PMT17-00908 City of Menifee Permit No.: PMT17-00908
29714 HAUN RD. Type: Residential Mechanical
SACCELX- MENIFEE, CA 92586
MENIFEE Date Issued:
03/28/2017
PERMIT
Site Address: 26843 CHERRY HILLS BLVD,MENIFEE, Parcel Number:
CA 92586 Construction Cost: $6,250.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING HVAC SYSTEM W/NEW 1.5 TON SPLIT HVAC SYSTEM
Work:
Owner Contractor
HEDWIG JONES CASTILLO HEATING&AIR CONDITIONING INC
28643 CHERRY HILLS BLVD 32105 HEATHER LANE
MENIFEE, CA 92586 MENIFEE, CA 92584
Applicant Phone:9513014452
ART CASTILLO License Number: 548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE,CA 92584
Fee Description ON Amount I51
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_Pem Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and O I am exempt from licensure under the Contractors State License Law for
Professions /L Code and my license is in full force and effect the following reason:
License Class L� —aU Uce s No. 4 -3 By my signature below I acknowledge that,except formy personal residence
J
Expires QI i4, _Signatue in which lmust have resided for at least oneyear priorta completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o i hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued, www.leeinfo.ca.cov/calaw.latmL
Policy#' Date
O I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: � application and the information I have provided is corect I agree to comply
S Carrier with all applicable city and county ordinances and state laws relating to
[� ' t building construction.l authorize representatives of this city or county to
Policy# (0Z�S� I Expires 10JI-7 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation taws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shallll forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant PT �� {� 4-1 " LW Date �:7✓�� �j-2 mixture containing a hazardous material equal to orgreater that the
amountr speciT d on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS D Yes
UNLAWFUL,AND SHALLSUBIECT AN EMPLOYER TO CRIMINAL PENALTIES Will the/intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast AirManagement District(SC construction
or See permitting from
checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST',AND ATTORNEYS FEES Coast Airlin
CONSTRUCTION LENDING AGENCY D Yes ErNo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer boundAry'ofa school?
(Section 3097 Civil Code) ❑Yes p
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&5afetypde,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardo mat rfal rep ng.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 F No / ^7
Business and Professions Code).Any city or county that requires a permit to i Date
construct,alter,improve,demolish or repair any structure,prior to its PROPE TYO NERORAUTHORIZEDAGENT —�
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 Contractors State EPA RENO ION REPAIR AND PAINTING RAP
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031S by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a permit subjects the applicant to a civil penalty of not more .required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
u 1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eva.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does notapplyto an owner of D An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was '
not built or improved for the purpose of sale. u No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE PERMIT/PLAN CHECK NUMBER ��� lo
oo
TYPE: 0 COMMERCIAL X RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION &5 ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK -Replacement of existing heating and air conditioning system with new 1.5 tons lit up Flow central
heating and air conditioning system.
PROJECTADDRESS 26843 Cherry Hills Blvd Sun City Ca 92586
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME Hedwig Jones
ADDRESS 28643 Cherry Hills Blvd Sun City CA 92586
PHONE 951-218-1478 EMAIL Ursula.jones60@gmail.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 O 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$ 6,250 SQ FT 729 L SO FT
APPLICANT'S SIGNATURE DATE
_.
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP
INVOICE �'a PAIDAMOUNT
AMOUNT OCASH OCHECK% OCREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0 CHECK N OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building& Safety Department 29714 HDun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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