PMT16-02000 City of Menifee Permit No.: PMT16-02000
29714 HAUN RD. Type: Residential Mechanical
<ACCEL/-> MENIFEE, CA 92586
MENIFEE Date Issued: 06/28/2016
PERMIT
Site Address: 27003 EMERALD COVE CT, MENIFEE, Parcel Number: 333-471-034
CA 92585 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACE 80,000 BTU FURNACE&5 TON A/C UNIT
Work:
Owner Contractor
JAMES HERRADA COOL AIR SOLUTIONS INC
27003 EMERALD COVE CT 41162 SANDALWOOD CIR STE 101
MENIFEE, CA 92585 MURRIETA, CA 92562
Applicant Phone:9516762665
JANE RECKTENWALD License Number: 874502
COOL AIR SOLUTIONS INC
41162 SANDALWOOD CIR STE 101
MURRIETA, CA 92562
Fee Description ,,ty Amount($)
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
$324.10
The issuance of this permit shall not prevent the building.official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permtt_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION properly who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjurythat I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Code and my license is in full force and effect.
�'t��,^� the following reason:
License Class Cgo License No.�$-1 T�y.Nr� By my signature below I acknowledge that,except for my personal residence
Expires 9—5D A-1 Signature ) in which I must have resided for at least one year prior to 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
❑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 worker's 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.leeinfo.ca.xov/calaw.html.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
o 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
r!,y f�L IL L,(.r0��1 with all applicable city and county ordinances and state laws relating to
Cartier 1�VCJl1z� ��[Jls� �f building construction.I aut ize representatives of this city or county to
Policy#1W(-b ExpiresG enter the above identifleprpfoperty for inspection purposes.
p
(This section need not to be completed is the permit is for one-hundred Date t®-G'o_IJL
dollars($100)or less PROPERTY OWNER OR AVAORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued,
I shall 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 visions of Section 3700 of the Labor
Code,I shall forthwith comply wi se provisions. WIII the applicant or future building occupant handle hazardous material or a
��A�l mixture containing a hazardous material equal to or greater that the
Applicant Date P-a ` amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECUR FVTO RKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES 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 for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes ❑No
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) ❑Yes ❑No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 2SS34 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 oYes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 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 IRRP)
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( )portion of the work,and the structure is www.epa.gov/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 ❑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-guilder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required forthis project because:
❑1,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 & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE - 8-16 PERMIT/PLAN CHECK NUMBER I1O'
TYPE: COMMERCIAL VRESIDENTIAL ', MULTI-FAMILY MOBILE HOME POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION , ELECTRICAL VMECHANICAL
NEW PLUMBING RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK -Replace 88.000 btu furnace & 5 ton A/C unit
PROJECTADDRESS 27003 Emerald Cove Ct Menifee CA 92585
ASSESSOR'S PARCEL NUMBER 333-471-034 LOT '5L+ — TRACT q5
OWNER NAME James Herrada
ADDRESS 27003 Emerald Cove Ct Menifee CA 92585
PHONE 310-567-0511 EMAIL Building & Safety Dept.
APPLICANT NAME Jane Recktenwald
ADDRESS
PHONE 714-336-6159 EMAIL @CGIV2
CONTRACTOR'S NAME Cool OWNER BUILDER? ;D YES ENO
BUSINESS NAME
ADDRESS 41162 Sandalwood Cir Ste 101 Murrieta CA 92562
PHONE 951-676-2665 EMAIL
CONTRACTOR'S STATE LIC NUMBER 874502 LICENSE CLASSIFICATION
VALUATION$ $X)n - SQ FT L SQ FT
APPLICANT'S SIGNATURE _ DATE 6-28-16
USE OW Y
i
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUPABER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP
INVOICE
AMOUNT PAIDAMOUNT
O CASH �7'CHECK N `.?CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O _
CASH '_ CHECKN ��CREDITCARD VISA/MC
OWNER BUILDER VERIFIED YES NO OL NUMBER NOTARIZED LETTER YES - NO
City of Menifee Building&Saety IJepafrment 29714 HGun Rd. Menifee, CA 92586 951-672-6777
wtvte. rity0fmcnifee us fnspe•CtiOn Request Line 951 246 6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 03/15 City of Menifee CALIFORNIA ENERGY COMMISSION -
CERTIFICATEOFCOMPLIANCE building Uept CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15(formerly CF-1R-ALT-HVAC) (Page 1 of 1J
Site Address: Enforcement Agency: Date Prepared: Permitfl:
4
Equipment Type Equipment Efficiency 0QwVdelWg•p ^ -• eset: Conditioned
cY Required R-value Floor Area(sq ft) Thermostat
❑Packaged ❑Evaporator Coil 80a/o4FUE COP R-6 (CZ 2,8-13)Ducting Served by system Setback
System ❑Condensing Unit G ❑R-8' (CZ13,14,15)Ducting sgft (If not already
f�5plit System ❑CompressorSEER _HSPF ❑R-6(all CZ's)Plenums present,must
❑Mini Split ❑Lineset EER ❑R-5 or R7.5)Lineset° be Installed)
❑Furnace ❑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.
1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: EIW1 Cit
y of Menifee
All Equipment, CFIR-ALT-02-E UePI
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-(23 or 24)-HERS',MECH-25-HERS' JUN 2 8 2016
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow t 300 CFM/ton,Refr ya t Charge.
Exempted from duct leakage testing if: f�1 c e 1 Ve eel
❑1.Duct system registered with HERS provider as previously sealed,or❑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-------1
❑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)-HERS',MECH-25-HERS'
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERSe,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 Flow t 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 following CFIR-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,Furnaces CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<61%,Air Flow t 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:C3 1. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet I Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' I CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(<15%or,<30%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.
a Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25
I 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 linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over I inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5.ZT-2e/a",2.5-3T-2W. 3.5 to 4T-23",ST-4W
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 Sign, Date Signed: License:
Company: Address: City/State/Zip: Phone:
Cool A6, 41162 Sandalwood Cir a#101
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300