PMT16-02934 City of Menifee Permit No.: PMT16-02934
29714 HAUN RD. Type: Residential Mechanical
<A—CCELA> MENIFEE,CA 92586
MENIFEE Date Issued: 0910212016
P E R M I T
Site Address: 29921 EDINA RD, MENIFEE, CA 92584 Parcel Number: 339-312-006
construction cost: $954.00
Existing Use: Proposed Use:
Description of CHANGE OUT EVAPORATOR COIL
Work:
Owner Contractor
MARCIA TARITERO M D HEATING&AIR
29921 EDINA RD 16984 MOCKINGBIRD CYN RD
MENIFEE, CA 92584 RIVERSIDE, CA 92504
Applicant Phone: 9516605599
PATRICIA DELATORRE License Number:921800
M D HEATING&AIR
169134 MOCKINGBIRD CYN RD
RIVERSIDE, CA 92504
Fee Description Ply. Amount
Air Handling/Condensing Units SFR 1 133.00
Building Permit Issuance 1 27.00
GREEN FEE 1.00
General Plan Maintenance Fee-Mechanical 6.65
$167.65
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 building 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.BldgPermit-Template.ript Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or imprciv�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 Codp and my license is in full force and effect. the following reason:
License Class b'01 C) License No. q By my signature below I acknowledge that,except for my personal residence
Expires 01—3 D-1 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 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 applica ble law,Sect!'on
have 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,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.ca.goy/calaw.htmi.
this permit Is Issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
o 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 owner's behalf.I have read this
number are: 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 county to
Policy It 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
certify that in the performance of the work for which this permit is issued,
Ishalinotemp] 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 fc, novislons. 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 s
recified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS ciYes cro
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicantor future building
AND CIVIL FINES UP TOONE 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 guid Il es
CONSTRUCTION LENDING AGENCY Dyes ;Z
I hereby affirm that under the penalty of perjury them is a construction Will the proposed building or modified facility be within iOOO 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) c Yes two
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQM D
permitting checklist I understand my requirements under the State of
I hereby affirm under penalty of perju ry 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 h rdous material reporting.
checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 TYzeas' o No -
Business and Professions Code).Any city or county that requires a permit to P 'It— 0-- Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER 6R 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 IRRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule require,s 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 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.er)a.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 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 forthe purpose of sale. ci 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 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
i'Menifee
�j
DATE PERMIT/PLAN CHECK NUMBERTivnio-opwt
TYPE: OCOMMERCIAL XRESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN
SUBTYPE: OADDITION OALTERATION ODEMOLITION OELECTRICAL KMECHANICAL
ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES—
DESCRIPTION OF WORK -3 V I
Q LIE fV6(00 M4 t,
PROJECTADDRESS
ASSESSOR'S PARCEL NUMBER LOT 4 TRACT
OWNER NAME hor-46, Tarjera
ADDRESS a I E Ka -
PHONE CK I-d, -S4 -)- EMAIL
APPLICANT NAME epa-A-11�LCAIV- eWUC�-D"Ip—
ADDRESS
PHONE EMAIL
CONTRACTORS NAME OWNER BUILDER? 0 YES AD
BUSINESS NAME M b H P�tj -Y\. Pit A Ai
ADDRESS IL19 C!kll) ,
v
mAhzaahWanda I &
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 2-1 ?P0 LICENSE CLASSIF9TION
VALUATION$ q 15 1-1 SOFT — LSQFT
APPLICANT'S SIGNATURE DAT
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ... OF MENIFEE BUTMIS LICENSE NUMBER
BUILDING PLANNflVG ENGINEERIAtG FIRE GREEN I lov SMIP I I
INVOICE PAID AMOUNT OCASH OCHECK# 0 CREDIT CARD VISA/MC
AMOUNT 1(0-7-051 1
PLAN CHECK FEES I PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 No DLNUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building& Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E(Revised 06/14) Bull?PlAg&of Me dils, ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE Sa ly CFIR-ALT 04-E
(Page I of 1)
Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) SEP 0 2 2016 9
Site Address: Enforcement Agency: Date Prepa
N e R 60c:Wipg'12PIEM V,?F es e t. Conditioned Thermostat
EquipmentType Equipment Efficiency Required R-value FloorArea(sqft) I —
0 Packaged System AEvaporator Coil AFUE COP El R-6 (CZ 2,8-13)Ducting Served by system 11 Setback
bt$plit System 0 Condensing Unit 0 R-81 (CZ 11,14,15)Ducting b2_qsqft (If no,already
•Mini Split 0 Compressor —SEER _HSPF 0 R-6(all CZs)Plenums T present,must
•Furnace 11 Lineset EER 0 R-5 or R7.5)Uneser be installed)
11 TXV
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. Forflna inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site.
k.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFlR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R; MECH-01,MECH-20-HERSMECH-(23or24)2-HERSMECH-25-HERS2
Compressor,TXV,Uneset, CF3R: MECH-20-HERSMECH-(23or24)-HER9,MECH-25-HERS2
Air Handier/Furnace 2(Can include new clucting)
Installer Requirement:Duct leakage(1�.15%,or<10%to outside,or sea]all accessible leaks),Air Flowr�300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
0 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
13 3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building-------I
0 2.New HVAC System Required Compliance Documents to b!left on site for Final:
All new equipment and All New Dua-53- 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-HERS 2
Mini Splits require CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.SBW/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-20-HERSMECH-(23or24)-HERSMECH-25-HERS
Compressor,TXV,Uneset,Furnace' CF3R: MECH-20-HERS,MECH-(23or24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2t 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:111. Exis duct systems are constructed,insulated or sealed with asbestos
0 4.New Ducting over 40 feet Rge uired Compliance Documents to be left on site for Final:
New ducting but less than All New DuCt53 CFIR-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.
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 Handier/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 mused parts from the
dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handier,call,plenums,duct material)
4 R-5(V thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over I inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2%",2.5-3T-2Y.",3.5 to 4T-2%",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, 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 forthe 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.
R.�po Deals N Responsitap t Date n.d:
, Z s po
Company: �ddr .; Ci Z ;e/Zip:
4 H 1, - I Tit 6 0.-4;5 el n
0114IN I?1i r a
For assistance or questions regarding the Energy Stanclarciffl,contact the Energy Hotline at:1-80D-772-3300