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PMT15-02702 i City of Menifee Permit No.: PMT15-02702 29714 HAUN RD.MENIFEE, CA 92585 Type: Residential Mechanical smemanmx sNe.x" MENIFEE Date Issued: 09/01/2016 s PERMIT Site Address: 28973 BAY WATER DR, MENIFEE, CA Parcel Number: 340-190-084 it 92584 Construction Cost: $9,500.00 Existing Use: Proposed Use: ', Description of REPLACE 4 TON A/C, COIL&90,000 BTU FURNACE Work: Owner Contractor JENA DEFILE TOTAL COMFORT INC 28973 BAY WATER DR 390 E HARRISON STREET MENIFEE, CA 92584 CORONA, CA 92879 Applicant Phone: 9517352574 STEVEN SCHNIERER License Number: 935238 TOTAL COMFORT INC 390 E HARRISON STREET CORONA, CA 92879 Fee Description O yt Amount f$1 pe11 oe B e[ 00 Air Handling/Condensing Units SFR 1 133.00 t � 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_Terri 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 Cade and my license Is In full force and effect. Code:The Contractor's License Law does not apply town owner of a property License Class �ZC7 Licensce—N^o G 35Z3 B who builds or improves thereon,and who contracts for the projects with a Expires 27 81 17 Signature licensed contractor(s)pursuant to the Contractors State License Law). { WORKERS'COMPENSATION DECLARATION ❑ lam exempt from Iicensure 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 Section 3700 of the Labor Code,for the performance of work for which this which I must have resided for at least one year prior to completion of 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•/lwww Ieglnfo ca aov/calaw html. permit is Issued.My workers'compensation insurance carder and policy number are: Carrlerws.C.o. Oz Property Owner or Authorized Agent Date Expires -T�l16 —policy#(JSbSUZr1G(I Name of Agent Phone# _eymy Signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this (This section need Mt 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'c mpensallon laws of California,and agree that if I should become ��- .�, A q` Is— subject to the workers'compensation provisions of Section 3700 of the Labor property Owner orAuthorized Agent Date Code,I shall forthwith comply with those provisions. \ ° City Business License# 0s,73cx. Date; cl! IS 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, DYES OCCUPANT HANDLEA 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 TQ OR GREATER THAN THE AMOUNTS n 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 CVkO 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: 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: e_ BE WITHIN 1000 FEET OF THE OUTER BOUNDARY OF A Any city or county that requires a permit to construct,alter,improve,demolish, U 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 p�-- I HAVE READ THE HAZARDOUS MATERIAL Section 7000)of Division 3 of the Business and Professions Code)or that he or +ice INFORMATION GUIDE AND THE SCAQMD PERMITTING she Is exempt from III 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 ONO 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 f)EPOWING. compensation,will do( )all of or( )porting of the work,and the structure is PROPERTY OWNER ORAUTHORIZED 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). & SAFETY PERMIT/PLAN CHECK APPLICATION Menifee DATE 09/01/2015 PERMIT/PLAN CHECK NUMBER 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.4ton A/C,Coil,&90,000 BTU Furnace PROJECT ADDRESS 28973 Bay Water Drive �Q ASSESSOR'S PARCEL NUMBER -9AO -I110 'CSL - LOT 4j5Lj TRACT A5058'-� OWNER NAME Jean Depue ADDRESS 28973 Bay Water Drive Menifee, CA 92584 Ruji City Of Menifee Y epf. PHONE (951)301-6148 EMAIL OEP APPLICANT NAME Steven Schmierer 15 ADDRESS 31225 La Baya Drive Suite 112 Westlake Village, CA 91362 Res eiviorl PHONE (818)735-7876 EMAIL CONTRACTOR'S NAME Total Comfort Inc. OWNER BUILDER? ❑YESQNO BUSINESS NAME ADDRESS 390 E Harrison Street Corona, CA 92879 PHONE (844)824-4247 EMAIL CONTRACTOR'S STATE LIC NUMBER 935238 LICENSE CLASSIFICATION C20, C36 VALUATION $ $9,500.00 SO FT L SO FT APPLICANT'S SIGNATURE DATE 0 9/0112 01 5 • DEPARTMENT DISTRIBUTION ^ CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP INVOICE y�OA PAID AMOUNT AMOUNT V <' CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT C}CASH C.%CHECK# C%CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER 0 YES C' 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 ALTERATIONS - HVAC CEC-CFl R-ALT-04-E Revised 03116 - CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Pagel of 1) Site Address: Enforcement Agency: Date Prepared: Permitit: Z<4�173 a meeker l� e C:! o� (�ler�:�c� q t IS 70a Equipment Type Equipment Efficienc New Ducting,Plenums,Lineset: Conditioned y _ Required R-value Floor Area(sq it) Thermostat ❑Packaged Evaporator Call 84 AFUE COP 11R-5 (CZ2,8-I3)Ducting Served by system WSetback System W Condensing Unit ❑R-81 (CZ 11,14,_15J Ducting II%12-1 sgft (If not already XSpiit System ❑Compressor 14 SEER HSPF ❑R-6(all CRs)Plenums present must ❑Mini Split ❑Lineset 4 be installed) KFurnace ❑TXV BEER R-5 or R7.5)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. Forfinal inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. 01.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)2-HERS,MECH-25-HERS' Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS2 Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(<15%,or<.10%to outside,orseal all accessible leaks),Air Flow 300 CFM/tan,Refrigerant Charge. Exempted from duct leakage testing If: ❑1.Duct system registered with HERS provider as previously sealed,or 112.There is less than 40 linearfeet of duct in unconditioned space,or El 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' CF1R-ALT-02-E Including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2 Mini Splits require CF1R-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage c 691,Fan Efficacy(.58W/CFM),Air Flow_350 CFM/ton or alternative),Refrigerant Charge 113.All New Ducts with Replacement I 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 Cali, 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,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/tan(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' !FIR-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 ducts stems 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 it 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 partsfrom the dwelling units existing duct system(eg,registers,grilles,boots,air handler,coil,plenums,duct material) 4 R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)forlinesets over 1 Inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2W,2.5-3T-2%",3.5 to 4T-2W,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. 5. The building design features or system design features identified an 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. Repanslhle 0eignermme: funpon siblet) igner5lgnture: ae&g-eIdS: J 5 +s �� ci G ,er l cteeny Addr ❑Ct1e3nse5: 238 CM/statOZlp: Phone: 390 C are, S� CL�ro" cue `-i2879 8N k%24- 42-4-7 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-7723300