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PMT14-01896 d t i I City of Menifee Permit No.: PMT14-01896 l 29714 HAUN RD. Type: Residential Mechanical ��W^4^^CEL MENIFEE, CA 92586 eOMef""°`'`S`w.' MENIFEE Date Issued: 07/22/2014 '? i PERMIT Site Address: 29421 WATSON RD, MENIFEE, CA 92585 Parcel Number: 327-300-057 Construction Cost: $18,150.00 Existing Use: Proposed Use: Description of REPLACE 5 TON PACKAGE HVAC UNIT INCLUDING NEW DUCT WORK, SAME LOCATION Work: Owner Contractor CHARLES&GRACE PECKHAM VENVEST BALLARD INC 29421 WATSON RD 3030 MYERS STREET MENIFEE, CA 92585 RIVERSIDE, CA 92503 Applicant Phone: 9512769744 LAURA YENULONIS License Number: 878533 VENVEST BALLARD INC 3030 MYERS STREET RIVERSIDE, CA 92503 Fee Description qty Amount 1$1 Air Handling/Condensing Units SFR 1 133.00 BU Id , fP.e� r •,I,u, Swan a �� . �..bs. 3�„`�-.2 _.� 2 t:pQ. 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 builiding 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 I 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 ful forrce and effect. Code:The Contractor's License Law does not apply to an owner of a property License Class Lice se No. 53'✓ who builds or improves thereon, and who contracts for the projects with a Expires-J-k D Signature 2 yL'Vyt��' ` licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DE A ATION ' CJ' " ❑ 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: 1 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 echave and will maintain workers' compensation insurance, as required by Business and Professions Code,is available upon request when this application is tion 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:htto:llwww.leginfo.ca.gov(calaw.html. permit Is issued.My workers'compensation Insurance carrier and policy number are: Carrier cQ 08' \tn P_ wt5''— Property Owner or Authorized Agent Date Expires Policy# W\_) 7 Va,(a(O t, - [_. _ �„ p�^�M 4 # _ _ ❑ By my Signature below, certify to each of the following: am the property Name of Agent �0 tLL�a`T� JJbp-��J 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- El I 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 a- subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. 0open.y ner or Date; ' Authorizes�d Agen(t�� Q Date ��ml! q"1ApPtitan �� City Bust icen"tt ✓' �'lJ—\� WARNING: FAILURE TO ((//SS URE WORKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS �INFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI I PENALTIES AND CIVIL FINES UP TO ONE HUNDRED USAND DOLLARS WILL THE APPLICANT OR FUTURE BUILDING ($100,000), IN ADDITION TO THE COST OF COMPENSATION, AYES 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 ❑NO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS I hereby affirm that under the penalty of perjury there is a construction lending INFORMATION GUIDE? 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 I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: License Law for the reason(s)indicated below by the checkmark(s)I have placed []YES 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 provisions of the Contractor's State License Law (Chapter 9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL 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 ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MLLiNIFEE PLCK No: P It 29714 Haun Road 14-0 Date: Date: Menifee, CA92586 1 1-a3-ILA Phone: (951)672-6777 Amount: F u Fax:(951)679-3843 Ck#; w� Building Combination Permit a 1 To Be Completed By Applicant Legal Description: Plannin Case: 9 F: L: Rt: R: Property Address: �Q, \ Assessor's Parcel Number. Projecu tenant Name: Unit#: Floor#: Name: ° e No. \ v( t �- Fat No. PropeOwner Address: ' ` +' Unit Number Zip Code Email Address: Name: hone No. Fax No. V r 51-d-110 - N01 Applicant Address: n Number Zip Code Em Ad ess: � -- ame: '° Ph a No. F x`NNoo,. contractor onrap`o rs I S Z Cp o r res n License N e 2 Cil Slate of CaYlfernla License No. Classification: Number of Squares: Square Footage t Description of Work: Cost of Work:$ tk tr 1' S Applicant's Signature k� , 1° ^tiW W teaA— To Be Completed EyQfty Staff Only Indicate As R-Received or NIA-Not Applicable 5 completes sets of tAy dimensioned,draw o sale plans whir include. 1 set of documents which include Q Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) Q Plot i Site Plan ❑ Roof Plan Mechanical Plan ❑ Title 24 Energy(on 8 '/:x 11) ❑ ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Structural Calculations ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan$DeteOs ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Work Type. Means/Methotls Repair" Ld Retrofit* Revision to ExisAng Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: q Units'. #Stories: 99fff. ve a Basement% Y of N Bldg.Code Occupancy Group Inoicate Indicate if Indicate aHat.Zone At Project Construction Sprinklered YES or NO that apply:Completion: Type(s): C 0t O pp yone YES or NOe Requiretl? Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning.I—----a[pFee Exempt City Project Elec.Vehicle Charger Landmark Seismic Retrofit spacial ase Bmg Expedite Project(s): Child Care CityProject Omaal no m+m 1 Green Building Landmark AHortlame Housing For Staff U.se Only Budonq_ felt' Permit Speria0sl city Planning Crnl Fngineenn9 EPWM-Admin Trans orlalior M nt.P 9 Ronl ConVol THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY STATE OF CALIFORNIA [� ALTERATIONS - HVAC CEC-CFIR-ALT-04-E lRevised 06114 CALIFORNIA EN EROY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2, and 8-15 (formerly CF-IR-ALT-HVAC) �__ (Page i of 1) Site Address:aqHAk SidEnforcemen gency: Date Prepared: mit#:I4 Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned Required R-value Floor Area(sq ft) Thermostat SbPackaged System ❑Evaporator Coil �,{� ❑Split System ❑Condensing Unit l J Qs.FUE COp W-6 (CZ2,8-13)Ducting Served by system YI Setback li ❑Mini Split ❑Compressor SEER HSPF 13 R-8' (CZ 11,14,15)Ducting sgft (If not already ❑R-6(all CZ's)Plenums present,must ❑Furnace ❑Lineset p TXV _EER ❑R-5 or R7.5)Lineset" be installed) j HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. 11�1-HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS' Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Air Handler/furnace'(Can include new ducting) Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/tan,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linear feet of duct in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_ ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ductsa CFIR-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Mini Splits require CFiR-ALT-02-E,CF2R-MECH-Ol,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<691,Fan Efficacy(.SSW/CFM),Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge rk3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: LL"I t All New Ducts'and one or more of the following CFIR-ALT-02-E ✓t,Fl 1f N1 t replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MF(25-HERS�(,(� � Compressor,TXV,Lineset,Furnace' CFIIR: MECH-20-HERS, MECH-(23 or 24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow t 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:111. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ductsa CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<15%or,<10%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in walls,between floors etc. 'Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25 3 All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) 4 R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most Mfg will require Suction line Diameter with insulation as the following 1.5-2T-2a/a",2.5-3T-24W,3.5 to 4T-2/.",5T-4`Ys" Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the information on this document. 3. 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(CCR). 4. That the energy features and performance specifications,materials,components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit application. Responsible Designer Name: Pon ibl oesignersigna ure: Dat Si ned: ,Pr $'� —�� Ucensg�am� Company: Address: fit` q4 CC:JI Ciry/st ip: Phone: v'Jt q-'�'p,Lf.4 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300 l tT —/