PMT17-02484 City of Menifee Permit No.: PMT17-02484
29714 HAUN RD. Type: Residential Mechanical
S-CCEL/-> MENIFEE, CA 92586
`"'""""A"""'""" MENIFEE Date Issued: 07/18/2017
PERMIT
Site Address: 28191 WINGED FOOT DR, MENIFEE, CA Parcel Number: 337-261-003
92586 Construction Cost: $6,300.00
Existing Use: Proposed Use:
Description of REPLACE OF HVAC SYSTEM W/NEW 2.5 TON 14 SEER HVAC SYSTEM
Work:
Owner Contractor
GLORIA STORMAN CASTILLO HEATING&AIR CONDITIONING INC
28191 WINGED FOOT DR 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 Q�t rr Amount(bl
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.
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
I hereby affirm under penalty of perjury that l am under provisions of with a licensed contractors)pursuant to the ContractorsState License law).
Chapter!)(commencing with section 7000)of Division 3 of the Business and D l am exempt from licensure under the CcntractorsState License Law for
Professions Cade and my license is in full force and effect. the following reason:
License Class 0—.;L0 Lfc s No. C4 -3
By my signature below lacknowledge that,except formypersonal residence
Expires_0 f4, Slgnatue inwhich l must have resided for at least oneyear priorto completion of
WORKER'S COMPENSATION DECLARATION Improvements covered by this permit.I cannot IegaBysell a structure that I
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 websge:
by Section 3700 of the labor Code,for the performance of work for which www.leginfo.ca.gay/calaw.hirml.permit is Issued.
Policy Date
o l 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 i certify to each of the follmving: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
numberare: _ application and the Information I have provided Is correct.I agree to comply
[artier I' with all applicable city and county ordinances and state laws relating to
!� C building construction.I authorize representatives of th66ty,or county to
Policy# L0 Z6 Sr1 1 t Expires 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
a I certify that in the performance of the work for which this permit is Issued,
shall not employ any persons in any mannerso as to became subject to the CITY BU51NFSS LICENSE
workers compensation laws of Califorofa,and agree that if l should became HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the labor
Code,I v shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant M-r t rg~Of/mt:(% [JA Date- mixture containing a hazardous material equal to or greater thatthe
amounts specir ofan the Hazardous Materials lnformalian Guide?
WARNING:FAILURETO SECURE WORKER'S COMPENSATION COVERAGE IS oyes
UNLAWFUL,AND SHALL SUB1ECfAN EMPLOYER TO CRIMINAL PENALTIES Will the in/intended use ofthe 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 modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelin
CONSTRUCTION LENDING AGENCY oyes po
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 outerhound�ry'of a school?
(Section 3997 Civil Code) D Yes o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand the SCAQMD
I hereby affirm under penally of perjury that lam exempt from the permitting checklist.l understand my requirements underthe State of
Contractors License Law for the reason(s)indicated below by the Californiaudo Health ISafety node,Section 25505 and 25534 concerning
hazardo mat riae�I�ep %U(ng.
checkmark(s)I have placed next to the applicable Rem(s)(Section 7031.5 dp
Businessand Professions Code).Any city or county tha requires a permitto i Date
construct,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 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 compensation for most work that disturbs paint In a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to he 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 thernselvesor through their
o1,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.epv/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-890-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a DAn 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. a No EPA Lead-Safe Certified Firm is required for this project because:
o 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.
APPLICATION
BUILDING & SAFETY PERMIT/PLAN CHECK
Menifee
DATE PERMIT/PLAN CHECK NUMBER PMTn- 0549 1
TYPE: O COMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL 6tMECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK -Replacement of HVAC system with new 2.5 ton 14 SEER HVAC system.
PROJECTADDRESS 28191 Winged Foot Dr, Menifee CA 92586
ASSESSOR'S PARCEL NUMBER 5 j�J7 - pZ101 'LN�5 LOT TRACT R4665
OWNER NAME Gloria Storman
ADDRESS 28191 Winged Foot Dr Menifee CA 92586
PHONE 909-548-9551 EMAIL
APPLICANT NAME
ADDRESS 32105 Heather Lane Menifee, CA 92584
PHONE 951-301-4452 EMAIL info@castillohvac.net
CONTRACTOR'S NAME Art Castillo OWNER BUILDER? OYES 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$ U�w 00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE D PAID AMOUNT
AMOUNT •' 1 OCASH QCHECKR 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH OCHECK4 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92586 951-6 72-6777
www.cityof,nenifee.us Inspection Request Line 951-246-6213
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