Loading...
PMT16-02055 City of Menifee Permit No.: PMT16-02055 29714 HAUN RD. Type: Residential Mechanical <''ACCEL/> MENIFEE, CA 92586 MENIFEE Date Issued: 07/05/2016 PERMIT Site Address: 28268 SUMMITROSE DR,MENIFEE, CA Parcel Number: 340-390-020 92584 Construction Cost: $6,400.00 Existing Use: Proposed Use: Description of REPLACEMENT OF EXISTING HVAC SYSTEM W/NEW 4 TON HVAC SYSTEM Work: Owner Contractor LEE CHEN CASTILLO HEATING&AIR CONDITIONING INC 28268 SUMMITROSE DR 32105 HEATHER LANE MENIFEE, CA 92584 MENIFEE,CA 92584 Applicant Phone:9513014452 ADRIANA CASTILLO License Number:548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE, CA 92584 Fee Description QQt r Amount(SI Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units SFR 1 133.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Mechanical 1 14.10 $324.10 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permil_Template.rpt Page 1 of 1 BUILDING & SAFETY PERMIT/.PERMIT/PLAN CHECK APPLICATION "I"'Menifee DATE PERMIT/PLAN CHECK NUMBER r ` OX155 TYPE: O COMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION VALTERATION O DEMOLITION O ELECTRICAL VIMECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK replacement of existing HVAC system with new 4 ton HVAC system PROJECT ADDRESS 28268 SUMMotroSe pr. Menifee. CA 92584 ASSESSOR'S PARCEL NUMBER �5 LOT TRACT OWNER NAME Lee Chen ADDRESS 28268 Summitrose Dr. Menifee, CA 92584 PHONE 951-246-4168 EMAIL fen1468@yahoo.com APPLICANT NAME Adriana Castillo ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S NAME Art Castillo OWNER BUILDER? O YES ONO BUSINESS NAME Castillo Heating and Air Conditioning, Inc. ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S STATE LIC NUMBER 548323 LICENSE CLASSIFICATION C20 VALUATION$ 6,400 S 2,121 LSQFT 7,000 APPLICANT'S SIGNATURE DATE 6/29/2016 OTY STAFF USE e v DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN 1 SMIP INVOICE �� .1• PAID AMOUNT AMOUNT O CASH OCHECK lY OCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZEDLETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City Of Menifee LICENSED DECLARATION I hereby atflrm 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 20 License No. who builds or Improves thereon, and who contracts for the projects with a Exp(re5 f`7 !�Q111 Signatu /. (: licensed contractor(s)pursuant to the Contractors State License Law). // ''1 WORKERS'COMPENSATION DECLARATION ❑ 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 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 et least one year prior to completion of Section 3ssu of the Labor Code, for the performance of work for which this improvements covered b this permit, I cannot legally sell a structure that I have permit is issued. P Y P 9 Y 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 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:/Avww.leginfo.ca.aovlcelaw html. permit is Issued.My workers compensation insurance carrier and policy number are: Carrier SC.TF Property Omer or Authorized Agent Dale Expires 10/01/2016 1 Policy# oo 29 (0 65 Name of Agent.j i�ff)P$. . i„k011 Phone# -I$(Z b 5:'4'A A�j ❑ By my Signature below, I certify to each of the following: I am the properly 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 repre a of is ty or county to enter the above- ❑ '1 certify that in the performance of the work for which this permit is Issued,I identified propeert�farr��aa in action pu s shall not employ any persons to any manner so as to become subject to the //1.2^ ! workers'compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Prorfe t er or Authorized Agent Date Code,I shall forthwith comply with those provisions. r/ty�O Date; Applicant; City Bb Iness License# d 0 8 720 WARNING: FAILURE TO ECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS 14NLAWFUL, 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, OYES OCCUPANT HANDLE HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL. LABOR CODE, INTEREST,AND ATTORNEYS FEES ENO 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 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 Coda) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address BNO FROM THE SOUTH COAST AIR QUALITY MANAGEMENT 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 chackmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(Section 7031.5. Business and Professions Code: /O 'Any city or county that requires a permit to construct, alter, improve,demolish, 10 IN 1000 FEET OF THE OUTER BOUNDARY OF A BE BE WITHIN 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 V?ES INFORMATION GUIDE AND THE SCAQMD PERMITTING she Is exempt from Iicensure 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($500).) CODE SECTION 2550 GANC NCERNING ❑ I, as owner of the ro HAZARDOUS MATER EP.R'Tp party, or my employees with wages as their sole compensation,will do( )all of or( )porting of the work,and the structure is PROP R WNE AlY not Intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's Slate 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). m K n w D n n n m - p 3 n w D r) n (-) a f+ D m IDN °, W ° m 0 D n m 7 v' O N _•a _. o �n a w r.� �+ .O J W p 'm -w _ 3 n n m A — _ Dm nH m j iv m 2 m y� fDf O Z u l0 2 _ E m c N T n m ^ £C N N m J ^ M O m w_' o S to m N m A Z D 3 c 9 a H W c n O Z D a N D O O 10 N S O < o a a a w n m m c Z °c_ - I(D a ,Z O� G D go ^ O N ° C d W 3 p• C m a n a N o• O. 0 0 U d T O 7 < n o 2 . N ° m n .+ 3 T o m � v _ w r o 0 1 ° o n N. m a O N a n N < �O p• 7 N 1 6 C, d p 3 m a y N o N A n N a0 m n O_ S. n t0 T m N o0 o O a c to m N m O) n °: as ° - w' w iD x O) 2 3 N r f+ 3 A 0) n m 3m 3 n mo .d^. ^ w 3 A N m c N > ? � (O N S Q 7 O m y m c a > m o CT a T n m C'h m m o: � - m z � � m p �• O S O 0 m o vJO, °• � m H 3 c � n o � S m 3 = m m anEr A l W 3 V Ow 1 w _ u m c o M N A l00 ZA m N w m n !� n w o 0 0 0 o N ,�, D T D m m X O. (D vi Z y: N 01 n _N n 9 T J 7 .n+ .+ T m Z O c 3 O r: Oj nf mm < Q M O C O O m T in M N 0 m X N J O m 3 p' m O n OQ d O ° r < o w o v+ »• n p QJ a D ti n Z 2 0 ,� o n c .�. n O N A m N O fC F-` 1p N r 0 N L. 00 Oo 3 N w y m c J a n O ct 7 3 fD o m 7 m C 0 T O J. J F+ m D n m n m O n n n � 3 0J m J O i r�i J O 3 O- W CD D 3 q < O s O' n0 '^ F+ O O O O J < ' N m N O ,�^,� O C N 2 '^ O C O C J J O yI J m 01 J, n C O f F C m UO r w 3 3 'm .^ N 3 O m m oL m m n m f0 -O y N m D 3 v n Cl D C o O O• N vJi >" m j O J J G.O m O C. NO s "aT z O �- n m > > s m m w 3 m m a a n = �. N N C Z N ? m O J m 3 CN OJO N d y C C m N � O m m d D D O w m o � p m IN '<O d m �. O O y m m fJ w N n 3 0 m W m N fr1 t' m `O 0 O 0 7 O v n V m N O y ' � LL a ) t0 u L o 0 'O `o 0 v n N ut � u � O c .O m n l7 m h p o O L o a m z Ln w .P E T •� z w CCC ~ u w C a _ m o m E u 'K o6 .� � o O O .0 m Ip L V N 00 E 1O h y n C N n m u t :° 0 � co C N 2 w G a y tD O O 'u T H 2V W ~ a N N Y_ UI W N O O u O O v > C m c N O a vv EOD �n j in w W v E m yt, .•i as+ H v w c c m e a 'm E s '� L •n o c o y •o o c o o .__ v u c u ° o m ry Q V E < u E a h C T N > p O c O - c a 1O c �- O 2 v uo m m E n u1 o c 1 a c m M m 4 a C n �`-, Fd fx w+ C A n m 01 E w m c O c r E Cr w m w m l0 V a E z '^ � O O C C v U Y C E c u 0 O O E O N N N V it y j 0 Y_ 'ZIGI N n N U C m E u o u, m : i O ti VI N S N •Y E_ d O O O N O W Y ~ O N c u 7 W a s u o 2 n 3 O m z N t Vag gym E '6 m �i Ln t 5 a o E 00 mC Q u U o mV�0w W . - o '- m �. oo W E y cto a N O m m = C a3i C C Oz � y_ `Um nm m m p 0 T m ul N O W m O C N O J N O C. C. O Y a n E E 3 E: a W d C C Q S E < L o :•' w o0m-D uc. a LL m LL' 1' o io _ v W C U O �n 60 '-' w p� Y Y O C u O C m3 vima `p_ N c Ol y m Q iO O ` O O Vl N W A W a O' O T co c E o. O UW �n m ' m O O ` ry mm u U 01 T F c E u m m w O m W = of m o u y ¢ c c u a n $ O O a w O 0 to C a v4i w.3 E.6 ry .m w a 031 G) ai F O E W c x o x i a 6 LA Zi N Z Z Z w U O E m E o 0 q N N .. E c O N O c V H u u N W W oa U Q 'd m LL p LL u LL w p Z w W LL C V K u V V V