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PMT16-02432 City of Menifee Permit No.: PMT16-02432 29714 HAUN RD. Type: Residential Mechanical �1CCEL/> MENIFEE,CA 92586 °'"""-"`"""'° MENIFEE Date Issued: 07/29/2016 PERMIT Site Address: 28535 SAND ISLAND WAY, MENIFEE, CA Parcel Number: 364-134-026 92584 Construction Cost $4,500.00 Existing Use: Proposed Use: Description of 5 TON FAU, COIL&CONDESER CHANGE OUT Work: Owner Contractor LINDA MORRIS RELIABLE ENERGY MANAGEMENT INC 28535 SAND ISLAND WAY 7201 ROSECRANS AVENUE MENIFEE, CA 92584 PARAMOUNT, CA 90723 Applicant Phone:5629845511 ARMANDO FELIX License Number: 704414 RELIABLE ENERGY MANAGEMENT INC 7201 ROSECRANS AVENUE PARAMOUNT, CA 90723 Fee Description O—t Amount 1E1 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_Pennit_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 ❑I am exempt from licensure underthe Contractors5tate License Law for Professions Code and my license is in full force and effect. � the following reason: License Clas c t[� license No. By my signature below I acknowledge that,except for my personal residence Expires Signature s 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 a 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.leeinfo.ca.eov/calaw.html. this permit is issued. Policy# Date ❑I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT section 3700 of the Labor Code,for the performance of the work for which 0 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 numberarA ^ application and the information 1 have provided Is correct.I agree to comply Carrier 8W F 1 'LL`. " r 14 ` _ �R � with all applicable city and county ordinances and state laws relating to // building construction.I authorize representatives of this city or county to Policy#fie j'�-2''''T Expires�l� 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 0I 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 ofj`°ffl�zirnia,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the worker o €ns an provisions of Section 3700 of the Labor Code,I shall forthwi e i rlh those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Date mixture containing a hazardous material equal to or greater that the amounts sp red on the Hazardous Materials Information Guide? WARNING:FAILURE TO SEC E WORKER'S COMPENSATION COVERAGE IS 0 Yes o UNLAWFUL,AND SHALL SUBJECTAN 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 QualityManagement District SCAQMD?See IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES g ( ) permitting checklist forguideline,!i. CONSTRUCTION LENDING AGENCY 0 Yes P 0 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 bound of a school? (Section 3097 Civil Code) o Yes 1; 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 m uirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety C ctto 5505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous arterial rep i Business and Professions Code),Any city or county that requires a permit to OYes o � construct,alter,improve,demolish or repair any structure,prior to its Date Issuance,also requires the applicant for the permit to file a signed statement PROPER WN ORAUTHORI ENT 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 far most work that disturbs paint in apre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to he work that disturbs bsfir paint and comply with than Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property ownersand property than($500). managers who do the paint-disturbing workthemselves or through their 01,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.aov/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 0 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. 0 No EPA Lead-Safe Certified Firm is required for this project because: o 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 Menifee DATE PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL --'RESIDENTIAL O MULTI-FAMILY O MOBILE HOME C POOL/SPA 0 SIGN SUBTYPE: O ADDITION C;ALTERATION O DEMOLITION C% ELECTRICAL MECHANICAL :% NEW O PLUMBING C' RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 5�0,IJ V 1 PROJECT ADDRESS wad ASSESSOR'S PARCEL NUMBER 9�(A —11 1 _�>y —0a(40 LOT 1-151 TRACT OWNERNAME Lrvda moffis ADDRESS W -7 {v�' M %25 O 7 PHONE �IS1 - 05 7>& EMAIL APPLICANT NAME l ADDRESS O OSL7G - G2a M !4, I �vl� PHONE EMAIL CONTRACTOR'S NAME ( ✓LZ OWNER BUILDER? O YES NO BUSINESS NAME k4zko ADDRESS -7 ( PHONE ,�l3�fsr I C/(/ EMAIL CONTRACTOR'S STATE LIC NUMBER �67�1 LICENSE CLASSIFICATION VALUATION$ <6 02 S FT L SO FT —Z APPLICANT'S SIGNATURE DATE / 76 DEPARTMENT DISTRIBUTION f CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN ` SMIP INVOICE �j PAID AMOUNT AMOUNT ,/ O CASH %CHECK# ''CREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# 11,CREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 HOLIn Rd. Menifee, CA 92586 951-672-6777 wevw.cityafinenifee.us Inspection Request Line 951-246-5213 STATE OF CALIFORNIA W ALTERATIONS - HVAC City of Menifee gib' CEC-CFIR-ALT-04-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-16LT-04flE Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) JUL 9 2016 (Page 1 of Site Addres a Enforcement Agen Date P are Kecei%d -747 / r New Ducting,Plenums,Lineset: Conditioned Equipment Type Equipment Efficiency Required R-value Floor Area(sq ft) Thermostat ❑Packaged System Evaporator Coil GFl AFl1E COP R-6 (CZ2,8-13)Ducting Served¢X�ystem ❑Setback O'Split System O'i'ondensing Unit $ r�-� (If not already Cl R-8t (CZ Il,14,15)Ducting sgft ❑Mini Split ❑Compressor SEER HSPF ❑R-6(all Ws)Plenums present,must Clumace ❑Lineset be installed) 0 TXV 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, CF1R-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23or24)2-HERS,MECH-25-HERS' Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Air Handler/Furnace'(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 Cl 2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New DUCtS3 CFIR-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 Flow>_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-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/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" 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. '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,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-2%",3.5 to 4T-2K",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. Thatthe 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 CCR. S. The building design features or system design features Identified on this Cc If a of Compliance are consistent with the information provided on other applicable compliance documents,worksheets,cal ti s, ns and specifications submitted to the enforcement agency for approval with this building permit application. Res ail Designer amg;� Responsible Designer Signature: - Date Signed: license: am a`ny:. Address: w� icy/State/2ip: Phone: wtf 7,Zo �1 wF ao ) rea �a ssi� For assistance M questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3 0