 ECLIPSE DR, MENIFEE, CA 92585 Parcel Number: 331-420-083
Construction Cost: $10,981.00
Existing Use: Proposed Use:
Description of REPLACE 3.5 TON CONDENSER-NO HEATING COMPONENT ALTERED
Work:
Owner Contractor
CAROL WINTER W C HEATING&AIR CONDITIONING INC
2BB45 ECLIPSE DRIVE 41085 GOLDEN GATE CIR
MENIFEE, CA 92585 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 OQt v Amount ISI
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 6.65
$167.65
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_aldg Permit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds orimproves 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).
Chapter9(commencing with section 7O00)of Division 3 of the Business and o 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 CZ0 License No._�7 �90F
I1O By my signature below I acknowledge that,except formy personal residence
Expires lo1,30J Z Signature ,r � in which l must have resided for at least one year prior to completion of
WORKER'S CO CPPMPENSATION DECLARATION Improvements covered by this permit.I cannot legallysell a structure that I
have built as an owner-builder if it hasnot 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 lase,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,far the performance of work for which wvrvi leeinfo.ca eov/calaw.html.this permit Is Issued.
Policy N Date
have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,far the performance of the work for which 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 Cv nrPS with all applicable city and county ordinances and state laws relating to
—I-� building construction.I authorize representatives of this city or county to
PoliryN CJCJ.1)a9075rr3 Expires I,r �r� 9 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred �f Date I S f
dollars($100I or less PROPERTY OWNER OR AUTHORIZED AGENT
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 N b';czn-�
workers compensation laws of California,and agree that if l should became HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 370D of the Labor
Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant_ y Date 15 a mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes /a.No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future builds AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,DOOJ,IN n8
ADDITION TO THECOSTOFCOMPENSA71ON,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modirication from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air quality Management District(SOLgMD)7 See pertnitting checklist
AGENCY forguideli eqs
CONSTRUCTION LENDING o Yes a e,
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within)ODD feet of the
lending agency for the performance of the work which this permit isissued outer boundary of a school?
(Section 3097 Civil Code) o Yes--- .tda p
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l am exempt from the permitting checklist.l understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 255D5 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ha ardous material reporting.
Business and Professions Code).Any city or county that requires a permit to o '
construct,alter,improve,demolish or repair any structure,prior to Its Date t5 I$
issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
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 Ike The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from]!censure receiving compensation formes[work that disturbs paint ina pre-1978
and the basis for the alleged exemption.Any violation of Section 703LS by receiving compor ensation
n for mosy to t
RRPthat distuified rb pain ina pre-ply with
than($SOan Applica n[forapermitsubjectstheapplicant too civil penalty afoot more required practices.This includes rental property owners and property
than($SOD), managers who do the paint-disturbing work themselves or through their
cal,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( I portion of the work,and the structure is wcwv.ecia.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 OAn EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'er 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 R was
not built or improved for the purpose of sale. cz No EPA Lead Safe Certified Firm is required for this project because:
o 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
AcknowledgemenL
i
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION «tea
Menifee
DATE 0 8/1 612 01 8 PERMIT/PLAN CHECK NUMBER
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [-]SIGN
SUBTYPE: [—]ADDITION ❑ALTERATION [-]DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW [-]PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Replace 3.5 ton condenser
PROJECTADDRESS 26845 Eclipse
,/Drive ^ n yI °►a�S�
ASSESSOR'S PARCEL NUMBER 'J - 0 " ; LOT TRACT
OWNER NAME Carol Winter
ADDRESS 26845 Eclipse Drive Romoland,CA 92585 City of Menifee
Building r)ppt
PHONE (916)259-4215 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362 Received
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 92562
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION $ $ 10,981.00 SQ FT LSO FT
APPLICANT'S SIGNATURE DATE 08/16/2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITYU/ MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP ' V
INVOICE PAIDAMOUNT
p
AMOUNT I ( -L/ OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building& Sofety Deportment 29714 Noun Rd. Menifee, CA 92586 951-672-6777
www.cityofinen ifee.us Inspection Request Line 951-246-6213
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