PMT14-02486 i
City of Menifee Permit No.: PMT14-02486
29714 HAUN RD. i
'CiR r=L MENIFEE, CA 92586
Type: Residential Mechanical
cw.x sWt.x MENIFEE Date Issued: 0 9/1 512 01 4 I,
I
PERMIT
Site Address: 25645 UNION HILL DR, MENIFEE, CA Parcel Number: 335-463-004
92586 Construction Cost: $6,552.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT 2.5 TON
Work:
Owner Contractor
CATHERINE CAYABYAB HUTCHINSON HEATING AND AIR
25645 UNION HILL DR 37824 VERANDA WAY
MENIFEE, CA 92586 MURRIETA, CA 92563
Applicant Phone: 9513757385
TERESA HUTCHINSON License Number: 842625
HUTCHINSON HEATING AND AIR
37824 VERANDA WAY
MURRIETA, CA 92563
Fee Description ON Amount f$)
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 building 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_Bidg 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 N Y Z( 5_ who builds or improves thereon, and who contracts for the projects with a
Expires - f 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
❑ 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' 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 permit is issued. improvements covered by this permit, I cannot legally sell a structure that I have
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
❑ 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:http:liw .leginfo.ca.govlcalaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier Property Owner or Authorized Agent Date
Expires Policy#
Name of Agent Phone# y my Signature below, I certify to each of the following: I am the property
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-h dred dollars($100)or less) with all applicable city county ordinances and state laws relating to building
construction.I authon representatives of this city or county to enter the above-
I certify that in the performance of the work for which this permit is issued, I identif ope f 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
subject to the workers'compensation provisions of Se on 3700 of the Labor property Ow r or Authorized Agent Date
Code, I shall forthwith comply with those provision .
l� +
Date; � Applicant;
City Business License# ("
A I ���f
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, ❑YES 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 eRO 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
,--,,��u"d��,,CC FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address L 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 forthe 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, O 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 (Chapter9 (commencing with I HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or <SINFORMATION 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 penally of not more than($500).) CODE, SECTION 2 5 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole SECTION
TE AL f�EPOR'ING.
compensation,will do ( ) all of or( ) porting of the work, and the structure Is PR E TY I R OR AUTHORI AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's Slate License Law does not apply to an owner of a property
who, through employees' or personal effort, builds or improves the property,
.provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion, the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIFEE PLCKNo: P it
29714 Haun Road Date: Date:
Menifee, CA92586 01lls11l0
Phone: (951)672-6777 Amount: Amountt:
Fax:(951)679-3843 Ck# Ck#: -31000
Building Combination Permit G
To Be Completed By Applicant
Legal Description: ' , Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number:
335- 4-co3 -004
Project/Tenant Name: Unit#: Floor#'
Name: C_� J { ; c Phone No. Fax No.
J'
Property Address: ( y� ' 1 f 1 Unit Number ZipCode
Owner &. > l y V �1 oy^1 CYv�\ �>�. '`fv� �.�, cl Z�lr
Email Address:
Name--I- Phone No. Fax No.
1t (1S1 -31S-�3Si
Applicant Address: I Unit Number Zip Code
Email Address: r_
�JCt S' tlf� C�.+�c—� � �•\`.T' . WNW
Name: Ih Phone No. Fax No.
V�1c cisl3-1-7? n
Contractor Addres C }\<<Lt,� �Y City 1..{0.m�t6 S�t� Zip Code,L� 1
ontractor s ity usiness icense o. Contractor's City State of California'License No. Classification: 1
yZ ( L cz
Number of Squares:
Square Footage kc.,1 5�
Description of Work: ✓4t w! Cost of Work:$ U J
Applicant's Signature Date: c/ /
To Be Completed By City Staff Only
Indicate As R-Received or N/A-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 8 Y: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/Methods
Work Type:HRepair' Ll 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.Cade Occupancy Group Indicate if Indicate all Geo-tech.Haz.Zone
At Project Indicate S rinklered YES or NO
I Construction p that apply: Coastal Zone
Completion:
Type(s): C of O YES or NO 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 Elec,Vehicle Charger Landmark Seismic Retrofit pe`lai case: g.
OfficialA royal
Expedite Piojecl(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permit Specialist I Cay Planning I Civil Engineering EPWM-Admen I Transportation Mgmt. Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALIFORMA HER
ALTERATIONS - HVAC
CEC-CF'IR-ALT-04-E Revised 06/14 " CALIFORNIA ENERGY rMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2, and 8-15 (formerly CF-1R-ALT-HVAC) CLIMATE ZONE 10 (Page 1 of 1)
Site Address: � qq `` ^ ' Enforcement Agency: Date Prepared: ermit
GM, vY1t oV� T's.�� �4 . Cam. t 1 1N1
New Ducting,Plenums, Lineset: Conditioned
40
Equipment Type Equipment Efficiency Required R-value Floor Area(sq ft) Thermostat
ockaged System errvaporator CoilAFUE COP 0 R-6 (CZ 2,8-13)Ducting Served by system etback
❑Split System �densing Unit ❑R-8' (CZ 11,14,15)Ducting ��Q'� sgft (If not already
❑Mini Split ❑Compressor - / SEER HSPF
❑R-6(all CZ's)Plenums present, must
furnace ❑Lineset a be installed_ �TXV EER ❑ R-5 or R7.5)Lineset )
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form i llowed 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.
.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E
Condenser Unit,Evaporator toil, 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/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or❑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 buildings -
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF111-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-(23or24)-HERS2,MECH-25-HERS'
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 2 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts'and one or more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Compressor,TXV,Lineset,Forms ce' .CF3R: MECH-20-HERS,MECH-(23or24)-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 Ducts''., CFlR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(<15%oii,, 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
'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)
'R-5(1"thick insulation)for Iinesets 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-2s%",2.5-3T-2Y..",3.5 to 4T-2/.",5T-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 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 featu s identified on th s Certificate of Comieli ante are consistent with the information
provided on other applicable compliance documents, ksheets,c ulations,plans and specifications submitted to the enforcement
agency for approval with this building permit applicatio .
0.espansible Designee Namp Responsible Design Si pats Si netl: license:
1yuTeA,e)5^�- cilgrs�/� bYZI.Lf
C p3ny- Address: CID//State/tip- Pho[v'
trht �,a� N«T,h s 37 Y tom, 1-7- ,�� c� 4P) 3-7S -73Y3-
For assistance or qu*?m regarding the Energy Standards,contact the Energy Hotline at: 1-800-772-3300