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PMT14-02011 tl VI City of Menifee Permit No.: PMT14-02011 29714 HAUN RD. I ' t60EL I MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 08/04/2014 i i PERMIT Site Address: 23700 NEWPORT DR, MENIFEE, CA Parcel Number: 350-263-051 �a 92587 Construction Cost: $7,000.00 Existing Use: Proposed Use: Description of REPLACEMENT OF EXISTING HVAC SYSTEM WITH NEW 2.5 TON HVAC SYSTEM Work: Owner Contractor GLORIA ROBERTSON CASTILLO HEATING&AIR CONDITIONING INC 23700 NEWPORT DR 32105 HEATHER LANE MENIFEE, CA 92587 MENIFEE, CA 92584 Applicant Phone: 9513014452 MARGARITA CASTILLO License Number: 548323 CASTILLO HEATING&AIR CONDITIONING INC 32105 HEATHER LANE MENIFEE, CA 92584 Fee Description R_yt Amount f$) Air Handling/Condensing Units SFR 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 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 and effect. Code:The Contractor's License Law does not apply to an owner of a property License ClassLicense N 86'a who builds or improves thereon, and who contracts for the projects with a Expires Signatur licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATIONLARATION ❑ 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 .O1'"fl 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 following Web site:NIP'//www leoinfo ca pov/calaw.html. ,�er"t is issued.My workers'compensation insurance carrier and policy number are: L? C�/' Property Owner or Authorized Agent Date Carrier [ Ql' Expires Q �� �7 Policy# 06,9�"` 6 e �C ❑ By my Signature below, I certify to each of the following: I am the property Name of Agenn Phone# C1 ( 7- Y owner or authorized to act o9,dfie property owner's behalf. I have read this (This sectiori not be completed if the permit Is for application and the inform ton I he rovided is correct. I agree to comply one dollars($100)or less) with all applica��Ierilly,an couppppppty ord na ces and state laws relating to building constru tion.I$uthori e r prent;itiv of thi ity or county to enter the above- ❑ I certify that in the performance of the work for which this permit is issued, 1 i n d ie prope or t.a insp (o rpo, shall not employ any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if 9- ul become _ subject to the workers' compensation provisions 6f Section 7 0 t e bor Code, I shall forthwith comply with those prov�¢1 ns. ` 1 //e�� Date Agent Props y Ow r or Authorized Ag ,, f City Business License#0� 0 Date; dU Applicant U WARNING: FAILURE TO CURE W RKERS' HAZARDOUS MATERIAL DECLARATION COMPENSATION COVERAGE IS NLAWFUL, 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, 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 ❑Y, ES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Name ,k I FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address /I lM0 DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR VVV 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 reasons)indicated below by the checkmark(s)I have placed ?N'O S WILL THE PROPOSED BUILDING OR MODIFIED FACILITY fem(s) next to the applicable i (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, 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 ES INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from licensors and the basis for the alleged exemption. Any CHECKLIST. I UNDERSTAND MY REQUIREMENTS violation of Section 7031,5 by any Applicant fora permit subjects the applicant to ❑NO UNDER THE STATE OF LIFOR IA H ALTH AND SAFETY a civil penalty of not more than($500).) CODE, SECTION 25D//5�23 33 AN - 5534 C NCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZA FOILS MATERIAL ItEP R IN compensation,will do ( ) all of or ( )porting of the work, and the structure is PR ®R Y WNER 0\R AUi' - RIZED G not intended or offered for sale. (Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIA'lliE PLCK No: P it 29714 Haun Road Date: Date: D 'I Menifee, CA 92586 Q� Phone: (951)672-6777 Amount: Amount: Fax:(951)679-3843 Ck#: Ck#: Building Combination Permit 5-7 To Be Completed By Applicant Legal Description: Installation of new HVAC system. Planning Case: F: L: Rt: R Property Address: Assessor's Parcel Number. 23700 Newport Drive Menifee CA 92587 y60 P;5-05 IA( Projectlrenant Name: Gloria Robertson Unit#: -IJIJ Floor#: Name: Gloria Robertson PropePhone No. 951-244-5002 Fax No. Owner rty Address: 23700 Newport Drive Menifee CA Unit Number Zip Code 92587 Email Address: Name:Margarita Castillo Phone No. 951-301-4452 Fax No. 9 951-679-8632 Applicant Address: Unit Number Zip Code 32105 Heather Lane Menifee, CA 92584 Email Address:info@castillohvac.net Name: Castillo Heating and Air Conditioning, Inc. Phone No. Fax No. 951-301-4452 951-679-8632 Contractor Address: 32105 Heather Lane ClryMenifee state CA Zip code 92584 ontractor s ityoB8790ess tcense o. Contractor's Ciry State of California License No_ II Classification C20 0 4 Number of Squares: Square Footage 1116 Des ription Work: eplac ent f e ' tin VAC system with new 2.5 ton HVAC system. Cost of work:$ 7,000 n� Date: _ To Be Completed By City Staff Only Indicate As R-Received or N/A-Not Applicable 5 Completes 0wof fully dimensioned,drawn to sale plans which include: 1 set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on ed only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Tide 24 Energy(on 8%x 11) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ Plumbing Plan ❑ Single Line diagram for else.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan 8 Mails Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Methods Work Type. Repair' Retrofit' Revision to 6dsfing Pennirl Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: is Units: h Stories: Will the Building Have a Basement? Y of N Bldg.Code Occupancy Group Indicate Indicate if Indicate all Geo-tech-Haz.Zone At Project spnnklered YES or NO Completion: Construction that apply: Coastal Zone Type(s): C of o YES or NO LEI Noise Zone Required? Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. I Planning Comm.Zoning Administrator Fee Exempt: City Project I JElec-Vehicle Charger Landmark Seismic Rett Special Case:Bldg. Official A royal Expedite Project(s): Child Care City Project Green Building I ILandmarkl Affordable Housing For Staff Use Only BuildinglSafety I Permit Specialist I City Planning I Civil Engineering I EPWM-Admin I Transpodation Mgmt. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: ermit#: 23700 Newport Dr Canyon Lake, CA 92587 1 City of Menifee Jul 30, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑Package Unit ®Furnace ®AFUE 78% ❑COP ®Setback ®Indoor Coil ®SEER 13.0 ❑HSPF 13 R 6(CZ 10-13) Served by system I@ Condensing Unit [3EER_ [3Resistance R 8 (CZ 14-15) 1116 sf installed)If not already Present, must be [3 Other_ 1.Equipment Type:Choose the equipment being installed; if more than one system, use another CF-IR-ALT-HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 78010 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-1R and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: .All HVAC Equipment CF-6R forms: MEC11-04, MECH-2I-HERS and (for split systems) MECH-25-HERS replaced CF-4R 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 .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 c peFeeRt 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 ❑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 and 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 113. 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. I 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: Art Castillo Signature: Art Castillo Company: CASTILLO HEATING &AIR CONDITIONING INC Date: ]ul 30, 2014 Address: 32105 HEATHER LANE jLiense: 548323 City/State/Zip: MENIFEE/ CA/ 92584 Phone: (951) 301-4452 Reg: 214-AD065173A-000000000-0000 Registration Date/Time: 2014/07/30 13:36:19 HERS Provider: Ca ICERTS, Inc. 2008 Residential Compliance yorms July 2010