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
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