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PMT18-02345 City of Menifee Permit No.: PMT18-02345 C 29714 HAUN RD. Type: Residential Mechanical A. CCELA> MENIFEE, CA 92586 MENIFEE Date Issued: 0 5/1 412 01 8 PERMIT Site Address: 31877 HALEBLIAN RD, MENIFEE, CA Parcel Number: 372-222-016 92584 Construction Cost: $5,875.00 Existing Use: Proposed Use: Description of REPLACEMENT OF HVAC SYSTEM WITH NEW 3 TON 14 SEER CONDENSING UNIT&80%AFUE Work: FURNACE, NO DUCT WORK REPLACED Owner Contractor DAVID SALAMATI CASTILLO HEATING&AIR CONDITIONING INC 31877 HALEBLIAN RD 32105 HEATHER LANE MENIFEE, CA 92584 MENIFEE,CA 92584 Applicant Phone:9513014452 ANGELA CASTILLO License Number.548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE,CA 92584 Fee Description ON Amount i51 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_Bldg_Pennit_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 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 ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the fallowing reason: y ^ "License Class 'Gy No. By my signature below lacknowledge that except for my personal residence Expires_CA J SLgnatUIT Uc se in which I must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION OECLARA710N have built as an owner-builder if it has not been constructed in its entirety by ❑I hereby affirm under penalty of perjury one of the following declarations:1 licensed contractors.i understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure forworkers 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. www.leeinfo.u.gov/caiaw.htmi. Policy# Date taJ 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 ❑By my signature below I certify to each of the following:)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 with all applicable city and county ordinances and state laws relating to Cartier (�Vy� SSic, ( ^ building construction.I authorize representatives of this city or county to Policy# `'I 7 Y'i)S 5� Expires lio l 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 ❑I certify that in the performance of the work for which this permit is issued, I shall notemolov 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,I shall he ith rum hies rovis' ns. Will the applicant or future building occupant handle hazardous material or a Applicant Date 1 mixture containing a hazardous material equal to or greater that the / amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE6ii SECURE WORKER'S COMPENSATION COVERAGE IS o Yes Pi No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,00D),IN occupant require a permit for the construction or modification from South IN SECTION 3 THE COST LABOR CODE,INTEREST, DAMAGESDATTORNEYS FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist INSEL710N 37060FTHE LABOR[ODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY u Yes )(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 outer boundary of a school? (Section 3097 Civil Code) ❑yes OU4o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjurythat I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety C,prie..Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item hazardous ma[ I repoing.-s)(Section 7031.5 e O + i Business and Professions Code).Any city or county that requires a permit to Dives ❑No 1 construct,alter,Improve,demolish or repair any structure,priorto its ate issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER O AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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 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 themselves or through their ❑1,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.govi,-.. or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BDD-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑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. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑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 role please fill outthe RRP Acknowledgement BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION t MW Menifee DATE 05/18/2018 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL *RESIDENTIAL C MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION of WORK Replacement of HVAC system with new 3 ton 14 SEER condensing unit and 80% AFLIE furnace. No ductwork replaced. PROJECTADDRESS 31877 Haleblian Rd. M�enni^ifeee�e, CA 925584 ASSESSOR'S PARCEL NUMBER :2�9 - a0>D'rV LOT (drr TRACT O—17 OWNER NAME David Salamati ADDRESS 24752 Via Carlos, Laguna Niguel, CA 92677 PHONE (714) 609-1673 EMAIL salamatishahram@aol.com APPLICANT NAME Angela Castilla ADDRESS 32105 Heather Lane Menifee, CA 92584 PHONE 951-301-4452 EMAIL info@castillohvac.net CONTRACTOR'S NAME Art Castillo OWNER BUILDER? o YES*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$ 5,875-00 S FT 2,953 L SQ FT APPLICANT'S SIGNATURE DATE 05/11/2018 DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP INVOICE PAID AMOUNT AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-245-6213 FL - \ ( /\ - § \ \ ,CL \ ) § 2 : - \ ° 0 ) \ { \ \ § M - \ / y 3m } § k _ 30 i � ` _ ? ƒ 3 \ ( \ / C= CD o - 00 \ } t % } .. § ) 4F"Tt &,P- o;L w m p N d H o F• N N ❑ m � c � _ v� 'N N ; a u o a: m LL N U p O L d O w O 6 LL W « Z d U rl � amr � E ti v d N m m E d ? a « a ❑ V C � w o ro Ci �c ei o t0 u .Prr « w N C L d U w O G O u W F- N v V � ti E n vi u u N IN+ rn C O .O. vi a E y tl0 r/1 V r/1 4! ry O a m y 3 m w A m m o v m d p p c 0 0 H w :' U o' V O O Q u° E a E Vda u .Ni �c rrr F c� m •0�_ Oc NCp YOc Nm t°v 'jvo O ° h o oa w . 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