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PMT14-01895 City of Menifee Permit No.: PMT14-01896 29714 HAUN RD. Type: Residential Mechanical �kCC!~1 ;k> MENIFEE, CA 92586 GwmrmnR&M4axe MENIFEE Date Issued: 07/22/2014 PERMIT Site Address: 29737 AVENIDA DE REAL, MENIFEE, CA Parcel Number: 336-262-011 92586 Construction Cost: $1,558.25 Existing Use: Proposed Use: Description of CHANGE OUT CONDENSING UNIT AND FURNACE Work: Owner Contractor DONNIE PURIFOY A&G HEATING AND AIR - 29737 AVENIDA DE REAL CONDITIONING—SYSTEMS MENIFEE, CA 92586 4526 BERKLEY AVENUE Applicant Phone: 9099366466 ANGEL VICTORIANO License Number: 984906 A&G HEATING AND AIR CONDITIONING—SYSTEMS 4526 BERKLEY AVENUE HEMET, CA 92544 Fee Description Oft Amount `s.^ .'^ .�„^zu^nn❑mnpx��.�^..�,-�, -,�,e"�"'�"� � rh t'"� � 'TM'�.,�a: i�"qx'"'.' Air Handling/Condensing Units SFR g 1. 133.00 GREEN FEE 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 building operations being carried on lhereunderwhen 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 and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class C-W License No. ,6 who builds or improves thereon, and who contracts for the projects with a Expires i O- 'Signature licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ I am exempt from licensure under the Contractors'State License Law for the ❑ 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 Business and Professions Code,is available upon request when this application is section 3700 of the Labor Cade, for the performance of the work for which this ❑ have and will maintain workers' compensation insurance, as required submitted or at the following Web site:htt'llwww leginfo ca govlcalaw html. s permit is issued.My workers'compensation insurance carrier and policy number are: � Date Carrier Qbrs .�LSU(Ltl'4C'e. Property Owner or Authonzed Agent Expires 6>7 O . ( r Policy# - ❑ 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 representatives of this city or county to enter the above- or certify that in the performance of the work for which this permit is issued,I identified property for the inspection 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 subject to the workers'compensation provisions of Section 700 of the Labor Property Owner or Authorized Agent Date Code, I shall forthwith comply with those provisions. City Business License# Date; .(7"2X'— tf 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 [I NO EQUAL TO OR AT ER THAN THE UNTS SPECIFIED ON THE HAZARDOUS MATERIALS ERIALS CONSTRUCTION LENDING AGENCY 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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑NO 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 reason(s)indicated below by the checkmark(s)I have placed AYES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable items) (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 ❑YEg 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($500).) CODE, SSM 5 533AD 25534 CONCERNING T25505, R25533 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do( ) all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT not intended or offered for sale. (Section 7044,Business and Professions Code; X The Contractor's State License Law does not apply to an owner of a property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that It was not built or improved for the purpose of sale). CITY OF MENIFEE City of Menifee PLCK No: Permit No: 29714 Hal Roa&ullding & Safety Dept. — Date: Date: Menifee, CA 92586 JUL 2 2 2014 Phone: (951)672-6777 Amount Amount: Fax:(951)679-3843 Received Ck#: Ck#: Building Combination Permit To Be Completed By Applicant Legal Description: Planning Case: F: L: Rt: R: Pro edy Addr ss: Assessor's Parcel Numbs Ave a si Project/Tenant Name: ^A Unit#: Floor#: Name: ✓ 1 i F� j �! Fax No. Property Addres / //� _ ,/ Unit Number b Zi Code Owner ! ilfvi1slen— ea p Email A dress: Name: Phone No. Fax No. ti Applicant Address: VUnit Number Zip Code Email Address: Name: i�if!' q ` ,L fY Ph No. �7b4 FaxN ��/06 rZ— Contractor Addr City � � / State-�,r Zip Co t ontractor s rt Business nse o- Contractor's CA mate of California License No. Classifica rc .,7 Number of Squares: Square Footage Description of Work: ©� Cost of Work:$ Applicant's Signature To Be Completed.By.City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 y,x 11) El Structural Calculations ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for also.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Delai ❑ Shoring Plan I ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition* MeamoMethods Work Type: Repair' Retroflf' Revision to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate if FIndicatea "Listed Geo-tech.Haz.Zone At Project Sprinklered YES or NO Completion: Construction pply: Coastal Zone Type(s): C Of O YES or NO Noise Zone Required? on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special case:sing Official Approval Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety I Permit Specialist City Planning I Civil Engineering I l," M-Admin Transporlalion M1gmt. Renl Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-SR-ALT-HVAC Climate Zones 10- 1S Site Address: Enforcement Agency: Date: Permit#: 29737 avenida de real Menifee, CA 92586 County of Riverside Jul 16, 2014 - 'gqs Dud insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat p Package Unit ❑Furnace ®AFUE 78% ❑COP R 6 (CZ 10-13) Served by system ®Setback [3 Indoor Coil ®SEER 13.0 ®HSPF 7.7 If not already present; must be ®Condensing Unit EER ❑ R g Resistance (CZ 14-15) 1400 sf installed) ❑Other_ 1.Equipment Type:Choose the equipment being installed;if more than one system, use another CF-1R-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies: 13 SEER, 7801.AFUE, 7.7HSPF for 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 CF-4R forms (no hand filled CF-4Rs allowed) are filled out and signed. Beginning October 1, 2010,a registered copy of the CF-SR and CF-611 shall also be on site for final inspection. ®1. HVAC Changeout lRequired Forms: .All HVAC Equipment CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-411 forms: MECH-21 and (for split systems) MECH-25 •Condenser Coil and/or CF-6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS Building & Sat ilifee p•Indoor Coil and/or CF-4R forms: MECH-21 and (for split systems) MECH-25 t Dept. .Furnace For Split Systems: Duct leakage < 15 percent; RC,CCA < 300 CFM/ton (Minimum Air Flow Requirement),TMAHJUL 2 Z 2014 Exempted from duct leakage testing if: ❑ 1. Dud system was documented to have been previously sealed and confirmed through HERS verification, or❑ R �]e�ye I d 2. Duct systems with less than 40 linear feet in unconditioned space, or ❑3. Existing duct systems are constructed, insulated or sealed with asbestos ❑4.The system will not be Ducted (ie. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) ❑2. New HVAC System Required Forms: •Cut in or Changeout with CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ducting ADA all new CF-4R forms: MECH-20, and (for split systems) MECH-22, and MECH-25 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/or without Required Forms: Replacement .Includes replacing or installing all new ducting and/or outdoor condensing unit CF-6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS and/or indoor coil and/or furnace. No or some CF-4R forms: MECH-20 and (for split systems) MECH-25 equipment changed. For Split Systems; Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton,TMAH For Packaged Units: Duct leakage < 6 percent ❑4. New Ducting over 40 feet Required Forms: .Includes adding or replacing more than 40 CF-6R forms: MECH-04, MECH-2I-HERS linear feet of duct in unconditioned space. CF-4R forms: MECH-21 For split system or packaged units: Duct leakage < 15 percent ❑EXCEPTION: Existing duct systems 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. •I 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 1 and 6 of the California Code of Regulations. •The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance forms,worksheets,calculations, plans and specifications submitted to the enforcement agency for approval with the permit application. Name: angel victoriano Signature: angel victoriano Company: A &G HEATING AND AIR CONDITIONING_SYSTEMS Date: Jul 16, 2014 Address: 4526 BERKLEY AVENUE License: 984906 City/State/Zip: HEMET/CA/ 92544 Phone: (909) 936-6466 Reg: 214-A0056556A-000000000-0000 Registration Date/Time: 2014/07/16 15:26:56 HERS Provider: CalCERTS, Inc. 2008 Residential Compliance Forms July 2010