PMT15-03661 City of Menifee Permit No.: PMT15-03661
29714 HAUN RD. Type: Residential Mechanical
�A►CCELA> MENIFEE, CA 92586
MENIFEE Date Issued: 11/24/2016
PERMIT
Site Address: 28699 MAPLEWOOD DR, MENIFEE,CA Parcel Number: 372-073-038
92584 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACE 2 EXISTING HVAC UNITS,40,000&60,000 BTU FURNACES,3-TON&3-5-TON A/C UNITS
Work:
Owner Contractor
FENELLA NADEAU S&K HERNANDEZ AIR CONDITIONING
28699 MAPLEWOOD DRIVE 1465 SPRUCE STREET SUITE C
MENIFEE,CA 92584 RIVERSIDE, CA 92507
Applicant Phone:9516800712
STEVE HERNANDEZ License Number.600058
S&K HERNANDEZ AIR CONDITIONING
1465 SPRUCE STREET SUITE C
RIVERSIDE, CA 92507
Fee Description Qtv Amount(SI
Forced-Air or Gravity-Type Furnace or Bumer 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 carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Men"dee.Except as otherwise staled,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 am exempt from Ilcensure under the Contractors'State License Law fort
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 i
Professions Code and my license is in full force and eifecJ, which I must have resided for at least one year prior to completion
License Class C20 License No. b000 S8 Improvements covered by this permit, I cannot legally sell a structure that I hay
Expires lr-3f-I'7 Signature fS`i�'� built as an owner-building if it has not been constructed In its entirety by license
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
submitted or at the following Web site:
w❑ I hereby ill under penalty of perjury one the following declarations: htto://www.leeinfo.ca aov/calaw htm1.
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 or Authorized Agent
Policy# ❑ By my Signature below, I certify to each of the following: I am the properi
ICJ I have and will maintain workers' compensation insurance, as required by owner or authorized to act on the property owner's behalf. I have read thi
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 compl
permit is issued.Myworkers'compensadon Insurance carder and policy number are: with all applicable city and county ordinances and state laws relating to buildin
op construction.I authorize representatives of this city or county to enter the above
Carrier y4 pus 8n tFn&A2 e-L,nee ra f„s (�. Identified property for the Inspection purposes.
Policy# A rWGoo &W-o/ Expires (2 3(-/S Date
Property Owner or Authorized Agent
(This section need not be completed if the permit is for City Business License#
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 e
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 aP�cified on the Hazardous Materials Information Guide?
Code,I shall forthwith comply with those provisions. ❑YES kl"NO
Applicant; Date;_ I(.2N-i Will the intended use of the building by the applicant or future building
occupant require a permit for the construction or modificafion 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 ❑YES N NO
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, WIII 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 OYES M'N0
CONSTRUCTION LENDING AGENCY I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm that under the penally 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) he dous material reporting.
OWNER BUILDER DECLARATIONS f ES ❑NO
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Date
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 7031.6. Business and Professions Code:
Any city or county that requires a permit to construct, alter, Improve, demolish, EPA RENOVATION,REPAIR AND PAINTING fRRP)
or repair any structure, prior to its issuance, also requires the applicant for the
permit to rile 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 Ilcensure 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.govAead 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 Contractors 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 purpose of sale). Finn Certification No.:
,--,/
❑ I, as owner of the property an exclusively contracting with licensed Rmoo EPA Lead-Safe Certified Firm is required for this project because:
contractors to construct the project(Section 7044,Business and Professions
Code: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.
Menifee
DATE / PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL 5 RESIDENTIAL C MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK (-ce 2 e. iA a (err and c4c CIII'(io ers
40 W v A-
PROJECTADDRESS 28499 Maafeww.A 'br Meati a g2581(
ASSESSOR'S PARCEL NUMBER —Q-j'2j" LOT TRACT
OWNER NAME (( ¢ City Of Menifee
y Ljepl.
ADDRESS 2,909 r mewcee 9;�58
PHONE (qs 0 -2((99�6k 63 EMAIL
APPLICANT NAME Rpceivecj
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OA ; ,r G�JI47o4Kj OWNERBUILDER? OYESONO
BUSINESS NAME (C Alt IM OG$lS fir �U�•�-t!'�ay.P.�
ADDRESS (iq S ruce 9 Lft-ride CA 9;z5.0
PHONE NO 480-0-712 EMAIL OaSIsac200y Aw.com
CONTRACTOR'S STATE LIC NUMBER 6 OO 058 LICENSE CLASSIFICATION C20
VALUATION$ g, Opp. 00 SO FT L SQ FT
APPLICANT'S SIGNATURE DATE
K
_gjTYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN ` SMIP
INVOICE ��11 PAIDAMOUNT ' ` O
AMOUNT 'I L./ `- -I D O CASH O CHECKN O CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT I 0CASH 0CHECK# OCREDITCARD VISAIMC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER ' YES 0 NO
City of Menifee Building&Safety Department29714 Houn Rd. Menifee, CA92586951-672-677
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA \�)
ALTERATIONS - HVAC
CEC-CFIR-ALT-04E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-25(formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Apncy: DaV Prepared: Permit#:
Z$6 J wmd 'br l 5 bf
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned Thermostat
Required R-value Floor Area(sq ft)
❑Packaged System ❑ Evaporator Coil ❑R-6 (CZZ 8-13)Ducting Served by system Setback
(SI Split System ❑Condensing Unit _AFUE COP 0 R-8' (CZ 11,14,15)Ducting sqft (If not already
❑Mini Split ❑Compressor _SEER HSPF 0 R- (all C present must
❑Furnace ❑Lineset be installed)
0 TXV EER ❑R-5 or R7.5) Plenums
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
for 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.
1,HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFIR-ALT-02-E City Of MenlfB
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)2-HERS,MECH-25-HERS?9uilding & Safety Dept.
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS'
Air Handier/Furnaces(Can include new ducting)
Installer Requirement:Duct leakage(g15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant arge.
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 feet of duct in unconditip a pd4e,Q��
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building �R 99 tt,,aa'k�iw 44
❑2.New HVAC System 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-(23 or 24)-HERS2,MECH-25-HERSs
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<6%,Fan Efficacy(.58W/CFM),Air Flaw t 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 Coil, 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.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 less than All New Ducts' CFIR-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 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)
"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.",3.5 to 4T-2%",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 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 forthe building design or
system design identified an 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.
Responsible Designer Name: Responsible Design r abr Date Signed: utense:
Ski 0-917A"J.d L 11--2v-h' 600o58
Company: Address: City/State/21p: Phon
Oasis Mr /��1k(' S ue, R6s r-ce 9 '"A(f c l2-,uexsiA& CA 97_5b7 1 9s)6go-OW-2
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-80D-772-3300