PMT16-02204 City of Menifee Permit No.: PMT16-02204
29714 HAUN RD. Type: Residential Mechanical
'ACCELA-? MENIFEE, CA 92586
MENIFEE Date Issued: 07/13/2016
PERMIT
Site Address: 27611 COYOTE CIR, MENIFEE, CA Parcel Number: 335-030-025
92587 Construction Cost: $10,800.00
Existing Use: Proposed Use:
Description of REPLACE OF EXISTING HVAC RESIDENTIAL EQUIPMENT
Work:
Owner Contractor
CANDELARIO MUNOZ RKM HEATING AND AIR CONDITIONING
27611 COYOTE CIR 11801 PIERCE ST#200
MENIFEE, CA 92587 RIVERSIDE,CA 92505
Applicant Phone:9516569970
BETH KRENING License Number:936726
RKM HEATING AND AIR CONDITIONING
11801 PIERCE ST#200
RIVERSIDE,CA 92505
Fee Description Qtv Amount t$1
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 vOthin 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_BIag_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts forthe projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for
Professions Cod r ndd�/my license is in full force and effe �/ the following reason:
License Class C ZJ lo License No., 93� " By my signature below I acknowledge that,except for my personal residence
0 /�Expires ZLZ0 Signature CCL' in which l 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
o I hereby affirm under penalty of perjury one of the following declaration:) 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 ssu�ed. /� /� �j' r/p
Policy# 67 (� /�0 0 3400 Q 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 Icertify 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.1 have read this
number are:�//,1� /�/1 / application and the information I have provided Is correct.I agree to comply
Carrier Y--1Cts-�/�['/J / v with all applicable city and county ordinances and state laws relating to
/I� & building construction.A authorize representatives of this city or county to
Policy# /lC IlU'�1_C Expires i 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
o I certify that in the performance of the work for which this permit is issued, 2 ���
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# V
workers compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Code,I shall forth h ihply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicantlate mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WO HI ER'S COMPENSATION COVERAGE 15 o Yes o No
UNLAWFUL,AND SHALL SUBIECTAN 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 forguidelines
CONSTRUCTION LENDING AGENCY o Yes 7No
1 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 'fNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQNID
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous materia reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 _Ayes ❑No -111�4
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,Improve,demolish or repair anystructure,priorto Its PROPERTY OWNER OR AUTHORIZE GENT
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 Iicensure 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
o I,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.eoy/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-Builder 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 for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 70",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
Menifee
DATE PERMIT/PLAN CHECK NUMBER KJ- 1J a3"c
TYPE: []COMMERCIAL ❑RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: []ADDITION ❑ALTERATION ❑DEMOLITION []ELECTRICAL ❑✓ MECHANICAL
❑NEW []PLUMBING ❑RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replacement of existing HVAC residential] equipment
PROJECT ADDRESS 27611 Coyote Circl Canyon Lake 92587
ASSESSOR'S PARCEL NUMBER 1j� o3f)OaS LOT �a TRACT
PROPERTY OWNER'S NAME Candelario Munoz
ADDRESS same
PHONE (951)746-4578 EMAIL gcastellon05@yahoo.com
APPLICANT NAME RKM HEATING AND AIR CONDITIONING
ADDRESS 6236 RIVER CREST DRIVE SUITE A RIVERSIDE,CA 92507
PHONE (951)656-9970 EMAIL RKMHEATINGANDAIR@GMAIL.COM
CONTRACTOR'S NAME OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME RKM HEATING AND AIR CONDITIONING
ADDRESS 6236 RIVER CREST DRIVE SUITE A RIVERSIDE, CA 92507
PHONE EMAIL RKMHEATINGANDAIR@GMAIL.COM
CONTRACTOR'S STATE LIC NUMBER 936726 LICENSE CLASSIFICATION C20
VALUATION$ $10,800.00 SQ FT L SO FT
APPLICANT'S SIGNATURE DATE
.
DEPAKWENT DISTRIBUTION Ip CITY QF M7MENNIUEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP O✓ • �+� /
INVOICE �b PAID AMOUNT
AMOUNT O CASH CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT O^ CASH 0CHECK# GCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO
City of Menifee Building&Safety Deportment 29714 Houn Rd. IVlenifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-5213
STATE OF CALIFORNIA /.
ALTERATIONS - HVAC
CEC-CFIR-ALT-04E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE Build' enifee CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15(formerly CF-SR-ALT-HVAC) (Page 1 of 1)
JUL 13
Site Addre s:/ / Ie Enforcement Agency: Date Prepared: Permit#:
!T1 Cat
Equipment Type / Equipment Efficiency ved'Lineset: Conditioned Thermostat
Required R-value Floor Are ft)
❑Packaged System ❑Evaporator Coil AFUE COP 0 R-6 (CZ 2,8-13)Ducting Served by system 0 Setback
❑Split System ❑Condensing Unit / (J ❑R-81 (CZ 11,14,15)Ducting �sgft (If not already
Mini Split ❑Compressor /J BEER HSPF 11 R present must
❑Furnace ❑Lineset -6(all CZ's)Plenums be installed)
0 TXV /0 EER ❑R-5 or R7.5)Lineset'
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:
All Equipment, CF111-ALT-02-E
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)-HERS2,MECH-25-HERS2
Air Handler/Furnace2(Can include new ducting)
Installer Requirement:Duct leakage L15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge.
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 unconditioned space,or
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building------—I
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ductsa CF1R-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS2,MECH-25-HERS2
Mini Splits require CF1R-ALT-02-E,CF211-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 I Required Compliance Documents to be left on site for Final:
All New Ductsa and one or more of the following CF111-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_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 less than All New Ducts' I CF1R-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
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)
4 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-2Y",5T-4Y."
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 energyfeatures 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.
R sibl4 eslgn /'y/�: Responsible Designer Signature: Date Signed: Yg:ense:
/C
C m anV: Address: Clty/State/Zip: P ne: ^��
e� ld� i-G 56 -
For assistance or questions regarding the Energy Standards,contact the E rgy Hotline at•1-800- 2-33f1
SCG!/ate � �1/��'9r� "/�5(
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