PMT14-03251 i
City of Menifee Permit No.: PMT14-03261
29714 Type: Residential
' G '<„ ` MENIFEEEE,, C CA 92 92586 Mechanical '
MENIFEE Date Issued: 1211012014
PERMIT
Site Address: 29363 HIDDEN LAKE DR, MENIFEE, CA Parcel Number: 340-190-066
92584 Construction Cost: $12,000.00
Existing Use: Proposed Use:
Description of REPLACE 3-TON A/C IN BACK YARD, 3-TON COIL, AND 90,000 BTU FURNACE IN ATTIC
Work:
Owner Contractor
YVONNE McKENZIE W C HEATING&AIR CONDITIONING INC
29363 HIDDEN LAKE DRIVE 41357 DATE ST
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 9516000700
STEVEN SCHNIERER License Number: 779604
W C HEATING &AIR CONDITIONING INC
41357 DATE ST
MURRIETA, CA 92562
Fee Description Amount f$1
Air Handling/Condensing Units SFR 1 133.00
I I
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 CZO License No.7 73(-t} who builds or improves thereon, and who contracts for the projects with a
Expires L' t>)IIQ Signature- �.SZ ` 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
I-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:htto//www.leginfo.ca.govicalaw.fitirl.
permit is issued.My workers'compensation insurance carrier and policy number are:
Carrier r}aCS Property Owner or Authorized Agent Date
Expires I I I II Policy#ATw oo:3 } co
'y 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 became �N,✓Z C.s� 1 Io k-F
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# ®3SZU�
Date; IZ 10 1-) Applicant; � �Z
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 ORA
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE MIXTURE CONTAINING A HAZARDOUS MATERIAL
LABOR CODE,INTEREST,AND ATTORNEYS FEES 0 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
Lender's Address0 FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR
OWNER BUILDER DECLARATIONS GUIDE LINES 1
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: � .1 BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A
Any city or county that requires a permit to construct, alter, improve, demolish, 4lA 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 INFORMATION GUIDE AND THE SCAQMD PERMITTING
t� —
she is exempt from licensors 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($500).) CODE, SECTION 25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL itEPOR1�ING.
compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZEDAGENT
not intended or offered for sale.(Section 7044,Business and Professions Code;
The Contractor's State License Law does not apply to an owner of a propertywho, through through employees' or personal effort, builds or improves the property,
provided that the improvements are not intended or offered for sale.If,however,
the building or improvement is sold within one year of completion,the Owner-
Builder will have the burden of proving that it was not built or improved for the
purpose of sale).
BUILDING : SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE IZ 10 1 PERMIT/PLAN CHECK NUMBER -
TYPE: () COMMERCIAL ESIDENTIAL -) MULTI-FAMILY O MOBILE HOME C) POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL YLIVECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK _rjp G Yosrcl y\ CoAj £
� s
Building & Safety Dept.
O 3jv �vr 1 Y�ec-e Y. C_
PROJECTADDRESS 2-93to cjae,,n LcLILr_ DEC 10 2 14 "
ASSESSOR'S PARCEL NUMBER 5LAO-\qQ_eDU Co LOT TRACT
OWNERNAME Y\E c:ke_1 7_i
ADDRESS 2-PA363 14; 8C1e_h L-44-e- -br ex�i _ CA QZ,5$z4
PHONE 95\-Z+444-001- -1 EMAIL
APPLICANT NAME ��e,4 , c- r
ADDRESS dL 3\22S L,Rn c,.-br `11� 11ZZ CA C113(�Z-
PHONE LS'}g-735—�g7(p EMAIL
CONTRACTOR'S NAME (,.k, IkeCi:�iv\ fi4C— OWNERBUILDER? OYES
BUSINESS NAME
ADDRESS LJ\35_1 Uoc�eG S*- r4kp. C.A 92-56Z
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 7 7g(oQc-J LICENSE CLASSIFICATION C24)
VALUATION $ 12 I C`C7(_-.) SQ FT L SO FT
APPLICANT'S SIGNATURE �2_ DATE IZ Id If
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP �-
INVOICE Z ers PAID AMOUNT 2
AMOUNT Jam 0 CASH 0 CHECK W REDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CASH C)CHECKH OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED "YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFiR-ALT-04-E Revised 06114 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)
Sit Address: Enforcement Agency; Dat Pre ared: Permit#:
Z�I3(o3 14;Cat\, L�k� � C; eye; ct tiz )o )4
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned
Required R-value Floor Area(sq ft) Thermostat
❑Packaged S4tobe
�Evaporator Coil 99n�n ❑R-6 (CZ 2,8-13)Ducting Served by system .ri Setback
(Split System (Condensing Unit cw 'AFUE COP 13 R-8' (CZ 11,14,15)Ducting sgft (If not already
❑Mini Split Compressor )fo SEER _HSPF ❑R-6(all CZ's)Plenums present must
y{FurnaceLineset , be installed
❑R-5 or R7.5)Lineset )
HERS VERIFICMMARY Installer determines work to be completed and matches to one of the optionsbelow. At permit application thisform is alloweed out by hand. Forfinal inspection all forms are to be registered(no hand filled forms allow@fj a on site.
�,1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: URN Ing & Safety Dept.
All Equipment, CF1R-ALT-02-E fs 10
2014
Condenser Unit, Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)2-HERS,MECH-25-HER52
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(< [ye rl
15%,or<10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrlgerant h r .
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-HER52
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23or24)-HERS',MECH-25-HERS2
Mini Splits re uire CF1R-ALT-02-E,CF2R-MECH-Ol,and (CF2R-CF3RI 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 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 or24)-HERS,MECH-25-HERS
Compressor,TXV,Lineset,Furnace CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:❑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' CF1R-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
'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 1Inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%",2.5-3T-2%",3.5 to 4T-23/.",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.
S. 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 Name: I Res onsible Designer Signature: Date igned: License:
erer LAZZjZ_. S74r— 1Z lot Imo} 77AfofxF
Company: Address: City/State/Zip: Phone:
WC £ L y1357 1� t S!. u ;eta CA `Jz562 cl -07Qp
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-BOD-772-3300