Loading...
PMT16-01612 City of Menifee Permit No.: PMT16-01612 29714 HAUN RD. Type: Residential Mechanical <XCCELX> MENIFEE, CA 92586 MENIFEE Date Issued: 06/2312016 P E R M I T Site Address: 28861 W WORCESTER RD, MENIFEE, Parcel Number: 339-141-017 CA 92586 Construction Cost: $7,500.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT,4 TON,ADDING 30 L FT OF NEW DUCT WORK Work: Owner Contractor BETTYE J KENT PERRIS VALLEY AIRE 28861 W WORCESTER RD 26100 CALLE GAVIOTA MENIFEE, CA 92586 SUN CITY, CA 92586 Applicant Phone:9518586093 MIKEL DANIELS License Number: 554220 PERRIS VALLEY AIRE 26100 CALLE GAVIOTA SUN CITY, CA 92586 Fee Description Olt 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 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_Tempiate.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that 1 am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and o 1 am exempt from licensure underthe Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class License No. By my signature below I acknowledge that,except for my personal residence Expires Signature in which I must have resided for at least one year priorto completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by o I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which www.leRmfo.ca.aov/calaw.html. this permit is issued. Policy If Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property this permit Is issued.My workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or county to Policy p Expires enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT I certify that in the performance of the work for which this permit is issued, I hall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation provisions of Section 3700 of the Labor Code,1 shall forthwith corn 1 ith those pro isions. Will the applicant or future building occupant handle hazardous material or a mixture containing a hazardous material equal to or greater that the P Applicant Date J'— amounts ecified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes to ' UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building AND CIVIL FIN ES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forgu(delines CONSTRUCTION LENDING AGENCY aYesNo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? (Section 3097 Civil Code) o Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Cry R es o p Business and Professions Code).Any city or county that requires a permit to No+C, / �e �,� Date construct,alter,improve,demolish or repair any structure,prior to its °-- �� PROPERTY OW NE O OR AUTHORIZED AGENT 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500), managers who do the paint-disturbing work themselves or through their ❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or I )portion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or Improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. XNo EPA Lead-Safe Certified Firm is required for this project because: o I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions . Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDING Menifee DATE $ - z — l PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL imRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O:POOL/SPA O SIGN SUBTYPE: O ADDITION ®ALTERATION O DEMOLITION O ELECTRICAL ! MECHANICAL O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK PROJECTADDRESS ���a� qG(J ►yL,LtJ/�CG`rf'%Gs/f SIY�✓ G-' (f} �,(' ASSESSOR'S PARCEL NUMBER LOT _ TRACT a+�a OWNER NAME Er/%Lr cJ GrtJ% ADDRESS )-?J PHONE e -S'SG - 7 �,3 EMAIL APPLICANT NAME o ADDRESS Z PHONE �s%- �',$-8 '�o r/,� EMAIL /1V';6r-If p e d . CONTRACTOR'S NAME OWNER BUILDER? O YES O NO BUSINESS NAME / ;f' -y ADDRESS Z O (IBC G e` (/ j/� 2?,re PHONE 9,5'i-cQ.SSB" w10 a .? EMAIL -P CONTRACTOR'S STATE LIC NUMBER S`S`f Z F, Q LICENSE CLASSIFICATION VALUATION$ 2, OLe9 SQ FT L SQ FT r APPLICANT'S SIGNATURE�/��.�-r -J, DATE DEPARTMENT DISTRIBUTION CIT/Y�1)F ENNIFTEE(B,l� I SSUCENSENUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP V J / 1 INVOICE 0 PAID AMOUNT AMOUNT 1 OCASH OCHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O 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 STATE OF CALIFORNIA 77 L ALTERATIONS - HVAC CEC-CFIR-ALT-04E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE Building 8, Safety Dept. CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: er Ie Ibl� Equipment Type Equipment Efficiency New ir L Conditioned Thermostat Required R-value Floor Area(sq ft) ❑Packaged System jd Evaporator Coil $QAFUE COP ❑R-6 (CZ 2,8-13)Ducting Servel by system ❑Setback ❑Split System fd Condensing Unit J V0 sqft❑R-8' (QII,14,IS)Ducting (if not already ❑Mini Split ❑Compressor SEER HSPF ❑R-6(all 11 Plenums present must Ff Furnace ❑Llneset EER ❑R-5 or R7.5)Lineset` 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. A1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF3.R-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or24)'-HERS,MECH-25-HERS' Compressor,TXV,Uneset, CF3R: MECH-20-HERS,MECH-(23or24)-HER9,MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(<15%or<30%to outside,or seal all accessible leaks),Air Flow_300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: k❑1.Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40linearfeet 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' CF1R-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or24)-HERS',MECH-25-HERS' CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' 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 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 Ducks'and one or more of the following CFSR-ALT-02-E replaced:Condenser Unit,Evaporator Coll, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,Llneset,Fumace' CF3R: MECH-20-HERS,MECH-(23 or24)-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 CT4.New Ducting over 40 feet 1 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,<SO%to outside or,or seal all accessible leaks) EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 1 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. 'Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25 a 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) a 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-2%",3.5 to 4T-2'/a",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 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 for approval with this building permit application. Responsible Designer Name: Responsible Designer Signature: Date Signed: license: . E. �" I _ 'M22a ompany: Address: city/State/Zip: 9-z rB j Phone: 1,oj 1.2,e,2 60 C (!,? A /O%4 J`v-t• 7s!- For assistance of questions regarding the Energy Standards,contact the Energy Hotline St-1-800-772-3300 city of Menifeee t. Building & S fe MAY 2 3 2016 ��,A (z Received U C � XSX`� I" )N4� F� � r V t � VA 0 CITY OF ME FEE S BUILDING AN DE PA O PLAN APPROVAL % REVIEWED B - �-r� DATE 09 _ 'Approval of these plans shall nu[c•_ a to Le a permit for,cr an approval of,any violation of any or"% ,ons of the federal,state ur city regulations and ordinances. This set of approved plans must be kept on the jobsite until completion.