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PMT15-00864
9 City of Menifee Permit No.: PMT16-00864 29714 HAUN RD. "�/VGCtwLA— MENIFEE, CA 92586 Type: Residential Mechanical j MENIFEE Date Issued: 0 4/0 912 01 6 i I PERMIT Site Address: 30475 TOLSTOY CT, MENIFEE, CA Parcel Number: 360-071-010 92584 Construction Cost: $6,100.00 Existing Use: Proposed Use: Description of REPLACEMENT OF EXISTING HEATING&AIR CONDITIONING SYSTEM WITH 3 TON Work: Owner Contractor LISA HICKMAN CASTILLO HEATING&.AIR CONDITIONING INC 30475 TOLSTOY CT 32105 HEATHER LANE MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9513014452 MARGARITA CASTILLO License Number: 548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE, CA 92584 Fee Description City Amount Forced Alf or Grawty Type Furnace or Burner'` 1 149 4Q� Air Handling/Condensing Units SFR 1 133.00 Butldln�pertnit Issuance ' ., �- 2700 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 building 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 Permll_Templale.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Cod and my license is in force and eIf t. Code:The Contractor's License Law does not apply to an owner of a property License Clas Lic �� who builds or improves thereon, and who contracts for the projects with a Expires _ ,6Signat a licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATI N DECLA TION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' 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 which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit. I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the I have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is ec on 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto//www Iecinfo ca oov/calaw htm1. ermit is issuedd.,M. w rkers�ompensation insura e carrierd p number are: Carrier Z" �� roperty Owner or Aut prized Agent Date Expires 7 Policy# 09Zfa_1 ❑ By my Signature below, I certify to each of the following: I am the property Name of Ageni Phone# 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 representatives of this city or county to enter the above- El I certify that in the performance of the work for which this permit is issued, I identified property for the inspection purposes. shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California,and agr th t if I s IfI become subject to the workers'compensation provisions , e ion 37 f the�Lab f property Owner or Authorized Agent Date Code, I shall f rthwith comply with those p City Business License# Date; Z57 Applicant; WARNING: FAILURE O SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL 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 COMPENSATION, ❑YES 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 yt�'NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY I/` SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address �fNO DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS i' GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed ❑YES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, NO 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 with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or ❑YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to 0 UNDER THE STAT F AUFO IA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTIO 25 5 255 AND 255 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDO E AL f�E ING. compensation, will do ( ) all of or( ) porting of the work, and the structure is PROVE W R 0 ENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING . . • q ; E Menifee -` DATE 4/6/15 PERMIT/PLAN CHECK NUMBER P 1 Is5— DO MP TYPE: 0 COMMERCIAL X RESIDENTIAL O MULTI-FAMILY C% MOBILE HOME POOL/SPA C SIGN SUBTYPE: '.,. ADDITION KALTERATION ODEMOLITION 0ELECTRICAL XMECHANICAL % NEW `-) PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replacement of existing heating and air conditioning system with new 3 ton split horizontal heatpnq and a'r conditioninu system. PROJECTADDRESS 30475 Tolstoy Court Menifee CA92584 ASSESSOR'S PARCEL NUMBER �5 . () - 01I-flIfl LOT �� TRACT as ✓1 "l--J OWNER NAME ADDRESS 30475 Tolstay Ct. Menifee CA 92584 City of Menefee G PHONE 909-261-5947 EMAIL lisah Imcdcom APPLICANT NAME ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951 ©1-4452 EMAIL info@castillohvac.net CONTRACTOR'S NAME Art Castillo OWNER BUILDER? " YES C? NO BUSINESS NAME Castillo Heating and Air Conditioning, Inc. ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S STATE LIC NUMBER 548323 LICENSE CLASSIFICATION C20 VALUATION $ 6100 SOFT 1498 L SQ FT APPLICANT'S SIGNATURE DATE OTYSTAFFUSEONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE �j tV* PAID AMOUNT AMOUNT / � CASH +CHECK# Ci CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT CASH 0 CHECK# v CREDIT CARD VISA/MC OWNER BUILDER VERIFIED `%YES 0 NO DL NUMBER NOTARIZED LETTER Q YES G NO City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 M O O 0 T V N (J N J N H d U Q m C OD o w o E x a N C c c E v C m T O K a Y ti m 0 — T vi O a 3 0 = v o g v „ z C a E O N Y z N y O O C Z V m C C O 0 N E O E NO m 0 W cO w v `o E = c E m Y Lq E (� m 5 3 3 0 u c m e Q V m a LL Z `. 3 O L T 6 } N O O 3 o Y Nm pq« N m n r W C C N O ¢ �n • a m C C p a H o Y O V C O L p 0 O �n 3 u a N C_ N L to � j• O m T w V _ t u0 y y E an d J •Y i H V O C w m E _ O N O N w E Ol m O 'O E a m h W O E o 0 N .a C C J N E Q cy N Q 'a w O YO O m Z '✓ m LL U O iT C " �^ a Q C c a U .�.. V O O bo O -� o o m m u c a u '..� = c c c o •« v O O 0 N_ O " E a m m o y 0 x N w N m W LL a O m 3 m O �= 0 w Z 0 N 'O 0 O m Q m F= c m m u u E u .i m E E c m u o Z m m 'o 'o' ¢ a ._ o �, m 0 c � O u v l N M N o c v C N ] p 0 O :E N LL 6 'a a V Q p S o Z LL = N 1 m u C Y n (] o ti ob ;Q. 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