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PMT16-02617
City of Menifee Permit No.: PMT16-02617 29714 HAUN RD. Type: Residential Mechanical <ACCELA— MENIFEE,CA 92586 MENIFEE Date Issued: 08/11/2016 PERMIT Site Address: 26307 POTOMAC DR, MENIFEE, CA Parcel Number: 338-201-016 92586 Construction Cost: $15,425.00 Existing Use: Proposed Use: Description of HVAC REPLACEMENT,3.5 TON 16 SEER A/C, 90,000 BTU FURNACE Work: Owner Contractor LINDA GARLAND FAMILY PLUMBING HEATING&AIR INC 26307 POTOMAC DRIVE 34629 FOX BERRY ROAD MENIFEE, CA 92586 WINCHESTER, CA 92596 Applicant Phone:9516767141 GREG JACKSON License Number:918182 FAMILY PLUMBING HEATING&AIR INC 34629 FOX BERRY ROAD WINCHESTER,CA 92596 Fee Description Oft Amount f51 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_Template.rpt Page 1 of 1 CITY OF MENIFEE LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects with a licensed contractors)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 a 1 am exempt from licensure underthe Contractor's State License Law for Professions Cade and my license is in full force and effect. the following reason: License Class r24? C3G License No. q /J�(8Z By my signature below I acknowledge that,except for my personal residence Expires /L-7/ Ao Signature Q—sue in which l must have resided for at least one year prior to completion of improvements covered bythis 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 7D44 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.le inf calaw.html. this permit is issued. Policy If ✓ Date PROPERTY OWNER OR AUTHORIZED AGENT jv I have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which a By my signature below I certify to each of the following:I am the property this permit is issued.My worker's 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 Carrier r�bLj'r�<"s<"' with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy N Z /Mk Z f 7r�Expires I/ Ld enter the abov entified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date g /7 16 dollars($100)or less PROP OWNER OR AUTHORIZED AGENT a 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 s�:�� 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 forthwi y with those provisions. Will the applicant or future building occupant handle hazardous material or Applicant Date 9 / mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FA URE TO SECURE WORKER'S COMPENSATION COVERAGE IS ayes ONO 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(SCAQM D)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ayes ONO 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) Dyes ONO 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 California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous a]reportingreporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ayes o Business and Professions Code).Any city or county that requires a permit to Date��116 construct,alter,improve,demolish or repair any structure,prior to its PROP 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(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 he 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 clothe 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.eoa.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 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 forthis 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. CITY O MENIFEE PLCK No: Permit No: -644LO 11 29714 Haun Road Date: ate: Menifee, CA 92586 Phone: (951)672-6777 punt: mount: Fax: 951 679-3843 a4.10 ( ) ck#. ck#: Building 8 fety Dept. Building Combination Permit AUG 11 2016 To Be Completed By Applicant Legal Description: Planning Case: F: L: .e Property Address: Assessor's Parcel Number. (o o 7 P676 PA(- Oiz - \' O Project/Tenant Name: Unit#: Floor#: Name: �•„n� / 1h ne No. Fax No. Property (l A lid `!S/ Z rl'G j�77 Owner Address: 26107 QO topw /72 Unit Number Zip CodecZs-.e` Email Address: Name: Phone No. Fax No. nc ASA4 Rsr d ra 7if 7 Applicant Address: Unit Number Zip Code g� Z`l, Gr'rtiu�tN Email Address: L.dr;q Phone No. Fax No. .a c rContractor CltyState ZlpCode/Z�/ w-aR2s"-or s C ty Business Icense o. Con 71 ra7 er's Cily Slate of California License No. I Classification: C L Number or Squares: Square Footage Description of Work: I?C 3. 7do7 cry' AIC ad Cost of Work;$ Applicant's Signature Date: (G TgBe,Completed By City Staff Only,. Indicate As R-Received or NIA-Not Applicable 5 Completes sets of fully dimensioned,drawn to sate plans which include: t set or documents which include ❑ Title Sheet ❑ Elevations ❑ Electrical Plan ❑ Geo Tech/Soils Report(on cd only) ❑ Plot/Site Plan ❑ Roof Plan ❑ Mechanical Plan ❑ Title 24 Energy(on 8 ye x 11) ❑ Foundation Plan ❑ Structural Calculations ❑ Cross Section ❑ Plumbing Plan ElSingle Line diagram for also.services over 400 AMP ❑ Floor Plan ❑ Structural Framing Plan&Details ❑ Shoring Plan ❑ Sound Report-Residential Class Code: Indicate New Construction Alteration` Addition' Means/Methods Work Type: Retrofit` Reviskm to Existing Permit' Required? YES NO Proposed Building Use(s): Existing Building Use(s): #Buildings: #Units: 10 Stories: Will the Building Have a Basement? Y of N Bldg. Code Occupancy Group Indicate Indicate it YES or NO Indicate all Geo-tech.Haz.Zone At Project Construction Spdnklered that apply: Coastal Zone Completion: Type(s): C of O Noise Zone Required? YES or NO Listed on Historic Resources Inventory CITY PLANNING STAFF ONLY APPROVALS: Costal Commiss Arch.Review Board Landmark Comm. Planning Comm.Zoning Administrator Fee Exempt: City Project Elec.Vehicle Charger Landmark Seismic Retrofit spec�ai case:slag Oscar Approval Expedite Project(s): Child Care City Project Green Building Landmark I Affordable Housing For Staff Use Only Building/Safely Permit Specialist City Planning it Civil Engineering EPWM-Admin Transportation Mgml. Rent Control THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY Simplified Prescriptive Certificate of Com )lance:2008 Residenlirsl d�VACAlterattons CF-lf{-ALA d£�tA --�I Climate Zones 10 to 15 Site Address: .Enforcement enc7•: Aare: - A"errre7t th I'i _ — - - - Fluor e - List Minimum Efficienc ' Duct mind on icemen[ Conditioned Floor Area Thermostat . N Packaged Unit Over 40 1t of ducts added or T Sr.tl.ack Furnace AFUE- ©COP_ replaced in unconditioned served by system (1f+ram'al'sarlr Indoor Coil BSA 14SPF ace sft- Q Condensing Unit EER t6,ct Resistance R 6 (CZ IO-13) Other ©R 0 CZ 14 1.Epripment Trpe.•Choose the equipment being installed:ifmore than one system,rise another CF-I R-AL7=N1'AC.for eoclr rvsrer„ 2.Minimum Equipment Efeleneies:13 SEER, 78%AFUE, 7.7HSFFfor typical residential systems. HERS VERIFICATION SUMMARY Listed below are four HVAC alteration Options. The installer decides what work is being 4npr,end picks one of the appropriate Options- Each Option lists the HERS measures that most be conducted.A copy of the forms shall be tell no site for fin+, inspection and a copy given to the homeowner. At final,the inspector verifies that the work listed on this farm was in fact the work romp!nted t v tb= installer. The inspector also verifies that each appropriate CP-61K and registered CFAR forms(no hand fill=d CV-4Rs 01owerf are fil led urn And si ed. Beginning October 1,2010,a re0stered coex of the CF-IR and CF-6R shall also be on site for fund ins cttoa. 1.HVAC Changeout Required Forms: All F.NAC Equipment replaced CF-6R.forms: MECH-04,MECH-2I-HERS and(for split systems)MF.CIi-'15-HERS . CF•-4R forms: MECH-21 and fors lit stems MECH-25 ^ Condenser Coil and/or indoor Coil and/or CFR-6 forms: MGCH-21-HERS and(for split systems)MECH-ZS-HERS CF-4R forms: MFCH-21 and(for split systems) MECH-7.5 City of Menifee R Fumace 1 Ing& Safety Dept. For Split Systems:Duct leakage< 15 percent; RC,CCA>_300 CFM/tvn(Minimum Air Flow P.equirement.TWI For Packaged Units: Duct leakage< 15 percent AUG11 2��6 Exempted from duct leakage testing if: 0 L Duct system was documented to have been previously sealed and confirmed through HER,verification,or B2.puct systems with less than 40 linear feet in unconditioned space,or 3.Existing duct stems aze coustructed,insulated or sealed with asbestos _ ------Received 0 2.New]HIVAC System c9 Cut in or Changeom with new CF-611 forms: MUCH-04,MEC14-20-HERS,and(for split systems)MECI-1-22-11ERS and ME r! ;i-'-n r ducts:(all new ducting and all CF-41R forms: n4ECH 20-,and(for split systems)MECH-22.and MECH 25 new a ui meat) - For Split Systems:Duct leakage<6 percent:RC.CCA>_350 CFM/ton,FWD,TMAH,3T1\43.and either HSPP of PSPi' For Packaged Units:Duct leakage<6 percent D 3.New Ducts with Replacement Required Forms: Includes replacing or installing all new ducting CF-6R forms: MECH-04-MEL11-20-HERS,and(for split systems)MECH-D-F1FR_= and/or outdoor condensing unit and/or indoor CF-4R forms:MECH-20 and(for split systems)MECH-25 coil and/orfumace. Noted equipment changed. For Split Systems:Duct leakage<6 percent.RC.CCA>_300 CFM/ton.'rM.A" For Pacha ed Units:Duct leaks e<6 Rement [14.New Ducting over 40 feet Requited Forms: a Includes adding or replacing more Dian 40 (7-6R fours: MECH-04,MECH-21^W-RS CF-4R forms: M C14-7! linear feet of duct in unconditioned space.For splits stem or packaged units: Duct leakage< 15 percent Lj EXCEPTION:Existing duct Usterns constructed,insulated or sealed with asbestos. Contractor(Documentation Anthor's/Responsible Designer's Declaration Statement.) I certify that this Certificate of Compliance documentation is accurate and complete. * 1 am eligible under Division 3 of the California Business and Professions Code to accept respposihitdy for the design id+'ntilmd n ��•«' ^<<�'of Compliance. a I certify that the energy feah+res and performance specifications for the design identified on this Certificate offinrgdiapca vro4*m requirements of Title 24.Parts I and 6 of the California Code of Regolatious--- * The design features ideptified on this Certificate of Complisoce are consistent with the infvrmution d^n corms,worksheets calculations,plans and, ecifications submitted to the enforcement a pt+oval with the permit applcat,cr. Name: /ICf �rC�Ssh Signature:,J Company: P Address: Y City/State/Zip: /� / %C5 jC�7 7ty� 7nna Residential Cawrrlianee bbm-,,c