PMT17-01431 City of Menifee Permit No.: PMT17-01431
29714 HAUN RD.
'ACCECAR MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 07/12/2017
PERMIT
Site Address: 28257 PALM VILLA DR, MENIFEE, CA Parcel Number: 340-073-032
92584 Construction Cost: $6,000.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING HVAC SYSTEM W/NEW 2 TON SPLIT HORIZONTAL HVAC SYSTEM
Work:
Owner Contractor
PATRICIA SIMS CASTILLO HEATING&AIR CONDITIONING INC
28257 PALM VILLA DR 32105 HEATHER LANE
MENIFEE, CA 92584 MENIFEE,CA 92584
Applicant Phone: 9513014452
MARGARITA CASTILLO License Number.548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE,CA 92584
Fee Description gyt Amount I$1
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 staled,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 property who builds or improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from Ifcensure under the Contractors State License Law for
Professions Code and my license is in full force and effect. the following reason:
Umnse Class C—,;:-U Lict No. C 4 By my signature below 1 acknowledge that,except for my personal residence
J
Expires 0 1 LYESgnatu in which lmust have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally Sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by
a 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 worker's 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 wvnv.IegInfo.ca.Rcv/caIaw.htm permit is issued.
Polity# Date
O I have and will maintain workers compensation insurance,as required by
PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which a By my signature below l certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.1 have read this
number are: _ application and the Information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and stale laws relating to
��111 building construction.I authorize representatives of this city or county to
Policy# 0 7i15(JI Expires_ 10117 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 laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,l shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or
Applicant M�r R- F"4 N Date (t9"�l9 —D mixture containing a hazardous material equal to or greater that the
amounts specif of an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS DYes
UNLAWFUL,AND SHALLSUB1ECi AN EMPLOYER 70 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 car modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air reality Management Oistrict cons(SCtionor See permitting fro checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES foastAirlin
CONSTRUCTION LENDING AGENCY a Yes
I hereby affirm that under the penalty of perjury there Is a construction WLII the proposed building or modified facility be within 1000 feet of the
lending agencyfor the performance of the work which this permit Is Issued outer bound ry'of a school?
(Section 3097 Civil Code) Dyes , .
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guldeand the SCAOMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License law for the reason(s)indicated below by the California Health&Safety Jade,Section 25505 and 25534 concerning
at r re �g.
checkmark(s)I have placed next to the applicable item hazardo m lal
s)(Section 7031.5 UUU
Business and Professions Code).Any city or county that requires a permit to i do r Date fl- ' ��^ 1 /
^'�
constmct,alter,improve,demolish or repair any structure,prior to its PROPE NO NER OR AUTHORIZED AGENT
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 REND ON REPAIR ANDPAINTING RRP
License law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(ARP)Rule requires contractors
Business and Professions Code)or that he or she Is exempt from licensure receiving compensation for most work that disturbs paint(n a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certlfied firms and comply with
an Applicant fora permit subjects the applicant to a civil penalty of not more requited practices.This includes rental property ownersand property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,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.eoa.gov/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 not apply to an owner of a aAn EPA Lead-Safe Certified Renovator will be responsible for this pmject
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. ❑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 rill out the RRP
Acknowledgement
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 5-3-17 PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION OD 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 ton split horizontal heating and air
conditioning system.
PROJECT ADDRESS 28257 Palm
Vi�Villa Or Menifee CA 92584
ASSESSOR'S PARCEL NUMBER 'ITV O�VO3a LOT �I TRACT vaii 31
OWNER NAME Patricia Sims
ADDRESS 28257 Palm Villa Or Menifee CA 92584
PHONE 949-293-5796 EMAIL patsims06@gmail.com
APPLICANT NAME Castillo Heating&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? OYES ONO
BUSINESS NAME Castillo Heating and Air Conditioning, Inc.
ADDRESS 32105 Heather Lane Menifee, CA 92584
PHONE 951-3014452 EMAIL info@castillohvac.net
CONTRACTOR'S STATE LIC NUMBER 548323 LICENSE CLASSIFICATION C20
VALUATION$ 6,000 SO FT 947 L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING E GINEERING FIRE I GREEN I SMIP
INVOICE PAID AMOUNT
AMOUNT ' OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O CASH O CHECK p O CREDIT CARD VISA/MC
OWNER BUILDERVERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92S86 951-672-6777
www.citvofinenifee.us Inspection Request Line 951-246-6213
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