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PMT14-02304 City of Menifee Permit No.: PMT14-02304 29714 HAUN RD. 41ccr=Ll�1 MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 08/28/2014 PERMIT Site Address: 29304 MURRIETA RD, MENIFEE, CA Parcel Number: 338-091-077 92586 Construction Cost: $7,900.00 Existing Use: Proposed Use: Description of REPLACE 2.5 TON FAU &COIL Work: Owner Contractor DIANE VANKOVERING FAMILY PLUMBING HEATING&AIR INC 29304 MURRIETA RD 34629 FOX BERRY ROAD MENIFEE, CA 92586 WINCHESTER,CA 92596 Applicant Phone: 9516775445 GREG JACKSON License Number: 918182 FAMILY PLUMBING HEATING&AIR INC 34629 FOX BERRY ROAD WINCHESTER, CA 92596 Fee Description QQt rr Amount ISl Forced Airtir Gravity-Type Furnace or Burner r 1.`: r Air Handling/Condensing Units SFR 1 133.00 Building Permit Issuance 1,` li 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 C70 C7( License No. %/ �/y Z who builds or improves thereon, and who contracts for the projects with a Expires G'T//4-h 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. Policy# built as an owner-building if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the 6 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 following Web site:htto//www.IeqInfo.ca.gov1caIaw.htmI. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier 1'fe0/Say /Q 1'«'rJ Property Owner or Authorized Agent Date Expires /0 ZG /1/ Policy# / 266' TrZa/ 'u ❑ By my Signature below, I certify to each of the following: I am the property Name of Agent /M t(f!h /:G.LPP/4o°' hone# �/�/ 60'G �'/� owner or authorized to act on the properly 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 propertyforthAinspection purposes. shall not emolov any persons in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become 57 Zg / subject to the workers'compensation provisions of Section 3700 of the Labor property caner or Authorized Agent Date Code,I shall forthwith comply with those provisions. City Business License# 0 7(2 7 Date; :�� 2 / `f' 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, DYES OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL LABOR CODE, INTEREST,AND ATTORNEYS FEES ElNO 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 DYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address (3 NO DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES 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 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 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 DYES 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING D I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL I EPORtING. compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY M/ O AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X —� who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion,the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). CITY OF MENIFEE PLCK No: 1 t 29714 Haun Road Date: Date: n�ll� Menifee, CA 92586 City of Menifee i Phone: (951)672-67j2p°ilding & Safety Dept. Amount: Amount: Fax:(951)679-3843 AUG 2 8 2014 Ck#: Ck#: Building Combination PR988ived Gkii, To Be Completed By Applicant Legal Description: Planning Case: F: Property Address: Assessor's aceumer. Prl Number. I-01"7 ProjecUTenant Name: Unit#: Floor#: jynG 1/RR BDCv,— Name: ✓l Phone No. Fax No. Pro ert tirRMt l/4h r 6� p y Address: Unit Number Zip Code Owner 2 y3o y' svj vrvr'c7y i(-d/ ZS�'L Email Address: Name: Phone No. Fax No. 1',- S4Gf+Stln 7 NG( 7/8C qSI 6 f 8 5-.?a Applicant Address: Unit Number Zip Code Email Address: Name: �. Phone No. Fax No. ���,/GY L�sryr CRT 9si G77 S'iY3 qs/ f2c uo,fo Contractor Address: Yzt Zy, `ofb<�ry �a cltYev/'*r C"d1re Ste zip Cod, Contractor s Crty^ ustness icense o. Contractor's Cily Slate of Califomia License No. Classification: U3Gz7 gr8lB2 Czc c LC�i2 Number of Squares: Square Footage Description of Work: C a�GC 70H o /,of j}G [y Cost of Work:$ 79 a Applicant's Signature Date: r R z7 / yz To.Be,Completed By City Staff Only, Indicate As R-Received or N/A-Nat Applicable 5 Completes sets of fully dimensioned,drawn to sale plans which include'. i set of documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plat/Site Plan ❑ Roof Plan ® Mechanical Plan ❑ Title 24 Energy(on S'/x 11) El Structural Calculations ❑ Foundation Plan ❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan I ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Methods Work Type: Repair' Retrofit` Revision to Existing Permit' Required? YES NO I El Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: it 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 Sprinklered that apply: Coastal Zone Completion: Type(su C Of O Noise Zone lRequired? YES or NO Listed 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 peclal casa emq OlfidalA royal Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing For Staff Use Only Building/Safety Permil Specialist City Planning Civil Engineering I EPWM-Admin fransporlaron Mgml. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY City of Menifee Simplified Prescriptive Certificate of Compliance: 2008 Reside Iterations CF-IR-, HVAC Climate Zones 10 to 15 .11 Site Address: Enforcement Agency: Aate: Peryyjl 12� Mir AL Y 30If m vr`; r D inivAr/ T . E u' ment T e�- List Minimum EfficienC314 Duct insulation re vement Conditioned Floor Area Thermostat Packaged Unit Over 40 It of ducts added or Furnace AFUE 0 COP replaced in unconditioned ®Setback Indoor Coil SEER 1F HSPF_ s ace Served by system prose already Condensing Unit EER f r+ e Resistance 15 R 6 (CZ 10-13) sf present,must he Other R 8 CZ 14-15 msratted) 1.Equipment Type:Choose the equipment being installed;if more than one system,use another CF-1 R-ALT-HVAC for each system. 2.Minimum Equipment Efficiencies: 13 SEER, 78%AFUE, 7.7HSPFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below ate 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 ofthe forms sball 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 CF4Rs allowed)are filled out and signed. Begimaing October 1,2010,a registered copy of the CF-111 and CF-6R shall also be on site for final inspection. 1.HVAC Cbangeout Required Forms: • All HVAC Equipment replaced CF-6R forms: MECH-04,MECH-21-HERS and(for split systems)MECH-25-HERS CFAR forms: MECH-21 and fors litsystems) MECH-25 • Condenser Coil and/or • Indoor Coil and/or CF-6R forms: MECH-21-Hefts and(for split systems)MECH-25-HERS 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: L 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 ducts stems are constructed,insulated or sealed with asbestos Q 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-22-1-JERS,and MECH-25-HERS ducts:(all new ducting and all CF-4R forms: MECH 20-,and(for split systents)MECH-22,and MECH 25 new equipment) For Split Systems:Duct leakage<6 percent;RC,CCA>_350 CFM/ton,FWD,TMAII,STMS,and either HSPP or PSPP. For Packaged Units:Duct leakage<6 percent 0 3.New Ducts with Replacement I Required Forms: • Includes replacing or installing all new ducting CF-6R forms: MECH-04,MECH-20-11ERS,and(for split systems)MECH-25-HERS and/or outdoor condensing unit and/or indoor CF-4R forms:MECH-20 and(for split systems)MECH-25 coil and/or furnace. Not all equipment changed. A For Split Systems:Duct leakage<6 percent,RC,CCA>300 CFM/ton,TMAH For Packaged Units:Duct leak e<6 percent D 4.New Ducting over 40 feet Required Forms: • Includes adding or replacing more than 40 CF-6R forms: MECH-04,MECH-21-HERS CF-4R forms: MEC14-21 ' linear feet of duct in unconditioned space. For split system or packaged units: Duct leakage<15 percent 0 EXCEPTION:Existin 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 en or ro vri the ermit licatum Name: 6'11G ?GAfA Signature: / T Company: Date: 2 g / Address: �, y ^o X Chi`.j� /(d(' — LicensIt e: --— — — - City/State/Zip: �V,tti +C hCS P C✓ Phone: g.37 G 71_ S-t�`fs.�..:_ 2008 Residential Compliance Forms March M 10