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PMT17-00150 City of Menifee Permit No.: PMT17-00150 29714 HAUN RD. Type: Residential Mechanical �GCEL/? MENIFEE, CA 92586 MENIFEE Date Issued: 01/2 512 01 7 PERMIT Site Address: 28064 CALLE VALLARTA, MENIFEE,CA Parcel Number: 336-301-017 92585 Construction Cost: $5,975.00 Existing Use: Proposed Use: Description of REPLACEMENT OF EXISTING HVAC SYSTEM WITH NEW 2.5 TON SPLIT UP FLOW CENTRAL Work: HEATING&AIR Owner Contractor RON BRYAN CASTILLO HEATING&AIR CONDITIONING INC 28064 CALLE VALLARTA 32105 HEATHER LANE MENIFEE, CA 92585 MENIFEE, CA 92584 Applicant Phone:9513014452 MARGARITA CASTILLO License Number.548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE, CA 92584 Fee Description Qtv Amount 161 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 carded 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. A.A_Bldg_Pennit_Templale.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penally 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 oensbuct the project(Section 7044,Business and Professions Professions Code and my license is in full force and effect. Code:The Contractors License Law does not apply to an owner of a property License Gass T 20 License No. '{ r' who builds or improves thereon, and who contacts for the projects with a Expires F '7Ik Signatu /�,a(.I L r' licensed conbactor(s)pursuant to the Contractors Stale License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from Iicensure under the Contractors'State License Law for the ❑ 1 hereby affirm under penalty of perjury one of the following declarations. fallowing 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 3ssu of the Labor Code,for the performance of wade for which this permit is issued. cannot improvements covered by this permit,I 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 STD I have and will maintain workers'compensation insurance, as required by Business and Professions Code,is available upon mqueslwhen 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:hryp1Avww.ieotn1o.ca.aov/calawh1ml. Permit Is issued.My workers'compensation insurance carver and policy number are: Card L' err Carrier 5 T f Property Owner or Authorized Agent Date Expires 1 D/01/2016 1 Policy# OO 29 85(a Name of Agent a,rlff18$ —�AA�1?61 Phone D By my Signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. 1 have mad this (This section need fiat be completed If the permit is for application and the information I have provided is attract. I agree to comply one-hundred dollars(S100)or less) with all applicable city and county ordinances and slate laws relating to building construction.I aulhor'me rep all es off his�zty or aunty to enter the above- ❑1 certify that in the performance of the work for which this permit is Issued,I identified pmpenyfo in ecbon purp5ses;r shall not employ any persons in any manner so as to became subject to the /.' workers'compensation laws of California, and agree that if I should become � subject to the workers'compensation provisions of Section 3700 of the Labor e Code,I shall forthwith comply with those provisions. prope/ly/�thorized Agent Date Date; Applicant, /'. r y '�',. City B--aress Llcense# e) D 8 770 WARNING, FAILURE TO � ECU RE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS NLAWFUL, 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 A HAZARDOUS MATERIAL OR DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE,INTEREST AND ATTORNEYS FEES NO 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 far 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's Name OYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address 0 0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT DISTRICT(SCACMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I homby affirm under penally of perjury that 1 am exempt from the Contractor's PRINT NAME: License Law for the reaSon(s)Indlealed below by the checkmark(s)I have placed OYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items)(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, lIB O SCHOOL? or repair any structure.prior to Its issuance,also requires the applicant for the permit to nle a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law(Chapter 9(commencing with � 1 HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or DYES INFORMATION GUIDE AND THE SCAOMD PERMITTING she Is exempt from Ifcensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 b any Applicant fora permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a dull penally of not more Oran(5500).) CODE SECTION 2550 33GN ,C NCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZAdDOUS MAT ER FPOR� compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY WNE A 7 not Intended or offered for sale.(Section 7044,Business and Professions Code; j.�/ The Contractor's Slate License Law does not apply to an owner of a property X �- `Td. who, through employees'or personal a art. builds or improves the properly, 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 far the purpose of sale). C • APPLICATION Menifee DATE 1-23-17 PERMIT/PLAN CHECK NUMBER I- 1_T 1 9—L 150 TYPE: _ COMMERCIAL xD RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION 9)ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replacement of existing HVAC system with new 2.5 ton split up flow central heating and air conditionIA'system. PROJECT ADDRESS 28064 Calle Vallarta Romoland CA 92585 ASSESSOR'S PARCEL NUMBER �3t� 3c� -�� `7 LOT _ TRACT I F OWNERNAME Ron Bryan ADDRESS 28064 Calle Vallarta Romoland CA 92585 PHONE 951-551-7685 EMAIL ron.bryan35@gmall.com APPLICANT NAME Castillo Heating and.Air Conditioning, Inc. 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$ 5,975 SO FT 1,111 L SQ FT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE PAID AMOUNT AMOUNT O CASH O CHECK q O CREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd, Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 nn n n m o 0 0 0 o r) T D T a n a D .d O O n N A 0 0 01 d H y m 1p m '• J m 3 c o w n J n o N O 0 0 3 H � o vNei m p < w d f0 O 01TL ur J 3 op J v 00 r m 3 m3 N a 3 n w n n mm m N 0 o J O CD o c o f £ co < Y 3 6-13 m a c o m m a m w N O jp w w w m J W o J J n O y O C N N a F+ F` W lA N J 01 - 3 F w o w J 3 w c � m < n ° m ry J a = m A O O n ] D C D_ — 0 ¢ � .:. t � � D N T Ri ll��rlJpp a T ti w a w ° a a Z O m w o N n ? 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