PMT19-00013 City HA Menifee Permit No.: PMT19-00013
29714 HAUN RD.MENIFEE, CA 92586 Type: Residential Mechanical
FN4MENIFEE MENIFEE
Date Issued: 01/03/2019
PERMIT
Site Address: 29163 HIDDEN LAKE, MENIFEE, CA
92584 Parcel Number: 340-200-032
Construction Cost: $6,700.00
Existing Use:
Proposed Use:
Description of HVAC REPLACEMENT, SPLIT SYSTEM, 3.5 TON, 14 SEER, 80%AFUE
Work:
Owner
MICHAEL TWEEDELL Contractor
29163 HIDDEN LAKE DRIVE CASTILLO HEATING&AIR CONDITIONING INC
MENIFEE, CA 92584 32105 HEATHER LANE
Applicant MENIFEE, CA 92584
ANGELA CASTILLO Phone: 9513014452
CASTILLO HEATING&AIR CONDITIONING INC License Number: 548323
32105 HEATHER LANE
MENIFEE, CA 92584
Qty
Fee De�iOe
Forced-Air or Gravity-Type Furnace or Burner Amount
1
Air Handling/Condensing Units SFR 1 133,00
Building Permit Issuance 1 33.00
GREEN FEE 1 27.00
General Plan Maintenance Fee-Mechanical 1 1.00
1 T4.i0
$324.10
The issuance of this permit shalt 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 Ihereunder 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.rpt
Page 1 of 1
CITY OF MENIFEE
LE.CE SED,j9CLAR&1L0 property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penal tyof perjury that I am under provisions of with a licensed contractorls)pursuant w the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Rosiness and ❑I am exempt from licensure under the Contractor's State License Law for
Professions Code and m��77y license is in full force and effect. the following reason:
License Class —L-V Li se No. _--- ---- —
By my signature below I acknowledge that,except for my personal residence
Expires- 49_.Signature in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION pEtLARATiON
Improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed In its entirety by
o I hereby affirm under penalty of perjury one of the fallowing declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent ofseif-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
by Section 3700 of the Labor Cade,for the performance of work for which this application is submitted or at the following website:
this permit is issued. +viV�g,rei;nfa.ca.r�av tala::ar,� .
Policy#
Date
aV have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,forthe 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 orauthorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier. �7 with all applicable city and county ordinances and state laws relating to
��++,, rr�� building construction.I authorize representatives of this city or county to
U 9
Policy# rj S Expires enter the above identified property for Inspection purposes.
(This section need not to be completed is the permit is for one-hundred
dollars($100)or less Date
❑I certify that in the performance of the work for which this permit is issued, PROPERTY OWNER OR AUTHORIZED AGENT
IshallrigteMolo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE ff
workers compensation laws of California,and agree that if I should become
subject to the worker's compensation provisions of Section 3700 of the Labor #AZ&A_W0US MATERIAL DECU RATON
Code,I shall f Ith com ft-thos rovi ns. Will the applicant or future building occupant handle hazardous material or a
Applltant Date C i I mixture containing a hazardous material equal to or greater that the
�`✓ S amounts specified on the Hazardous Materials Information Guide?
WAftk1_N§-FAILUR010 SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes �No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOU5AND DOLLARS($100,0D0),IN Will the Intended use of the building by the appllraril or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LA00R CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION_LFNI]ING AGENCY o 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 JNo
pWNE BUitDER pECLA ONS I have read the Hazardous Material Information Guide and 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
Contractors license Law for the reason(s)indicated below by the California Health&Safety Code,.Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable Items)!Section 7031.5 hazardous mat I repdrting-y
r r}
Business and Professions Code].Any dry or county that requires a permit to Oyes ❑No
ct,
constru alter,improve,demolish or repairany structure,priarto its ate 1
issuance,also regtalres the applicant for the permtt tofilea signed statement PROPERTY OWNER AUTHORIZED AGENT
that he or she Is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION REPAIR ANo PAINTING fRRP1
License Law(Chapter 9!commencing with Section 7DD0)of Division 3 of the
The EPA Renovation,Repair and Painting{RRp)Rule requires con
0usiness and Professions Code)or that he or she is exempt from ilcensure
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applltant for a permit subjects the applicant to a civil penalty of not more residence or chltdcare fatality to be RRP-certiRed firms and comply with
than($500], required practices.This Includes rental property owners and property
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 Inform at Ion about EPA's Renovation Program visit:
compensation,wilt do( )all of or( )portion of the work,and the structure is or contact the National Lead Information Center at
not intended or offered For sale.l5ection 7044,Business and Professions 1-800-424-LEAD(5323).
Code,The Contractors State License Law does not apply to an owner of a
property who,through emptoyees'or personal effort,builds or improves the An EPA Lead-Safe Certified Renovator will be responsible for this project
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
completion,the Owner-BuJider Wll have the burden of proving that It was Firm Certification No.:---.—�
not bulit or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
I,as owner ofthe property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade:The Contractor's 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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: 1-2-2018 PERMIT/PLAN CHECK NUMBER -
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: 0 COMMERCIAL G RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0=SIGN
SUBTYPE: OADDITION O ALTERATION O DEMOLITION O ELECTRICAL (E) MECHANICAL
O NEW ()PLUMBING ORE-ROOF NUMBER OF SQUARES_
[DESCRIPTION OF WORK Replacement of HVAC system with a new 3.5 ton, 14 SEER/80%AFUE HVAC
system. No ductwork alteration.
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES G)NO
PROJECTADDRESS 29163 Hidden Lake Dr Menifee, CA ZIP92584
f ASSESSOR'S PARCEL NUMBER 340200032 LOT TRACT
OWNER NAME Michael Tweedell
ifee
ADDRESS 29163 Hidden Lake Dr Menifee, CA 92584 Building Dept.
PHONE (951) 818-6734 cell EMAIL info@castillohvac.net JAN 0 3 2019
APPLICANT NAME Teresa Espinoza fi
ADDRESS 32105 Heather Ln. Menifee, CA 92584
PHONE (951)301-4452 EMAILinfo@castillohvac.net
CONTRACTOR'S NAME Castillo Heating &Air Conditioning, Inc OWNER BUILDER? (QYESI`�NO
BUSINESS NAME Castillo Heating &Air Conditioning, Inc
ADDRESS 32105 Heather Ln. Menifee, CA 92584
PHONE (951)301-4452 EMAILinfo@castillohvac.net
CONTRACTOR'S STATE LIC NUMBER 548323 LICENSE CLASSIFICATION C20
VALUATION$ $6,700.00 SQ FT 1,780 L SQ FT
APPLICANT'S SIGNATURE Teresa Espinoza � DATE 1-2-2018
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL . 1v GREEN SMIP x
OWNER BUILDER VERIFIED ;: YES zv` NO DRIVERS LICENSE# NOTARIZED LETTER YES NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777
www.cityofinenifee.us
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