PMT14-02037 City of Menifee Permit No.: PMT14-02037
29714 HAUN RD. Type: Residential Mechanical
' OCEL MENIFEE, CA 92586
MENIFEE Date Issued: 0 8/0 512 01 4
PERMIT
a
Site Address: 26235 CHAMBERS AVE, MENIFEE, CA Parcel Number: 335-261-018
92586 Construction Cost: $11,000.00
Existing Use: Proposed Use:
Description of REPLACE 5-TON HEAT PUMP PACKAGE UNIT& 12 DUCTS
Work:
Owner Contractor
BILL DUERR GUARANTEED QUALITY RESTORATIONS
26235 CHAMBERS AVE 3001 REDHILL AVE STE 6-107
MENIFEE, CA 92586 COSTA MESA, CA 92626
Applicant Phone: 7143893925
STEVEN SCHNIERER License Number: 966230
GUARANTEED QUALITY RESTORATIONS
3001 REDHILL AVE STE 6-107
COSTA MESA, CA 92626
Phone: 9512416876
Fee Description 01ty Amount
b,Q d: or ,' e- ru C r.B'r - 1a
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 Class? License No. 9 R 12)O who builds or improves thereon, and who contracts for the projects with a
Expires 4i� 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
I 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:http//www leainfo ca pov/Calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier �:—V" Property Owner or Authorized Agent Date
Expires 31b1 lS Policy# 9 ON 9Oct i
XBy 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-
0 1 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 S_11c Z� Z 3 5 I
subject to the workers'compensation provisions of Section 3700 of the Labor Property Owner or Authorized Agent Date
Code,I shall forthwith comply with those provisions.
` City Business License#
Date; 2161114 Applicant; 5 n ��
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, 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 >(NN0 EQUAL TO OR GREATER THAN THE AMOUNTS
CONSTRUCTION LENDING AGENCY SPECIFIED ON THE HAZARDOUS MATERIALS
ICI 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 AO 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: e_rer-
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 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, SCHOOL?
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 HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or INFORMATION GUIDE AND THE SCAQMD PERMITTING
she is exempt from icensure 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL r7EPOKtING.
compensation,will do ( )all of or( )porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCK No: Permit No:
29714 Haun Road city of Menifee Data Date:
Menifee, CA 92586 Building& Safety Dept.
Phone: (951)672-6777 AUG 0 5 2014 4mount: Amount:
Fax:(951)679-3843 Ck#: Ck#:
Building Combination PeFtW
elved
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number:
z3s w 6zr Ave- ' auk-
Proje enant ame: Unit#: Floor#:
Name: C)SPhone No. fo5�{Z Fax No.
ill verr
Property Address.
Owner 267-3s C-V ca bex Avr— I
Unit Number Zip Code
Email Address:
Name: C, Phone No. Fax No.
.N2\W--1 1 C151-Z441-tb876
Applicant Addreas: Unit Number Zip Code
2SZ51 ,IA es.:,ay.dro �\tea G2553
Email Address:
Name: Phone No. Fax No.
Gu m:a kec.d fa�vca;� es c:�io1�5 ow- 1DD- Z+L 810b
Contractor Address:3001 iC Ad ,i 4l A-,- W(o- 10-7 C .t. Slate Zip code GL
Contractor's City Business License No. Contractor's CI Slate of Califomie License No. Classification: CZ-a
G )D
Number of Squares:
Square Footage
Description of Work: }�^ Cost of Work:$
Nea�1 ac lZ 1 OCO- c�
Applicant's Signature C� Date: 14
To Be Completed By City Staff Only
indicate As R-Received or N/A-Not Applicable
5 Comps 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 only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8%x 11)
Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan 8 Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair* Retrofit' Revision to Existing Permir 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 YES or NO Indicate all Geo-tech.Haz.Zone
At Project Construction Sprinldered that apply: Coastal Zone
Completion: Type(s): C Of O Noise Zone
Required? YES or NO FE1Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commis Arch.Review Board Landmark Comm. Planning Com m.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit peaal ase:wag.
Official Approval
Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing
For Staff Use Only
8unding/Sau Permit Specialist I City Planning I Civil Engineering EPWM--Ad min I Transportation Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency; Da a Prepared: Permit#:
�v� $u� I
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned
Required R-value Floor Area(sq ft) Thermostat
JKPackaged System ❑Evaporator Coil 7 AFUE COP R-6 (CZ 2,8-13)Ducting Served by system Setback
❑Split System ❑Condensing Unit ❑R-8' `CZ 11,14,15)Ducting sgft (If not already
❑Mini Split ❑Compressor 13 SEER _HSPF ❑R-6(all CZ's)Plenums present,must
❑Furnace ❑ Lineset EER ❑ R-5 or R7.5)Lineset4 be installed)
❑TXV -
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At pe �a8P
form is allowed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowedd0; r& 11 p�f�s Ili ht
❑1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF113-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)2-HERS,MECH-25-HERS'
Compressor,TXV, Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS' �eryp9ved
Air Handler/Furnace2(Can include new d ceOucting) ld
Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,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 building1
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts3 CF1R-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)-HERS2,MECH-25-HERS2
Mini Splits require CF1R-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge
3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following CFIR-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or24)-HERS,MECH-25-HERS
Compressor,TXV,Lineset, Furnace2 CF3R: MECH-.20-HERS, MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:0 1. 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 Ducts3I CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(a 1S%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 W'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-2%",2.5-3T-2'/<",3.5 to 4T-2G",ST-4Y."
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 an 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: Responsible Designer Signature: Date Signed ti- 1s :
earrx.S�4.t.:urr S,ram- L ' ss '51 Ny. 9"i I S 1 O
Company: Address: City/State/Zip: Phone:
Soot kcA\,AIAa,�*(,kv Cc+sE Z11L- `1 CA4 gZ(e2(o 9DO- 3-AVM
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300