PMT17-02379 City of Menifee Permit No, PMT17-02379
29714 HAUN RD.
<A-=EL/> MENIFEE,CA 92586 Type: Residential Mechanical
r,-'A s:ai— MENIFEE Date Issued: 0711212017
PERMIT
Site Address: 28766 LOIRE VALLEY LN, MENIFEE, CA Parcel Number: 364-121-009
92584 Construction Cost: $7,800.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING HVAC SYSTEM W/NEW 5 TON CENTRAL HEATING&AIR
Work: CONDITIONING, 14 SEER AND AFUE FURNACE
Owner Contractor
DAVID GRIGGS CASTILLO HEATING&AIR CONDITIONING INC
30401 COMANCHE CIR 32105 HEATHER LANE
CANYON LAKE, CA 92587 MENIFEE,CA 92584
Applicant Phone: 9513014452
ART CASTILLO License Number:548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description Qtv 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 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_Pennit_Template.rpt Page 1 of 1
CITY OF MEN IFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
1 hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Gass C—r;;t-U Lie Licia No. C-4 3 By my signature below I acknowledge that,except for my personal residence
Expires r)1 jam_Signatu a in which I must have resided for at least one year pdorto completion of
WORKER'S COMPENSATION OECIARATION improvements covered bythis permit.I cannot legallysell a structure that I
have built as an owner-builder If it has not been constructed In Its entirety by
D 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 webske:
by Section 3700 of the Labor Code,for the performance of work for which www.leeinfo.ca.eov/calaw.lstml.
this permit is issued.
Policy g Date
a 1 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 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 owner's behalf.1 have read this
number are: _ application and the Information I have provided is correct.I agree to comply
Carrier_ I' with all applicable city and county ordinances and state laws relating to
[� G�1 building construction.I authorize representatives of this city or county to
Polity It t�2-qs01 Expires_ 10' 1-7 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT
D I certify that in the performance of the work for which this permit is issued,
I shall not emalov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N
workers compensation laws 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 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
M9s_ V r.t4Tr r 0 dQ.7�Li /1 & r mixture containing a hazardous material equal to or greater that the
Applicant TLF= ,l1 L.-2lJL'L-ov Date 7 V'LD -1 amounts speaf d on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a Yes
UNLAWFUL,AND SHALL SUBJECT 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 Air Qua lily Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin
CONSTRUCTION LENDING AGENCY aYes
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 bound ry of a school?
(Section 3097 Civil Code) aYes , .
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe State of
I hereby affirm under penaltyhe perjury that I am exempt from the California Health&Safet jyode,Section 25505 and Z5534 concerning
Contractors IhaveLaw for the
to
applicablecated
below by the hazardo mat rial re
checkmark(s)I have placed next to the applicable items)(Section 7031.5 rry to
g.
Business and Professions Code).Any city or county that requires a permit to / Date_ -s " �(O^ � /
construct,alter,improve,demolish or repair any structure,prior to its PROPE T/O NER ORAUTHORIZED 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 Contactors State EPA RENO ON REPAIR AND PAINTING RRP
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 70315 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
oi,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 Contactors State License Law does not apply to an owner of a 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 improvements 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. O No EPA Lead-Safe Certified Firm is required for this project because:
a I,as owner of the property am exclusively contacting with licensed
contactors to construct the project(Section 7044,Business and Professions
Code:The Contactors State Ucense 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE 7/712017 PERMIT/PLAN CHECK NUMBER /
TYPE: O COMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O/MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
Replacement of existing HVAC system with new five ton central heating and air conditioning;
DESCRIPTION OF WORK 14 SEER and AFUE furnace.
PROIECTADDRE55 28766 Loire Valley Lane Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER 364121009 LOT TRACT
OWNER NAME
ADDRESS 30401 Comanche Cir. Canyon Lake, CA 92587
PHONE 951-244-3748 EMAIL david.griggs001@gmail.com
APPLICANT NAME
ADDRESS 32105 Heather Lane Menifee, CA 92584
PHONE 951-301-4452 EMAIL infoC&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@acastillohvac.net
CONTRACTOR'S STATE LIC NUMBER 548323 LICENSE CLASSIFICATION C20
VALUATION$ $7,800.00 Sc1 FT 6,534 sgft L SQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION / CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE PAIDAMOUM
AMOUNT GCASH GCHECK# GCREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT OCASH 0 CHECK# 0CREDIT CARD VISVMC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-6 72-6 77 7
www.cityofinenifee.us Inspection Request Line 951-246-6213
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