PMT16-02716 City of Menifee Permit No.: PMT1 6-02716
29714 HAUN RD. Type: Residential Mechanical
<ACCELA-> MENIFEE, CA 92586
MENIFEE Date Issued: 0811912016
P E R M I T
Site Address: 28258 COBBLER CT, MENIFEE, CA Parcel Number: 329-372-020
92585 Construction Cost: $19,500.00
Existing Use: Proposed Use:
Description of REPLACE 2 4-TON HVAC SYSTEMS
Work:
Owner Contractor
CHRISTINE&DAVID ALVAREZ RID HEATING AND AIR
28258 COBBLER CT 25086 MEKONG ST
MENIFEE,CA 92585 HEMET, CA 92544
Applicant Phone: 9513687744
MICKEY GOMEZ License Number 928038
RID HEATING AND AIR
25086 MEKONG ST
HEMET, CA 92544
Fee Description ON Amount($
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 effors 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.BldgPerrnit-Template.rat Page 1 of 1
CITY OF MENIFEE
/CICENSED 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 a I am exempt from licensure under the Contractoes State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class—C7_0 License Nor- By my signature below I acknowledge that,except for my personal residence
Expires signature I in which I must have resided for at least one year prior to completion of
6� improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an Gwner-builder if it has not been constructed in its entirety by
by FI hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
ffirm
ave 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,iissued by the Director of Industrial Relations as provided for this application is submitted or at the following website;
Section 3700'of the Labor Code,for the performance of work for which
this permit is Issued. www.IegInfo.ca.gov/calaw.htmI.
Policy# Date
ci I have and will maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ci 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 owner's behalf.I have read this
number are: application and the information I have provided is correct.I agree to comply
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property for inspection purpase,s.
(This section need not to be completed is the permit is for one-hundred Date
j=dolla OD)or less PROPERTY OWNER OR AUTHORIZED AGENT
certify that in the performance of the work for which this permit is issued,
Ishallnotemplo any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's 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
F11 mixture containing a hazardous material equal to or greater that the
pplicant (Ye�f-7 6d7"�_Z Date amountssp effie-i—m
r d on the Hazardous Materials Information Guide?
0
WARNING:FAILURE TO SECURE WORKEWS COMPENSATION COVERAGE Is ciYes ?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 Quail agement District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldelln
CONSTRUCTION LENDING AGENCY ci Yes No
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I hereby affirm that under the penalty of perjury there is a construction Will the prop:cs7egullifing or modiflied 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) a Yes ;;9
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMO
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 2550S and 25534 concerning
Contractor's License Law for the reason(s)Indicated below by the hazer Larfsmaterial reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es a No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPE OVAfR ORATHORIZED 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPJ
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 be RRP-certilfied 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
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( I portion of the work,and the structure is www.eva.govIlead 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 Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or Improvesthe
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. m No EPA Lead-Safe Certified Firm Is required for this project bemuse:
ci 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's State License Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
p
A11111111.2.1- Men If ee
DATE PERMIT/PLAN CHECK NUMBER Cal I to
TYPE: OCOMMERCIAL 4RESIDENTIAL OMULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION CIDEMOLITION OELECTRICAL 01MECHANICAL
CNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES—
DESCRIPTION OF WORK jvt5f7W 7— — Lj f-r� S+,IzA,�
PROJECTADDRESS Z
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNER NAME 01`fV1t9
ADDRESS ?,Rr z (t mev I ��q IA"
PHONE OS- EMAIL
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME OWNERBUILDER? OYESe'NO
BUSINESS NAME ff yer-c—
ADDRESS �+— kki� C�,L
PHONE - EMAIL Y_JA �V(A (
CONTRACTOR'S STATE LIC NUMBER IVWU LICENSE CLASSIFICATION
VALLIATION$ SO IT L SO FT
APPIL E
CITY STAFF USE ONLY
DEPARTMENr DIYFRIBUTIO CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP �
INVOICE I PAID AMOUNT CHECK# OCREDITCARD VISA/MC
AMOUNT 1 0 CASH 0
PLAN CHECK FEES PAID AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Department 29714 Houn Rd Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
ALTERATIONS - HVAC
CEG-GF1 RALT-04-E(Revi�d 03115) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-1
Alterations-HVAC CZ 2,and 8-15(formerly CF-1R-AI-T-HVAC) R..11,�i '2 T=T'n'opt (Page 1 of 11
Site Address: griforcement a
-aea,5� ef— *Oli�� �gy�% 19 200 Prepared:pi
EquipmentType Equipment Efficiency New Ducting,Plen&a Conditioned Thermostat
Required R-va lue XF&IJArea(sq ft) ---
0 Packaged 03'Evaporator Coil AFUE COP 11 R-6 (CZ2,8-13)Ducting Served by system 0-�Wt�back
(if not already
sy�xem Et'Condensing Unit 11 R-81 (CZ 11,14,15)Ducting cift
OrSplit System 13 Compressor —ISEER _HSPF 13 R-6(all CZs)Plenums 4111—IS present,must
13 Mini Split 13 Lineset I be installed)
E24'urnace 426TXV EER 0 R-5 or R7.5)Lmeset4
HERS V�PIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
foVLallowecl 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.
U1.HVAC Changeout/Repair Required Compliance Documents to be left an site for Final:
All Equipment, CFIR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-2G-HERSMECH-(23or24)2�HERSMECH-25-HERS2
Compressor,TXV,Uneset, CF3R: MECH-20-HERSMECH-(23or24)-HERS,MECH-25-HERSz
Air Handler/Furnace2(San Include new ductinal__
Installer Requirement:Duct leakage L<15%,or<10%to outside,or seal all accessible leaks),Air Flow Z:300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
0 1.Duct system registered with HERS provider as previously sealed,or 13 2.There is less than 40 linear feet of duct in unconditioned space,or
E3 3.Existing duct systems are constructed,insull ted or sealed with asbestos(list manufacture date of building——----
13 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-HERSMECH-22-HERSMECH-(23or24)-HERS2,MECH-25-HERS2
CF3R: MECH-20-HERSMECH-22-HERSMECH-(23or24)-HERS2,MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E,CF211-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage:S 6%,Fan icacy(.58W/CFM),Air Flow Z:3SO CFM/ton(or alternative),Refrigerant Charge
0 3.All New Ducts with Replacement Required Compliance Documents to be left on ede for Final:
All New Ducts5 and one or more of the following CFIR-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-(23or24)-HERS,MECH-25-HERS
Installer Requirement:Duct lea kage:5 6%,Air Flow Z:350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:13 1. Existing duct systems are constructed,insul�tecl or sealed with asbestos
[3 4.New Ducting over 40 feet I !equired Compliance Documents to he left on site for Final:
New clucting but less tha n All New Ducts" CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(5.15%or,:�.10%to outside or,or seal all accessible leaks)
0 EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
I All new clucting 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 handier,coil,plenums,duct material)
4 R-5(V thick insulation)for linesets I"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-21/s",2.5-3T-2Y.",3.5 to 4T-2%",ST-4%"
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certify the followiing 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 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 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.
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,workshe ulations,plans and specifications submitted to the enforcement
agency for approval with this building permit application.
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