PMT17-02480 City of Menifee Permit No.: PMT17-02480
29714 HAUN RD. T Residential Mechanical
SnCCELA> MENIFEE, CA92586 yam'
MENIFEE Date Issued:
07/18/2017
PERMIT
Site Address: 29468 RAINBOW FOREST CIR, Parcel Number: 340-300-020
MENIFEE, CA 92584 Construction Cost: $4,675.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF HVAC SYSTEM W/NEW 3.5 TON 14 SEER HVAC SYSTEM
Work:
Owner Contractor
GARY REYNOLDS CASTILLO HEATING&AIR CONDITIONING INC
29468 RAINBOW FOREST CIR 32105 HEATHER LANE
MENIFEE, CA 92584 MENIFEE,CA 92584
Applicant Phone:9513014452
ART CASTILLO License Number.548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description Div Amount ISl
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_BIdg Pennit Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the prejects
I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractors)pursuant to the Contractors State License law).
chapter!)(commencing with section 7000)of Division 3 of the Business and 01 am exempt from licensure under the ContractofsState License Law for
Professions Code and my license Is in full force and effect. the following reason:
License Class —o.0 U s No.,�Zp� Bymysignature below[acknowledge thaC except for mypersonal residence
Expires n1I f4, Signafu In which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION Improvements covered by this permit.[cannot legallysell a structure that 1
have built as an owner-builder if it has not been constructed in Its entirety by
01 hereby affirm under penalty of perjury one of the fallowing 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 vvww.leainfo.ca.gov/calaw.lstml.
this permit Is issued.
Policy# Date
D I have and will maintain worker's compensation insurance,as required by
PROPERTY OWNER OR AUTHORIZED AGENT
section 370D of the labor Cade,for the performance of the work forwhich 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.I have read this
number are: � application and the Information I have provided iscorrect.I agree to comply
Carrier F- with all applicable city and county ordinances and state laws relating to
[� G� building construction.I authorize representatives of thiscity,or county to
Policy# (�2q 501 Expires 10'117 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
01 certify that in the performance of the work for which this permit is issued,
Ishallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE
workers compensation laws ol'Califomfa,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's 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
Applicant Mir rC;1&M Date_ mixture containing a hazardous material equal to or greater thatthe
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS oyes o
UNLAWFUL,AND SHALL SUB1ECfAN EMPLOYER TO CRIMINAL PENA Will the intended use of the building by the applicant orfuture building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or madifiation from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air quality Management District(SCAQMD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelln
CONSTRUCTION LENDING AGENCY DYes Yho
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer houndtryof a school?
(Section 3097 Civil Code) o Yes ,r .
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guldeand the SCAQMD
permitting checklist.I understand my requirements underthe State of
hereby affirm under penalty of perjury that lam exempt from the
Contractor's License law for the reasons)indicated below by the California Health&Safety ode,Section 25505 and 25534 concerning
hazard mat.rial reg.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 F to VVV
Business and Professions Code).Any city or county that requires a permit to Date_
construct,alter,Improve,demolish or repair any structure,prior to its PROPE TYO 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 Contractor's State EPA REND ION 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 compemation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.S 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 themselvesor through their
o1,as owner of the paperty,or my employee with wages as theirsofe 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.env/lead or contact the National Lead Information Center at
not intended or offered forsale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's State License Law does not apply to an owner of a DAn EPA Lead-Safe Certified Renovator will he 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 Finn 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. 0 No EPA Lead Safe Certified Firm is required for this project because:
a 1,as owner of the property am exclusively contracting with licensed
contactors to corrstruct the project(Section 7044,Business and Professions
Code:The Contractor's Sate License law dam not apply to an owner of a If your project does not comply with EPA RRP rule please fill outthe RRP
Acknowledgement.
SAFETYBUILDING & + APPLICATION
YjY
-Menifee
DATE PERMIT/PLAN CHECK NUMBER 01TO -
TYPE: O COMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL VIMECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replacement of HVAC system with new 3.5 ton 14 SEER HVAC system.
PROJECT ADDRESS 29468 Rainbow Forest Circle, Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER 340300020 LOT ao TRACT 1 W'
OWNER NAME Gary Reynolds
ADDRESS 29468 Rainbow Forest Circle, Menifee, CA 92584
PHONE 714-904-6206 EMAIL greynolds@hayhoeconstruction.com
APPLICANT NAME
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$ Lito-25 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING GINEERING FIRE GREEN SMIP
INVOICE PAIDAMOUNT AMOUNT I 1 OCASH O CHECK 0 O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I OCASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DLNUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityo finenifee.us Inspection Request Line 951-246-6213
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