PMT16-02780 City of Menifee Permit No.: PMT16-02780
29714 HAUN RD. Type: Residential Mechanical
'[7�CCELA> MENIFEE,CA 92586
MENIFEE Date Issued: 08124/2016
P E R M I T
Site Address: 26421 CHAMBERS AVE,MENIFEE, CA Parcel Number: 335-244-005
92586 Construction Cost: $7,500.00
Existing Use: Proposed Use:
Description of REPLACE 3-TON HVAC PACKAGE UNIT
Work:
Owner Contractor
PERRYVANDERHOUT TOTAL COMFORT INC
26421 CHAMBERS AVE 390 E HARRISON STREET
MENIFEE. CA 92586 CORONA,CA 92879
Applicant Phone:9517352574
STEVEN SCHNIERER License Number: 935238
TOTAL COMFORT INC
390 E HARRISON STREET
CORONA,CA 92879
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 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 pennit 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.BIdg_Perrnit-Ternp1aterpt 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 a I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason;
License Class License No. By my signature below I acknowledge that,except for my personal residence
Expires 71"51TI-I Signature in which I must have resided for at least one year prior to com pletion of
improvements covered by this permit.I cannot legally sell a Stnictu re that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
ci I hereby affirm under pena Ity,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 certificite of consent of self-insure for workees 7044 of the Business a nd Professions Code,Is ava liable 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
this permit is issued. www.Ieginfc.ca.gov/caIaw.htmI.
Policy# Date
-�have and will maintain worker's compensation Insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
s' on 3700 of the Labor Code,for the performance of the work for whicw '��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 :E-1� co 60 —Rl� with all applicable city and County Ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#Qsi�-!Zmks�'lz� Expires -eg 1 1,21 1--7 enter the above identified property for Inspection purposes.
(This sectlion need not to be com pleted is the permit'is for one,hundred W-12141L,
7-- S:-Z-- Date
dollars($100)or less PROPERTY OWN ER OR AUTHORIZED AGENT
ci I certify that in the performance of the work for which this permit Is issued,
Ishallnotemol 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 workees 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
S�Z - mixture containing a hazardous material equal to or greater that the
Applicant ZQii- f:�' � Date 1�17-41)kp amounts sp cifled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS 0 Yes
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA
LTIES 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 Wily Management District(SCAQMD)?See permitting checklist
IN SECnON 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelp' es
CONSTRUCTION LENDING AGENCY aYes'-4411-
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 bou dary of a school?
(Section 3097 Civil Code) a Y ;;ZNca"
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
Contractor's License Law for the reason(s)indicated below by the In zar ous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 s cNo
Business and Professions Code).Any city or county that requires a permit to
/--------I)ate b
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY 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 Contractoes State EPA RENOVATION,REPAIR AND PAINTING fRRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting[RRP)Rule requires contractors
Business a nd Professions Code)or that he or she Is exempt from ficensure 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 childca re 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 1,as owner of the property,or my employee with wages as their sole employees.For mom information about EPKs Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eria.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 Contractor's State License Law does not apply to an owner of a ci An EPA Lead-Safe Certified Renovatorwill be responsible for this project
property who,through employeee 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 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 Contractor's 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.
& SAFETY PERM IT/PLAN CHECK APPLICATION
"Wenifee
DATE 2-44 PERMIT/PLAN CHECK NUMBER
TYPE: 0 COMMERCIAL_�&SIDENTIAL 0 MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA 0 SIGN
SUBTYPE: O_ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL OECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK &
City of Menifee
Buitcling & Safety Dept.
PROJECTADDRESS ZGq-Zj 125%��)O�xs Av- ooer" AUG 2 q ZU16
ASSESSOR'S PARCEL NUMBER LOT TRACT
OWNERNAME Received
ADDRESS 2(�LA?t C `,*,�cet-s Av� Mar\je�, CA Cf2_s?(,
PHONE -70-7-246- 16LZ EMAIL
APPLICANT NAME ��C�CVN
3V?26 C
ADDRESS -A q(3(�-2_
PHONE EMAIL
CONTRACrOWSNAME co��lvlt OWNERBUILDER? OYESANO
BUSINESS NAME
ADDRESS 3clC) C Cb, qZ!R-79
PHONE 4Z4--7 EMAIL
CONTRAC7OR'S STATE LIC NUMBER Ck�F-7-212 LICENSE CLASSIFICATION
VALUATION$ —7,500. cO SO FT L SO FT
APPLICANT'S SIGNATURE DATE 1 2_41 1 C,_
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CI I Y UF MENIFLI,
BUILDING PLANNING ENGINEERING FIRE � GREEN SMIP
ICE �
INVOI ;;;ZjU.10 PAIDAMOUNT
AMOUNT I — CASH OCHECK# OCREDITCARD VISA/NIC_
PLAN CHECK FEES PAIDAMOUNT 1 0 CASH 0 CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0—YES 0 NO DLNUMBER NOTARIZED LE77ER 0 YES 0 NO
City of Menifee Building & Safety Department 29714 Hcuo Rd. Menifee, CA 92586 951-672-6777
www.citvofmenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CE"FlR-ALT-04-E(Revised 03(15) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPUANCE MR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15(formerly CF-1R-ALT-HVAQ (Page 1 of 1)
Site Address: Enforcement Agen D P d Permithl: D
-z i, -,�mloe Me -69 9
2-(�q C1, -rsA�� C4,4 ol� _ Tay
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset.,
Required R-value Floor Area(sq ft) Thermostat
JKPackaged 11 Evaporator oil AFUE ____COP Cl R-6 (CZ2,8-13)Ducting Sewed by system XSetback
System 11 Condensing Unit 0 R-81 (CZ 11 14,15)Ducting 1300 sqft (if not already
0 Split System 11 Compressor 1-4 SEER HSPF Cl R-6(all CZs)Plenums present,must
0 Mini Split 11 Uneset 0 R-5 or R7.5)Uneset' be installed)
11 Furnace 0 TXV EER
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)an a c 0"Appliee
-�1.WAC Changeout/Repair Required Compliance Documents to be left an site for Final: 0-- z:)dMty I
EluigfW
All Equipment, OF1R-ALT-02-E AUG 2 4
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERSMECH-(23or24)kHERS,MECH-25-HERS2
Compressor,TXV,Uneset, CF3R: MECH-20-HERSMECH-(23or24)-HERS2,MECH-25-HERS2
Air Handier/Furnace'(Can include new clucting)
Installer Requirement:Duct leakage(�.15%,or<10%to outside,or seal all accessible leaks),Air Flow;�300 CFM/ton,Refrigerani!dXrg�e
Exempted from duct leakage testing if:
0 1.Duct system registered with HERS provider as previously sealed,or 112.There is less than 40 linear feet of duct in unconditioned space,or
113.Existing duct systems are constructed,Insulated or sealed with asbestos(list manufacture date of building
0 2.New HVAC System Required Compliance Documents to be left an site for Final:
All new equipment and All New Ducts; CFIR-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERSMECH-22-HERSMECH-(23or24)-HERS,MECH-25-HERS2
CF3R: MECH-20-HERSMECH-22-HERSMECH-(23or24)-HERS2,MECH-25-HERS2
Mini Splits require CFlR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan cacy(.58W/CFM),Air Flow 2:350 CFM/ton(or alternative),Refrigerant Charge
0 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 CFIR-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-2D-HERSMECH-(23or24)-HERSMECH-25-HERS
Compressor,TXV,Uneset,Furnace2 CF3R: MECH-2D-HERSMECH-(23or24)-HERSMECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow a 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if-.0 1. Exisliag cintsysterns are constructed,insulated or sealed with asbestos
0 4.New Ducting over 40 feet 4 Ir d Compliance Documents to be left on site for Final:
New ducting but less than All New DUCtS3 CFlR-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)
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.
I Heating only systems and Air Ha ndler/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(1"thick insulation)for linesets In 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-25/.",2.5-3T-2y.',3.5 to 4T-2%",ST-4y."
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. 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,worksheets,calculations,plans and specifications submitted to the enforcement
agency for approval With this building permit application. _
Responsible Designer Name: Res; s'ble Des s' nature: ;elig�,ed:
12 �4 ucz-z 31�
71= '9 1 q
Company: Address: Oty/State/Z-P: Phone.
140-11 139b F :1120�CA�� CA qra-79 8i4q-6z,4-1q7-,4-7
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300