PMT16-02377 City of Menifee Permit No.: PMT16-02377
29714 HAUN RD. Type: Residential Mechanical
'5A—CCEL/? MENIFEE,CA 92586
MENIFEE Date Issued:
07/2512016
PERMIT
Site Address: 28277 HALCYON CT, MENIFEE,CA Parcel Number: 364-043-028
92584 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACE 88,000 BTU FURNACE&4 TON(14 SEER)A/C UNIT
Work:
Owner Contractor
MARY CARRIELLO COOL AIR SOLUTIONS INC
28277 HALCYON CT 41162 SANDALWOOD CIR STE 101
MENIFEE,CA 92584 MURRIETA,CA 92562
Applicant License Number:874502
JANE RECKTENWALD
COOL AIR SOLUTIONS INC
41162 SANDALWOOD CIR STE 101
MURRIETA, CA 92562
Fee Description Oft Amount($)
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units SFR 1 13&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 thereunderwhen 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_Template.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 I am under provisions of with a licensed contractor(s)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 under the Contractors State License Law for
Professions Code and my license is in full force and ceeffee1ct. the following reason:
License Class C`r-Cs License No.O qQ)7_
s �1 By my signature below lacknowledge that,except for my personal residence
Expires' Signature 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 1
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 ,A,ww.leeinfo.ca.¢av/calaw.html.
this permit is issued.
Policy# Date
Trfhave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 370D of the Labor Code,for the performance of the work for which o 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: i- application and the information I have provided is correct.1 agree to comply
Carrier�A Wo I&JUDV C-1 with all applicable city and county ordinances and state laws relating to
ITT building construction.I authorize representatives of this city or county to
Policy g�1n0 u��3�71 Expires �� ' 1 / enter the above identified roperty for inspection purposes.
(This section need not to be completed is the permit is for one-hundred
Date
dollars($100)or less I
PROPERTY OWNER OkAIrRUVIZED AGENT
o 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 became subject to the CITY BUSINESS LICENSE N
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,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
mixture containing a hazardous material equal to or greater that the
Applicant Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yeses q,N0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will thernttended 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 the
t(SCtionor modee ification
checklist
IN SECTION 3706 OF THE LIBOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast
Pries
CONSTRUCTION LENDING AGENCY ❑Yes o
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 llgGndary of a school?
(Section 3097 Civil Code) o Yes o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the California IP96Health&Safety Code,Section 25505 and 25534 concerning
material
checkmark(s)I have placed next to the applicable item haza
s)(section 7031.5 oyes o orting.
(L
Business and Professions Code).Any city or county that requires a permitto
Date
construct,alter,improve,demolish or repair any structure,prior to its
Issuance,also requires the applicant for the permit to file a signed statement
PROPERTY OWNER IDR UTHORIZED AGENT
that he or she Is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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 Cade)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($SUO). managers who do the paint-disturbing work themselves or through their
a 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 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. o No EPA Lead-Safe Certified Firm is required for this project because:
a 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.
.,i
i UILD IN G & SAFETY PERMIT/PLAN CHECK APPLICATION
Menifee
DATE7-25-16 PERMIT/PLAN CHECK NUMBER ' YyTT Its - 09
I
TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL v/MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORKfurnace &4 ton 14 seer A/C unit
PROJECTADDRESS 28277 Halcyon Crt Ct 2..5% -f
ASSESSOR'S PARCEL NUMBER 364-043-028 LOT TRACT
OWNER NAME Mary Carriello
ADDRESS 28277 Halayon Crt Menifee CA 92026
PHONE 760-445-9572 EMAIL
APPLICANT NAME Jane Recktenwald
ADDRESS
PHONE 714-336-6159 EMAIL
CONTRACTOR'S NAME OWNER BUILDER? YES LINO
BUSINESS NAME
ADDRESS 41162 Sandalwood Cir Ste 101 Murrieta, CA 92562
PHONE 951-676-2665 EMAIL
CONTRACTOR'S STATE LIC NUMBER 874502 LICENSE CLASSIFICATION C20
VALUATION$ g ()Q0-()Q SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE 7-25-16
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE JEEN SM+IP
INVOICE 3t�t ' PAID AMOUNT
AMOUNT 'l O CASH O CHECK# O CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT o CASH O CHECK R C CREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES G NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&t Safety Department 29714 Floun Rd. A4enifee, CA 92586 951-672-6777
www.Cityofinenifee.us inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC is
CEC-CFIR-ALT-04E Revised 03/15 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-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: Permit#:
28277 Halcyon Crt Menifee
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned Thermostat
Required R-value Floor Area(sq ft)
❑Packaged ❑Evaporator Coil jjQ°(OAFUE COP 0 R-6 (CZ 2,8-13)Ducting Served by system Setback
System ❑Condensing Unit t (If not already
❑R-8 (CZ11,14,15)Ducting 1502 sgft
Split System ❑Compressor 14_SEER 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:
All Equipment, CF1R-AlT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)2-HERS,MECH-25-HERS2
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS2
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:
❑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
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts3 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,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 I Required Compliance Documents to be left on site for Final:
All New Ducts3 and one or more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERSMECH-(23or24)-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 t 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
114.New Ducting over 40 feet Required Compliance Documents to be left an 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 L15%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
3 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,call,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-2a/e",2.5-3T-2%",3.5 to 4T-2Y.",5T-4%"
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury,underthe 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 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 Designer Signa Date Signed: license:
874502
Company: Address: Clry/State/i:lp: Phone:
r.Cool Al, _ In 41162 Sandalwood Cir Ste#101 - -2665
Forassistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300