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PMT14-02366 it City of Menifee Permit No.: PMT14-02366 29714 HAUN RD. I MENIFEE, CA 92586 Type: Residential Mechanical sw Wk.., MENIFEE Date Issued: 09/04/2014 PERMIT Site Address: 28215 ASPENWOOD WAY, MENIFEE, Parcel Number: 372-024-001 CA 92584 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT Work: Owner Contractor ANDREW GIAMPAOLI RIZZO HEATING&AIR CONDITIONING - 28215 ASPENWOOD WAY 27062 BRISTOL LANE MENIFEE, CA 92584 MENIFEE, CA 92584 Applicant Phone: 9516720397 ROXANNE EASLEY License Number: 349958 RIZZO HEATING&AIR CONDITIONING 27062 BRISTOL LANE MENIFEE, CA 92584 Fee Description Q�t ii Amount l$) 3 '?aZMYA Air Handling/Condensing Units SFR 1 133.00 �64�11�c IP °'g"I�e�ltl�sWll` &� -��._ ,a."a.. �`s�s' u,�, s�� •:1 x �2�7'OQ 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 gn icense is in full- r e cL Code:The Contractor's License Law does not apply to an owner of a property License Class (J License No. who builds or improves thereon, and who contracts for the projects with a Expires . _ Signature �_ licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DE LARATIO ❑ I am exempt from licensors under the Contractors'Slate License Law for the ❑ 1 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' gy my signature below acknowledge that, except for my personal residence in compensation,issued by the Director of Industrial Relations as provided for which I must have resided for at least one year prior to completion of Section 3ssu of the Labor Code, for the performance of work for which this is 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 s tlon 3700 of the Labor Code, for the performance of the work for which this submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. permit is issued.My w1orklerfs''�co/��Jpa sat ion insurance carrier and policy number are: Carrier � �V4VYG✓"� ��, ��--,�-vc�� Property Owner or uthonze Agent Date Expires �, 7\5 Policy M `C12J ' ' y my Signature below, I certify to each of the following: I am the property Name of Agent Phone# w er 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 slate laws relating to building construction. I authorize representatives of this city or county to enter the above- II entity that in the performance of the work for which this permit is issued, I identified p erty o the inspection purposes, shall not employ any persons in any manner so as to become subject to the �q workers' compensation laws of California, and agree that if I should become `�( � `-'1 f—{ • (-•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 tho rovision . _ IN, Date; Applicant; City Business License# 4 v6 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, f FS OCCUPANT HAN OLE A HAZARDOUS MATERIAL OR 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 tAr ES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION ` FROM THE SOUTH COAST AIR QUALITY MANAGEMENT Lender's Address ❑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 XES WILL THE PROPOSED BUILDING OR MODIFIED FACILITY next to the applicable ileri (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 DIdO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY a civil penalty of not more than ($500).) CODE, SECTION 25505, 25533,AND 25534 CONCERNING ❑ 1, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIALREPORTING. compensation,will do ( ) all of or ( ) porting of the work, and the structure is ORR P TY OWN 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 19lENIFEE PLCK No: P it 29714 Haun Road Date: Date: Menifee, CA 92586 a (� Phone: (951)672-6777 AmounC Amount: ID CPU Fax: 951 679-3843 $ ( ) Ck#: Ck#: Building Combination Permit UI 1 To Be Completed By Applicant Legal Description: a�li10 Planning Case: F: L: Rt: R Property Address: 2 215".� �G,�Q1^ - „� ,�_1 , ( Assessor's Parcel Number: Projectfrenant Name: J�,^„ � OLA W Unit#: Floor#: Name: lC r1 n�' 1 �P� (C-(i1111 Fax No. Property Address: r•� I l/� Unit Number �J IVIJ Zip Owner L( Email Address: ��p11��{�'7'�'� � /� ��( Name: o4('IV1V1/) l.ld�"f'v` ! e 4s 12 *""� Applicant Address:2 51� lW'Ci �� n � Unit Number Zipdsrp-� Email Address:lirl//11,)ne- [/� ,^,e"'i Cov_ ^ Name: `-2'z'011 ki f C. �' 1�� ` (IV I 2C/S� Contractor IL dress: rt clO02 lizxn i W,�T, omractof.f:, tyt IQesbiceoselCOO..4 Contractor' i r66jjcp mania YLiceeJnssee No. Classifcalion: ��ly ll// 6 O `��„` G'2- Number of Squares: Square Footage UU Description of Work: /7 0cx)r Cost of Work:$ 0, /y'1��/\ 03 Applicant's Signa re VI "l• lA �tLJ Date: �. It1. To Be Completed By City Staff Only Indicate As R-Received or NIA-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 ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 81/2 x 11) ❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration' Addition' Means/Methnds Work Type: Repair' Retrofit' 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 pRequlrd f Indicate all Geo-tech. Haz.Zone At Project YES or NO that a Completion: Construction pply: Coastal Zone Type(s): YES or NO Noise Zone 7 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 mark Land Seismic Retrofit Omcial peclel A case:sroyal dg. Expedite Projecl(s): Child Care City Project Green Jrnarkl Affordable Housing For Staff Use Only Building/Safe! Permit Specialist Cay Planning I Civil Engineering EPWM-Admen Transportation Mgmt. Rent 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- 15 Site Address: Enforcement Agency: Date: Perm' 28215 aspenwood Menifee, CA 92584 City of Menifee Sep 3, 2014 Duct insulation Conditioned Floor Equipment Typel List Minimum Eficiency2 requirement Area Thermostat ❑Package Unit ❑Furnace ❑AFUE_ ❑COP_ ®Setback [3 Indoor Coil ®SEER 1 0 ❑HSPF ❑R 6(CZ 10-13) Served by system If not already a Condensing Unit [3 [3EER Resistance [3R 8(CZ 14-15) 1600 sf y present, must be ❑Other installed) 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, 78%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-111 and CF-6111 shall also be on site for final inspection. ® 1. HVAC Changeout Required Forms: .All HVAC Equipment CF-6R forms: MECH-04, ^^_CH 2+ u=RS EXEMPTED and (for split systems) MECH-25-HERS replaced CF-4R forms: ^^_GH 1+ EXEMPTED and (for split systems) MECH-25 .Condenser Coil and/or CF-6R forms: MECH-04, ^^_gam 2+ U=RF EXEMPTED and (for split systems) MECH-25-HERS .Indoor Coil and/or CF-4R forms: :4EGH 21 EXEMPTED and (for split systems) MECH-25 . Furnace For Split Systems: Duct leakage < 15 percent; RC, CCA < 300 CFM/ton (Minimum Air Flow Requirement),TMAH FSF Packaged 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 (le. Ductless Mini-Split System) (Also Exempt from Refrigerant Charge) [12. New HVAC System Required Forms: .Cut in or Changeout with CF-6R forms: MECH-04, ^^_.,FG9,�_RS EXEMPTED, and (for split systems) MECH-22-HERS, and new ducts: (all new MECH-25-HERS ducting all new equipment)t) t CF-4R forms: MPG; g EXEMPTED, and (for split systems) MECH-22, and MECH-25 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 Ductswith/or without Required Forms: Replacement .Includes replacing or installing all new ducting and/or outdoor CF-6R forms: MECH-04, ^^_G��_gg EXEMPTED, and (for split systems) MECH-25-HERS condensing unit and/or indoor coil and/or furnace. No or some -CF-4R forms: M=r-- ;^ EXEMPTED and (for split systems) MECH-25 - u� -- 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 lRequired Forms: .Includes adding or replacing more CF-6R forms: MECH-04, MFGH than 40 linear feet of duct in +�+-2^�-+c��EXEMPTED unconditioned space. CF-4R forms: ^^.=CH ;2+ EXEMPTED 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: Mike Rizzo Signature: Mike Rizzo Company: RIZZO HEATING &AIR CONDITIONING Date: Sep 3, 2014 Address: 27062 BRISTOL LANE License: 349958 City/State/Zip: MENIFEE/CA/ 92584 Phone: (951) 672-0397 Reg: 214-A0087163A-000000000-0000 Registration Date/Time: 2014/09/03 09:07:46 HERS Provider: Ca10ERTS, Inc. 2008 Residential Compliance Forms July 2010