PMT14-02795 I
i
i
City of Menifee Permit No.: PMT14-02795 ,I
y��-'' 29714 HAUN RD.
<A70CE " MENIFEE, CA 92586 Type: Residential Mechanical
saH.. eso�ewax MENIFEE Date Issued: 11/07/2014
PERMIT
Site Address: 28911 W WORCESTER, MENIFEE, CA Parcel Number: 339-141-012
92586 Construction Cost: $6,500.00
Existing Use: Proposed Use:
Description of REPLACE 3 TON A/C, COL&90K BTU FURNACE
Work:
Owner Contractor
TONY CERONE W C HEATING &AIR CONDITIONING INC
28911 W WORCESTER 41357 DATE ST
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone: 9516000700
STEVEN SCHNIERER License Number: 779604
W C HEATING&AIR CONDITIONING INC
41357 DATE ST
M U RRI ETA, CA 92562
Fee Description Oft Amount
oc d- i or. i
Air Handling/Condensing Units SFR 1 133.00
i i if 2
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_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 GzCj License No. 779f (71� who builds or improves thereon, and who contracts for the projects with a
Expires 301 I Signature C;;_'Z—' 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 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
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�//wnnv leginfo ce gov/calaw html.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier_i Dfow :c. Property Owner or Authorized Agent Date
Expires I I, Policy# Ai LJ 00-3-A 4(X�
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 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
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; 11 -- I 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, OYES 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 ONO 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 OYES 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 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 OYES 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 kEPOR1 ING.
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: P it N ' 0 ��
29714 Haun Road Date: Date: '
Menifee, CA 92586 0 ba f
Phone: (951)672-6777 Amount: Amount: ' dVo
Fax:(951)679-3843 Ck#:
Building Combination Permit G1
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rt: R
Property Address: Assessor's Parcel Number.
28911 W Worcester (l—O� a.
Project/Tenant Name: Unit#: Floor#:
Name: p one No. Fax No.
Ton Cerone M-526-3269
Property Address:
Owner 23516 Canyon Lake Drive N Unit Number Zip Code 92587
Email Address:
Name: Steven Schnlerer Phone No. Fax No.
951-241-6876
Applicant Address: Unit Number Zip Code
25251 Alessandro Blvd, Moreno Valley, CA 92553
Email Address:
Name: Phone No. Fax No.
WC Heatin & A/C 1- 700
Contractor Address: City St to Zip Code
41357 Date Street Murrieta �A 92562
infractor s03 rty2Ujuness License o. Contractor's Oj aSjajp pf California License No. Classification:
bb LL / y17U4 C20
Number of Squares:
Square Footage
Description of Work:Replace 3ton A/C, Coil,-& 90,000 BTU Furnace Cost of Work:' 6,500.00
Applicant's Signature
Date: October 20, 2014
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%x 11)
❑ Foundation Plan ❑ Cross Section ❑ Structural Calculations
❑ Plumbing Plan ❑ Single Line diagram for elec.services cver400AMP
❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition' Means/Methods
Work Type: Repair" Retroflt* Revision to Exisfing Perr iP 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'rf Indicate all Geo-tech.Haz.Zane
At Project Spdnklered YES or NO
Completion: Construction that apply: Coastal Zone
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. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special Case:Bldg.
OfildidA rival
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
BuildinglSalety, Permit Specialist City Planning I Civil Engineering I FPWM-Admin Transportation mignm 1 Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
City of Menlfee
STATE OF CALIFORNIA Building & Safety Dept.
ALTERATIONS - HVAC
CEC-CFi R.ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-04-E
Alterations- HVAC CZ 2, and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1)
eceived
Site Address: 1 ` Enforcement Agency: Date Pre ared:
7—gCt W • Worce Ca ee 10 Zo ly
New ucting,Plenums,Lineset: Conditioned
Equipment Type Equipment Efficiency Required R-value Floor Area(sq it) Thermostat
❑Packaged System ]KEvaporator Coil S�AFUE COP 0R-6 (CZ 2,8-13)Ducting Served by system XSetback
WSplit System §(Condensing Unit ❑R-8' (CZ 11,14,15)Ducting 15r DO sgft (If not already
❑Mini Split ❑Compressor (iSEER _HSPF Cl R-6(all CZ's)Plenums present;must
IKFurnace ❑Lineset EER R-5 or R7.5)Lineset` be installed)
❑TXV —
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed 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.
W1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, C111R-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23or24)2-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<101%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 building
❑2.New HVAC System Required Compliance.Documents to be left on site for Final:
All new equipment and All New Ducts' CP1R-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS'
Mini Splits require CF113-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
113.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,Furnace' CF3R: MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow z 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:O 1. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet Required Compliance Documents to be left an site for Final:
New ducting but less than All New Ducts' CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage L15%or,<10%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,Insulated or sealed with asbestos.
'Alt new ducting R-8 required when more than 40 it installed and R-6 when less than 40 it 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 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-2Y.",5T-4%"
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. Thatthe energy features and performance specifications forthe 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 forthe 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 N ame Responsible Designer Signature: Date Signed: License:
c� c Cr _ - )0 2 Icl 9b044
Company: Address: City/5tate2ip: Phone:
WG I4ec� r s AC (L135-J 1 �c S4. v c rA CA `IZ_5.2 ; 1- C0-07M
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 0e114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency: Date Pre ared: Permit#:
10 2,C, ty
New ucting,Plenums,Llneset: Conditioned
Equipment Type Equipment Efficiency Required R-value Floor Area(sq ft) Thermostat
❑Packaged System 1KEvaporator Coil i�qJAFUE COP C3 R-6 (CZ 2,8-13)Ducting Served by system 6Q Setback
XSplit System XCondensing Unit ❑R-8' (CZ 11,14,15)Ducting Ij� -sgft (If not already
❑tx Mini Split ❑Compressor SEER FISPF ❑R-6(all CZ's)Plenums present,must
XFurnace ❑Llneset EER R-5 or R7.5)Llneset° be installed)
El TXV -
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed 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.
Xl.HVAC Changeout/Repair Required Compliance Documents to be left on site for final:
All Equipment, CFIR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-Ol,MECH-20-HERS,MECH-(23 or24)'-HERS,MECH-25-HERS'
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,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 building
❑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)-HERS',MECH-25-HERS'
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or24)-HERS',MECH-25-HERS'
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>_350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement I Required Compliance Documents to be left on site for Final:
All New Ducts'and one or more of the following CF11R-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' CF3R: MECFI-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow>350 CFM/tan(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:O 1. Existing duct systems are constructed,insulated or sealed with asbestos
114,New Ducting over 40 feet I 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 It 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 W'thick Insulation)for Ilnesets 1"and less. R-75(1.5"thick Insulation)for Iinesets over 1 Inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2'/",2.53T-2Y,",3.5 to 4T-2%",5T-4%"
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 identifed 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.
Reeponsi b7l Designer Name: Responsible Designer Signature: Date,31,9 d: license:
10 Lo lW 7`7RboL(
Company: Address: City/Slate/Zip: Phone:
WC i4eu4i s ABC- _ y_l35 7 l�Ci�� Sb. �Lri �A �2�Z G51 (1(�-O'7LX_5
For assistance or questions regarding the Energy Standards,contact the Energy Hotline At:1-800-772-3300