PMT14-03249 i
I
City of Menifee Permit No.: PMT14-03249
MENIFEE,
EE, C 92 Type: Residential Mechanical
- MENIFEE, CA 92586
MENIFEE Date Issued:
12/10/2014
PERMIT
S ite Address: 30279 PEBBLE BEACH DR, MENIFEE, Parcel Number: 336-156-001
CA 92586 Construction Cost: $10,400.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING SYSTEM WITH NEW 3 TON HVAC SYSTEM
Work:
Owner Contractor
KATHY BENNETT CASTILLO HEATING&AIR CONDITIONING INC
30279 PEBBLE BEACH DR 32105 HEATHER LANE
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9513014452
MARGARITA CASTILLO License Number: 548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description QtV Amount Air Handling/Condensing Units SFR 1 133.00
mi Issu 7
GREEN FEE 1 1.00
$310.00
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
Git Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that I am licensed underprovls ns of ❑ I, as owner of the property an exclusively contracting with licensed
Chapter 9(commencing with section 7000)of Division 3 of the Busine s and contractors to construct the project(Section 7044,Business and Professions
Professions Code and my license is in furl force and effect. Code:The Contractor's License Law does not apply to an owner of a property
0 ' '2�License Class 0 License No. ;> who builds or improves thereon, and who contracts toy the projects with a
Expires lam` (, J Signature//JJ �(�.t:< n licensed contractor(s)pursuant to the Contractors State License Law).
W S'ORKER COMPENSATION DEC�AR 110N
❑ lam exempt from licensors under the Contractors'Skate License Law for the
❑ 1 hereby affirm under penalty of perjury one of the following ded tions: following reason:
I have and will maintain a certificate of consent of self-insure, for w rkem' By my signature below I acknowledge that,except for my personal residence in
compensation,issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code,for the performance of work for whi h this which I must have resided for et least one year prior to completion of
permit is Issued. improvements covered by this permit,I cannot legally sell a structure that I have
Policy# built as an owner-building if It has not been constructed in its entirety by licensed
contractors. I understand that a copy of the applicable law,Section 7044 of the
I have and will maintain workers' compensation insurance, as requi ed by Business and Professions Code,is available upon request when this application Is
section 3700 of the Labor Code, for the performance of the work for whi h this submitted or at the following Web site:htto•//www leginfo cayovlcalawhtmh
permit is issued.My workers'eampensation insurance carrier and policy num rare:
Carrier TE Property Owner-orMuthorized Agent pate
Expires Policy#
4
Name of Agent s� 0)Pro ;�dy1Ji517 a phone# -'P. (;� '�q,, t 'd By my Signature below, I certify to each of the following: I am the property,
owner or authorized to act on the property owner's behalf. I have read this
(This section need not be completed If the permit is for application and the Information I have provided is correct, I agree to comply
one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building
[ construction.I authorize repres r anti es of his,,Gity or county to enter the above-
N[I certify that In the performance of the work for which this permit is is ed,I identified propert forAq in action`ur�p �/
shall not employ any persons In any manner so as to become subject is the
workers'compensation laws of California, and agree that if I should of come
subject y, � ,Z vfU-
subject to the workers'compensation provisions of Section 3700 of the abor pro,e O net or Aut-ltorized Agent /Code, I shall forthwith comply with those provisions. g Date
2, 9 Q l 1(' ? 1 ! City B s pass License if
37
Date; Applicant; ®N/
WARNING: FAILURE TO f SECURE WORK RS' HAZARDOUS MATERIAL DECLARAT COMPENSATION COVERAGE IS NLAWFLDL, ANDS ALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000),IN ADDITION TO THE COST OF COMPENSAI ION, OYES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE,INTEREST,AND ATTORNEYS FEES EINO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
I hereby affirm that under the penalty of perjury there is a construction le idling INFORMATION GUIDE? -
agancy for the pertormarice,of the work which this permit is issued (S ction WILL THE INTENDED USE OF THE BUILDING BY THE
3007 Civil Cade) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender's Name. OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
O DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUJLDER DECLL4RATIONS GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contra sru PRINT NAME:
License Law forthe reasons)Indicated below by the checkmark(s)I have pl ed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5.Business and Professions C de: fP'NO BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
`Any city or county that requires a permit to construct,alter, improve,demo ish, SCHOOL?
or repair any structure,prior to Its 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 License Law(Chapter 9(commencing vith � �,!'� I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Cade)or that h or E INFORMATION GUIDE AND THE SCAQMD PERMITTING
she Is exempt from ficensure and the basis for the alleged exemption. ny CHECKLIST. I UNDERSTAND MY REQUIREMENTS
violation of Section 7031.5 by any Applicant for a permit subjects the applicar t to ONO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penally of not more than($500).) CODE, SECTION ' so -25533 AN C NCERNING
❑ 1. as owner of the roe HAZARDOUS MATER EPOR'�IN .
property,rty, or my employees with wages as their le +
compensation,will do( )all of or( )porting of the work,and the shvctur is PROP R WNE„ AIYIHd �7
not Intended or offered for sale.(Section 7044,Business and.Professions Cc e; �� ,ram' f r
The Contractor's State License Law does not apply to an owner of a prop rty x Cf lC
who, through employees' or personal effort, builds or improves the prop ,
provided that the improvements are not intended or offered for sale.If,howo er,
the building or improvement Is sold within one year of completion,the Ow r-
Builder will hays the burden of proving that it was not built or Improved for the
purpose of sale).
CITY OF 1T iJliNIFE PLCK No: Pe t
29714 Haun Road
Date: Date:' a '
Menifee, CA 92586
Phone: (951)672-6777 amount: Amount: O6U
Fax:(951)679-3843 Ck#: Ck#:
Building Combination Pe -mit
To Be mpleted By Applicant
Legal Description: PlanningCase: F: L: Rt: R:
Property Address: 30279 Pebble Beach Dr. Sun City, CA 9,586 Assessor's Parcel Number: �j Cc
Projectlrenant Name: (�� ""I
Kathy Bennett Unit#: Floor#
Name:Kathy Bennett PhoneNn.g51-850-3222 Fax No.
Property Address:
Owner 30279 Pebble Beach Dr. Sun City, CA Unit Number Zip Code 92586
Email Address: maxnkb@verizon.net
Name:Margarita Castillo Phone No. Fax No.9 951-301-4452 951-679-8632
Applicant Address: Unit Number Zip Code 32105 Heather Lane Menifee, CA 92584
Email Address:info@castillohvac.net
Name: Castillo Heating and Air Conditioning, Inc. Phone No. Fax No.
951-301-4452 951-679-8632
Contractor Address: 32105 Heather Lane Ciry State Zi Code
Menifee C
A p 92584
Contractor's City Business License No. Contr tor's City State of Oa lifomia License No.
008790 48323 Classiecalion: C20
Number of Squares:
Square Footage 1785 sq. ft.
Description of work: replaceme xisting system wit new 3 ton HV C system Cost of work:$ 10,400.00
Applicant's Signature q -7
Date: t Z
To a Com eted By I a Only /
Indicate As R-R solved or N/A-Not Applicable
5 Completes es sets of fully dimensioned,drawn[o sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ 6iechanical Plan ❑ Title 24 Energy(on B Y:x 11)
❑ Foundation Plan ❑ Cross Section ❑ F Iumbing Plan ❑ Structural Calculations
❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ SWdural Framing Plan&Details ❑ nnin Plan
9 ❑ Sountl Report-Residential
Class Code: Indicate New Construction Alteration' Addition'
Work Type: MeanstMethods
Repair" Retrofit' Revision to Existlng Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: it Stories: Will the Building Have a Basement?
Y of N
Bldg. Code Occupancy Group Indicate if
At Project Indicate YES or NO Indicate all Geo-tech.Haz.Zone
/ Construction Sprinklered that aplply� Coastal Zone
Completion: pp Y:
Type(s): C Of O yES or NO Noise Zone
Required? Listed on Historic Resources Inventory
CITY PLAt NING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review oard Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle harger Landmark Seismic Retrofit Spacial case:Bldg.
roval
Expedite Project(s): Child Care City Project Green Building OffcialA
Landmark Affordable Housing
For tall Use Only
Suildingl5alety Permit Sperialisl Cily Planning oil IF....... ring EPWM-Atlmin Transportation Mgmt. Rent Control
THANK YOU FOR HELPING IS CREATE A BETTER COMMUNITY
City of Menifee
Building & Safety Dept.
Simplified Prescriptive Car ' ' t pliant : 2008 Residential HVAC Alterations CF-iR-ALT-HVAC
Climate Zones 10-15
Site Address: Enforcement Agency: Date: Pprntit#:
30279 Pebble Beach Dr. Su'- 'hy City of Menifee Dec 9, 2014
uct insulation Conditioned Floor
Equipment Typel List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit
®Furnace ®AFUE 80% ❑COP
®Indoor Coil ®SEER 18.0 ❑HSPF ❑R 6(CZ 10-13) Served by system r®See/read r
®Condensing Unit ❑EER_ ❑Resistance ck
R 8 (C2 14-15) 1785 sf y present, must be
❑Other installed)
1.Equipment Type:Choose the equipment being in if more than one system, use another CF-IR-ALT-HVAC for each system.
2.Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7H5 F for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR F VAC alteration Options.The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists t ie HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the he meowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The Inspector also verifies that each appropriate CF-6R and registered CF-4R
forms(no hand filled CF-4Rs allowed)are filled out and sign 2d. Beginning October 1, 2010, a registered copy of the CF-iR
and CF-611 shall also be on site for final inspection.
® 1. HVAC Changeout Required Forms:
.All HVAC Equipment CF-6R forms: MECH-04, MECH-?I-HERS and (for split systems) MECH-25-HERS
replaced CF-4R forms: MECH-21 and (fo split systems) MECH-25
. Condenser Coil and/or CF-6R forms: MECH-04, MECH- 1-HERS and fors systems) MECH-25-HERS
. Indoor Coil and/or ( split y )
. Furnace CF-4R forms: MECH-21 and (to split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement),TMAH
For Paskanea '
Exempted from duct leakage testing if:
❑ 1. Duct system was documented to have been previo isly sealed and confirmed through HERS verification, or
❑2. Duct systems with less than 40 linear feet in uncor itioned space, or
❑3. Existing duct systems are constructed, insulated o sealed with asbestos
❑4. The system will not be Ducted (ie. Ductless Mini-S lit System) (Also Exempt from Refrigerant Charge)
❑2. New HVAC System Required Forms:
. Cut in or Changeout with CF-6R forms: MECH-04, MI
-HERS, and (for split systems) MECH-22-HERS, and
new.ducts: (all new MECH-25-HERS y )
ducting and all new CF-4R forms: MECH-20, aplit systems) MECH-22, and MECH-25
equipment)
For Split Systems:-Duct leakage < 6percent; RC, CC CFM/ton, FWD,TMAH,'STMS,and either HSPPor PSPPFor Packaged Units:Duct leakage < 6 percent
❑3. New Ducts withfor without Requit
-
Replacement
.Includes replacing or installing all new -
ducting and/or outdoor condensing unit CF-6R for. s: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some CF-4R onr s: MECH-20 and (for split systems) MECH-25
equipment changed. -
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 3110 CFM/ton, TMAH
For Packaged Units:.Duct leakage < 6 percent -
13 4. New Ducting over 40 feet Required orms:
.Includes adding or replacing more than 40 CF-6R for : MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space. CF-4R for : MECH-21
For split system or packaged units: Duct leakage < 15 p cent
❑EXCEPTION: Existing duct systems constructed, insulat d or sealed with asbestos.
Contractor (Documentation.AuthoYs/Responsible Des ner's Declaration Statement)
.I certify that this Certificate of Compliance documentation is accura e and complete.
.I am eligible under Division 3 of the California Business and-Profes ons Code to accept responsibility for the design identified on this Certifcate of
Compliance.
•I certify that the energy features and performance specifications foi the design identified on this Certificate of Compliance conform to the
requirements of Tine 24, Parts 1 and 6 of the California Code.of Re ulations.
.The design features identified on this Certificate of Compliance are onsistent with the information documented on other applicable compliance
forms;:worksheets;calculations, plans and specifications submitted o the enforcement agency for approval with the permit application.
Name: Art Castillo --- - - --- --- Signature-: Art Castillo - ----" - -
Company: CASTILLO HEATING &AIR CONDITIONING INC Date: Dec 9, 2014
Address: 32105 HEATHER LANE License: 548323
City/State/Zip: MENIFEE/CA/ 92584 Phone: (951) 301-4452
Reg: 214-A0155375A-000000000-0000 Registration Date T.W. 2019/12/09 19:22 53 BERS Provider: Ca10EP.TS, Inc.
2008 Residential Compliance Forms July 2010
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