PMT18-04369 City of Menifee Permit No.: PMT18-04369
A29714 HAUN RD. Type: Residential Mechanical
r MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 09/05/2018
PERMIT
Site Address: 29123 HIDDEN LAKE DR, MENIFEE, CA Parcel Number: 340-200-068
92584 Construction Cost: $15,089.00
Existing Use: Proposed Use:
Description of REPLACE 4 TON/90,000BTU COMPLETE HVAC SYSTEM, 1 DUCT
Work:
Owner Contractor
PATRICK FITZSIMMONS W C HEATING&AIR CONDITIONING INC
29123 HIDDEN LAKE DR 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9516000700
STEVEN SCHNIERER License Number:779604
WC HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description ON Amount($1
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 carded 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 property who 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 contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and of am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class Czp License No.7791-0 F By my signature below l acknowledge that,except formy personal residence
Expires to'J'Q ZCJ Signature 5.....sy. 5;5� in which lmust have resided for at least one yearpdor 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 constructed in its entirety by
01 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 is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.eov/calaw.html.
Policyll Date
C>dl and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance pf the work for which y my signature below l certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and polity v 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 C_4pn rss' withal]applicable city and county ordinances and statelaws relating to
1-r building construction.I authorize representatives of this city or county to
Policy# LJC,L0c90-ISor3 Expires Iir I enter the above identified property for inspection purposes.
(Thn
dollar ($IG )orl not to be completed is the permit is for one-hundred � Date 16118
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
0 I certlfy 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 6'3czn7
workers compensation laws of California,and agree that if l should became HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
S /- mixture containing a hazardous material equal to orsn ater that the
Applicant y%—� Date 15 ff amounts d on the Hazardous Materials Information Guide?
WARNING FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 O Yes
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 requires permit for the construction or modl0cation from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Duality Management heconDistrict(SUionorm See permitting ro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Airlf es
CONSTRUCTION LENDINGAGENCY Y. i� ro
I hereby affirm that underthe penalty of perjurythere is a construction Will the proposed building or modified facility be within 1000 feet of the
(ending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Clvd Code) 0 Yescp
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
permitting checklist.I understand my requirements under the State of
Contractor's
Law for the perjury that lam exemptated below b the
California Health&Safety Code,Section 25SOS and 25534 concerning
Contractors License laced next o the applicable
ite below by the dous material reporting.
checkmark[s)I have placed nett to the applicable items)(Section 7037.5 ha
Business and Professions Code).Any city or county that requires a permftto construc0 �_ s
Date L 5 IS
Issuance,also alter,improve, applicantsh f repair
ermitrofile a prior signed
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 Contactors State EPA RENOVATION,REPAIRAND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 700D)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 for most work that disturbs pain[ina pre-3978
and the basis for the alleged exemption.Any violation of Section 70315 by residence compeor nsation
re lmoy to he RRP-hertlRedris paint
nin a pre-ply with
than
Ap$5DD). ra permit subjects the applicant toa civil penalty of not more required practices.This includes rental property owners and property
than($SOD). managers who do the paint-disturbing work themselves or through heir
O1,as owner of the property,or my employee with wages as their sole employees.For more information about EPMs Renovation Program Visit:
compensation,will do( )all or or( )portion of the work,and the structure is www.eoa.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 Sate License Law does not apply to an owner of a aAn 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:
0 I,as owner of the property am exclusively contacting with licensed
contactors to construct the project(Section 7044,Business and Professions
Code:The Contactors 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
C - r� Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MEWIFEE
DATE: September 5, 2018 PERMIT/PLAN CHECK NUMBER iO
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL O RESIDENTIAL ()MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: ()ADDITION O ALTERATION ()DEMOLITION O ELECTRICAL (E)MECHANICAL
()NEW ()PLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 4 ton/ 90,00013TU complete HVAC system & 1 duct
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERSC)YES ()NO
PROJECTADDRESS 29123 Hidden Lake Drive �r ZIP
ASSESSOR'S PARCEL NUMBER 340—CZOO—Obp LOT (69 TRACT aSa�
OWNER NAME Patrick Fitzsimmons
ADDRESS 29123 Hidden Lake Drive Menifee, CA 92584
PHONE 303-883-6160 EMAIL swschnierer@roadrunner.com
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE 818-735-7876 EMAILswschnierer@roadrunner.com
CONTRACTOR'S NAME We Care OWNER BUILDER? C)YESONO
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$ 15,089.00 SOFT LSQFT
Steven Q� hnlerer Digitally signed by Steven Schnierer
APPLICANT'S SIGNATURE O Date:2018.09.05 04:54:46-07'00' DATE September 5, 2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY; _ CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE ��i�
INVOICE TOTAL ��� � � GREEN SMIP
OWNER BUILDER VERIFIED G YES O No DRIVERS LICENSE N NOTARIZED LETTER O YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofinenifee.us `�
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