PMT16-03404 City of Menifee Permit No. PMT16-03404
29714 HAUN RD. Type: Residential Mechanical
MENIFEE, CA 92586
MENIFEE Date Issued: 10/18/2016
P E R M I T
Site Address: 29150 CRESTILINE DR, MENIFEE, CA Parcel Number: 339-342-004
92584 Construction Cost: $8,000.00
Existing Use: Proposed Use:
Description of REPLACE 88,000 BTU FURNACE&3.5 TON(16 SEER)A/C UNIT
Work:
Owner Contractor
LORI SMITH COOL AIR SOLUTIONS INC
29150 CRESTONE DR 41162 SANDALWOOD CIR STE 101
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone: 9516762665
JANE RECKTENWALD License Number:874502
COOL AIR SOLUTIONS INC
41162 SANDALWOOD CIR STE 101
MURRIETA, CA 92562
Fee Description Qtv Amount($
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 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 BidgPermit—Template.rpt Page 1 of I
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and o 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 0—Dib License No.4611603 By my signature below I acknowledge that,except for my personal residence
Expires 01-�'�- Signature in which I must have resided for at least one year priorto completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKEWS COMPENSATION DECLARATION 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 following website:
by Section 3700 of the Labor Code,forthe performance of work forwhich www.Ieginfo.ca.Rov/caIaw.htmI.
this permit is issued.
Policy# PROPERTY OWNER OR AUTHORIZED AGENT Date
o I have and will maintain worker's compensation insurance,as required by
section 3700 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 carrier and policy owner or authorized to act on the property ownees behalf.I have read this
number are: application and the information 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#12�v��Expires -hundred enter the above identified prope inspection purposes.
(This section need not to be completed is the permit is for one az_�� Date 15AaD
dollars($100)or less PROPERTY OWNER OR AUTH"Z AGENT
o 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#
workees compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensationpdvisions of Section 3700 of the Labor
Code,I shall forthwith com I with t se provisio S. - Will the applicant or future building occupant handle hazardous material or a
Applicant Date �5-lVS-Lb mixture containing a hazardous material equal to or greater that the
amounts specified on the Hazardous Materials Information Guide?
WA_RNING-FAI&IrE16�SECU RE KER'S COMPENSATION COVERAGE IS ci Yellk�No
UNLAWFUL,AND SHALL SUIUECrQN EMPLOYER TO CRIMINAL PENALTIES �Vill the'intended use of the building by the applicant or future building
AN D 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 District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes
I hereby affirm that under the penalty of perjury there is a construction Will the Tpposed building or mad ffled 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) ci Yes No
OWNER BUILDER DECLARATIONS I have Zd 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 2SSOS and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the hazardou
�,marterial reporting
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Dyes Afm
Businessand Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its 05��WN_ER 0 ENT
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,R
License Law(Chapter 9(commencing with Section 700D)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 applicant to a civil penalty of not mom 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 Progra in visit;
compensation,will do I )all of or I )portion of the work,and the structure Is www.epa.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 Contractoes State License Law does not apply to an owner of a o 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 for the purpose of sale. n 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 a nd Professions
Code:The Contractries 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.
77-77
BUILDING SAFETY PERMIT/PLAN CHECK APPLICAtIO' N
DATE PERMIT/PLAN CHECK NUMBER
TYPE: �)COMMERCIAL VRESIDENTIAL CMULTI-FAMILY t- MnRlIFWnIVIl 00OL/SPA SIGN
SUBTYPE: 0 ADDITION �-',ALTERATION 0 DEMOLITION 0 ELECTRICAL VMECHANICAL
ONEW C� PLUMBING 0 RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK -Replace 88-000 btu furnace & 31/2 ton (16 seer) A/C unit
PROJECFADDRESS 29150 Crestline Dr Menifee, CA 92584
ASSESSOR'S PARCEL NUMBER .339-342-004 LOT TRACT
OWNERNAME . LQri Smith ICT
ADDRESS —al 50 Crestline Dr Menifee, CA 92584
PHONE 951-566-7192 EMAIL
APPLICANTNAME Jane Recktenwald
ADDRESS
PHONE 714-336-6159 EMAIL
9�ONTRACTOR'S NAME Sall tiona Inc P—DER? 0 YES VNO
-GO01 Awl , i OWNERSUIL
BUSINESS NAME
ADDRESS -41162 Sandalwood Cir Ste 101 Murrieta, CA 92562
PHONE 951-676-2665 EMAIL
CONTRACTOR'S STATE LIC N U MEIER 874502 LICENSE CLASSIFICATION C20
VAUUATION$ a no () nn SCQlFT L SQ FT
APPLICANT'S SIGNATURE
_��DATE 10-18-16
DEPARTMENT DISTRIBUTION m
BUILDING PLANNING ENGINEERING FIRE GREEN 6"3 SMIP CITY OF MENIFEE BUSINESS LICENSE NUMBER
INVOICE 1,5 J�j -
AMOUNT PAID AMOUNT 0 CASH C CHECK N �',CREDITCARD VISA/MC
PLAN.CHECK FEES PAID AMOUNT "-,.ECKN 1,CREDITCARD VISA/MC
OWNER BUILDER VERIFIED 1'�'YES Cw NO DLNUMBER NOTARIZEDLETTER 0 YES -x NO
City��f Biv!alne-i &-salety GA 24�86 q�jq,
cis;,Ispe:r,*C;fl Pr,qtum'ille 951
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E(Rewlsed 03fl�2 CALIFORNIA ENERGY COMMISSION
[�FICATE OF COMPUANCE CFIR-ALT-04-E
Alterations-HVAC CZ 2,and B-15(formerly CF-1R-ALT-HVAQ (Paize 1 nf 11
Gity of Meirf�' I
Riiflrfinq n�
Site Address: Enforcii-nnerif 4ency: Date 14g!red: Permitlh
29150 Crestlinp r 10_ lumlly-0 0114
0 ftlenums,Lineset; Conditioned Thermostat
EquipmentType Equipment Efficiency Required R-value Floor Area(sq ft)
E# ng rve by system
0 Evaporator Coll V8-13)Dqctl Se d Metback
13 Packaged 800/,AFUE — I 'I (if not already
Sre 11 Conclensl ng Unit Ducting 1624 sqft
Sp;
It
N itsystem 13 Compressor -16 SEER HSPF present,must
— (3 R-6(all CZ,)Plenums be Installed)
0 Mini Split 0 Uneset EER 0 R-5 or FITS)Uneset4
13 Furnace 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 fina inspection all forms am to be registered(no hand filled forms allowed)and a copy left on site.
dl.—HVACChangeout/Repafr Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERSMECH-(23or24)2-HERSMECH-25-HERS'
Compressor,TXV,Lineset, CF3R: MECH-20-HERSMECH-(23or24)-HER5'OMECH-25-HERS'
Air Handier/Furnace2(Can include new ducting)I
Installer Requirement:Duct leakage L<15%,or<10%to outside,or seal all accessible leaks),Air Flow�300 CFM/tcm,R,etrigerant Charge.
Exempted from duct leakage testing if;
0 1.Duct system registered with HERS provider as previously sealed,or r3 2.There is less than 40 linear feet of duct in unconditioned space,or
0 3.Existing duct systems are constructed,Insult ted or sealed with asbestos(list manufacture date of building
0 2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and Ail New Ducts" CFIR-ALT-02-E
Including Mini Split CF2R: MECH-01,MECH-20-HERSMECH-22-HERSMECH-(23or24)-HER5,MECH-25-HER52
CF3R: MECH.20-HERSMECH-22-HERSMECH-(23or24)-HER9,MECH-25-HERS2
MtnISpIItsre ulreCFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%.Fan Efficacy(.58WICFM),Air Flow?.350 CFM/ton(orafternative),Refrigerant Charge
Q 3.All New Ducts with Replacement ---I Required Compliance Documents to be left on site for Final:
All New Duc&and one or more of the followingi CFIR-ALT--02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERSMECH-(23or24)-HERSMECH-25-HERS
Compressor,TXV,I-ineset,Furnace2 I CF3R: MECH-20-HERSMECH-(23or24)-HERSMECH-25-HERS
Installer Requirement:Duct leakage!S6%,Air Flow 2:350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:13 1. Exlqq du
..,esterns are constructed,insulated or sealed with asbestos
0 4.New Ducting over 40 feet 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 L<_15%or,:S.10%to outside or,orseal all accessible leaks)
13 EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
I All new ducting R-8 required when more than 40ft installed and R-6 when less then 40 ft Installed. This Includes in walls,between floors etc.
2 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 reused parts from the
dwelling unit's existing duct system(e.g,registers,grilles,boots,air handier,coil,plenums,duct material)
4 R-5 W'thick insulation)for linesets I"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-2W',2.5-3T-230,3.5 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 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 I and Pan 6 of the CCR.
S. The building design features or system design features Identified on this Cerrificate of Compliance are consistent with the information
provided on other applicable compliance documents,worksheets,calculations plans and s ifications submitted to the enforcement
agency for approval with this buildin permit application.
lt�ponslble 0018fte Nanim Rnpons"ible Designer Signinum: c—� tesigned:
,IRnA Re-ckfenwalrl 1100-18-16 u;7,,;,,
co.panv: Addr"s: c[ty/sute/Z-1p; Ph�:
Cool A�r SalLifions, InG 41162sandalwoo CirSte#101 I Uirriplig CA 9562 951-878-2685
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at,1-80C too