PMT15-00910 City of Menifee Permit No.: PMT15-00910
29714 HAUN RD.
'q�CIEL%A-!.x MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 04/1012016
PERMIT
Site Address: 25735 MONICA WAY, MENIFEE, CA Parcel Number: 335403-009
92586 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING SPLIT HVAC SYSTEM,4-TON A/C, 80,000 BTU FURNACE
Work:
Owner Contractor
RICHARD LERMA SHELDON'S HEATING&AIR INC
25735 MONICA WAY 18574 KRAMERIA AVENUE
MENIFEE, CA 92586 RIVERSIDE, CA 92508
Applicant Phone: 9517809882
BRIAN SHELDON License Number: 987412
SHELDON'S HEATING&AIR INC
18574 KRAMERIA AVENUE
RIVERSIDE, CA 92508
Fee Description qQt+ Amount ISl
=ICI s�3faVY��T. n u _
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 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 10 License No. 7s 7 wL who builds or improves thereon, and who contracts for the projects with a
Expires Zc Signature 1::— — " 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:http,//www.leainfo.ca.qov/c law 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-hupdred 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-
/] I 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 prov siq.
�� GJi ""��J City Business License#
Date; /�G��+� Applicant; _i'�
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 �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 ❑YES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION
FROM THE SOUTH COAST AIR QUALITY MANAGEMENT
Lender's Address 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,
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 (Chapter 9 (commencing with (__HAVE READ THE HAZARDOUS MATERIAL
Section 7000)of Division 3 of the Business and Professions Code)or that he or AY��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, SECTIO1.�25505 25533 AND 25534 CONCERNING
❑ I, as owner of the property, or my employees with wages as their sole HAZARDO,.U—S�-M/AYERIALiAEPOR1�ING.
compensation,will do( )all of or( ) porting of the work, and the structure is PROPERTY W OR AUTHORIZED-AGENT"
not intended or offered for sale.(Section 7044,Business and Professions Code; j
The Contractor's State License Law does not apply to an owner of a propertywho, 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).
SAFETYPERMIT/PLAN CHECK APPLICATION
�- Menifee
DATE I J G za-I r PERMIT/PLAN CHECK NUMBER
TYPE: " COMMERCIAL < RESIDENTIAL `.:: MULTI-FAMILY MOBILE HOME C POOL/SPA (:%SIGN
SUBTYPE: 0 ADDITION 0 ALTERATION )DEMOLITION 01 ELECTRICAL jXMECHANICAL
NEW C? PLUMBING 0, RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK 1 j l I - L
' 1 �
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME Sl"
ADDRESS I G Building & Safety Dep
PHONE g'J'j- ]ZF6 -- gkP EMAIL APR 10 2015
APPLICANT NAME V (y_ k C
ADDRESS tics ro GC?•II E
PHONE W-7- 11 Ly EMAIL
CONTRACTOR'S NAME OWNER BUILDER? C% YES - 0
BUSINESS NAME qh C A GTI <I
ADDRESS J�IC/ GJ-L ��j
PHONE 9TY W-G Z EMAIL
CONTRACTOR'S STATE LIC NUMBER W-rJ L/(2 LICENSE CLASSIFICATION C"
VALUATION $ F7 /i G v SO FT 7j fj ,� L SQ FT
i
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING ORE GREEN SMIP
INVOICE PAID AMOUNT
AMOUNT C%CASH C:CHECK# C!CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT li CASH ':.i CHECK# + CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED C'YES ':-- NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 HDun Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
S . cr-A in
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page 1 of5
Project Name: Climate Zone# It of Stories
Lerner 1 J 1
General Information
Site Address:25735 Monica Way Sun City CA 92586 Enforcement Agency:Sun City, City of I Date: 4/7/2015
Building Type El Single Family ❑Multi Family Circle the Front Orientation:g,E,S,W,or degrees
Conditioned Floor Area(CFA): 1498 Project Type: ❑v Alterations ❑Envelope Fenestration []Roof❑HVAC
Replacement lacement or Change Out ❑Duct Replacement ❑Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑Opening of framed cavity alone—Alterations that involve the opening of theframed cavity of a wall,ceiling,orfloa•must install the
mandatory minimum insulation value per§150 for the altered assembly.Fill in Columns A—C and enter mandatory insulation value in Column H.
❑Replacement of entire assembly—Replacement ofan entire wall,ceiling,orfloor assembly requires the installation of Component
Packa e-D insulation values in Table 151-C. Fill in Columns A—J.
01 ague Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
AT B C I D E F G I H I I J
Proposed s""a Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembl
ID) or T et and Size or Others factor' Number' R-values R-Value° Cell Values U-factor
Note:For.furred assemblies,accmmtingfw'Continuous Insulation R-value,see Page J44-3 and Equation 4-1. For calculatingfurred walls use the Mass and
Furrin Coruhvetiwr table below.
1.FwTagi1D indicate the identification name that matches the huildingplans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors,Slabs, Crawl Space,Doors and etc...Indicate the Frame lype and Size:For
Wood,Metal,Metal Buildings,Mass,enter 2x4, 2x6, or etc...see JA4for other possibleframe tvpe assemblies. City Of Menefee
3. Enter the thickness jar mass in inches or Spacing between framing members enter; 16"or 24"OC or Otherfor all oI8a4d'h*1&a'wgf4W1)e t.
such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Parcel and etc....
4.Based on the Climate Zone;enter the Standard U factory fi wn Table 151-B, C or D for each different assembly Name or typgPR 10 2015
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-value that is being installed in the wall cavity or between the framing;otherwise,enter "0". ®® �,..,J]
7. Enter the Continuous Insulation R-value for the proposed assembly;otherwise,enter"0". ve U
8.Enter the row and column of the Ufactor value based on Column F Table Number and enter the Assembly Ufactor in Column
9.The Proposed Assemble Ufactor, Column J,must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips s Construction Table for Mass Walls Only
A I B I C I D I E F I G I H I .T I K L M
Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation
Walls From Reference in Furring Space from Reference
Joint.Apppendix Table 4.3.5 4.3.6 4.3.7 Joint A endix Table 4.3.13
a
Assembly 's ] o `o n w E- ,n c "_ Final
Mass Name or JA4 Table —'s Assembly
Thickness T c Number' < > x c a ' ¢ > U-Cuctor"'' Comment
i
Registration Number: Registration Date/Time: .HF,RSProvide.r: CBPCA
2008 Residential Compliance Forms August 2009
i
Prescriptive Certificate of Compliance:Residential CF 1R-ALT
Residential Alterations (Page 2 of 5
Project Name: Climate Zone# #of Stories
Lerner 10 1
Mass and Farrin Sari s Construction(footnotes)
1.Indicate the type of assembly to include,,Hollow Und Masonry Walls,Solid Unit Masonry,Solid Concrete Malls,Fir, Additional assemblies can
be,faund Refeience Joint Appendix JA4.
This is the U-Factor based on the thickness of the assembly in inches.
3. The R-value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R-Value is the R-value of the furred out section of the assembly. 1
5.-6.The!Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Ref¢,renea Joint Appendix JA4. The equation is the inverse of Column 1
added to Column 1. Column K is the inverse from column J. j
7.Insert the calculated U.factor value on to the Q au ue Surface Details to Column J
FENESTRATION PROPOSED AREAS
0 Replacing window alone—Replacement windows shall meet the(1-Factor and SHGC Value requirements of Component Package D in
Table 1.f1-C. The Total Fenestration and West facing Area requirements rare not applicable.
U Addling 50ft'or less of window area—Newly installed windows shall meet the U-Factor and SHGC Vahan requirements of Component
Package D in Table 151-C.
0 Adding more than 50ft'o'fwindow area— Newly installed windows shall meet the U-Factor and SHGC Value and the Fenestration
Area requirements of Component Package Din Table 151-C, Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF-IR-ALT
OtiantaYion
Fenestration Type and Frame (North,East, PropsedAreal Maximwlr Maximum NFRC or Default
(Window,9lnss Uoor or Skyli�ht South,West) ft') U-factor''' Sl30Cn•'"' � Values
1.Fenestration area is the,area of total glaeadproduct(I a.glaxsplus flame)' Exception, When a door is less than 50%glass,the fenestraton
area may be the glass area plus a "2 inch ft ame"around the glass.
2.Enter value from Component Package D Requirements in Table 151.C.
3.Aclual fenestration products installed and as indicated in CF 6R,ENVForrn shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF-IRALT Form.
4.Submit a completed WS-31d Farm if a reduced S11GC is calculated with exterior shading.
S.ff a Iicuble at this sta ¢enter "NFRC"far NF'RC Cc>rCrylsCl windows ar are CEC "De knit"vadues,frnar�d to Table 116-A or B.
ALTERE I&FENES'!RATION ALLO$A E1)_AREAS(Complete ll mare tiara 6Q offenestratdara 1s added)
A r TI C L E F G
-� rwed Existing Fenestration - Total Area •�
CFA of Entiroof Fenestration Area Fenostration Allowed Proposed Area'
DwellingA Area Ranioved Ana Added LA x B (E-D +C
0 >
West Fenostndion Area
(Required In .05 >
CZ's Li 8c'1-15
1. West Fenestration Area includes west-sloping skylights and any skylights with a pitch less than 1:12.
2. West facing glazing area removed cannot be "counted"twice." In order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column A
3.Include the Proposed Area of the West-lhcingfenestration in both Area columns beloiv.
4.To meet con Hance,lee Pra osed,Area roust be de.rs then or e uai to the Tata�d Allowul Aren ar BOTH the Total and Wast Fenestration Areas.
Rcg'istration Nunnber: T___Registratiore Date%Time._ _ _ ,IirtRSProvider.: CBPCA
2008 Residential Compliance Forms A,ngtea 2009
1
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page 3 of 5
Project Name: Climate Gone# #of Stones
Lerner 0 1
ROOFING PRODUCTS(COOT.,ROOFS)§1510)12
W/ten the area of exterior rool'suurface to be replaced exceeds snore than 50%of the existing rogl'area,or more than 1,000 f',,whichever is
less,the new,ogling area touted meet the rooling product"Cool Roof'requirements of§152(b)111'i,152(h)IIM,or 152(b)IIIIA
Check applicable alternative or exception below if the roof alteration is exempt from the ron/tngproduct"Coral Roof"requirements.Note:If any
one of the alternatives or exception below is checked,the Aged Solar Reflectance and Thermal Rmittance regndremends for roof tutprodoos in
§118(1)are not applicable.Do notfill table below.
0 Cool Roofs 7I t Required in Climate Zones 1-12,14,and 16 with a Low Sloped Lass or 2:12 pitch.
OCool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:[2)slid product trait weight less
than 51b/fe.
Alternatives to§152(b)1FII and§152(b),6iii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrftt OF/Btu or at least a 3/4 inch air-space is added to the roof deck
over an attic;at
❑ Existing ducts in the attic are insulated and sealed according to§151(f)10;or
❑ In climate zones 10,12 and 1.3,with 1 ft'of free ventilation area of attic ventilation for every 150 ft`of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
❑ Building has radiant barrier in the attic meeting the requirements of§151(f)2;or
❑ Building has no ducts in the attic;or
❑ In climate zones 10,11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§1.52(b)f MU,Low-slope roof(pitch<2:12)
❑ Building has no ducts in the attic.
Other Fxcepdons
❑Roofing area covered by building integrated;photovoltaic panels said solar thermal panels are exempt from the below Cool Roof criteria.
❑Roof constructions that have thermal mass over the roof membrane with at least 251b/Ptr is axetnpt from the below Cod Roof critetla._
Not;:If no CRRC-1 label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the as alicablo box below if Exem U from the Reofin Products"Cool Roof'Re -------it:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Numbers 2:12 >2;12 < Sib/fYa ? SNIP T ez Reflectance"'4 Emittance SRI
❑ C3 C] C.1 Ida
C� Cj C� CJ Cj"
❑ �J ❑ C7 ❑4
0 13 El 0
1, The C'RRCPrnduct JD Number can be obtained frmn the Coal Roof7<anug Council's Rated Product Db octory at�vow c pr fy,p py�rr rrtp era Ito
2.Indicate the type of product is being uwal./or the roof top,Le,single-ply roof asphalt roof,metal roof;eta
. lftheAged Reflectance is not available In the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the fame
directory and use the equation(0.2+0.7(pp,tgct- 0.2)to obtain a calculated aged value. Wherein is the Indial Solar Reflectance.
4.Check box 1Y the Aged Reflectance is a calculated value using the equation above.
5,Calculate the SRI value by using the SRI-Workabeet at http;11jy enerev.ca. ov/ftk2_41 and enter the reavdting value in the SRI Column above and attach acopy oJ'
the SRI-Worksheet to the CF-1R,
To apply Liquid Field.Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
acommended by the coatings manufacturer and meet minimum perforutance requirements listed in§118(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 13 Other
.Registration Number: (._ �_,.Regi•stratlon lJate/Time:, _ _HFRS'Provider: BPCA
2008 Residential Compliance Forms August 2009
Prescri tive Certificate of Corn Hance: Residential CF-IR-ALT
Residential Alterations (Page 4 of 5
Project Name: Climate Zone# #of stories 1
Lerner 10 1
i
HVAC SYSTEMS-HEATING
..- Minimum Duct or Piping Configuration
Heating Equipment Efficiency Disd'ibutiou Insulation Thermostat (Central,Split,
o and CU (AFUE or HSPF) Type and hooaticn° R-Value T e S ace, ckage or Pa LO is
Furnace,4 80 AFUE Ducted, _ 0 Setback Split
I.Indicate Heating Type{Central Furnace, Wall Furnace,Heat pump,Boilcr,Electric Resistance, eta)
2.Electric resistance heating is allowed only in Component Package C,or except where electric heating is supplemental(i.e.,if total capacity
g 2 KW or 7,000 Btulhr electric heating is controlled by it time-limiting device not exceeding 30 minutes). See§151d,)3 exception.
3.Refer to the HERS Vertflcation section on Page 4 of the CF-IR-ALT Form,for additional requirements and check applicable boxes.
4. Indicate Type or Location(Ducts, Flydromo in Floor,Radiators,eta)
HVtAC SYSTEMS-COOLING
Mmanual
Efficiency Duct or Piping Configuration
Cooling Equipment (SEER/FER or Distribution Insulation Thermostat (Central,Split,
e and Capacity',' COP) � T e and Location 3 R-Value Type e Sp
ace,Padua e or II dronic
AirConditioner,4 16 SEER Ducted, 0 Setback I Split
1.Indicate Cooling Type(A/C,Heat pump,Evap. Cooling, etc)
2.Refer to the HERS Ver�ation section on Page 4 of the CF-IR-ALT Form,for additional requirements and check applicable boxes.
3.Indelicate T e or Location Ducts,Hrdronic in Floor,Radiators, etc.
WATER HEATING
List water heaters and holders for both domestic hat water(DHW)heaters and hydronic space heating. Individual dwelling DHW heaters must be
gas or propane fired,and may not exceed 50 gallons. Hot waterpipe insulation,fr•om the DIIW heater to the kitchens)and on all underground
hot water i es is re utma ha ail co7on r/ "sages in allclimate zones,
External.Tank
Water Heater Type/Fuel ribution Type Number In Tank Energy Factor or Inaulatio t
T per d,Reuiroulatim 3 5y&tern Cal) Ity(gal) Thermal L'^,fflciagcY_ R-Value3
I.Indicate Type(Storage Gos,Heat Pump,Instantane(us,etc.)
2.Recirculating systems serving rmdtple dwelling units,shall meet the recirculation requirements of§150(n). The Prescriptive requirements do
pot allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipce shall be,insulated to meet the re adrements o '150 .
SPECIAL FEATURES The erifarconon t agency should pay special attention to the Special Femures specified in this checklist below.
These its mrry require wrirtcnjustgficaaora.and docannerztatian and special ver�tcatiorn
NEW ROOF ASSEMBLY'Radiant Barrier
The radiant barrier requirement of§131(f)2 dons nut apply to roof alterations, _
Slab Edge(Perimeter)Insulation U YES U NO
YIDS:In Climate Zone 16 in Component Packages D,R-7 Insulation is required.
heated Slab 7nsmlatton ❑BIDs ONO
YES:Stab edge insulation requured fir all heated slabs in all Climate Zones. See details in Table I I S-A of the standards.
Raised Slab Insulation El YES []NO
YES:Iu Climate Zones 1,2,11, 13, 14& 16,R-8 insulation is coquirad;iuCbmate Zanes�-,-,-.-12 Xc tS,R-4 is rec�uGad under component Package D.
Thermal Mass
To obtain Compliance Credit for the installation of thermal mass,use the Performance Approach.
,Registration Number._ RegWration Date/Time: HBR.SProvider: CBPCA
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF-IR-ALT
Residential Alterations (Page.5 of 5
Project Name: Climate Zone# #of Stories
Lerner 10 1
i
j
f
HERS VE1tTF,ICATION SUMMARY The enforcemerrt agency shortdd yay.speaial attention to the.HERS Measures specified in this
i
checklist below. A completed and signed CF-41?Form for all the measures specified shall be submitted to the building inspector before final
inspection. ._._.�
Duct Sealing&Testing TIERS verification is requiredfor this tneasure.
0 YES El NO YEB:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement dusts are installed in unconditioned
space,the ducts are to be sealed per§152(b)1Dii and the newly installed ducts are to be insulated per§151(f)l0.
❑ EXCEPTION:Existing duct systems that are extended,which are constructed,Insulated or sealed with asbestos.
17 YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be scaled per§I52(b)lDi.
11 YES ❑NO YES:In Climate Zones 2 and 9.16,if the existing HVAC equipment is replaced(including the replacement of the air handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed per§152(b)lE.
❑ EXCEPTION:Duet systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix Ill
❑ EXCEPTION:Duct systems with less than 40 linear feet In unconditioned space.
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge-Split System PIERS verification is required for this measure,
❑YES ❑NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§152(b)IF.
Central I'an Integrated(CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§I50(o)do not apply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps:Airflow HERS verification is required for this measure,
❑YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is
replaced,tire tdrYlow and feu watt draw shall be verified er '152(b 1Ci Co meet there nuernerus of"151 t 7B.
Documentation Author's Declaration Statement
• I cerfify that this Certificate of Compliance documentation is accurate and comp➢eke. _
Name:Brian Sheldon Signature:Brian Vrobel
Company:Sheldon's Heating and Air Conditioning Date; 4/7/2015
Address: 18574 Krameria Ave,Avenue � If Applicable❑CEA or❑C:EPE
(Certification#):
City/State/Zip:Riverside California 92508 Phone: 951.780.9882
Responsible Building Designer's Declaration Statement —�
• I am eligible tinder Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1,certify that the energy features and perfonmttuce specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Ti le 24,Parts I and 6 of the California Code of Regulations. _
• The building design features identified on this Certificate of Compliance are consistent with the infomation provided to document this
building design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the enforcement
agenc for approval with dais buddiv ermit application.
Name: Signature:
Brian Sheldon Brian Vrobel
Company. Sheldon's Heating and Air Conditioning Date: 4/7/2015
Address: 18574 Krameria Ave,Avenue License;
933950
City/State/Zip: Riverside California 92508 Phone:
For assistance or questions regarding the.Energy Standards,contact the Energy Ffotdhae at. 1-800-772-3360.
Registration Number: _Registration Date/Time: —HERSProvider: CBPCA
2008 Residential Compliance F'otvns August 2009