PMT15-02701 City of Menifee Permit No.: PMT15-02701
_ 29714 HAUN RD. Type: Residential Mechanical
MENIFEE, CA 92586
MENIFEE Date Issued: 09/04/2015
PERMIT
Site Address: 29445 CATANO RD, MENIFEE, CA 92584 Parcel Number: 339-221-011
Construction Cost: $6,600.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING HEATING &AIR CONDITIONING SYSTEM W/NEW 3 TON UPFLOW
Work: HEATING&A/C SYSTEM
Owner Contractor
DIANE HUFFMAN CASTILLO HEATING&AIR CONDITIONING INC
29445 CATANO RD 32105 HEATHER LANE
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone: 9513014452
BRENDA ROJAS License Number: 548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description Q�t Amount f$1
Air Handling/Condensing Units SFR 1 133.00
t Ic
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_Permit_Template.rpt Page 1 of 1
1
City Of Menifee
LICENSED DECLARATION
I hereby affirm under penalty or perjury that 1 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,,___,Q_License No. who builds or Improves thereon, and who contracts for the projects with a
ExpiresD( Signatur jr�U P licensed contractor(s)pursuant to the Contractors State License Law).
WORKERS'COMPENSATION DE RATION
❑ lam exempt from licensors 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 self-insure for workers'ded for by By my signature below I acknowledge that,except for my personal residence in
Section 3700 of the Labor Code, for the performance by the Director of Industrial tiof work for ons as rwhich this 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 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
,fey' 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:haW.1/www leainfn ce,go>vvrr/ w. mL
permit Is issued.My workers'compensation insurance center and policy number are:
Carrier ..J— roperty wnsr or u hone Agent Date
Expires 10 U I // }Z-U 15 Policy
Name of Agent rDf t'i e4 rJtA Yi,0 Phone# (;Z(a-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 for application and the Information I have provided is correct. I agree to comply
one-hundred dollars(S100)or less) with all applicable city and county ordinances and state laws relating to building
construction.I authorize repres rftati�es of is kY or county to enter the above-
,
❑ '1 certify that in the parfannanoe of the work for which this permit is issued,I identified propertyfio in action p'u v _
shall pot employ any persons In any manner so as to become subject to the r /,,�'� �.,workers' compensation laws of California,and agree that If I should become l ���; r r8/31/2015
subject to the workers'compensation provisions of Section 3700 of the Labor <-- --a-------
Code,I shall forthwith comply with those provisions. Pro fe b ner or Authorized Agent Data
Date; 8/31/15 Applicant; _ir- • '� / _ Clty B mess License
WARNING: FAILURE TO� ECURE WORKERS' HAZARDOUS MATERIAL DES_ ION
COMPENSATION COVERAGE IS NLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONL, HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000),_IN ADDITION TO THE_COST-OF-COMPENSATION
, AYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A
DAMAGES AS PROVIDED FOR IN SECTION S70S OF THE �,' MIXTURE CONTAINING A HAZARDOUS MATERIAL,
LABOR CODE,INTEREST,AND ATTORNEYS FEES r148 EQUAL TO OR GREATER THAN THE AMOUNTS
0WROMMIRKDINGA29M 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 Code) 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
O DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors PRINT NAME:—
License Law for the reason(&)Indicated below by the chockmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY
next to the applicable item(s)(Section 7031.5. Business and Professions Code:'Arty city or county that requires a permit to construct,altar, improve, demolish, j<0 BE WITHIN 1006 FEET OF THE.OUTER BOUNDARY OF A 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(Chapter9(commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or INFORMATION GUIDE AND THE SCAQMD PERMITTING
she Is exempt from licensure and the basis for the alleged exemption. Any OfES
CHECKLIST. 1 UNDERSTAND MY REQUIREMkNTS
violation 0f 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(3500).) CODE SECTION 2550�33,AN 3 C NCERNING
❑ I, as owner of the roe of HAZAFEDQUS MATER Ep RTIN .
p p of or my employees with wages s their sole .+ +
compensation,will do( )sit or( )porting of the work,and the
structure Is DROP RTY NtNE. . Alt_-LH f
not Intended proffered fursale.(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.It,however, .
the building or improvement is sold within one year of completion,the Owner-
Bugger will have the burden of proving that It was not built or improved for the
purpose of sale).
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 8/31/2015 PERMIT/PLAN CHECK NUMBER Mr7-0 9 0 1
TYPE: :% COMMERCIAL 1fRESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME % POOL/SPA SIGN
SUBTYPE: 0 ADDITION 0 ALTERATION O DEMOLITION O ELECTRICAL NIMECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replacement of existing heating &air conditiong system with new 3 ton upflow heating
and air conditioning system.
PROJECTADDRESS 29445 CatannoopRd. Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER 3> ll ' OBI ' 011 LOT TRACT _�331y- 1
OWNER NAME Diane Huffman
ADDRESS 29445 Catano Rd. Menifee, CA 92584
PHONE 951-990-0214 EMAIL
APPLICANT NAME Brenda Rojas
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$ 6,600.00 SO FT 1,546 L SO FT 6,534
APPLICANT'SSIGNATURE 9 12d- DATE 8/31/2015
OTYSTAFFUSEONLY
DEPARTMENT DISTRIBUTION ^ CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN 1 SMIP
INVOICE 0 PAIDAMOUNT
AMOUNT O <%CASH O CHECK# O CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH 0 CHECK# %CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED "YES O NO DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Sofety Department 29714 Houn 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-IR-ALT-HVAC
Climate Zones 10- 15 77y 01 It ec-
-t z
Site Address: Enforcement Agency: 'Date: Permit#: f
29445 Catano Rd. Menifee, CA 92584 City of Menifee r Aug 31, 2015
Duct insulation C&ditibHM Floor
Equipment Typel List Minimum Efficiency2 requirement Area Thermostat
❑Package Unit `-1 11 Furnace W AFUE 80% ❑COP ®Setback
IM Indoor Coil W SEER 15.0 ❑HSPF ❑R 6 (CZ 10-13) �fJetl Dq system If not a/read
®Condensing Unit ❑EER_ ❑Resistance ❑R 8 (CZ 14-15) 1546 sf installed) y Present, must be
❑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-611 shall also be on site for final inspection.
® 1. HVAC Changeout 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 (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge)
❑2. New HVAC System Required Forms:
.Cut in or Changeout with CF-611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and
new ducts: (all new MECH-25-HERS
ducting And 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 a 300 CFM/ton,TMAH
For Packaged Units: Duct leakage < 6 percent
❑4. New Ducting over 40 feet Required Farms:
.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 I Signature: Art Castillo
Company: CASTILLO HEATING &AIR CONDITIONING INC Date: Aug 31, 2015
Address: 32105 HEATHER LANE License: 548323
City/State/Zip: MENIFEE/ CA/ 92584 Phone: (951) 301-4452
Reg: 215-A6309311A-000000000-0000 Registration Date/Time: 2015/08/31 13:39:48 HERS Provider: Ca10ERTS, Inc.
2008 Residential Compliance Forms July 2010