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PMT15-03211 City of Menifee Permit No.: PMT15-03211 c 29714 HAUN RD. Type: Residential Mechanical ACCELA.' MENIFEE, CA 92586 MENIFEE Date Issued: 1 011 61201 5 PERMIT Site Address: 26910 HOWARD ST, MENIFEE, CA 92586 Parcel Number: 335-302-042 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, PACKAGE UNIT-9 DUCTS Work: Owner Contractor ABDULSHARA KEN STARR INC 26910 HOWARD STREET 3162 EAST LA PALMA AVENUE MENIFEE, CA 92586 SUITE E Applicant Phone:7146328289 ADOLFO IBANEZ License Number:974908 KEN STARR INC 3162 EAST LA PALMA AVENUE SUITE E ANAHEIM, CA 92806 Fee Description OQt Amount($) Forced-Air or Gravity-Type Furnace or Burner 1 149.00 Air Handling/Condensing Units SFR 1 133.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Mechanical 1 14.10 $324.10 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 ❑ lam exempt from Iicensure under the Contractors'State License Law for the I hereby affirm under penalty or perjury that I am licensed under provisions of following reason: Chapter 9(commencing with section 7000)of Division 3 of the Business and By my signature below I acknowledge that,except for my personal residence in Professions Code d license is in full force and effect. © � which I must have resided for at least one year prior to completion of License Class License No.m 7 improvements covered by this permit. I cannot legally sell a structure that I have Expires 7 �� G Signature �- 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 WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application is submitted or at the fallowing Web site: ❑ 1 hereby affirm under penalty of perjury one of the following declarations: htto://www.leainfo.ca.aov/calaw.html. I have and will maintain a certificate of consent of self-insure for workers' compensation,issued by the Director of Industrial Relations as provided for by Date Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Property Owner or Authorized Agent Policy# ❑ By my Signature below, I certify to each of the following: I am the property ❑ 1 have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read this section 3700 of the Labor Code, for the performance of the work for which this application and the information I have provided is correct. I agree to comply permit is issued.My workers'compensation insurance canter and policy number are: with all applicable city and county ordinances and state laws relating to building _ /J construction.I authorize representatives of this city or county to enter the above- Carrier /'L ..-�^v1- 4-L.�%� � - -"s - identified property fc a pection wMgpes. Policy# VcCi� Expires o -i —/ 6 lam" � Date Property O er or Authorized Ygent (This section need not be completed if the permit is for City Business License# 057 60 %Kq one-hundred dollars($100)or less) ❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION shall not employ any persons in any manner so as to become subject to the Will the applicant or future building occupant handle hazardous material or a workers'compensation laws of California, and agree that if I should become mixture containing a hazardous material equal to or greater that the subject to the workers'compensation provisions of Section 3700 of the Labor amounts specified on the Hazardous Materials Information Guide? Code,I shall forthwith comply with those provisions. DYES ❑ NO Applicant;4i� _ Date;_ /� G '���r Will the intended use of the building by the applicant or future building �" .17 occupant require a permit for the construction or modification from South WARNING: FAILURE TO SECURE WORKERS' Coast Air Quality Management District(SCAQMD)?See permitting checklist COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL for guidelines / SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND DYES ❑Nt7 CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Will the proposed building or modified facility be within 1000 feet of the outer DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE boundary of a sch I? LABOR CODE, INTEREST,AND ATTORNEYS FEES ❑YES ❑N CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm that under the penalty of perjury there is a construction lending permitting checklist.I understand my requirements under the State of agency for the performance of the work which this permit is issued (Section California Health&Safety Code,Section 25505 and 25534 concerning 3097 Civil Code) hazardous material reporting. / OWNER BUILDER DECLARATIONS DYES ❑NO -S Date o /f I hereby affirm under penalty of perjury that I am exempt from the Contractor's ���� License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY'OWNER OR AUTHSRIZED AGENT next to the applicable item(s)(Section 7031.5.Business and Professions Code: Any city or county that requires a permit to construct,alter, Improve, demolish, EPA RENOVATION,REPAIR AND PAINTING(RRP) 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 The EPA Renovation,Repair and Painting(RRP)Rule requires contractors provisions of the Contractor's State License Law (Chapter 9(commencing with receiving compensation for most work that disturbs paint in a pre-1978 Section 7000)of Division 3 of the Business and Professions Code)or that he or residence or childcare facility to be RRP-certified firms and comply with she is exempt from Iicensure and the basis for the alleged exemption. Any required practices.This includes rental property owners and property violation of Section 7031.5 by any Applicant for a permit subjects the applicant to managers who do the paint-disturbing work themselves or through their a civil penalty of not more than($500).) employees.For more information about EPA's Renovation Program visit: ❑ I, as owner of theproperty. or m ern to employees with wages as their sole www.epa.gov/lead or contact the National Lead Information Center at Y P Y 9 1-800-424-LEAD(5323). compensation,will do( )all of or( )porting of the work,and the structure is 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 ❑An EPA Lead-Safe Certified Renovator will be responsible for this project who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale.If,however, Certified Firm Name: 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 Firm Certification No.: purpose of sale). ❑ I, as owner of the property an exclusively contracting with licensed No EPA Lead-Safe Certified Firm is required for this project because: contractors to construct the project(Section 7044, Business and Professions . Cade:The Contractors License Law does not apply to an owner of a property who builds or improves thereon, and who contracts for the projects with a licensed contractor(s)pursuant to the Contractors State License Law). If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION 41 .1 Menefee DATE 1� (�P I S PERMIT/PLAN CHECK NUMBER 'M-T/s -1032 ( ( TYPE: []COMMERCIAL RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA [:]SIGN SUBTYPE: ❑ADDITION ❑ALTERATION []DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW ❑PLUMBING [-I RE-ROOF-NUMBER OF SQUARES Euilding & Saendoe fety Dept. DESCRIPTION OF WORK ( ca i IR J - p " OCT 16 2015 PROJECTADDRESSRe lvvu Z6� IO %T�Ut2J?� g� ASSESSOR'S PARCEL NUMBER d2^Ot-L2 LOT TRACT PROPERTY OWNER'S NAME 1"A u-A- /A P4�" `SqG m p t t ADDRESS �69 JO 4�ot4k?, lie • Cep C,, � . ( L �Sfo q PHONE ` 51 ) 440- �,�-�"S zr EMAIL APPLICANT NAME A O o-L � v �'Z_, ADDRESS � .�� ^ 5/ PHONE T("P) 02p--?- - ©(!:> r g EMAIL CONTRACTOR'S NAME :I�o ��( o12T Ce � OWNERBUILDER? ❑YES❑NO BUSINESS NAME ADDRESS �J ( C_ 2- CL-CLr PQQ: Q a C1'c-i�- i • �(,yn�/u-- ( ?3�/Co PHONE 7 `�� ��J o� 7a'3 pEMAIL CONTRACTOR'S STATE LIC NUMBER 9 74 ' ! 0/9 LICENSE CLASSIFICATION 2� VALUATION $ e r}t3U SO FT L SO FT APPLICANT'S SIGNATURE ° � DATE U 1 , DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINES LICENSE NUMB BUILDING PLANNING ENGINEERING FIRE GREEN SMIP 0370�a " '�e.yLl'.,IAICLl INVOICE PAID AMOUNT O AMOUNT CASH O CHECK k O CREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH 0CHECK# 0CREDIT CARD VISA/MC OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIA Y ALTERATIONS - HVAC CEC-CFI R-ALT-04E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (formerly CF-SR-ALT-HVAC) (Page 1 of 1) Site Address:���t t ' Enforcement Agency: Date Prepared: fThermastat o 116 New Ducting, ums,Lineset: Conditionell EquipmentType Equipment Efficiency Required R-value Floor Area(sq ft) ackaged System ❑EE�Wporator Coil ❑R-6.•(CZ 2,8-13)Ducting Served by system ❑Split System Q�Condensing Unit AFUE COP 13R-81 (CZ 11,14,15)Ducting _� sgft (If not already ❑Mini Split ❑Compressor y,'tER —HSPF ❑R-6(all CZ's)Plenums present must QF ace ❑Uneset EER ❑R-5 or R7.5)Uneset° be inst m alled) ❑TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form' owed to be filled out by hand. For final inspection all forms are to be registered(no hand filled forms allowed)arpl.a co ft o site. 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: .oullding & Safety Dept. All Equipment, CFSR-ALT-02-E n Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or24)'-HERS,MECH-25-HEACT 1 6 2015 Compressor,TXV,Uneset, CF3R: MECH-20-HERS,MECH-(23 or24)-HERS',MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage L15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Re ri Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linear ! of dur(t in unconditioned space,or ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_� El2.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 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)-HERS',MECH-25-HERS' Mini Splits require CF111-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Ins er Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow 2!350 CFM/ton(ar alternative),Refrigerant Charge 3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts'and one or more of the fallowing CFIR-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or24)-HERS,MECH-25-HERS Compressor,TXV,Lines et,Furnace' I.CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow>_350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:0 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 lessthan All New Ducts' CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<iS%br,<10%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ductigg R-8 required when more than 40 ft installed and R-6 when 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 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 dud 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%",2.5-3T-2Y..",3S to 4T-2W,5T-4W Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certify the following underpenalty 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 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 for approval with this building permit application. Res a Bible 0 er e: Rpspons161e Oesi Signatur y catO 0ed6 jeme:7 26 pant: C_ Address- Q /State/Zip: Y �G�u' � 3/ bz • � Pie.-Q- �f�-��= �� 'z��J63z-��� For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300