PMT16-02942 City of Menifee Permit No.: PMT16-02942
29714 HAUN RD. Type: Residential Mechanical
<--ACC1ELJk> MENIFEE,CA 92586
MENIFEE Date Issued: 0910212016
P E R M I T
Site Address: 26861 POTOMAC DR,MENIFEE,CA Parcel Number: 338-1311-0111
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT PACKAGE UNIT
Work;
Owner. Contractor
PHIL& KATHY LISO JOSEPH BRIANA HEATING VENTILATION AND AIR
26851 POTOMAC DRIVE CONDITIONING
MENIFEE, CA 92586 30246 NAPA STREET
Applicant Phone:9517230811
LAURIANNA BRIANA License Number:993821
JOSEPH BRIANA HEATING VENTILATION AND AIR CONDII
30246 NAPA STREET
MENIFEE, CA 92584
Fee Description QtV 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 preveritthe 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_Pemit Template.rpt 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 perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapterg(commencing with section 7000)of Division 3 of the Business and ci I am exempt from licensure under the Contractines State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Clam 0- 0-0 Jcen op-t,&@-I By my signature below I acknowledge that,except for my personal residence
in which I must have resided for at least one year prior to completion of
Expires @Lb ign.ture
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARA10N/ have built as an owner-builder if it has not been constructed in its entirety by
cr 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 worker's 7044 of the Buslness 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
this Perini t is iss ed. wvnv.IeRinfo.ca.gov/caIaw.htmL
Policy# I N— Date
I PROPERTY OWNER OR AUTHORIZED AGENT
cr I have and will maintain workees compensation insurance,as required by
section 37110 of the Labor Code,forthe performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is issued.My worker's compensation insurance carrierand policy owner or authorized to act an 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# Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one�hunclrecl Date
=dollars $100)or less PROPERTY OWNER OR AUTHORIZED AGENT
ertily that in the performance of the work for which this permit is issued,
I shall t I . a ny manner so as to become subject to the CITY BUSINESS LICENSE#
5 na
n5
m
0 "'o
work.=elcp'e, "221 , nd agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to tK%olee�com ensatipm ions of Section 3700 of h Labor
Code,I shal Islons. L�I I Will the applicant or future building occupant handlehazardous material ora
Atiolicant TORT�M�l Date 2- mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WARNING:FA NS
'�J16 E TO REWORKEWSCOMPE ATIONCOVE GEIS o Yes o No
S
UNI L SHALL BJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
Ul
AN[ I 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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguldellnes
CONSTRUCTION LENDING AGENCY ciYes ciNo
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) ciYes oNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQVID
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 hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 0yes 0 No
Business and Professions Code).Any city or county that requires a permitto Date
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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING JRRP)
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-certified firms and comply with
an Applicant for a permit subjects the applica nt to a civil pena Ity of not more required p ractices.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 theirsole 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.epamov/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 a An EPA Lead-Safe Certified Renovator will be nasponsible for this project
property who,through employees'or personal effort,builds or improves the
property provided thatthe 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 bem use:
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
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
..'Wenifee
.dMII
DATE 2-111, PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL ORESIDENTIAL C)MULTI-FAMILY C) MOBILEHOME OPOOL/SPA O—SIGN
SUBTYPE: OADDITION C)ALTERATION ODEMOLITION CELECTRICAL * MECHANICAL
CNEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Cv\,,w\y, nk�- Nwar_ G4&�� LUO
PROJECTADDRESS
V ep
ASSESSOR'S PARCEL NUMBER -43'3 -%'3%- 01% LOT TRA&U"dlng 8, =ty Dept.
OWNER NAME R0 K:sj�Ejs) L�eo SEP 0 2 20%
ADDRESS 9�1 PC4bVA2�Q C�f S�Uf) CAN C,6- I FA
PHONE (&aj)I EMAIL Ridulvil vw%A
APPLICANT NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME 3CGcp�� _Bvsanz�, OWNER BUILDER? 0 YES^O
BUSINESS NAME
ADDRESS ;3ta46 'S� - CA . ck--)Sb+
PHONE cie�) -+2,-6-t�,ibu EMAIL 3W�)wjAC-0. k 5ah0f),CbM
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION
VALUATION$ 0\I SO FT 12,0D — LSQFT
APPLICANTS SIGNATURE DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION SMIP LIIY Ul-WNIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN
INVOICE PAIDAMOUNT
AMOUNT 10 1'2
QI,A-10 I OCASH -CHECK# OCREDITCARD VISAIMC
PLAN CHECK FEES PAIDAMOUNT 0 CASH 0 CHECK# OCREDITCARD VISAIMC
OWNER BUILDERVERIFIED C)YES 0 No DL NUMBER NOTARIZED LETTER 0 YES 0 NO
City of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityofmenifee.us Inspection Request Line 951-246-6213
STATE OF CAL[FORNIA AD
ALTERATIONS - HVAC
CEC-CF1 R-ALT-04-E(Resised 06114) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE C11R-ALT-01 NE
Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1)
Site Address; Enforcement A D P d Pemit#:
pricy: gple Prepare :
ICIP, lIA-0 0 4�t%,Q6 I ILO 160-09A �1
Equipment Efficiency New Ducting,Plenums,Lineset., Conditioned Thermostat
EquipmentType Required R-value Floor Are'(,q ft)
0 Packaged System 0 Evaporator Coil COP 19 R-6 (CZ 2,8-13)Ducting Sewed by system 0 Setback
13 Split System KI Condensing Unit ___AFUE 13 R-81 (CZ11,14,15)Ducting cift (if not already
*Mini Split 0 Compressor —SEER HSPF L3 R-6(all CZs)Plenums present,must
*Furnace 0 Lineset EER 0 R-5 or R7.5)Lineset" be installed)
11 TXV I I I
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)and a cqDXJe1NpigA"jf,,
13 1.HVAC ChangeouVRepair Required Compliance Documents to be left on site for Final: 1:11.111clIng & Sajety D(pt.
All Equipment, CFIR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-2G-HERSMECH-(23or24)kHERSMECH-25-HERS2 SEP 0 2 2016
Compressor,TXV,Uneset, CF3R: MECH-20-HERSMECH-(23or24)-HERS2,MECH-25-HERS2
Air Handier/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage 15%,or<10%to outside,or seal all accessible leaks),Air Flow�300 CFM/ton,RefrigeB§I;p ive d
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
0 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 be left on site for Final;
All new equipment and All New DuCtS3 CF1R-ALT02.E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23or24)-HERS',MECH-25-HERS2
CF3R: MECH-20-HERS,MECH-22-HERSMECH-(23or24)-HERS2,MECH-25-HERS'
Mini Splits require CFlR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow a 350 CFMAon(or aftemative),Refrigerant Charge
113.All New Ducts vidth Replacement FRequired 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-(23or24)-HERSMECH-25-HERS
Compressor,TXV,Lineset,Furnace2 CF3R: MECH-20-HERSMECH-(23or24)-HERSMECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2:350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing ii 0 1. Existing duct systems are constructed,insulated or sealed with asbestos
[14.New Ducting over 40 feet Required 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,:LIO%to outside or,or seal all accessible leaks)
[I EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
I 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.
2 Heating only systems and Air Handler/Furnace changes do not require Air Flow M ECH-(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 handler,coil,plenums,duct material)
4 R-5(1"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-26/s",2.5-3T-2%",3.5 to 4T-Z%",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 inforrnation 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 I and Part 6 of the CCR.
5. The building design features or system design fe -ertificate of Compliance are consistent with the information
ations,plans and specifications submitted to the enforcement
u
a,
provided on other applicable compliance docum :,3h,:et,,7�u9
agency for approval with this building pdirrpapi i
Responsible Designer N
Res��� Date Jigne
C�l
Add City/St.te/Zip:
co ;A C ,
47S�41 Phone
7ii PcN, Yy�cv�L 0�
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300