PMT16-03403 City of Menifee Permit No.: PMT16-03403
29714 HAUN RD. Type: Residential Mechanical
<A—CCaEuA�" MENIFEE,CA 92586
MENIFEE Date Issued: 10/1812016
P E R M I T
Site Address: 29785 AVENIDA DE SERENO, MENIFEE, Parcel Number: 336-250-010
CA 92586 Construction Cost: $8,998.00
Existing Use: Proposed Use:
Description of REPLACE 80,000 BTU FURNACE, 3.5 TON(14 SEER)A/C UNIT&COIL
Work:
Owner Contractor
DOUG RITCHEY PEACH HOME SERVICES INC
29785 AVENIDA DE SERENO 532 MALLOY COURT
MENIFEE,CA 92586 CORONA, CA 92880
Applicant Phone:7144628174
JANE RECKTENWALD License Number:989511
PEACH HOME SERVICES INC
532 MALLOY COURT
CORONA,CA 92880
Fee Description ON Amount I$)
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 shefi not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menhe.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 BidgPermit Template.rpt Page 1 of 1
CITY OF MENIFEE
property who builds or improves thereon,and who contracts for the projects
LICENSED DECLARATION with a licensed contiractor(s)pursuant to the contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of o I am exempt from licensure under the Contractor's State License Law for
Chapter9(commencing With section 7000)of Division 3 of the Business and
professions Code and my license is in full force and effect. the following reason: except for my personal residence
License Class—C2LS:6—(F License No. By my signature below I acknowledge that,
in which I must have resided for at least one year prior to completion of
Expires Signature u
improvements covered by this permit.I cannot legally sell a struct re that I
W 0 R K E R'S CO M P E N S AT I ED)N 0 t t�LA RmAT1 I u N have built as an owner-builder if it has not been constructed in Its entirety by
o 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 workees 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 followilng welosite:
by Section 3700 of the Labor Code,for the performance of work for which w,,.IeFjirdo.ca.govJcaIaw.htmI
this permit is issued. Date
Policy# PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain worker's compensation insurance,as required by ci By my signature below I certify to each of the following:I am the property
section 3700 of the Labor Code,for the performance of the work for which owner or authorized to act on the property owner's behalf.I have read this
this permit is issued.My worker's compensation insurance carrier and policy application and the information I have provided is correct.I agree to comply
number are: 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# )—.L��Expires �2 enter the ab for inspection purposes.
-hundred Date
(This section need not to be completed is the permit is for one —=Z7 —
dollars($100)or less PROPERTY OWNER CkLU
,JHORIZEDAGENT
ci I certify that in the performance of the work for which this permit is issued,
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# oeqt%4:;—�o
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 Will the applicant or future building occupant handle hazardous material or a
Code,I shall forthwith comply4 those provisions.Date Mixture containing a hazardous material equal to or greater that the
Applicant_ amounts specified on the Hazardous Materials Information Guide?
%"ORKER'S COMPENSATION COVERAGE IS o Yes��`o
W_ARNING.-FAILURE TO SECU
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 Quality Management Distirrict(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTERES%AND ATrORNEYS FEES for guidelines
0 Yes No
CONSTRUCTION LENDING AGENCY Will th�e sed building or modified facility be within 1000 feet of the
I hereby affirm that under the penalty of perjury there is a construction e propo
lending agency for the performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) o Yes e 0
1 have read the Hazardous Material Information Guide and the SCAQMD
OWNER BUILDER DECLARATIONS 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,secti 5505 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardous materia
checkmarks)I have placed next to the applicable item(s)(Section 7031.5 Dyes Date �0
Business and Professions Code).Any city or county that requires a permit to
construct,alter,improve,demolish or repair any structureo prior to its PROPERTY OWNER OR AUTH E AGENT
issuance,also requires the applicant for the permit to file a signed statement EP 'ATION REPAIR AND PAINTING(RRP1
that he or she is licensed pursuant to the provisions of the Contractor's State A ENOVATION KhFAIK AMU rm"I I I
�R
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
a n Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners a nd property
managers who do the paint-disturbing work themselves or through their
than(S500). For more information about EPA's Renovation Program vilsirt:
a 1,as owner of the property,or my employee vith wages as their sole employees. nal Lead Information Center at
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.goy/lead or contact the Natio
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contiactor's 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,builds or improves the Certified Firm Name:
property provided that the improvements are not intended or offered for
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 o No EPA Lead-Safe Certified Firm is required for this project because:
not built or improved for the pu rpose of sa le.
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.
DATE 10-18-16 PERMIT/PLAN CHECK NUMBER
p-'t>L[o
TYPE: �., COMMERCIAL VRESIDENTIAL ,MULTI-FAMILY �) MOEIILEHOME -�) POOLIISPA OSIGN
SUBTYPE: OADDITION ;)ALTERATION ODEMOLITION ','jELECTRICAL VMECHANICAL
ONEW OPLUMBING "',RZ-ROOF-NUMSER OF SQUARES_
DESCRIPTION OF WORK Replace 80,000 btu furnace, 31/2 ton (14 seer) A/C unit
and coil
PROJEcTADDREss 29785 Avenida De Sereno
ASSESSOR'S PARCEL NUMBER 336-250-010 LOT TRACT
OWNERNAM Doug Ritchey
ADDRESS 29785 Avenida De Sereno Sun City, CA 92586
PHONE .951-973-5301 EMAIL
APPLICANTNAME Jane Recktenwald
ADDRESS
PHONE 714-336-6159 EMAIL
CONTRAcrowsNAME Peach Home Services OWNER BUILDER? 0 YES VNO
BUSINESS NAME
ADDRESS 532 Malloy Crt Corona, CA 92880
PHONE 714-462-8174 EMAIL
CONTRACTOR'S STATE LIC NUMBER 989511 LICENSE CLASSIFICATION _Q36, C20
VALLIATION$ 8,998_00 L SO FT
APPLICANT'S SIGNATURE— DATE 10-18-1
DEPARTMENT DISTRIBUTION �7 ITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP
INVOICE
AMOUNT PAID AMOUNT 0 CASH ()CHECK 9 CREDIT CARD VISA/MC
G)CASH t�CHECK 9
CREDIT CARD VISAIMC
OWNER BUILDER VERIFIED 0 YES 0 NO DLNUMBER NOTARIZED LETTER Z) YES -0 NO
City of I'Llen!"'ce Bil"cillog& Depoftmeor?97 N 4 1 folln Rd. p'lenjj"-c.. CA P2536 95�-6,�'�-677Z
liii, 95� 24b-62
City of Menifee
Building Dept
OCT 18 2016
Received
cmit-AMGM
CIER11FICATE OF COMPLIANCE
Alb,ndons to Space Conditioning System(formerly CF-ILR-W-HVAC) (page I of a I
project Name: DougKitchey DamPrepared; 2016-10-35
A.General Information
CFIR-ALT-02 is applicable to multiple space conditioningsySternS contained within a single dwelling uniiL When multiple dwelling units most be documented,
use one CFIR-ALT-02 doaument for each dwelling unit, —
01 Project Nam Doug Ritchey 02 Dam prepared 20145-10-IS
oned , & —
03 project Location 79785 A�end.D.Sren. 04 BufldingType Single ffamily
jt. Nam Do ug Pj�,By
B- U
05 CA City Sun City 06 [>welling Unit NaMe DougPJtchey
07 Zip Code 92596 08 Owelfin"g unit Conditioned 14010
Fluor Area(ft2) A
sp �ojja.Z.
Number of space conditioning
09 Climate Zone 10 jo tsc)system in this dwelling 1
It.Spam Condlijoning(SC)System I rifOrMatiOn
G6,, .� —.. c 10
02 03 rz 09
01 04
��-Js th mga
Ifl'- 'installing
SC System SIC System CFA servedi s 1,j)SWRing
ystenna�- ri&geiii�t .-Installhijim"25C from ing
Identificationar IncationorArani bythj�qC ducted caritaining; sy�te m6rethsm,ld eArrely�& _eAalinety ne.
Name Served System(fitz) system? component? components? feetafducts? ductsystern? Scirystern? AfteradonType
Yes No No No Altered space
System I Location 1 1400 Yes Yes conclitioningsystern
C.Extension of E)asdng Duct System,GreaterThan.40 Feet(Sect!cmM.2(b)1DlIb)
This section does not apply to this projecti.
Reli[nraUm Number,216-A0286S17A4M0Q00DD-000D RPJIStnition Datellime: 2018-10-1515:08�54
C�Building Energy Effideri,Siandards-2013 Residential GDmiflance Report Vcrdon:2013 Rin,LD08 ReP0MGCnMmd:2DI6-1&'1S 15--07ao�,
Schema Vendor:O.S5550D
CEMFICATE OF COMPLIANCE CF2
Alterations W Spam Conditioning Systems(formerly Cr-IR-ALT-HVAC) (Page2crfit)
D.Altered Space Conditioning SYstern(Sections 150.2(b)IE arid F)
01 02 03 04 05 05 07 us 09 16 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency cooling Cooling Efficlenry Efficiency Thermosta, Replaced New Duct
crName Type Components Type Value Systemllype cDenponems, Type val"t Type Duct Length R-VatUe
Aflnew All ne. Thisfieldor This field or
syAlarn I Central gas headnis ARJE so CentnI3PI7t
furnace components AC cooling SEER 14 Setback section Is not section 6 not
Components applicable applicable
CFZR-MC"I-E-Seacit Condid"5�. F.
nuoul�ntfor�plmu=Ral.
mli-MCH-2o-H 8.03R�MOR-20�11-ou�t ,ilkge teoin,"uinni".haatsnz�.-IlAc rnw�nn,.�hxl in r�hen rnon,t,..m ft.f do.lenlph a rapl.o.
�6--W--PIWWX�:S 15%o,S IM l.k.,.I t.Ud,or ml 0 enceltil,kah.
tF2R��&Caak�25-11 Wdl.ntc,.M.V.111�mull" h.n Mh h,�. nt..
M"ireudfiCdC6?&—Arb�MCI
E.Entirely New or Complete Replacement Duct"*��,Aevn,vAth or Without Equipment Changeout(Seckii*;ns
Jiila;nd-150.2(b)IE,F)
This section does notappty,to this project
or Complete Replacennerrt Spam Conditioning System(Section 150.2(b)IC)
This section does not applyto this pmject.
RegiM.. n Number.2�396517A-0000=0�43M Regiviration DaWrhe: 2016-10.15 I&OU4 HERS Provide,:C@ICEKrS
uIll-IldIng Enew EffidencyStandards-2013 Residential Compliance ReponVa.i.n:2013 RevLoas RePoffGenea&&&-201&MI5 15:07:19
Schema Version;O.SSMD
CERTIFICATEOFOOMPUANCE CFIL"LT-02-E
Alterationsto Spam Conditioning System(formedVM%R-ALT-HFVAQ (Page 3 of 3
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
D.wn..ftI*nAdwN.nuu DMmentrUmAutherSioneuve:
zaragm,Mint
c.nneew. sigrarur,Omu
Peach Home Service 2016-10-15 15.08;54
Add. OW HERS Cen�w Idendfizdan(d appficable)!
S32 Malloy Ct 989531
city/sun-frip; Ph.�.;
CORONA CA 928aO 9SI-787-4141
Responsible Person's Declaration statement
under��atine State OfUlffirnla:
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532 Malloy Ct 989SU
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CORCNA CA 92880 951-737-4141
Registrarion Number.216-AO3SGSI7A-(0000WOG 0000 Registrati.Ofte/nme; 2016AOA51&.OS:S4 HERS PmAder,CaICERTS
CA Building Energy EfficlencyStindard&-2013 Reeiidential Compliance RqaonVenlon:2013 Rev I.WS RepcmGeneratad:2016-U�-IS IS-Wa9
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