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PMT15-01570 i City of Menifee Permit No.: PMT15-01570 29714 HAUN RD. Type: Residential Mechanical G�CGA..I�. MENIFEE, CA 92586 MENIFEE Date Issued: 06/09/2016 1 i PERMIT Site Address: 28423 NORTH STAR LN, MENIFEE, CA Parcel Number: 372-400-004 92584 Construction Cost: $16,566.00 Existing Use: Proposed Use: Description of REPLACE 5 TON A/C IN SIDE YARD, 5 TON COIL&90,000 BTU FURNACE IN ATTIC Work: Owner Contractor JOSHUA GARDNER W C HEATING &AIR CONDITIONING INC 28423 NORTH STAR LN 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 - M URRI ETA, CA 92562 Fee Description ON Amount I$1 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 LZ0 License No. -774C 04 c who builds or improves thereon, and who contracts for the projects with a Expires Signature Signature �.-u n.� > licensed contractor(s)pursuant to the Contractors State License Law). WORKERS'COMPENSATION DECLARATION ❑ 1 am exempt from Ilcensure 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 must have resided for at least one year prior to completion of Section 3 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, built as an owner-building if it has not been constructed In Its entirety by licensed Policy# 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.leginfo.ca govlcalaw html. r permit is issued.My workers'compensation insurance carrier and policy number are: Carrier��uto\tc Uvr�rxwc.°1-exS Property Owner or Authorize Agent Date Expires 1. Policy#ATwCXW3n440I Cam"' 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 stale laws relating to building construction. I authorize representatives of this city or county to enter the above- El 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 Code,I shall forthwith comply with those provisions. Property Owner cr Authorized Agent Date r--- ----� City Business License# Date; 1p. 4 TS 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, 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 -AD 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 Address FROM THE SOUTH COAST AIR QUALITY MANAGEMENT oko 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: _Ste--- S)nv.Cer2 v- License Law for the reason(s)indicated below by the checkmark(s)I have placed OYES 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 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 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($500).) CODE, SECTION 25505 25533,AND 25534 CONCERNING ❑ I, as owner of the property, or my employees with wages as their sole HAZARDOUS MATERIAL DEPORTING. compensation,will do ( )all of or ( ) porting of the work, and the structure is PROPERTY OWNER OR AUTHORIZED AGENT not intended or offered for sale.(Section 7044, Business and Professions Code; �-- The Contractor's State License Law does not apply to an owner of a property X who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, the building or improvement is sold within one year of completion, the Owner- Builder will have the burden of proving that It was not built or improved for the purpose of sale). C & SAFETY . APPLICATION t: ® Menifee DATE 06/09/2015 PERMIT/PLAN CHECK NUMBER �r9I() TYPE: ❑COMMERCIAL Z RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: [—]ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL ❑NEW ❑PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Replace 5ton A/C In Side Yard,5ton Coil,&90,000 BTU Furnace In Attic PROJECTADDRESS 28423 North StarLane ASSESSOR'S PARCEL NUMBER 3'ta-L[W-0C4 LOT ILA TRACT 3UVtq OWNER NAME Joshua Gardner ADDRESS 28423 North Star Lane Menifee,CA 92584 PHONE (909)973-3746 EMAIL APPLICANT NAME Steven Schnierer ADDRESS 31225 La Baya Drive Suite 112 Westlake Village,CA 91362 PHONE (818)735-7876 EMAIL CONTRACTOR'S NAME We Care OWNERBUILDER? ❑YESONO BUSINESS NAME We Care ADDRESS 41085 Golden Gate Circle Murrieta,CA 92562 PHONE (951)600-0700 EMAIL contact@wecareteam.com CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION B, C20,C36 VALUATION$ $ 16,566.00 SO FT L SQ FT APPLICANT'S SIGNATURE _-7r �-�— DATE 06/09/2015 CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION M CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN l SMIP 77 INVOICE '� PAIDAMOUNT AMOUNT I 1CASH 0CHECK# OCREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 1) CASH 0CHECKN OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER " YES C' NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City of Menifee Building & Safety Dept. STATE OF CALIFORNIA ALTERATIONS - HVAC JUN 0 9 2015 CEC-CFIR-ALTA4-E Revised 06/14 GALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE MR-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CFdR-ALT-HVAC) Racnived (Page 1 of 1) Site Address: Enforcement Agency, Date Prepared: q zZ4123 crkN� ox a C; oc McVJ, et s (5 SI' New Ducting,Plenums,Lineset: Conditl ned Equipment Type Equipment Efficiency Required R-value Floor Atea(sgft) Thermostat ❑Packaged System Evaporator Coil $ AFUE COP 0 R-6 (l22,8-13)Ducting Served by system .{LQSetback A lit System XCandensing Unit Mini Split El Compressor ❑R-8, (CZ31,14,15)Ducting 2Z45 sqft (if not already ,L�SEER _HSPF ❑R-6(all CZ's)Plenums present must yi(Furnace El Lineset❑TXV EER ❑R-5 or R7.5)Unesee be Installed) - 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. Forfinal Inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. I.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-01,MECH-20-HERS,MECH-(23 or24)'-HERS,MECH-2$-HER$' Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Air Hand ler/Fumace2(Can Include new ducting) Installer Requirement:Duct leakage L15%,or<10%to outside,or seal all accessible leaks),Air Flow z 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or 132.There is less than 40linear feet of duct in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building 1 ❑2.New HVAC System I 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-(23or24)-HERS2,MECH-25-HERS2 CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2 Mini Splint 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 Required Compliance Documents to be left an site for Final: All New Ducts'and one or more of the following CFIR-ALT-02-E " replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,Uneset,Fumace2 CF3R: MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow 350CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing.if:01. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Duciingover40feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<15%oq<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 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 -All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may conssstof reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) 4 R-5(1"thick ipsulation)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-2s/e",2.5-3T-2%,3.5 to 4T-2V,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 Com pliance,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%of the OCR. 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 forapproval with this building permit application. Responsible Designer Name: Respanslhle Designer signatme: gate Slgne3 - Ilceose: ae Se�nh eref �2� G a 15 7;9604 Ony: Address: City/state/Zip: Phmea: e Care 4tog5 CnokavnGokeCir CA z_-T z W51_�p- 6700 For assistance or questions regarding the Energy Standards,contact the Energy Hot ine ate 1-800-772330D