The URL can be used to link to this page

PMT14-01000 City of Menifee Permit No.: PMT14-01000 29714 HAUN AWCCELA—> MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 05/05/2014 PERMIT Site Address: 26095 MANTLE DR, MENIFEE, CA 92585 Parcel Number: 331-432-005 Construction Cost: $14,727.00 Existing Use: Proposed Use: Description of REPLACE 75,000 BTU FURNACE,4 TON 16 SEER A/C UNIT&COIL Work: Owner Contractor RAMON BAEZ VENVEST BALLARD INC 26095 MANTLE DR 3030 MYERS STREET MENIFEE, CA 92585 RIVERSIDE, CA 92503 Applicant Phone: 9512769744 JANE RECKTENWALD License Number: 878533 VENVEST BALLARD INC 3030 MYERS STREET RIVERSIDE, CA 92503 Fee Description O_yt Amount I$1 zMz===== lTupeFumaGe�g tltr 'r .. `� .�'i'� q ;ensing Units SFR1 133.00Sua c2^ :0 .1 1.00 $310.00 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_Permit Template.rpt Page 1 of 1 City Of Menifee LICENSED DECLARATION I hereby affirm under penalty or perjury that I am licensed under provisions of ❑ I, as owner of the property an exclusively contracting with licensed Chapter 9(commencing with section 7000)of Division 3 of the Business and contractors to construct the project(Section 7044, Business and Professions Professions Code and my license is in full force gpd effect. Code:The Contractor's License Law does not apply to an owner of a property License Class (:�;O License No. who builds or improves thereon, and who contracts for the projects with a Expires �� )-N Signature - licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exemptfrom licensure underthe Contractors'State License Lawforthe ❑ I hereby affirm under penalty of perjury one of the following declarations: following reason: I have and will maintain a certificate of consent of self-insure for workers' By my signature below I acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for by which I must have resided for at least one year prior to completion of Section 3700 of the Labor Code, for the performance of work for which this improvements covered by this permit, I cannot legally sell a structure that I have permit is issued. built as an owner-building if it has not been constructed in its entirety by licensed Policy# contractors. I understand that a copy of the applicable law, Section 7044 of the 0 1 have and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is section 3700 of the Labor Code, for the performance of the work for which this submitted or at the folloptVeb site:http'//www.IeqInfo.ca.qov/caIaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner oho a Agent Date �MS � �" �C. UJ '�� Expires ALi Policy# U.��CacC7 ) ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent Phone# owner or authorized to act on the property owner's behalf. I have read this (This section need not be completed if the permit is for application and the information I have provided is correct. I agree to comply one-hundred dollars($100)or less) with all applicable city and county ordinances and state laws relating to building construction.I authorize repres ives of this city or county to enter the above- ❑ I certify that in the performance of the work for which this permit is issued, I identified property for the in ec' n purposes. shall not employ any persons in any manner so as to become subject to the � workers' compensation laws of California, and agree that if I should become �'�� l workers'compensation provisions of Section 3700 of the Labor subject to the worke P p Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions ` ,' City Business License# l?t Date; LJ",�"t'1 Applicant; � WARNING: FAILURE TO SECURE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, []YES OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ONO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? I hereby affirm that under the penalty of perjury there is a construction lending agency for the performance of the work which this permit is issued (Section WILL THE INTENDED USE OF THE BUILDING BY THE 3097 Civil Code) APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE Lender's Name DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ENO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDE LINES OWNER BUILDER DECLARATIONS PRINT NAME: I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the reasons)indicated below by the checkmark(s)I have placed DYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable item(s)(Section 7031.5. Business and Professions Code: BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct, alter, improve, demolish, ❑NO SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the I HAVE READ THE HAZARDOUS MATERIAL provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or []YES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensure and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031.5 by any Applicant for a permit subjects the applicant to ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than($500).) CODE ,ZARDO S ION 5505ATERIAL FfE 5633Nff AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole G. compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: P '�Itp 29714 Haun Road : D1DOa Date: Date:Menifee, CA 92586 45 / Phone: (951)672-6777 Amount: Amount: Fax:(951)679-3843 �D°p Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: fC^ Planning Case: F: L JJe�' LW RLL R: Property Address: '_ Assessor's Parcel Number..Project/Fenant Name 3�-00 Unit#: Floor Name: Ph a No. Fax No. Property Address: Owner S 1Q Unit Number Zip Code —1� Email Address: Name: .(^ Applicant Address: Unit umber Zip Code Email Address: Name: \Y' P ea—o Cll Fax No. Contractor Address: S.-4 C!ty�j,, , A n State Zip Code Contractor's rty Business-Li nse No. ��""�`��11 `` CA inn 9, Contractor's Ci S e California License No. Classification: Number of Squares- Square Footage Description of Woo t cost of work:$ Applicants Signature �� ,. Date: To Be C toted By City Staff Only - - - Indicate As R-Received or N/A-Not Applicable - 5 ComPlates.sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen Tech/Soils Report(on cd onl ❑ Plot/Site Plan ❑ Roof Plan y) ❑ Mechanical Pfan ❑ Title 24 Energy(on 8 '/,z 11) ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Floor Plan ❑ Single Line diagram for elec.services over 400 ANIP ❑ Structural Framing Plan 8 Calais ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration* Addition' Work Type: Means/Methods Repair' Retrofit' Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Bldg. Code Occupancy Group Y of N Indicate Indicate it Indicate all Geo-tech.Haz.Zone At Project Construction Sprinklered YES or NO that a Coastal Zone Completion: apply: 7ype(s): C Of ir YES or NO Noise Zone Required? Listed on Historic R^sources Inventory CITY PLANNING STAFF ONLY APPROVALS: r2g] Arch.Review Board Landmark Comm. Planning Comm Zoning Administrator Fee Exempt: Elec.Vehicle Charger Landmark SPea Seismic Retrofit Expedite Project(s): CityProject o;raai nowaoni 1 Green Building Landmark Affordable Ho g For Staff Use Only BuildnglBafely Porn ii:Sperialisf City Planning GvA Engineenn9 EPVVFA-Adrnid Trans porfa Lion DAgmt Renl Conlro! THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Sim lified Prescri tive Certificate of Compliance: 2008 Residential HVACAIterations CF-IR-ALT-I3VAC Climate Zones 10 to 15 Site Address:26095 Mantle Enforcement Agency:Cityotidenitee Date:5-5-14 Conditioned Floor Equipment Typel List Minimum Efficiency, Duct insulation requirement uirement Area Thermostat Packaged Unit Over 40 ft of ducts added or x Furnace AFUEae% ❑COP_ d O Setback x] Indoor Coil ®x SEER16 HSPF replaced in unconditioned space Served by system (If not already R 6 (CZ 10-13) tsaa x,. Condensing Unit EER Resistance sf present,must be Other R 8 (CZ 14-15) installed) 1.Equipment Type: Choose the equipment being installed;if more than one system,use another CF-IR-ALT-HVACfor each system. 2.Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being done and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted.A copy of the forms shall be left on site for final inspection and a copy given to the homeowner. At final,the inspector verifies that the work listed on this form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF-6R and registered CF4R forms(no hand filled CF-4Rs allowed)are filled out and gsi ned. Be inning October 1,2010,a registered co of the CF-1R and CF-6R shall also be on site for final inspection. x' 1.HVAC Changeout Required Forms: • All HVAC Equipment replaced CF-6R forms: MECH-04,MECH-2I-HERS and(for split systems)MECH-25-HERS CF-4R forms: MECH-21 and(fors lit systems) MECH-25 • Condenser Coil and/or CF-611 forms: MECH-2I-HERS and(for split systems)MECH-25-HERS • Indoor Coil and/or CF-4R forms: MECH-21 and(for split systems) MECH-25 • Furnace For Split Systems: Duct leakage< 15 percent; RC,CCA>300 CFM/ton(Minimum Air Flow Requirement),TMAH For Packaged Units: Duct leakage< 15 percent Exempted from duct leakage testing if: 1.Duct system was documented to have.been previously sealed and confirmed through HERS verification,or 2.Duct systems with less than 40 linear feet in unconditioned space,or rl 3.Existine ducts stems are constructed,insulated or sealed with asbestos El 2.New HVAC System Required Forms: • Cut in or Changeout with new CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-22-HERS,and MECH-25-HERS ducts:(all new ducting and all CF-4R forms: MECH-20,and(for split systems)MECH-22,and MECH-25 new equipment) For Split Systems: Duct leakage<6 percent;RC,CCA>350 CFM/ton,FWD,TMAH,STMS,and either HSPP or PSPP. For Packaged Units:Duct leakage<6 percent 3. New Ducts with Replacement Required Forms: • Includes replacing or installing all new ducting CF-6R forms: MECH-04,MECH-20-HERS,and(for split systems)MECH-25-HERS and/or outdoor condensing unit and/or indoor CFAR forms:MECH-20 and(for split systems)MECH-25 coil and/or furnace. Not all equipment changed. For Split Systems: Duct leakage<6 percent,RC,CCA>300 CFM/ton,TMAH For Packs ed Units: Duct leakage<6 percent 4.New Ducting over 40 feet I Required Forms: • Includes adding or replacing more than 40 CF-6R forms: MECH-04,MECH-2I-HERS CF-4R forms: MECH-21 linear feet of duct in unconditioned space. For splits stem or packaged units: Duct leakage< 15 percent EXCEPTION:Existing ducts stems constructed,insulated or sealed with asbestos. Contractor(Documentation Author's/Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • The design features identified on this Certificate of Compliance are consistent with the information documeato on other a cable compliance forms,worksheets, calculations,plans andspecifications submitted to the enforcement agency for approval with the ermit catio NarneVane Recktenwald Signature: Company:Venvest Ballard Inc., DBA Rightime Air Date:5-5-2014 Address:3030 Myers St License:878533 City/State/Zip:Riverside, CA 92503 Phone:951-276-9744 Menu uo t ,,t: [rim 1; . .. F,,..,,.. r,✓„ 7nin