PMT18-03753 City of Menifee Permit No.: PMT18-03753
29714 HAUN RD.
.1 MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 08107/2 0 1 8
PERMIT
Site Address: 27259 CAPILANO DR, MENIFEE, CA Parcel Number: 336-074-012
92586 Construction Cost: $6,200.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF CONDENSING UNIT AND EVAP COIL WITH NEW 3 TON 14 SEER CONDENSING
Work: UNIT AND COIL. NO DUCT WORK OR HEATING COMPONENTS ALTERED
Owner Contractor
GINETTE SKELTON CASTILLO HEATING&AIR CONDITIONING INC
8228 MARINA PACIFICA DRIVE 3210E HEATHER LANE
LONG BEACH,CA 90803 MENIFEE, CA 92584
Applicant Phone:9513014452
ANGELA CASTILLO License Number:548323
CASTILLO HEATING&AIR CONDITIONING INC
32105 HEATHER LANE
MENIFEE, CA 92584
Fee Description 0t( Amount ISl
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 6.65
$167.65
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 slated,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 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 oI am exempt from licensure under the Contractor's State License Law for
Professions Cade/nand m�1y license is in full force and effect. �`��'�OOO the following reason:
License Class l'-4lJ Lic se No- H By my signature below l acknowledge that,except for my personal residence
Expires 01 Signature in which l 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 DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
o l hereby affirm under penalty of perjury one of the following declarations:i licensed rontrectors.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 our at the following website:
by Section 3700 of the Labor Code,for the performance of work far which
this permit is issued. www.leglnfoca.pov/calaw.htn2..
Policy# Date
a4 have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the tabor Code,far the performance of the work for which ❑By my signature below l certify to each of the following:I am the property
this permit Is Issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
numberare: application and the information I have provided is correct.I agree to comply
Scth all applicable city and county ordinances and state laws relating to
Carrier -tv,�,lll, 1 building construction.l authorize representatives of this city or county to
Policy if q nnh V/"1 S + Expires lic I 1 Q) 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 cenlfy 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#
worker's compensation laws of California,and agree that if l should became HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall fo (t�ith coca 'th-thos rovi- ns. Will the applicant or future building occupant handle hazardous material or
Applicant / Date 04 1 1111 mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FILURE&L SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes A 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($100,000),IN occupant requires permit for the construction or modification From South
ADDITION TOTHECOST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQM DI?See permitting checklist
IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes )(No
I hereby affirm that under the penalty of perjury there is a construction. Will the proposed building or modified facility be within 10DO 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 Po
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l 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".Section 25505 and 2S534 concerning
hazardous maul repo ng-
checkmark(s)(have placed nett to the applicable item(s)(Section 7031.5 y,Y� o No
Business and Professions Code).Any city or county that requires a permitter L ate
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 01 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 RENOVATION,REPAIR AND PAINTING IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 ofthe The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licenmre 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-certifled firms and comply with
an Applicant for a permit subjects the applicant to a civil penally 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 oforI I portion of the work,and the structure is www.epa.eovllea_or contact the National Lead Information Center at
not intended or offered for sale-(Section 7D44,Business and Professions 1-800-424-LEAD(S323).
Code;The Contractor's 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-guilder will have the burden of proving that it was
not built or improved for the purpose of sale. D No EPA Lead-Safe Certified Firm Is required for this project because:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License law does not apply to an owner of a If your pmject does not comply with EPA RRP role please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION owl
--""'Menifee
DATE I J� PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL ORESIDENTIAL 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 O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION of WORK Replacement of condensing unit and evaporator coil with new 3 ton 14 SEER
condensing unit and coil. No ductwork or heating components altered.
PROJECT ADDRESS 27259 Capliano Dr. Menifee, CA 92586
ASSESSOR'S PARCEL NUMBER VAp- 9'4-o -A- LOT TRACT
OWNER NAME Ginette Skelton Building Dept.
ADDRESS 8228 Marina Pacifica Dr. Long Beach, CA 90803
PHONE (562)225-5658 EMAIL
APPLICANT NAME Angela Castillo Received—
ADDRESS
32105 Heather Lane Menifee, CA 92584
PHONE 951-301-4452 EMAIL info@castillohvac.net
CONTRACTOR'S NAME Art Castilla 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
CONTRACFOR'S STATE LICNUMBER 548323 LICENSE CLASSIFICATION C20
VALUATION$ 6,200.00 SOFT 945 L SQ FT
APPLICANT'S SIGNATURE DATE
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X
INVOICE � //�� PAIDAMOUNT O
•�j OCASH OCHECK# CREDIT CARD VISA/MC
AMOUNT I LQ
PLAN CHECK FEES PAIDAMOUNT 0CASH ^CHECK# OCREDITCARD VISA/Mc
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
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