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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 `� ENI�_ n m n o. ?� o 0 o O o T T D T D n W w X y y y tp V y W h+ A A m G N 71 z D D 3 ,^., .01r r w O N m 3 N F+ R 3 V D O O z O n JZ c 3 mom o m a oom 3 N m < v o o �- oN f D p d o d � �' OT ° 9 X g Jm °� m 3 9. 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