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PMT18-04225 City of Menifee Permit No.: PMT18-04225 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE MENIFEE Date Issued: 08/28/2018 PERMIT Site Address: 30646 SONORA ST, MENIFEE, CA 92584 Parcel Number: 360-491-009 Construction Cost: $9,200.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, 14 SEER 5 TON A/C, COIL, 100,000 BTU FURNACE, NO DUCT WORK Work: Owner Contractor GREG TETZLAFF CONSTANT COMFORT HEATING&COOLING INC 30646 SONORA STREET 27679 AVENIDA HALAGO MENIFEE, CA 92584 SUN CITY, CA 92585 Applicant Phone:7608846273 LORI WOODWARD License Number: 1028866 CONSTANT COMFORT HEATING&COOLING INC 27679 AVENIDA HALAGO SUN CITY, CA 92585 Fee Description OQrt Amount f5l 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 far 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 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 o l am exempt from licensure under the Contractors State License Law for Professions Code 11 and my license is in full force and effect. pp// the following reason: License Class 2QL-l�1�1/ jacense No.la x o`^cl By my signature below I acknowledge that,except for my personal residence Expires � J I I Slgnatu U J/ ,�(60,�, in which 1 must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if It has not been constructed in its entirety by 0 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 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 1s submitted or at the fallowing webske: by Section 3700 of the Labor Code,for the performance of work for which �ytyw.leeinFo.ca.eov/calaw.html. this permit is issued. Policy It Date D I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which D By my signature below I 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 I have provided Is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy R Expires eja he above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred �C�&L1/:LZU— dollars($100)or less Oate PROPERTY OWNER OR AUTHORIZED AGENT At 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 R workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the arkers compensation provisions of Section 3700 of the Labor Code,I sh drthwith comply with those revisions. Will the applicant or future building occupant handle hazardous material Ora I �, `—�_,7JU�S/ mixture containing a hazardous material equal to or greater that the Applica Date amounts ecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes RNo 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 ADDITIONSECTION 3760FTHHE COST LABOR CODE,INTEREST, ADATTOGES AS REYSFEOVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SERION 37060E THE LABOR CORE,INTEREST,AND ATTORNEYS FEES forguidelines CONSTRUCTION LENDING AGENCY oYes KNo 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 bou dary of a school? (Section 3097 Civil Code) ❑Yes 1yo 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 checkmark(s)I have placed next to the applcahie item(s)(Section 7031.5 hazardou_s,mate ial reporting. Business and Professions Code).Any city or county that requires a permit to °Yes 7 J J)�_ construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to file a signed statement PROPERTYO NER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contactors Business and Professions Code)or that he or she is exempt from Iicensum 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 for a 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 o I,as owner of the property,or my employee with wages as their sale 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.eoy/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 0 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. 0 No EPA Lead-Safe Certified Finn Is required for this project because: a 1,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 Lob woo ���W d d- Go BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: PERMIT/PLAN CHECK NUMBER GRADING/ PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLU jM�BING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK �J OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES NO PROJECTADDRESS �pC/6 ZIP ! f ASSESSOR'S PARCEL NUMBER ��� ' �-[' LOT TRACT Building Dept. OWNER NAME &1( AUG 2 7 2018 ADDRESS PHONE &).��30U y u+ y�' ^ j��) EMAIL APPLICANT NAME ADDRESS 16/ h PHONE ��f)-- C�^�y a-7 2j EMAIL CONTRACTOR'S NAME (/6 OWNER BUILDER? ::YES ONO BUSINESS NAME ADDRESS PHONE ^ yy1L_ EMAIL CONTRACTOR'S STATE LIC NUMBER f Qa��fG(� LICENSE CLASSIFICATION �D VALUATION$ SO FT L SO FT APPLICANT'S SIGNATUR �DATE � CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL O GREEN SMIP OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF w { � ; } - } k Q un ; r0 / k , n ; a - � / I f (} - } ! w _ \ J2 } - § 0 0 2 0 a : ƒ ± \ (§ 22 \ \ 6. 0 k . 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