PMT15-01885 i
i
City of Menifee Permit No.: PMT15-01885
29714 HAUN RD. Type: Residential Mechanical
Ike MENIFEE, CA 92586
MENIFEE Date Issued: 0 710 712 01 6
i
PERMIT
Site Address: 29840 EVANS RD, MENIFEE, CA 92586 Parcel Number: 338-111-030
Construction Cost: $3,650.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING CONDENSER AND COIL WITH NEW 3 TON CONDENSER
Work:
Owner Contractor
STEVEN& PALOMA GIL CASTILLO HEATING&AIR CONDITIONING INC
29840 EVANS RD 32105 HEATHER LANE
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone: 9513014452
ADRIANA CASTILLO License Number: 548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description Qtv Amount I$1
Air Handling/Condensing Units SFR 1 133.00
B i Isace .a- >s
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
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 C„_20 License No. who builds or improves thereon, and who contracts for the projects with a
Explresj2b,134 Signatur r , b G licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DECK RATION
❑ 1 am exempt from licensure under the Contractors'State License Law for the -
❑ 1 hereby affirm under penalty of perjury one of the following declarations: following reason:
I have and will maintain a certificate of consent of s f-ins re 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 1 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 Y P p
permit is Issi 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. 1 understand that a copy of the applicable law, Section 7044 of the
.rrl/ 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:bHo•Nwwwle info ra ggv(calawhfrn
permit Is Issued.My workers'compensation insurance carrier and policy number are:
Carrier ATE roperty wneror u ooze Agen
Date
Expires i k o L / '-zt'�` ,s Policy
Name of Agent rY1'!l?5 s70#1 s0;�_Phone# Q G 7 [ D By my Signature below, 1 certify to each of the following: I am the property
—+'•-•-��-- 'T � 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 repress arP�JG' ea of hisl�ty or county to enter the above-
❑ 'I certify that in the performance of the work for which this permit is issued,I identified propert tor.* in section p`ur
shall not emolov any parsons In any manner so as to become subject to the 1' _
workers' compensation laws of California, and agree that if I should become i -'� �`, f 7/6/2015
subject to the workers'compensation provisions of Section 3700 of the Labor -
Code,I shall forthwith.comply with those provisions. Pro o 0 nor orAuthorized Agent Date
Data; 7/6/2015 Applicant; i GItyBness License#_ O ()
WARNING° FAILURE TOE/ ECURE WORKERS' HAZARD47US Mom' 1 L DE_C� TI N
COMPENSATION C098ERAGE IS LAWFUL, 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, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL,
LABOR CODE,INTEREST,AND ATTORNEYS FEES NO EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDINOAGENG^Y 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 3097 Civil Code) WILL THE INTENDED USE of THE BUILDING BY THE
APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE
Lender'* Name _ ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
�40 DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DEC.LARATI_QNB GUIDE LINES
I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME:_ _
License Law for the reasons)Indicated below by the chackmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable Ram(s)(Section 7021.6. Business and Professions Code: ,,,,rr BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
-Any olty or county that requires a permit to construct, alter,improve,demolish, ITd'NO SCHOOL?
or repair any oti'uoture,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 Cade)or that he or 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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($600).) CODE SECTION 2 5"a0,�-22933 AND.�'15534 C NCERNING
❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MAT§ft AL AEP Rl'IN
compensation,will do( )all of or( )porting of the work,and the structure to PROP RTY- tNNE4,QBAUTH
net intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not ariPly 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 safe.If,however,
the building or improvement is sold within one year of kromplation,the Owner-
Builder will have the burotai of proving that it was not built or Improved for the
Purpose of sale). '
SAFETY PERMIT/PLAN CHECK APPLICATION
,ddA '•Menifee
aM_
DATE PERMIT/PLAN CHECK NUMBER �'N1Ti5 D '
TYPE: 0 COMMERCIAL VRESIDENTIAL 0 MULTI-FAMILY C> MOBILE HOME 0 POOL/SPA C SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION 0 ELECTRICAL VMECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK replacement of existing condenser and coil with new 3 ton condenser
and coil
PROJECT ADDRESS 29840 Evans Rd. Menifee, CA 92586
ASSESSOR'S PARCEL NUMBER �539—I ) 1-03D LOT 7'0 TRACT 1-370(,_ I
OWNER NAME Steven and Palma Gil -
ADDRESS 29840 Evans Rd. Menifee,. CA 92586
PHONE 760-213-8007 EMAIL
APPLICANT NAME Adriana Castillo
ADDRESS 32105 Heather Lane Menifee, CA 92584
PHONE 951-301-4452 EMAIL info@castillohvac.net
CONTRACTOR'S NAME Art Castillo OWNER BUILDER? O YES ONO
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 $ 3650 SO FT 1570 L SO FT 6970
�I 7
APPLICANT'S SIGNATURE '�Y� DATE 7/6/2015
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH %CHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH C CHECK# O CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-SR-ALT-HVAC
Climate Zones 10- 15
Site Address: Enforcement Agency: Date: Permit#:
29840 Evans Road Menifee, CA 92586 City of Menifee Jul 6, 2015 S� aI7Sv�
Duct insulation Conditioned Floor
Equipment Typel List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit
❑Furnace ❑AFUE_ ❑COP_ ❑R 6 (CZ 10-13) Served by system ®Setback
®Indoor Coil ®SEER 13.0 [3HSPF If not already present must be
®Condensing Unit [3EER [3 [3 R 8
ta Resisnce (CZ 14-I5) 15ve sf Installed)
❑Other_
1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-IR-ALT-HVAC for each system.
2.Minimum Equipment Efficiencies:13 SEER, 78%AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options.The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the 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 homeowner. 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 signed. Beginning October 1, 2010,a registered copy of the CF-1R
and CF-6111 shall also be on site for final inspection.
®1. HVAC Changeout I Required Forms:
.All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced CF-4R forms: MECH-21 and (for split systems) MECH-25
.Condenser Coil and/or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
.Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25
.Furnace
For Split Systems: Duct leakage < 15 percent; RC, CCA 5 300 CFM/ton (Minimum Air Flow Requirement),TMAH
Exempted from duct leakage testing if:
❑1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
❑2. Duct systems with less than 40 linear feet in unconditioned space, or
❑3. Existing duct systems are constructed, insulated or sealed with asbestos
❑4.The system will not be Ducted (le. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑2. New HVAC System Required Forms:
.Cut In or Changeout with CF-6R forms: MECH-04, MECH-20-HERS,and (for split systems) MECH-22-HERS, and
new ducts: (all new MECH-25-HERS
ducting MI all new CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25
equipment)
For Split Systems: Duct leakage < 6 percent; RC, CCA t 350 CFM/ton,FWD,TMAH,STMS, and either HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
❑3. New Ducts with/or without Required Forms:
Replacement
.Includes replacing or installing all new
ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA 2 300 CFM/ton,TMAH
For Packaged Units: Dud leakage < 6 percent
114. New Ducting over 40 feet I Required Forms:
.Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space. CF-4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
.I certify that this Certificate of Compliance documentation is accurate and complete.
.I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
.I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
.The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Art Castillo Signature: Art Castillo
Company: CASTILLO HEATING&AIR CONDITIONING INC Date: lul 6, 2015
Address: 32105 HEATHER LANE License: 548323
City/State/Zip: MENIFEE/ CA/92584 Phone: (951) 301-4452
Reg: 215-A0183882A-000000000-0000 Registration Date/Time: 2015/07/06 12:31:56 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010
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