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PMT16-02669 City of Menifee Permit No.: PMT16-02669 29714 HAUN RD. �/-�CCELA— MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 08/16/2016 PERMIT Sfte Address: 26678 CHINA DR, MENIFEE,CA 92585 Parcel Number: 331-400-039 Construction Cost: $8,000.00 Existing Use: Proposed Use: Description of CHANGE OUT HVAC&DUCTS, 3 TON A/C 70,000 BTU FAU-9 DUCTS Work: Owner Contractor PAMELA PAYNE KEN STARR INC 26678 CHINA DR 3154 EAST LA PALMA AVENUE MENIFEE,CA 92585 SUITE B Applicant Phone:7146328789 ADOLFO IBANEZ License Number.974908 KEN STARR INC 3154 EAST LA PALMA AVENUE SUITE B ANAHEIM, CA 92806 Fee Description O-tt Amount lSl 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 carded 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_eldg_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 contractor(s)pursuant to the Contractors State License Law). 1 hereby affirm under penalty of perjury that I am under provisions of Chapter!)(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. r/ the following reason: License Class C'10 License No. 7 J By my signature below I acknowledge that,except for my personal residence Expires 0 ( (9 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 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.)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.leginfo.u.gov/calaw.htmi. this permit is Issued. Date Policy p PROPERTY OWNER OR AUTHORIZED AGENT a r ave and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which D By my signature below I certify to each of the following:)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 arr application and the information I have provided is correct.I agree to comply with all applicable city and county ordinances and state laws relating to Carrier building construction.I authorize representatives of this city or countyto Policy g jZFr 7`i4 9176 Expires 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 I certify that in the performance of the work for which this permit is issued, ryn V,2� o I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE p 1�1 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 corn y wi hose 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 ( ` G amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE VO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes o 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)7 See permitting checklist IN SECTION 3706 OF THE LABOR C0DE,INTEREST,AND ATTORNEYS FEES forguldelines CONSTRUCTION LENDING AGENCY o Yes D No I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within SOOD 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) D Yes ❑No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist.I understand my requirements under the State of I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous matje OI re, checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 DYes ❑N§ /� I Business and Professions Code).Any city or county that requires a permitto -�s.rr��Ia """ \ Date 6 f construct,alter,improve,demolish or repair any structure,prior to its PROPERTY CAPER OR AUTHORFZIfD 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 700D)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 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.eoa.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 D 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: D 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 C- PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION C% ELECTRICAL O MECHANICAL O NEWnn �nJO PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK Cam -` PROJECTADDRESS a& C--7g,Jl>Z, /�y,.v^�� - 2 ASSESSOR'S PARCEL NUMBER I —41O'OM LOT Q- TRACT -v (�3 OWNER NAME ADDRESS 9 c,2 4 7 Lo �S— PHONE ` .-/ ) 4, 7 EMAIL APPLICANT NAME ADDRESS Si4M1-c-� S' PHONE Z2 —o-e:D EMAIL CONTRACTOR'S NAME OWNER BUILDER? O.YES O NO BUSINESS NAME ADDRESS % / 6 _ � ' PHONE -7 C-;�L- - P 7 � ,G EMAIL CONTRACTOR'S STATE LIC NUMBER 7 LICENSE CLASSIFICATION VALUATION$ 9—O-b--o SQFT / LSQFT APPLICANT'S SIGNATURE DATE DEPARTMENT DISTRIBUTION CITY OF MENIF EBUSIbJESS ICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP oliy7on INVOICE PAIDAMOUNT O AMOUNT •'O CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT O CASH O CHECK# O CREDIT CARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIA ALTERATIONS - HVAC Citydigof Menifee CEC-CFIR-ALT-04-E Revised 06/14Ham CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (formerly CF-IR-ALT-HVAC) Al 16 16 7016 (Page 1 of 1) Site Address: 7� ( ,r4 9 Enforcement ency: 7 IP(- id:zt r Equipment Type Equipment Efficiency New Ductirld Plenums,.Llneset: C nditio ed Thermostat Required R-value Floor Area(sq ft) ❑PaPackaged System ❑Evaporator Coil �AFUE COP R-6 (CZ 2,8-13)Ducting SIrved by system etback -u split System B-Condensing Unit - ❑R-8' (CZ11,14,15)Ducting , 24 sgft (If'at already ❑Nalni Split ❑Compressor /SEER _HSPF ❑R-6(all Q's)Plenums present must Furnace ❑Lineset ❑R-5 or R7.5)Llneset" be installed) TXV EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this form' owed 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. .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)'-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 112.There Is less than 40 linearfeet 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 Ducts' CF1R-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-(23or24)-HERS',MECH-25-HERSa Mini Splits require CFSR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan Efficacy(.SBW/CFM),Air Flow z 350 CFM/tan(or alternative),Refrigerant Charge .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 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,Uneset,Furnace' CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow a 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:17 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 N ew Ducts' CFSR-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. a Heating only systems and Air Handler/Fumace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25 '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,mil,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",ST-4Ya" Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certify the following under penalty of perjury,under the laws of the State of Califomia: 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 forthe 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. 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. Rsponsible Designer Name: 2 Responsible Designer 5'n Date Signed: Lipcense: /y-�' co pang: Addr¢ss: ty/ te/tip: Phone: For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300