PMT15-03346 City of Menifee Permit No.: PMT15-03346
29714 HAUN RD.
�1OCEL/ MENIFEE,CA 92586 Type: Residential Mechanical
rm,,.,, Vkdl . MENIFEE Date Issued: 10/29/2015
PERMIT
Site Address: 27793ANTELOPE RD, MENIFEE, CA Parcel Number: 333-263-065
92587 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of FURNACE REPLACEMENT, 70BTU,AC UNIT 3TON
Work:
Owner Contractor
MARIA SALAZAR COOL AIR SOLUTIONS INC
27793 ANTELOPE ROAD 41162 SANDALWOOD CIR STE 101
MENIFEE,CA 92587 MURRIETA,CA 92562
Applicant Phone:9516762665
RANDY COLE License Number:874502
COOL AIR SOLUTIONS INC
41162 SANDALWOOD CIR STE 101
MURRIETA, CA 92562
Fee Description DIN, Amount ISl
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
$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_Pernit_Template.rpt Page 1 of 1
City Of Menifee
LICENSED DECLARATION ❑ lam exempt from licensure under the Contractors'State License Law for th.
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 ii
Professions Code and my license is in full force and effe�( � which I must have resided for at least one year prior to completion c
License Class License No. I I / Z improvements covered by this permit, I cannot legally sell a structure that I haw
Expires `l O Signature�� � built as an owner-building If it has not been constructed in its entirety by license
6 contractors. I understand that a copy of the applicable law,Section 7044 of th,
WORKERS'COMPENSATION DECLARATION Business and Professions Code,is available upon request when this application i.
submitted or at the following Web site:
❑ I hereby affirm under penalty of perjury one the following declarations: htto://www.leainfo ca.00v/calaw.html.
I have and will maintain a certificate of consentt 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 orAulhorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the propert
MI have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read IN
on 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 compl;
permit is issued.My workers'compensation insurance carrier and policy number are: with all applicable city and county ordinances and state laws relating to building
' t ( construction.I authorize representatives of this city or county to enter the above
Policy�,es'(l) N'a`-tf ou a I �z/ identified pmpeq on purposes.
� (� Date �`� Za / '
Policy# ooLr'�)f1�,)5� Expires ( Property Owner or Authorized Agent
(This section need not be completed if the permit is for /z/
one-hundred dollars($100)or less) City Business License# (ZfZ J' y 77,
❑ I certify that in the performance of the work for which this permit is issued,I HAZARDOUS MATERIAL DECLARATION
shall not emolov 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 Califomia, and agree that IT 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
/ ❑YES �AO
Applicant; Or�Date; f��`V(S Will the intended use of the building by the applicant or future building
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 66JO
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 school?
LABOR CODE, INTEREST,AND ATTORNEYS FEES DYES 66WO
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 Califomia Health&Safety Code,Section 25505 and 25534 concerning
3097 Civil Code) hazardous material reporting.
OWNER BUILDER DECLARATIONS &AES ❑NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date r'O 29
License Law for the reason(s)indicated below by the checkmark(s)I have placed PROPERTY OWNER OR AUTHORIZED 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-certthed firths 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
❑ www.epa.gov/lead or contact the National Lead Information Center at
I, as owner of the property, or my employees with wages as their sole 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 pmperty ❑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 Finn 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 Finn Is required for this project because:
contractors to construct the project(Section 7044, Business and Professions
Cade:The Contractor's 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.
CITY OF M1GNIFEE PLCK No: Permit No:
City of Menifee
29714 Haun Road Building & Safety Dept.
Data: Date:
Menifee, CA 92586 10 kel 115-
Phone: (951)672-6777 OCT 2 9 2015 Amount: Amount:
#3 to
Fax:(951)679-3843 I
Received
Ck#: Ck#:
Building Combination Permit
To Be Completed By Applicant
Legal Description: Planning Case: F: L: Rl: R:
Property Address: 27793 Antelope Rd A5333Parcel Numb_' 3 63065
Projectlrenant Name: Unit#: Floor#:
Name: Maria Salazar Ph nT 821-1736 Fax No.
Property Address: Unit Number Zip Code
Owner 27793 Antelope Rd 92585
Email Address:
Name. Randy Cole Pft'�33-4868 Fax No.
Applicant Address: Unit Number Zip Code
Email Address:
Name: COOT Air Solutions Phone No. Fax No.
(951)676-2665
Contractor Address: 41162 Sandalwood Circle clVMurrieta I
stallSA zipcoa92592
contractor's City Business Icense o. Contractor's City State of California License No_ Classification' C20
874502
Number of Squares:
Square Footage
Description of work: Replace Furnace (70 btu) AC Unit (3 Ton) cost of Work:$
Applicant's Signature_ ;J`�= °" Date: to
To Be Completed By City Staff Only
Indicate As R-Received or NIA-Not Applicable
5 Completes sels of fully dimensioned.drawn to sale plans which include: 1 set of documents which include
❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Gen TechlSoils Report(on cd only)
Plot/Site Plan ❑ Title 24 Energy(on B Y x 11)
❑ ❑ Roof ❑ Mechanical Plan
❑ Foundation Plan [IStructural Calculations
❑ Cross Section ❑ Plumbing Plan ❑ Single Line diagram for elec.services over 400 AMP
❑ Floor Plan ❑ Structural Framing Plan&Delais ❑ Sharing Plan ❑ Sound Report-Residential
Class Code: Indicate New Construction Alteration' Addition- Means/Methcds
Work Type. Repair- Retrofit' Revision to Edsling Permit' Required? YES NO
Proposed Building Use(s): Existing Building Use(s):
#Buildings: #Units: #Stories: Will the Building Have a Basement? Y of N
Bldg.Code Occupancy Group Indicate Indicate if YES or NO Indicate all Geo-tech.Haz.Zone
At Project Construction Spnnklered that apply: Coastal Zone
Completion: Type($): Coro Noise Zone
Required? YES or NO Listed on Historic Resources Inventory
CITY PLANNING STAFF ONLY
APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator
Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit special Case:sine
OffidalA raval
Expedite Project(s): Child Care City Project Green Building Landmark Affordable Housing
For Staff Use Only
Building/Safety Permil Specialist I City Planning Civil Engineering EPWM-Admin Transponalion Mgmt. I Rent Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
STATE OF CALFORNIA >
ALTERATIONS - HVAC
CEC-CFiR-ALT-04E(Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-04-E
Alterations-HVAC CZ 2,and B-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency: D it#:
27793 Antelope Rd Sun City 15 aI l IS-D -3`«o
Equipment Type Equipment Efficiency New Ducting,Plenums,Uneset: Conditioned Thermostat
Required R-value Floor Area(sq ft)
❑Packaged System ❑Evaporator Coil AFUE COP 0 R-6 (CZ2,8-13)Ducting Served by system IXSetback
_
❑Split System 14 Condensing Unit ❑R-8' (CZ 11,14,15)Ducting 11 A sqft (if not already
❑Mini Split ❑Compressor 16 SEER -HSPF 0 R-6(all t7s)Plenums present must
Furnace ❑Uneset EER ❑R-5 or R7.5)Unesee be installed)
❑TXV
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. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site.
IRi.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 of 24)2-HERS,MECH-25-HERS'
Compressor,TXV,Uneset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS'
Air Handler/Furnace2(Can include new ducting)
Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow t 300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
111.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linear 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 Ducts' CFSR-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HER52,MECH-25-HERS2
CF3R: MECH-2D-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2
Mini Splits 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 2 350 CFM/ton(or 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 CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS City Of Niefllte0
Compressor,TXV,Uneset,Furnace? CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:01. 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' CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(S,15%or,<10%to outside or,or seal all accessible leaks) a e��V e d
❑ 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 40 ft 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 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 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-2%",2.5-3T-2%",3.5 to 4T-23",ST-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 Titre 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.
S. The building design features orsystem 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.
Responsible Designer Name: Responsible Dmi er ' re: Dal�l tii: ' Dcense:
Cole U!1 874502
Company: Address: OWStateop: Phone:
Cool Air Solutions 41162 Sanda ood Cr Murrieta, CA 92592 (951) 676-2665
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at*1-800-772-3300