PMT14-02767 City of Menifee Permit No.: PMT14-02767
^� 29714 HAUN RD, Type: Residential Mechanical
�VCCIEL-Jr- MENIFEE, CA 92586
MENIFEE Date Issued: 10/16/2014
i
PERMIT
Site Address: 26229 SPANIEL LN, MENIFEE, CA 92586 Parcel Number: 335-392-005 '.
Construction Cost: $10,000.00
i
Existing Use: Proposed Use:
Description of REPLACE EXISTING HVAC, 60,000 BTU FURNACE, 3-TON 15 SEER A/C
Work:
Owner Contractor
ROY&SHELLEY ARMSTRONG SMITHLUM&FRIEND INC
26229 SPANIEL LANE 3156 E LA PALMA AVE C
MENIFEE, CA 92586 SUITE C
Applicant Phone: 7142001034
KEN CLEGG License Number: 979346
SMITHLUM & FRIEND INC DBA POWERSTAR HOME ENER(
3156 E LA PALMA AVE C
ANAHEIM, CA 92806
Fee Description O�rt Amount l$)
7T iaqs
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 staled,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.mt 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 Cod no my license is in full orewdel(ect, Code:The Contractor's License Law does not apply to an owner of a property
License Class 17 Lice e No, w `/J!�_ 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'COMPENSATI N DECLARA N
❑ 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. �"�"1q .�®// / �l built as an owner-building if it has not been constructed in its entirety by licensed
Policy# 1.... �j 0 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,leqinfo.ca.00v/qalaw.html.
permit is issued.My workers'compensation insurance carrier and policy number are:
CarrieravlK
n t��7 (O�y(�, Property caner or Authorized Agent Date
C I'
Expires b'� _ J Policy# b 0j1(E," —7 O
❑ By 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 county ordinances and state laws relating to building
co ruction. I author' a re rese atives 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 id n ifig
f r the i cti purposes.
shall not employ any persons in any manner so as to become subject to the /�
workers' compensation laws of Califo ia, and agree that if should become
subject to the workers'compensati p visions of Section 3700 of the Labor P peor Authorize t Da e
Code, I shall forthwith comply with ose provi ions.
City Business License#
Date; b �4° � Appli nt;
WARNING: FAILURE TO SECURE R IRS'
HAZARDOUS MATERIAL DECLARATION
COMPENSATION COVERAGE IS UNLAWFUL, ALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN T AND
CIVIL FINES UP TO ONE HUNDRED THOUSA LY OLLARS WILL THE APPLICANT OR FUTURE BUILDING
($100,000), IN ADDITION TO THE COST OF COMPENSATION, []YES 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
Lender's Name []YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address ❑NO 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:
License Law for the reason(s)indicated below by the checl(mark(s)I have placed ❑YES 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 []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 ❑NO UNDER THE STATE OF CALIFORNIA HEALTH AND SAFETY
a civil penalty of not more than($500).) CODE SECTION 25505, 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZANDOUS MATERIAL REPORTING.
compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER ORAUTHORIZED AGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a property X
who, through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
CITY OF MENIIFEE
City of Menifee PLCK No: Permit No:
29714 Haun Road Building & Safety Dept. Date: Date:
Menifee, CA 92586 In t
Phone: (951)672-6777 OCT 16 2014 Amount Amount: .o
Fax:(951)679-3843 skoM
Ck#: Ck#:
Received
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case' F: L: Rt: R
Pro ert A Sdddress: 5� �„ ^ �„ Assessor's Parcel Number.
G5
Projec nan Name Unit#: Floor#:
3jz
Property
NamTsuy } 51- q o d����9 Fax No.
M0Nl'- l
A r ss' yr� Unit Nu ber Zip CS de
Owner s GrtJ. 51)N G` � 'L
Email Addres .
Name: Pone No. Fax No.
T
Applicant Address: Unit Number Zip Code
EmailA dream-f1
Napb,,) Imo- No.
Contractor ANrfFs' , L4 1" .1m4 t�-f/�T C '1�', i� l� V�.
/JJ St Zi e
Contractors City Business icense No. Contra r:zJi St to f alifomia License No. Classification: (�
Number of Squares: J�
Square Footage / .,S
Description of Work: ( Cost of Work:$
Applicant's Signam Date:
To Be Completed By City Staff Only
dicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans is include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Goo Tech/Soils Report(on cd only)
❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8'/.x it)
Foundation Plan ❑ Structural Calculations
❑ ❑ Cross Section ❑ 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:ElRepair" Ll Retrofit' Revision to Ezisfing PermiC ReuiredY YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units. If Stories: Will the Building Have a Basement?
Y of N
Bldg.Code Occupancy Group Indicate Indfcale it yE5 or NO Indicate all Goo-tech. Haz.Zone
At Project Construction Sprinkler 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 I I Landmark Comm. I Planning Comm.Zoning Administrator
Fee Exempt: I I City Project I Elec.Vehicle Chargerl I Landmark I I Seismic Retrofit I special case:Bldg_
Official Approval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety I ermit Specialist I City Planning I Civil Engineering EPWM-Admix Transportation Mgmt. I Rent Con Vol
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 06/14 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:,I ^ ^ Enforcement Agency: Date P epared: Permit#:
16 L /
E ui ment T e Equipment Efficient New Ducting,Plenums,Lineset: Co itioned
q p Ypy Required R-value Floor Area(sq ft) Thermostat
❑P kaged System v porator Coil ¢� ❑R-6 (CZ 2,8-13J Ducting Serve�d-b�Y1 system ack
Alit System omp esing Unit Ztv AFUE COP 13 R-8' (CZ 11,14,15)Ducting ly�.i/ sgft (If not already
❑Mini Split ❑Compressor SEER HSPF ❑R-6(all CZ's)Plenums present,must
mace ❑Lineset be installed)
0 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 appl' ation this
form' Ilowed to be filled out by hand. For final Inspection all forms are to be registered(no hand filled forms allowed)and a I n k . enIBe
1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: Dept.
All Equipment, CF1R-ALT-02-EI:)
Condenser Unit, Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS2
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
Air Handler/Furnace'(Can include new ducting) R e C a,t
Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow a 300 CFM/ton,Refrigerant Charge. l.G
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 buildingl
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CFIR-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2
Mini Splits require CFIR-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
O 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 CFIR-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,Furnace' 1 CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2 350 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' I CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(<15%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.
2 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(1"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-2Y..",5T-4W,
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 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 his uildin permit p 1 do .
Res onsib Designer me: Respon ible Desi er Si um Datesig_ned: License:������
I GSVI �
Comp ny: Address: / Ciry/ te/Zip: An phone:
For assistance or questions regarding the Energy Standa ds,contact the Erfargy Hotline at:-11-SOD-772-3300