PMT18-04370 City of Menifee Permit No.: PMT18-04370
29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 0 910 512 01 8
PERMIT
Site Address: 27026 BOTTLEBRUSH LN, MENIFEE, CA Parcel Number: 335-363-002
92586 Construction Cost: $15.089.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON/75,000 BTU COMPLETE HVAC SYSTEM
Work:
Owner Contractor
KEN INGRAM W C HEATING&AIR CONDITIONING INC
27026 BOTTLEBRUSH LN 41085 GOLDEN GATE CIR
MENIFEE, CA 92586 MURRIETA,CA 92562
Applicant Phone: 9516000700
STEVEN SCHNIERER License Number.779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA,CA 92562
Fee Description City 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_Permk_Template.rpl 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 vrith a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a am exempt from licensure under the Contractors State License Law for
Profes5ians Cade and my license is in full force and effect the following reason:
License Class Czp License No.779(c0'*
1 � By mystgnature below lacknowledge that,except formy personal residence
Expires!o'130)ZL7 Signature S.....� in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
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 fallowing websile:
by Section 3700 of the Labor Cade,for the performance of work for which this permit is issued. srle¢into.ca.eov/ralaw.hlml.
Policy# Date
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 Xsy my signature below l certify to each of the follawing:l am the property
this permit is issued.My workers compensation insurance carrier and polity r 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 ��n.-Pc� with all applicable city and county ordinances and state laws relating to
---1'r building construction.I authorize representatives of this city or county to
Policy# WC_L.Jc90'7S4r3 Expires Iir �r 9 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date 1145118
PROPERTY OWNER OR AUTHORIZED AGENT
O I 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 tothe CITY BUSINESS LICENSE It h"',czn7
workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
S� mixture ntaining a hazardous material equal to orgreater that the
Applicant + —��� Date 1 5 E co
amounts
on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 °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 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(SCAQMD)7 See permitting checklist
farguIN SECTION 3706 OFTHELABOR CODE,INTEREST,AND ATTORNEYS FEES Coast�it ens
CONSTRUCTION LENDING AGENCY 0 Yes J
I hereby affirm that under the penaltyof perjury there is a construction Wlll 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 Civil Cade) O Yeses Sd\o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
Iherector'by rmunse Law for the peson(s)ry in lam ex belowmpt b the California Health&Safety Cade,Section 25505 and 25534 concerning
Contra arks License laced nut to
applicable
it belowbythe hafardous material reporting.
checkmark(s)I have placed next to the applicable Ilemis)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit.- ° �_ s
�y Date t S 18
construct,alter,improve, applicantsh forthrepair any permit tofi[a apgned its PROPERTY OWNER OR AUTHORIZED AGENT
Issuance,also requires the applicant far the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter9(commencing with Section 700D)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 llrxnsure 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 be 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 properly owners and property
than($500). managers who do the paint-disturbing work themselves or through their
Dl,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( )portion of the work,and the structure is www.eoa.govAead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-900-424-LEAD(5323).
Code,The Contractors State Ucense Law does not apply to an owner of ciAn 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:
❑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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: September 5, 2018 PERMIT/PLAN CHECK NUMBER
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: 0 COMMERCIAL 0 RESIDENTIAL ()MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN
SUBTYPE: ()ADDITION ()ALTERATION DEMOLITION ()ELECTRICAL (D MECHANICAL
()NEW @PLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 3 ton / 75,000BTU complete HVAC system
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS(DYES ()NO
PROJECTADDRESS 27026 Bottlebrush Lane ZIP
ASSESSOR'S PARCEL NUMBER 3:TJ� �' Q?j'OCAOT _� TRACT
OWNER NAME Ken Ingram v
ADDRESS 27026 Bottlebrush Lane Menifee, CA 92586
PHONE 909-800-3647 EMAIL swschnierer@roadrunner.com
APPLICANTNAME 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)YES(F)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$ 15,089.00 So FT L SQ FT
Steven SCI Inlerer Digitally signed by Steven Schnierer
APPLICANT'S SIGNATURE Date:2018.09.05 04:58:30-07'00' DATE September 5, 2018
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL 16
GREEN SMIP
OWNER BUILDER VERIFIED OYES 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.cityofmenifee.us
ENIFE
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