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PMT14-03328 City of Menifee Permit No.: PMT14-03328 29714 HAUN RD. Type: Residential Mechanical 49Z-Ct*1.,%�?` MENIFEE, CA 92586 6u+emarrx solmn" MENIFEE Date Issued: 12/16/2014 PERMIT Site Address: 30143 VIA AMANTE, MENIFEE, CA 92584 Parcel Number: 364-095-016 Construction Cost: $2,500.00 Existing Use: Proposed Use: Description of REPLACE HVAC 4 TON 90K BTU Work: Owner Contractor IRSHAD SAULAT 15737 RONELL RD PERRIS, CA 92570 Applicant License Number: IRSHAD SAULAT 15737 RONELL RD PERRIS, CA 92570 Phone: 9094376531 Fee Description Crttv Amount l$1 Forced qir or Gravity Type Furnace,Or Burner �o ,'x Air Handling/Condensing Units SFR u 1 133.00 Bu�din�, Tiff s,.,..... 3,w �.. u.,�..�.aa - .,,�,.,. _ - r•1 ' .,.,.,,-.«_ .ems 27A0. 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 License No. who builds or improves thereon, and who contracts for the projects with a Expires Signature licensed contractors)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 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. Policy# built as an owner-building if it has not been constructed in its entirely by licensed 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:rite//www.leginfo.ca.aov/calaw.html. permit is issued.My workers'compensation insurance carrier and policy number are: Carrier Property Owner or Authorized Agent Date Expires Policy# ❑ 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 inspecti n purpos s. 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 Pr6 'y Owner IAuthoriu Agent Date Code, I shall forthwith comply with those provisions. City Business License# Date; 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, AYES 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 DYES 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 ❑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($500).) CODE SECTION 25505, 25533 AND 25534 CONCERNING El1, as owner of the property, or my employees with wages as their sole HAZAdDOUS MATERIAL REPORTING. compensation,will do ( )all of or( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). BUILDING SAFETYPERMIT/PLAN CHECK APPLICATION ,&,. Menifee DATE � — 6 � � PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL ' ESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITIONALTERATION '—'DEMOLITION O ELECTRICAL O<ECHANICAL O NEW O PLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK LA .Lr—D i 1Go PROJECTADDRESS amm.gn& PLO , ASSESSOR'S PARCEL NUMBER �lO�" D�47 �v� LOT POJ2 TRACT OWNER NAME ADDRESS 5- 9 PHONE go�J%y3��p S 3 J EMAIL APPLICANT NAME ADDRESS S f 06 a e PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? &4ES ONO BUSINESS NAME ADDRESS PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ e © SO FT OO L SO FT APPLICANT'S SIGNATURE 14 Ij DATE DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOj (� 00 PAID AMOUNT `� n AMO = CASH CHECK# CREDIT CARD VISA/MC CHECKFEES PAIDAMOUNT OCASH OCHECK# CREDIT CARD VISA/MC OWNER BUILDER VERIFIED e YES O NO DL NUMBER NOTARIZED LETTER `, YES 0 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 ' 4' ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 05/142 CALIFORNIA ENERGY C''�i+,IMISBI ON CERTIFICATE OF COMPLIANCE CF1R-ALTE14�E Alterations -HVAC CZ Z, and 8-15 (formerly CF-IR-ALT-HVAC) ` gzE 10 (Page 1 Site Address: E r or A Date Prepared: „j=sv Ducting,Plenum; Lineset Conditioned Equipment Type_ Equipment Efficiency ,y^� Thermostat 'ten Floor Area (iq ft) ❑Packaged System ❑ Evaporator Coll gFUE COP R-6 (CZ2,8-13)Ducting Seyr�v}ed�b� y system Setback Cl Split System ❑Condensing Unit Cam- 1 not alrend ❑ fvtjef Split ❑Compressor ❑R-8 (CZ 11, 14, 15)Ducting e sgft (f Y 8,-",".rC P SEER HSPF ❑ R-6(all CZ's)Plenums present, must urnace ❑ Lineset ' be installed TXV EER ElR-5 or R7.S)Lineset ) 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. ' ❑ 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit, Evaporator Coil, CF2R: PAECH-01,PAECH-20-HERS,MECH-(23 or 24)'-FIERS,MECH-25-HERS' Compressor,TXV,Lineset, CFSR: MECH-20-HERS, NIECH-(23 or 24)-HERS',MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(< 16%,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 regist=_red with HERS provider as previously sealed,or 0 2.There is less than 40 linear feet of duct in unconditioned space,or 12- Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of buildings Cl 2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFSR-ALT-02-E Including Nlini Split CF2R: MECH-01,MECH-20-HERS, PAECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS` CFSR: MECH-20-HER5, MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' - Mini Splits require CF1R-ALT-02-E,CF2R-PAECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%, Fan Efficacy(.58W/CFt+I),Air Flom 2 350 CFM/ton(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: Ail New Ducts'and one or more of the toAowing -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-(23 or 24)-HERS,NIECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow-e 350 CFM/ton (or alternative),Refrigerant Charge_ Exempted from duct leakage testing if:.O 1. Existing ductsystems are constructed,insulated or sealed with asbestos ❑4.New Ducting over40 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 caristructed,insulated or sealed with asbestos. All new ducting R-8 required when more than 40 ft installed and R-6when 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(east 75 percent of the duct system is new duct material,anti to 25 percent may consist of reused parts from the dwelling unit's exlsting duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) ' 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%", 2.53T-2W',3.5 to 4T-2%",ST-4R" - Contractor (Documentation Autlior'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 p=_rformance specifications for the design ide_n[i tied ion 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 bridd,ing design or system design identified on this Certificate of Compliance conform to the requirements of litie 24, Part 1 and Part 6 of the CCR. 5- The buildhg design features or system d=_sign features identified on this Certificate_of Camp Hance are consistent with the information provided on oth=_r applirable compliance documents,worksheets,calculations, plans and speclficatians submitted to the enforcement an fora�proval with this huildln permit application. _ ,bL=o ��r Si3camre: o� -s,ned ta ," -ram ��z _Z-- Conpany- For assistance or questions regarding the En=-rgy Standards,contact the Energy Hotline at L-800-772-3300