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PMT15-00907
i I City of Menifee Permit No.: PMT16-00907 j 29714 HAUN RD, W CCEI. � MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 04/10/2016 i 1 I I PERMIT Site Address: 28756 FALL CREEK CT, MENIFEE, CA Parcel Number: 340-210-036 92584 Construction Cost: $7,000.00 Existing Use: Proposed Use: Description of REPLACE EXISTING HVAC SYSTEM WITH HEW 4-TON HVAC Work: Owner Contractor MARY CHAVES CASTILLO HEATING&AIR CONDITIONING INC 28756 FALL CREEK COURT 32105 HEATHER LANE MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9513014452 ART CASTILLO License Number: 548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE, CA 92584 Fee Description Div Amount($1 Forced-Airor Gravity 11-Type Furnace or Burner ] 149.00'l Air Handling/Condensing Units SFR 1 133.00 Building Permit Issuance 7 1 27:00 ; 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 -7 ': 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 Code and my license is in full force and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class f?_D__License No. '5 who builds or Improves thereon, and who contracts for the projects with a Expires( M/&Signatur 0 4 G licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION,DEC'k RATION ❑ lam 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 Section 3700 of the issued abort Code,Director the nperformance dustrial tlof work ons as forprovided ch thifor s which I must have resided for at least one year prior to completion of permit is Issued. improvements covered by this permit, I cannot legally sell a structure that 1 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 ofthe I have and will maintain workers' compensation insurance, as required 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 which this submitted or at the following Web site:htto•t/wwwleg'Urfo c_gov/celawhtml. perm@ is Issued.My workers'componsatien insurance carrier and policy number are: - Carrier G G..r F 7r—op—erl—yTwn—Llr—or—Auffi—orrz—affAgent Date Expires 0 [ / Z U S Policy#�j(©29 ,5{0 Name of Agent_X�L rftrT1& 10", Phone# S(Z1�_5:_' ' ❑ 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 application and the Information I have provided is correct. 1 agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws raising fo building construction.I authorize repres aU as of This ity or county to enter the above- CI 'I certify that in the performance of the work for which this permit is issued,I identified propedydortgel in action{�u shall not emniov any persons in any manner so as to become subject to the r f.+` _ ✓• workers'compensation laws of California,and agree that if I should become I- �/ '4 ir•;tsr r subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Prop'e CS nor or Au4hadzed .gent _ Date Date;T, Applicant; 1 I ; City B 2 ness License# (� d f —WM N.1. 1M 1 FAILURE TO' ECURE WORKSRS' HAZARDOUS MATERIAL DECL COMPENSATION COVERAGE IS NLAWput AND SHALL a- TI 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, ❑yE6 OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 5708 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL. LABOR CODE,INTEREST,AND ATTORNEYS FEES NO EQUAL TO OR GREATER THAN THE AMOUNTS CQNS`TI3UCTIQSN LEFILIINCR Ac'6NCv 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 3007 Civil Coda) WILL THE INTENDED USE OF THE BUILDING BY THE - APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address _ FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 0 DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS_ 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 AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.6. 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, IErNQ 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 0(commencing with I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or WES 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 penalty of n 7090 5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a nivil penalty of not more than($500)J CODE SECTION 2550 33 WCERNING 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATEft EP RTINomntende oo will re ( )artofor( )porting of the work;and the structure fs PROWRTY7,,- not : f3 ALLLtttTH pens ti or will do far sale.(Section 7044,of the w and nd thes tru Coda; � The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, �' p --- provided that the improvements are not intended or offered for sale.If,however, t the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). r BUILDING & SAFETY PERMIT/PLAN ik Menifee DATE 4-9-15 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL Vd/RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOLI SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL VMECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Re lacement of existing hvac system with new 4 ton hvac. PROJECTADDRESS 28756 Fall Creek Ct. Menifee, CA 92584 `^ Menifee ASSESSOR'S PARCEL NUMBER ?I' D- a\o- C_ao LOT TRACT Building & Safety Dep . OWNER NAME Mary Chaves APR ADDRESS 28756 Fall Creek Ct. Menifee CA 92584 PHONE 510-219-6376 EMAIL CCeIVe APPLICANT NAME Art Castillo ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S NAME Art Castillo OWNER BUILDER? :.`YES NO BUSINESS NAME Castillo Heating and Air Conditioning, Inc. ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S STATE LIC NUMBER 548323 LICENSE CLASSIFICATION C20 VALUATION$ 7 00 .00 SQ F 2130/ L SQ FT APPLICANT'S SIGNATURE ! DATE �CITY$ToAFF USE ONLY DEPARTMENT DISTRIBUTION / CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE PAIDAMOUNT AMOUNT CASH OCHECK# CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECKU O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO City of Nlenifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 D w C1 N W N V ton W O T D D m cw X to M n T C � � ry m -AI 3 0 7 ro d N N v D O O m D O Z O n ao 0 m -� = y � D j z ° `° o m on ^ O A o 3 m c > > 3 p m a < Q N m O M O a O m 0 N o, N � m o -•' N r O O D 3 w N 00 m y 0 < o ao o �, = n n a3 a D O pnj N O VI T .n.. 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