PMT18-04919 City of Menifee Permit No.: PMT18-04919
29714 HAUN RD.
Type: Residential Mechanical
�AF MENIFEE, CA 92586
(MENIFEE MENIFEE Date Issued: 10/09/2018
PERMIT
Site Address: 27781 ANTELOPE RD, MENIFEE, CA Parcel Number: 333-263-063
92585 Construction Cost: $11,729.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON/70.000 BTU COMPLETE HVAC SYSTEM AND 9 DUCTS
Work:
Owner Contractor
MARY PEREZ W C HEATING&AIR CONDITIONING INC
27781ANTELOPE RD 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 oy Amount(S)
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_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 a l am exempt from llcensure under the Contmctnes State License Law for
Professions Code and my license is in full force and effecL the following reason:
License Class C70 License No. �)79Lcl`4 By my signature below i acknowledge that,except formy personal residence
Expires(o',3b l 2k.) Signature 5...-� 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 bat been constructed In its entirety by
D I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable lase,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 Inclustriai Relations as provided for this application is submitted or at the following webshin
by Section 37110 of the Labor Code,for the performance of work for which
this permit is issued. www.leginfo.ca.gov/calaw.html.
Policyll Date
have and will maintain workers compensation insurance,as required by ]P/ROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which V�-y my signature below l certify to each of the following:I am the property
this permit is issued.Mywarkers compensation insurance carder 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 p CtTgr, ,-< with all applicable city and county ordinances and state laws relating to
— i building construction.I authorize representatives of this city or county to
Policy# LJC,Wa90}593 Expires l,r in 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 I S I
PROPERTY OWNER OR AUTHORIZED AGENT
a I certlfy that in the performance of the work for which this permit is issued,
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N 6'3czn�
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,l shsarlhwithcomply with those provisions. 'Anti the applicant or future building occupant handle hazardous material or
Applicant y��� Date 1 5 $ mixture containing a hazardous material equal to or greater that the
amoun''issp''��cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS OYes
UNLAWFUL,AND SHALLSUB1ECf AN EMPLOYER 70 CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,00(l),IN occupant require a permit for the construction or modification from South
ADDITIONTO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District cont(SCAionorm di cation fro South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air
es
CONSTRUCTION LENDING AGENCY oyes i o
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 boundary of a school?
(Section 3097 Civil Code) a Yesr-0190
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l 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 applicable itemis)(Section 7031.5 hyardaus material reporting.
Business and Professions Code).Any city or county that requires a permit to 6: cf
e Date I S I
construct,alter,Improve, applicantsh for the permi any t
a signedprior to 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 Contractors state EPA RENOVATION,REPAIR AND 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 far 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($5001• managers who do the paint-disturbing work themselves or through their
al,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.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 State License Law does not apply to an owner of a DAn 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 bull[or improved for the purpose of sale. D No EPA Lead Safe Certified Fmn is required for this project because:
o 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
11 C ' /r/ Acknowledgement.
&'h rufA PY" _ Our I v
BUILDING &SAFETY.PERMIT/PLAN CHECKAPPLiCATIa0N , MENIFEE
DATE: October 9, 2018 PERMIT/PLAN CHECK NUMBER p
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
ONEW OPLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 3 ton /70,000 BTU complete HVAC system and 9 ducts
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES ONO
PROJECT ADDRESS 27781 Antelope Road �}, � 1 Zip92585 '
ASSESSOR'S PARCEL NUMBER ;/'�'�J�tOIJLOT p�1 TRACT �S
OWNER NAME Mary Perez
ADDRESS 27781 Antelope Road Menifee, CA 92585
PHONE 949-246-3765 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE 818-735-7876 EMAIL
CONTRACTOR'S NAME We Care OWNERBUILDER7 OYES(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$ 11 ,729.00 SQ FT L SQ FT
Digitally signed by Steven Schnierer
APPLICANT'S SIGNATURE Steven Schnierer Date:2018.10.0906:54:24-07.00' DATE October 9, 2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF M.N.F.BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE /� VSCR> D
INVOICETOTAL Q ,10 I GREEN SMIP
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES C NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586(951)672-6777
www.cityofmenifee.us
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