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PMT18-04918 City of Menifee Permit No.: PMT18-04918 29714 HAUN RD. Type: Residential Mechanical MENIFEE, CA92586 MENIFEE MENIFEE Date issued: 10/09/2018 PERMIT Site Address: 28253 VIA BANDITA, MENIFEE, CA Parcel Number: 336-316-010 92585 Construction Cost: $8,451.00 Existing Use: Proposed Use: Description of REPLACE 3 TON/70,000 BTU COMPLETE HVAC SYSTEM Work: Owner Contractor DORIS HASELWOOD W C HEATING&AIR CONDITIONING INC 28253 VIA BANDITA 41085 GOLDEN GATE CIR MENIFEE, CA 92585 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 gtv 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 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_Pennit 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 penaity of perjury that l am under provisions of with a licensed contactors)puma nt to the Contractors State License Law). Chapters)(commencing with section 71300)of Division 3 or the Business and a I am exempt from licensure under the Contractues State License Law for Professions Code and my license is In full force and effect the following reason: License Class cao License No.7?9fro>E By my signature below l acknowledge that,except formy personal residence // Expires b�30 20 Signature in which lmust have resided for at least one yearpdor to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.i cannot Iegallysell a structure that I 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 contactors.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 providedfor this application is submitted or at the following webslte: by Section 3700 of the Labor Code,for the performance of work for which s,,,ww.leeinfora.eov/caWw.html. this permit is issued. policy Date have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the tabor Code,for the performance of the work for which XBy my signature below l certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy r owner or authorized to act on the property owner's behalf.I have read this number are: application and the information 1 have provided is correct.I agree to comply Carrier �sznrPG� with all applicable city and county ordinances and state laws relating to CM building construction.I authorize representatives of this city or county to Policy# LJC.Wn9074S'1Z Expires I� r� n enter the above identified property for inspection purposes. IThis section need not to be completed is the permit is for one-hundred — Gy/ Date 1 S I dollars(SIOD)or less PROPERTY OWNER OR AUTHORIZED AGENT 01 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 6'Sczn7 worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIALOECLARATION subject to the worker's compensation provisions of Section 3700 ofthe Labor Code,I 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 crgreater that the Applicant -tiw�—��� Orate I $ amounts d on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes r,]3do UNLAWFUL,AND SHALLSUBIECTAN 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($100,000),IN occupant requires permit for the construction or modification from South IN SECTIODITION N 376OFTHHE LABOR CODE,INTEREAMADATTOGES AS ROVIDEDS Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060�THE LABOR CORE,INTERES7,AND ATTORNEYS FEES forguldeli es CONSTRUCTION LENDING AGENCY 'Yes i o I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the lending agencyfor the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) 0 Yes P OWNER BUILDER DECLARATIONS I have read ead the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements underthe State of Iherector'sby munse Law forthetyof peson(s)ry atlam exbelowbempt the California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law d nut o the p indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ��//�L"��-"yy o Business and Professions Code).Any city or county that requires a permit to sm_ Ord Date t S I$ construct,alter.improve,demolish of repair any structure,prior to 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 Contractor's 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 licensure 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 property owners and property than($500). managers who do the palnt-disturbing work themselves or through their 01,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 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-EAD 15323). Code,The Contmctofs State License Law does not apply to an owner of oAn 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 Form 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. 'No EPA Lead-Safe Certified Firm is required for this project because: 'I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractor's 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 ff MEWIFEE -- _ - DATE: October 9, 2018 PERMIT/PLAN CHECK NUMBER GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL E) RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL Q MECHANICAL ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK Replace 3 ton / 70,000 BTU complete HVAC system OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES ONO PROJECTADDRESS 28253 Via�Bandita ZIP92585 0 ASSESSOR'S PARCEL NUMBER �Jjb ' �✓ttO'��� LOT _ IJ040 TRACT OWNER NAME Doris Haselwood ADDRESS 28253 Via Bandita Menifee, CA 92585 PHONE 949-462-4063 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? ©YESQNO 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$ 8,451 .00 So FT L SO FT Digitally signed by Steven Schniew APPLICANT'S SIGNATURE Steven SChnierer Date:2018.10.09 06:51:46-07'OV DATE October 9, 2018 DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE O �oft� . INVOICETOTAL I L�.ISO GREEN SMIP I OWNER BUILDER VERIFIED OYES 0 NO DRIVERS LICENSE# NOTARIZED LETTER :) YES 0 NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586(951)672-6777 www.cityofinenifee.us MENIFEE r y m a w o 0 0 0 o T r D T D ell �n IA �O v tow F+ A A — m W x < - ^ N N o 0 z C r m o ° a n < 0 09 O N o n O J 6 D N CD 2 N lA F� D � N O. •Y J D H w N m m N O O p lA eT N _2 cu ur °- 3 O J p1 oa w O O N 3CD A D m fG s m J D � " n o n � — O C Q c o f c 0 CD E V 00 J n H o .f0. ° > > n ^ o v J ro A N P w ° °• m - � � N ^ � c n iu •.i O ui p_ 2 R F � m F+ C 6 00 J tD 00 oxi ni O �3 � 00 � o n •_�•, 5 °o � G Z n W O O 0 O O J J C m A 09 N •� � N tG J 2 � m n m SL r D c 0o T n D » �, 0 0 O T O ao H J t+ m D ��l i �5 n y n A D c< n m - A c< n w D - n p o F+ ° i... o. o m N Nn � o o p D n D py O a m 3 n m a v+ W N nd O• � in a w N - a ,�'. 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