PMT16-02945 City of Menifee Permit No.: PMT1 6-02946
29714 HAUN RD. Type: Residential Mechanical
'K;�CCELA—> MENIFEE,CA 92586
MENIFEE Date Issued: 0910612016
P E R M I T
Site Address: 26227 GOLDENWOOD ST, MENIFEE, CA Parcel Number: 335-423-039
92686 Construction Cost: $10,749.31
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT,2 TON SPLIT SYSTEM
Work:
Owner Contractor
CAROLYN WILLIAMS PERFECTAIR
26227 GOLDENWOOD STREET P 0 BOX 8056
MENIFEE, CA 92586 MORENO VALLEY, CA 92552
Applicant Phone:9514424825
CAROLYN SAAD License Number.972661
PERFECTAIR
P 0 BOX 8056
MORENO VALLEY,CA 92552
Fee Description gtx Amount($)
Forced-Air or Gravity-Type Furnace or Bumer 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 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_Permit Terniplate.ript 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 Contractoes 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 51--7)1116 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
c;I hereby affirm under penalty of perjury one of the following clecla rations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insum for worker's 7044 of the Business and Professions Code,is av�iila ble 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.leginfo.ca.goy/calaw.htmi.
Policy# Date
o I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the 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 carrier and policy owner Or authorized to act on the property owner's behalf.I have read this
numberare; application and the inforinaflon 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 purposes.
(Ibis section need not to be completed is the permit is for one-bundred
dollars($100)or less —Date
PROPERTY OWN ER OR AUTHORIZED AGENT
I certify that in the performance of the work for which this permit is Issued,
shall not ern Ploy a ny 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 sheH forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applimnt_ —Date mixture containing a hazardous material equal to or greater that the
- & 11116 amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ciYes oNo
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
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist
for guidelines
CONSTRUCTION LENDING AGEN o Yes a No
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 uNo
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guideand the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contmctoes License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting.
Business and Professions Code).Any city or county that requires a permit to 0yes 0 No
construct,alter,improve,demolish or repair any structure,prior to its —Date
issuance,also req ulres the applicant for the permit to file a signed statement PROPERTY OWN ER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's 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 requires contractors
Business and Professions Code)or that he or she is exempt from licensure
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a pre-1978
an Applicant for a Perm it subjects the applicant to a civil penalty of not more residence or childca re facility to be RRPcertIfied firms and com ply With
than($500). required practices.This includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
ci 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.epa.gov/lead or contact the National Leid Information Center at
not intended or offered for sa le.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractoes State License Law does not apply to an owner of a a An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,bullds 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 yearof 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. a No EPA Lead-Safe Certified Firm is required for this pmject because:
n 1,as owner of the property a in exclusively contractmg with licensed
contra ctors 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 rill out the RRP
Acknowledgement.
0 01,11111111 ILI[CRAM-11 a a vir.14 ki Al I I IFIN W,
Menifee
DATE PERMIT/PLAN CHECK NUMBER
TYPE: OCOMMERCIAL 9TESIDENTIAL 0MULTI-FAMILY OMOBILEHOME 0 POOL/SPA 0 SIGN
SUBTYPE: CADDITION PALTERATION ODEMOLITION OELECTRICAL OMECHANICAL
ONEW OPLUMBING 0- RE-ROOF-NUMBER OF SQUARES_
DESCRIPTION OF WORK C� - 70y\ q;?Va na&�Cr-%,
PROJECTADDRESS J(,JQ];� Sun kAl
ASSESSOR'S PARCEL NUMBER 33�F - Lka3- 0?n LOT TRACT SEP 0 6 2016
OWNER NAME Cp, J��\(,�,j P��A'�
RBLT'ved
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ADDRESS 4 0,xvA��j(7)C) (�t I CAP
(C1 5
PHONE jj EMAIL
APPLICANT NAME
ADDRESS
PHONE
EMAIL
CONTRACTOR'SNAME 01�rci OWNERDIJ—ILDER? J19YESONCI
BUSINESS NAME
ADDRESS P () CA , glW-519Q
PHONE (9s- 1414-2 - 48aG EMAIL - (
,
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CONTRACTOR'S STATE LIC NUMBER !3 7JA 6,(a 1 LICENSE CLASSIFICATION K�- zo
VALLIATION$ 10, qqq ')) I SO FT 10()s LSQFT
APPLICANT'S SIGNATURE
Cl�STAFFUSEONLY
DEPARTMENT DISTRIBUTION UTYUFMLNIFELBUNNE�
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP I )e
INVOICE I 3QL,. PAIDAMOUNT
AMOUNT lazwo I -CASH 0-CHECK# 0 CREDIT CARD VISAIMC
PLAN CHECK FEES PAIDAMOUNT I I OCASH 0CHEO(# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER 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
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CF1 R-ALT-04-E(Revised 06114) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-N04E
Alterations-HVAC CZ 2,and 8-15(formerly CF-1R-ALT-HVAQ (Page 1 of 1)
Site Address: Enforcement Agency: Date Prepared: Permit#:
,)(naa-+ (---�pLQEJQW0o0 V-ko M-yCa Ot ILO ll-,.P lt a-QAA 5
EquipmentType Equipment Efficiency New Ducting,Plenums,Lineset., Conditioned hermostat
Required R-value Floor Area(sq ft) T
0 Packaged System 0 Evapomtor Coil 8CPAFUE COP 0 R-6 (CZ Z B-13)Ducting Served by system 0 Setback
JZPSplit System P Condensing Unit 0 R-81 (CZ 11,14,15)Ducting Lo_&_sqft (If not already
0 Mini Split 0 Compressor W—SEER —HSPF 0 R-6(all iZs)Plenums present,must
I?Furnace 11 Lineset EER 0 R-5 or R7.5)Llnesel:4 be installed)
0 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. For final inspection all forms are to be registered(no hand filled forms allowed)and agg I"n litg.
[3 1.HVAC Changeout/Repair Required Compliance Documents to be left an site for Final: Bulkiin-91 -&,S-a—fe-iy, D' ep .
All Equipment, CF111-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MEC14-01,MECH-20-HERS,MECH-(23or24)-HERSMECH-25-HERS' SEP 0 6 2016
Compressor,TXV,Uneset, CF3R: MECH-20-HERSMECH-(23or24)-HERV,MECH-25-HERSa
Air Handler/Furnacez(Can Include new clucting)
Installer Requirement:Duct leakage CS.15%,or<10%to outside,orseal all accessible leaks),Air Flow 2:300 CFM/ton,RefrigifialiUkiaila,li V t;U
Exempted from duct leakage testing if.,
0 1.Duct system registered with HERS provider as previously sealed,or L3 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-ALT-02-E
Including Mini Split CF2R: MECH-01,MECH-20-HERSMECH-22-HERS,MECH-(23or24)-14ERS2,MECH-2S-HERS2
CF3R: MECH-20-HERSMECH-22-HERSMECH-(23or24)-HERS',MECH-25-HERS2
Mini Splits require CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.SSW/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,Lineset,Furnace' CF3R: MECH-20-HERSMECH-(23or24)-HERSMECH-25-HERS
Installer Requirement:Duct leakage:56%,Air Flow;-350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if.13 1. Existing duct systems are constructed,insulated or sealed With asbestos
114.New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New clucting but less than All New Ducts' CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(S.15%or,:5.10%to outside or,or seal all accessible leaks)
11 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 Handier/Furnace changes do not require Air Flow M ECH-(23 or 24),or Refrigerant Charge verification M ECH-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 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 l.S-2T-2%",2.5-3T-2%",3.5 to 4T-2%",ST-4y."
Contractor(I)ocumentation Author's/Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury,underthe 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 forthe design identified on this Certificate of Compliance conform to the
requirements of Title 24,Parts I 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.
Respomible Dwigner Name: Resixmsl���: Date igned- Lice.-
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, �Zox Addr� Citv/Suite/Zip: Phime-
Ptf�e-a P, 0. �30A B015(o I Kv em�a
For assistance or questions regarding the Energy Standards,contact the E....e,,11— -