PMT17-02569 City of Menifee Permit No.: PMT17-02569
29714 HAUN RD.
ri\CCELA> MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 08/11/2017
PERMIT
Site Address: 27534 VIA REAL, MENIFEE, CA 92585 Parcel Number: 333-282-027
Construction Cost: $9,750.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF EXISTING HVAC SYSTEM W/NEW 3 TON 15 SEER HVAC SYSTEM
Work:
Owner Contractor
KATIE&ALLEN MIRANDA CASTILLO HEATING&AIR CONDITIONING INC
27534 VIA REAL 32105 HEATHER LANE
MENIFEE, CA 92585 MENIFEE, CA 92584
Applicant Phone: 9513014452
ART CASTILLO License Number: 548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description gtv Amount 151
Forced-Air or Gravity-Type Furnace or Burner 1 14900
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_Permit_Template.ryt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contacts forthe projects
with a licensed contractors)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 D I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in fall force and effect. the following reason:
License Class C—a;LU Lic s No. C524 &G-3 By my signature below l acknowledge that,except for my personal residence
___, ��I 11.,,,,,,
Expires—Sfgnatu a to which I must have resided for at least one year priorto completion of
�' Improvements covered by this permit I cannot legakysell a structure that I
WORKER'S COMPENSATION OECLP.RATION 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 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 webshe:
by Section 3700 of the tabor Code,for the performance of work for which
this permit is issued. www.leeinfo.ca.eovycalaw.lstml.
Policy It Date
o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the tabor Code,for the performance of the work for which D By my signature below 1 certify to each of the following:I am the property
this permit is Issued.My workers compensation Insurance caarter and policy owner or authorized to act on the property owner's behalf,I have read this
number are: application and the information 1 have provided Is correct.I agree to comply
Carrier F- with all applicable city and county ordinances and state laws relating to
(y ail building construction.I authorize representatives of thstity,or county to
Policy it �1029sy1 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($10D)or less PROPERTY OWNER OR AUTHORIZED AGENT
o I 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 If
workers compensation laws of California,and agree that If Ishould become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall f�lo�rthwith comply with those provisions. / Will the applicant or future building occupant handle hazardous material or a
l
Applicant t PT�t (�' 9—�D Date 69—�19 —�� mixture containing a hazardous material equal to or greater that the
amounIs specif d on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes
UNLAWFUL,AND SHALL SUB1ECt AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
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(SCAOMD)7 See permitting checklist
IN SECTION 37US OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgutde,l.�inG1�^u�/
7
CONSTRUCTION LEN DING AGENCY Oyes No
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 outerbounof ryofaschool7
(Section 3097 Civil Code) ayes .efN.
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guldeand 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
Contractor's License Law for the reason(s)indicated below by the California Health&Safety a e,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardo mat rise I reo
Business and Professions Code).Any city or county that requires a permit to
Date_(?-3
construct,alter,Improve,demolish or repair any structure,prior to its
PROPE Ty0 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 RENO ION REPAIR AND PAINTING RRP
License law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting IIIRP)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 be RRP-certified turns and comply with
an Applicant fora 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
cal,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 I )portion of the work,and the structure is www.eaa.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 Contractor's 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. o No EPA Lead-Safe Certified Firm is required for this project because:
D 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 Ucense Law does not apply to an owner of a If your project does not comply with EPA ARP rule please fill out the RAP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
'Menifee
DATE 7124/17 PERMIT/PLAN CHECK NUMBER
TYPE: COCOMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: OADDITION ;!ALTERATION "DEMOLITION O ELECTRICAL fl MECHANICAL
O NEW " PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK
PROJECTADDRESS 27534 Via Real Menifee CA g2585
�j
ASSESSOR'S PARCEL NUMBER 333282027 LOT -16 TRACT I �a
OWNER NAME Katie&Allen Miranda
ADDRESS 27534 Via Real Menifee CA 92585
PHONE (951)448-5739 EMAIL
APPLICANT NAME Anna Espinoza
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$ 9 750 nn SO FT L SO FT
APPLICANT'S SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN i SMIP ✓
INVOICE PAID AMOUNT
AMOUNT OCASH QCHECK# C%CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED "YES O NO DL NUMBER NOTARIZED LETTER C YES C NO
City of Menifee Building&Safety Department 29714 Houn Rd. .Menifee, CA 92585 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-245-6213
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