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PMT18-00857 City of Menifee Permit No.: PMT18-00857 29714 HAUN RD. �CCELA? MENIFEE, CA 92586 Type: Residential Mechanical `"'""-m""`'""' MENIFEE Date Issued: 03/16/2018 PERMIT Site Address: 29639 AVENIDA DE REAL,MENIFEE, CA Parcel Number: 336-262-018 92586 Construction Cost: $6,500.00 Existing Use: Proposed Use: Description of REPLACEMENT OF HVAC SYSTEM WITH NEW 2.5TON SPLIT UP FLOW, 14 SEER&80%AFUE Work: SYSTEM Owner Contractor ROSE MARIE ABRICA CASTILLO HEATING&AIR CONDITIONING INC 29639 AVENIDA DE REAL 32105 HEATHER LANE MENIFEE, CA 92586 MENIFEE, CA 92584 Applicant Phone:9513014452 MARGARITA CASTILLO License Number.548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE, CA 92584 Fee Description ON Amount ISI Forced-Air or Gravity-Type Furnace or Bumer 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 building 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_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION propertywho builds or improves thereon,and who contracts forthe projects I 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 Contractofs5tate License Law for Professions Code and my license is in full force and effect. the fallowing reason: License Class (1—.-110 Uc zs No. L-�-IJ 3 By my signature below l acknowledge that,except formy personal residence Expires Signatue in which l must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legallysell a structure that I WORKER'S COMPENSATION DEClARA710N 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 website: by Section 3700 of the Labor Code,for the performance of work for which this permit is issued. inumleginfo.m.noy/calaw.lit il. Policy If Date o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3760 of the Labor Code,for the performance of the work for which O By my signature below I certify to each of the following: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.1 have read this numberam: _ application and the information I have provided is correct I agree to comply SC1 Ir Carrier with all applicable city and county ordinances and state laws relating to Cl ! building construction.I authorize representatives of this city or county to Poliry# L()7ig501 1 Expires ���)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($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 emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# 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,l shall forthwith complywith those provisions. Will the applicant or future building occupant handle hazardous material or Applicant IVI�} �L�-tWMIZ( ""LL/ Date_ 63—X9 —I mixture containing a hazardous material equal to or greater that the amounts specif d on the Hazardous Materials Infarmallnn Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes UNLAWFUL,AND SHALLSUBIEC7AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicantor 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 INADDITION SEC 0 N 3706 OF COST LABOR CODE,INTERTION,DAMAGESDATTORNEYS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 37060E THE TABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelin CONSTRUCTION LENDING AGENCY aYes riefio 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 perm it is issued outerboundd ryofaschool? (Section 3097 Civil Code) oyes , . OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under Penalty of perjury thatlam exempt from the permitting checklist l understand my requirements under the State of California Health ISafet�ode,Section 25505 and 25534 concerning Contractors Licensee Law for the reason(s)indicated below by the checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazards mat riae�,I rep ng. Business and Professions Code).Any city or county that requires a permit toconstruc No Date issuance,also alter,improve, applicantsh for the any permit to a prior tsta 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 Contractors State EPA KENO ON REPAIR AND PAINTING IRRP 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 in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compenor sation nforfacili mosty to rkthartisturbfied painico pre-19ply th than Applicant fora permit subjects the applicanttoa civil penalty of not more required practices.This includes rental property ownersand property than($S00). managers who do the paint-disturbing work themselves or through their o 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( I portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sa le.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code,The Contractors State License Law does not apply to an owner of o 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 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 bemuse: 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. & SAFETY PERMIT/PLAN CHECK APPLICATION S Menifee DATE 2-22-18 PERMIT/PLAN CHECK NUMBER D, ocol TYPE: O COMMERCIAL VRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL MECHANICAL O NEW O PLUMBING C RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replacement of HVAC system with anew 2.5 tons lit U IOW 14 Seer, and 80% AFUE system. PROJECTADDRESS ASSESSOR'S PARCEL NUMBER 336262018 LOT TRACT OWNER NAME Rose Marie Abrica ADDRESS 29639 Avenida De Real Menifee, CA 92586 PHONE EMAIL APPLICANT NAME Margarita Castillo ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S NAME Art Castillo OWNER BUILDER? O YES ENO 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$ SQ FT L SQ FT APPLICANT'S SIGNATURE DATE CITYSTAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS UCENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE' PAID AMOUNT AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 0CASH 0CHECK# 0 CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O No DL NUMBER NOTARIZED LE TE OMEitJt�rfitE@ Rnildin❑ Dept City of Menifee Building&Safety Deportment 29714 HOLM Rd. Menifee, CA 92586 9J-fj72-69776% www.cityofinenifee.us Inspection Request Line 951-246-6213 AK 1 L Received w rn too V w w N N N D o D m ry M A 77 N A `"' 3 m Z n•G o d n V D a V D D n m m o o d 3 2 n w n m ry 3 3 3 7 A rz 0 N 3 N O O O FD n N vi r 3 o fD n d !0 3 7 r y of GG O O r < _ o f° m a D o O N N ^ o0i n to ^ o mG o D 3 a w -. n uA, 3 m w o `y f0 < � Er 3 O N n �• 7 d O l n o S d < 0 o d 3 0o O fD m as r Oi O N C M r1 d_ A J d n 3 N n N n O n n z m O O m O c 'm o y N O m m . ° c O :E :E c, d N O U J N M 0 D 3 O 00 'ry O A 4+ m O n = O M n m 3 c m o. 3 °° M 0 S n ^m o w 3 m d NaL A to ei N J Ip n 3 3 c J ^ O O a N N F+ D N p O °' N 00 ° 3 fD °0 of ti 'rt^ m 1p dz � N M Z < A O D 0 3 c 7 m J � 00 d' N A O 2 ono 'a a D D c O N m v�i 3 N lY T � i D m m N � oIm tiT OHo ti " a O D n IT ci T IN, _ ? o A O C �'a ID � (L O D m 3 m m f0 m N i s y i n a u O O w u o m m 1n S m m n N N an Di1° i3 0 -I < m n n F. �° ^ •� .tee .mr O O to In o m y 3 pOp O. 3 r o .p nd A @ o F m w O Z p. 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