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PMT15-01569 1 City of Menifee Permit No.: PMT16-01569 29714 HAUN RD. MENIFEE, CA 92586 Type: Residential Mechanical s ,as,an„xn MENIFEE Date Issued: 06/09/2015 PERMIT Site Address: 28634 SHADY BROOK DR, MENIFEE, CA Parcel Number: 340-250-049 92584 Construction Cost: $14,53&00 Existing Use: Proposed Use: Description of REPLACE 4 TON A/C IN REAR YARD,4 TON COIL&90,000 BTU FURNACE IN ATTIC Work: Owner Contractor PEGGY KELSEY W C HEATING&AIR CONDITIONING INC 28634 SHADY BROOK DR 41085 GOLDEN GATE CIR MENIFEE, CA 92584 MURRIETA, CA 92562 Applicant Phone: 9516000700 STEVEN SCHNIERER License Number: 779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR - MURRIETA, CA 92562 Fee Description Q_yt Amount 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 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 C.7-0 License No. -7 7R�,D4 c who builds or improves thereon, and who contracts for the projects with a Expires �I� Signature �.n� iz=r 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 ❑ 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 permit Is Issued. improvements covered by this permit, I cannot legally sell a structure that I have 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 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.leoinfo.ca.gov/calaw.html. permit is issued, My workers'compensation insurance carrier and policy number are: Carrier Ke.�u��Ic�rc�zr�.M-�"frrS Property Owner or Authorized Agent Date Expires Policy#A7S OCO3'7440 ' L�'�' 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- - ❑ 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 provisions. Date; (, 9 YS Applicant; Z �"Z— ^ - City Business License# d3�'Z U`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 ,-IJNO EQUAL TO OR GREATER THAN THE AMOUNTS CONSTRUCTION LENDING AGENCY lvT`� 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 AYES A PERMIT FOR THE CONSTRUCTION OR MODIFICATION Lender's Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT O r� DISTRICT(SCAQMD) SEE PERMITTING CHECKLIST FOR OWNER BUILDER DECLARATIONS GUIDE LINES I hereby affirm under penalty of perjury that I am exempt from the Contractor's PRINT NAME: 9_e- 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, 0 SCHOOL? or repair any structure, prior to its issuance, also requires the applicant for the cr� 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 � yPS INFORMATION GUIDE AND THE SCAQMD PERMITTING she is exempt from [!censure 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 ($500).) CODE, SECTION 25505, 25533 AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL REPORTING. compensation, will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale,(Section 7044,Business and Professions Code; The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that it was not built or improved for the purpose of sale). APPLICATION& SAFETY PERMIT/PLAN CHECK rr f Menifee DATE 06/09/2015 PERMIT/PLAN CHECK NUMBER Fwmo O 5 TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [:]SIGN SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace Mon A/C In Rear Yard,4ton Coil,&90,000 BTU Furnace In Attic PROJECTADDRESS 28634 Shady Brook DDrrive�7�- ASSESSOR'S PARCEL NUMBER 34-4�-�,® 'w LOT �_ TRACT 7aS`1 OWNERNAME Peggy Kelsey ADDRESS 28634 Shady Brook Drive Menifee,CA 92584 PHONE (425)319-5468 EMAIL APPLICANT NAME Steven Schnierer ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362 PHONE (818)735-7876 EMAIL CONTRACTOR'S NAME We Care OWNER BUILDER? ❑YES❑✓NO BUSINESS NAME We Care ADDRESS 41085 Golden Gate Circle Murrieta,CA 92562 PHONE (951)600-0700 EMAIL contact@wecareteam.com CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION B,C20,C36 VALUATION$ $ 14,538.00 SQ FT L SO FT APPLICANT'S SIGNATURE Cam— DATE 06/09/2015 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP INVOICE W PAIDAMOUNT AMOUNT C% CASH <%CHECK# vCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH C%CHECK# OCREDIT CARD VISA/MC OWNER BUILDER VERIFIED 0 YES C% NO DL NUMBER NOTARIZED LETTER x YES 0 NO City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinemfee.us Inspection Request Line 951-246-6213 City of Menifee Building & Safety Dept. STATE OF CALIFORNIA JUN 0 9 2015 ALTERATIONS - HVAC CEC-CFIR-ALT-04-E Revised 06114 L OMMISSION 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: - Enforcement Agency:_ Da a Prepared: it#• �1 28634 %0cXW Z. . U k4 oe MqAea 6 n s E ui mentTVPe Equipment New Ducting,Plenums,Lineset: Conditioned q p g pment Efficiency Required R-value Floor Area(sq k) Thermostat ❑Packaged System KEvaporator Coil $ AFUE COP pR-6 (CZ 2,8-13J Ducting Served by system ISSetback J,>i(Split System (Condensing Unit ❑R-81 {CZ.11,14,15)Ducting aZ sgft (If not already ❑Mini Split ❑Compressor SEER HSPF p R-6(all CZ's)Plenums present,must Furnace ❑Uneset be installed 0 TXV _EER Q R-5 or R7.5)LineseN 1 HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one ofthe 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. SKI.HVAC Changeout/Repair Required Compliance Documents to be left an site for Final: All Equipment, CFSR-ALT-02-E Condenser Unit,Evaporator Coil, CF211: MECH-01,MECH-20-HERS,MECH-(23or24)'-HERS,MECH-25-HERS' Compressor,TXV,Uneset, CF3R: MECH-20-HERS,MECH-(23or24)-HERSa,MECH-25-HERS2 Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: 111.Duct system registered with HERS provider as previously sealed,or El 2.There Is less than 401inear 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 Ducts3 CF1R-ALT-02-E including Mini Split CF211: MECH-01,MECH-20-HERS,MECH-22-HERSMECH-(23or24)-HERS',MECH-25-HERS' CF3R: MECH-2D-HERS,MECH-22-HERS,MECH-(23or24)-HERS',MECH-25-HERS2 Mini Splits re uire tF1R-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. ❑3.All New Ducts with Replacement IRequired Compliance Documents to be left on site for Final;. All New Ducts'and one or more ofthe following CFiR-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS Compressor,TXV,Uneset,Furnace' I CF3R: MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFMAon(or alternative),Refrigerant Charge Exempted from duct leakage testing if:M 1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.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 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) 0 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 40ft 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 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(V thick insulation)for Iinesets 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-26A",2.5-3T-2%",3.5 to 4T-27A",5T-4%" Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certify the following under penalty of perjury,underthe laws ofthe 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 ofthe 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 forapproval with this building permit application. Responsible Designer Name: Responsible oeslgner Stgnature: - - - - ea'Signed: - ncense: e_hlp7SchY; or S� �G• 6 4 i5 779 r{ Company: Atltlress: /.. City/stategm: Phone: Oe Core- 44t(>6 GC>6e Gi4eQ' i 6 9514M-0`766 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300