PMT18-05035 City Of Menifee Permit No.: PMT18-05035
29714 HAUN RD.
1 MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 1 011 912 01 8
PERMIT
Site Address: 25693 TYLER CT, MENIFEE, CA 92586 Parcel Number: 335-403-020
Construction Cost: $8,500.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, REPLACE 4 TON,90,000 BTU COMPLETE HVAC SYSTEM
Work:
Owner Contractor
SHEILA SIMMONS W C HEATING&AIR CONDITIONING INC
25693 TYLER COURT 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
Phone: 9516000700
Fee Description QtV Amount(81
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 contractors)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and o l 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 License No. ( Q* B m signature below l acknowledge exceptform
� Y Y g gmy personal residence
Expires'430I 20 Slgnature 5..,...sa_ � in which 1 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 1
have built as an owner-builder if it hasnot 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 providedfor this application is submitted oracthe following webs(te:
by Section 3700 of the Labor Code,for the performance of work for which
this permit Is issued. www.leain(o.ca.eowrcalaw.htmL
policy Date
have and will maintain worker's compensation insurance,as required by
P/ROPERTY OWNER ORAUTHORIZEDAGEFIT
section 37GO of the Labor Code,for the performance of the work for which 76 By my signature below l certify to each of the folknving: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 I have provided is correct.I agree to comply
Carrier Cyrar , with all applicable city and county ordinances and state laws relating to
�r building construction.l authorize representatives of this city or county to
POlicyg WC,tJGg0}S�t3 Expires I�� �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 I : I
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 became subject to the CITY BUSINESS LICENSE K h '3Czr's'�
worker's compensation laws ofCalifprnia,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's 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
r� mixture containing a hazardous material equal to orgreater that the
Applicant. y G Date 15 $ omount�s�sp".o fied on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 oYes %`
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($100,0001,IN occupant requires permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management Dlconsstrict(SCAionormeepermin froing checklist
IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidell es
CONSTRUCTION LENDING AGENCY 0 Yes 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) D Yes65,k
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD
permitting checklist.I understand my requirements under the State of
Contebyaffirmunse Law fort a peson(s)ry atlam ex belowempt b the
California Health&Safety Code,Section 25505 and 25534 concerning
Contractor's )have laced next to
applicable
Ite elowbythe ha7rdaus material reporting.
checkmark(s)I have placed next tp the applicahle ilem(s)(Section 7031.5
Business and Professions Code).Any city or county that requires a permit to 0 s
construct,alter,Improve,demolish or repair any structure,prior to its 2 Date i S Ig
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIRAND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of theBus The EPA Renovation,Repair and Painting(ftRP)Rule requires contractors
andtheess and for the alleProfessions ged de)or that
Anye or she)son of Spt ection
70315blicensure receiving compensation for most work that disturbs paint in a pre-1978
and the basisfort he allegedects th applicant
ntto violation of Section of not more
residence or childcare facility to be RRP-certified firms and comply with
than
n($5Appli ant fora permit subjects the applicant toacivil penaltyofnotmore required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
o1,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 2-800-424-LEAD(S323).
Code,The Contractor's State 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 improvements 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. 0 No EPA Lead-Safe Certified FDn is required for this project because:
a 1,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 If your project does not comply with EPA REP,rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: October 16, 2018 PERMIT/PLAN CHECK NUMBER I tvWk)- 0603b
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: 0 COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME ®POOL/SPA @ SIGN
SUBTYPE: ®ADDITION O ALTERATION O DEMOLITION O ELECTRICAL (!) MECHANICAL
ONEW ®PLUMBING ORE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 4 ton / 90,000 BTU complete HVAC system
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES ONO
PROJECT ADDRESS 25693 Tyler Court 21P92586
ASSESSOR'S PARCEL NUMBER 'h -!.4D,75'C9O LOT TRACT _iuilding Dept.
OWNER NAME
Sheila Simmons OCT i f 2018
ADDRESS 25693 Tyler Court Sun City, CA 92586
PHONE 951-501-9456 EMAIL swschnierer@roadrunner.co
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? OYES(DNO
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$ 8,500.00 So FT L SQ FT
Steven SChnlerer Date:l016.1 .16 Steven -07'0 rer
Date:201a.10.J821:13:3B-07'00' DATE October 16, 2018
APPLICANT'S SIGNATUREmommoommos _
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL GREEN I- SMIP k
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER 0 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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