PMT16-03477 City of Menifee Permit No.: PMT16-03477
29714 HAUN RD.
L f? MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 1012112016
P E R M I T
Site Address: 26338 STARR DR, MENIFEE, CA 92585 Parcel Number: 331-490-008
Construction Cost: $11,000.00
Existing Use: Proposed Use:
Description of REPLACE 4 TON HVAC UNIT,80,000 BTU FURNACE, 16 SEER
Work:
Owner Contractor
JOE NESTRA FAMILY PLUMBING HEATING&AIR INC
26338 STARR DRIVE 34629 FOX BERRY ROAD
MENIFEE,CA 92585 WINCHESTER, CA 92595
Applicant Phone:9516767141
GREG JACKSON License Number:918182
FAMILY PLUMBING HEATING&AIR INC
34629 FOX BERRY ROAD
VIANCHESTER, CA 92596
Fee Description Qty 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 pemnit shall not prevent the building offidal 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 BidgPennit-Terniplate.ript Page 1 of I
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 Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
UcenseClass ('249 C36 UcenseNo. 9 I�Vgz By my signature below I acknowledge that,except for my personal residence
Expires Ib?/ /6 Signature_,:Q_� in which I must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in its entirety by
a 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 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
this permit is issued. www.IeRinfci.ca.Rv/caIaw.htmI.
Policy# �w (JA _� -Date
ri I have and will maintain workees compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performa nce of the work for which o By my signature below I certify to each of the following;I a in 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 a re: application and the information I have provided is correct.I agree to comply
Carrier c,t_�Af -eVc5 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 C e 7 �2-e i —Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred _j:V0_, Date
dollars($100)or less PROBEFITY OWNER OR AUTHORIZED AGENT
a 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# 3 2
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 fortt1w mply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applica nt Date 6, 2 mixture containing a hazardous material equal to or greater that the
amounts specified an the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 Oyes 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($100,00),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 ATrORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY Oyu ONO
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) u Yes o No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCACIMD
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
Contractoes License Law for the reason(s)indicated below by the hazardous mated eporting.
checkmark(s)I have placed nextto the applicable item(s)(Section 7031.5 Yes PIT�
Business and Professions Code).Any city or county that requires a permitto 0
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 MRPI
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-cerriffed firms and com ply 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
ci 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 J )all of or( )portion of the work,and the structure is www.epa.goy/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 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 am 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. ci No EPA L�cl-Safie Certified Firm is required for this project because:
ci 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.
CITY OF MENIFEE PLCK No: Permit No:
o
29714 Haun Road City of Menifee Date: Da
Menifee, CA 92586 Building & Safety Dept. J��Z)k�JS:e
Phone: (951)672-6777 Amount: Amount:
Fax:(951)679-3843 OCT 2 1 2016 Ck#: CkP�4' 1r)
Building Combination plipfteived
To Be Completed ByAppll t
Legal Description: Planning Case*. L Rt: R
Property Address: Z6 JAssessoes Parcel Number
f2al- LACto- 00S
Projectrilenant Name: Unit#: Floor I;:
Name; 1)0 a �Lo �,Oax:No.
Property Address: 9c Unit Number Zip Code
Owner dr- 1 17-72
Email Address:
Name: Phone No Fax No.
7.7 6/7,5 a/I '737 7 1
Appilatnt Address: e-( Unit Number Zip Code '?Z�eglll
—FP[�ne No. Fax No.
Name:
M U,X e-" s
Contractor Address: 7,'iP ty State 7 ip Cod
Cr IffO —[Ei�lyylvll/e rl.? e�e7
Classficationc
Contractor"s-c-ii7y-p—usiness!.Lcense No- Contractor's City State of California Licannn No�
z6wg��6 C'-N on-vs I I
Number of Squares: El ICN
Square Footage
Description of Work: 6"W'fl- Costa Work:$ 'IV
Applicant's Signature Tq Be Camp] ted By City Staff Only. Deter. I'd 2( (6
Indicate As R-Received or N/A-Not Applicable
5 Completes sets of fully dimensioned,drawn to sale plans which include: 1 se(of documents which Include
r�
[3 Tile Sheet E] Elevations Electrical Plan EI Gea Tech/Soils Report(on cd only)
[J Plat/Site Plan 0 Roof Plan Mechanical Plan Title 24 Energy(an 8%x 11)
Structural Calculations
Foundation Plan E] Cross Section Plumbing Plan Single Line diagram for elec.services over 400 AMP
Floor Plan [] Structural Framing Plan&Details Sharing Plan Sound Report-Residential
Class Code: Indicate G:HNmv ConStIVICRE) Alteration- HAddRion* McanclMelhock
I Work Typ Repair' HRetrofiV Revislul to Existing PennIVI Required? YES NO
Proposed Building Use(s): I Existing Building Use(s):
#Buildings: Units; #Stories: Will the Building Have a Basement? Y of N
Bldg.Code Occupancy Gnaup Indica Indicate If YES or NO 1hZcate all "Geo-tech.Haz-Zone
Canstle Starinklerad a app y: desist Zone
At Project Iction
Completion: Type(s): ofo YES or NO Noise Zone
[Required? Listed an Historic Resources Inventory
CITY PLANNING STAFF ONLY
r Planning Comm.lZoning Administrator
APPROVALS: :FTC:,Stal Commiss Arch-Review Board Landmark omm.
Ee E�xemipt: City Project I JElec.Vehicle Charger Landmark Seismic Retrafit Offidal Approval
Expedite Project(s): Child Care City Project Green Building Landmark[ Affordable Housing
i-or Staff Use Only
Building/Safely Permit Specialist City Planning urvin Engmeermil I UINM-Admin I Transpor(allan Mgmt. Rant Control
THANK YOU FOR HELPING US CREATE A BETTER COMMUNITY
Simplified Prescriptive Certificate of Compliance:2008 Residential HVACAlterations CF-1R-ALT-HVAC
Climate Zones 10 to 15
Site Address. EnforcemeritAg Date, perinit#.
gmcy-* 101t�A B-�i —
aLo3a5i mgn� 64 POED—ka,
EouipmentTyWi -, I ListMinimmut Duct insulation requirement Conditioned Floor Area Thermostat j
Pa6kaged Unit Over 40 ft of ducts added or [:]Setback
Furnace cop replaced in unconditioned Served by system (If not alwair
IndoorCoill W rVR=12 HSPF 5am sf P�ent'imcst�e
E]Condensing Unit EER 0 2� Resistan-m— R6 (CZ10-13) Installed)
F1 Other rl R 8 (CZ 14-15)
1.Equipmen t 7:yp e:Cho a se the e q uipment b e ing ins tolled, if mo re than on it system,use an a th ar CF-I R-AL T-H VA Cfo r each syrtem.
2.Minimum Eproment Efficiendey:13 SEE9 78%AFUE, 7 7HSTFfor typical residential systems.
HERS VERIFICATION SUMMARY Listed below me few JTVAC alteration Options. The installer decides what work is being done and
picks one of the appropriate Options. Each Option lists the BERS measures that must be conducted.A copy ofthe forms she]]be left on site for final
inspection and a copy given to the homeowner. At final,the inspector verifies that die work listed on this form was in fact the work completed bythe
installer. The inspector also verifies that each appropriate CF-611 and registered CF-411 forms(no hand filled CF-4Rs allowed)are filled out and
signed. Beginning October 1,2010,a egistered copy of the CF-IR and CF-611 shall also be on site for final impection.
1.ElVAC Ctrangeout Required Forms:
CF-6Rlmms: MECH-04,MECH-21-DERS and(for split systems)MECH-25-HERS
• All HVAC Equipment replaced of MenH98
CF-4R to=: NECH-21 and(lbr Rlit system) MECH-25 C" .-— �--4
• Condenser Coil and/or CF-6Rforms: MECH-21-HERS and(for split systems)MECH-25-HERS Build-ILng a 0.1-1 —
• Indoor Coil and for CF-4Rftirms: MECH-21 and(for split systems) NECH-25
• Furnace OCT 2 120%
For Split Systems:Duct leakage<15 percent; RC,CCA 2:300 CM/ton(Millimurn Air Flow Requirement),TMAH
For Packaged Units: Duct leakage<15 percent
Exempted from duct leakage testing if: Fioceived
1.Duct system was documented to have been previously settled and confirmed through BERS verification,or
2.Duct systems with less than 40 linear feet in unconditioned space,or
3.Existing duct systems are,constructed,insulated or scaled with asbestos
D2.New HVAC System Required Forms:
Cut in or Changeout with new CF-6R forms: MECH-04,MECH-20-HERSaml(for split systems)WCH-22-IIERS,and MECH-25-RERS
ducts:(all new ducting and all CF-4R forms: MECH 20,and(fbr split system)MECH-22,and MECH 25
new equipmenQ
For Split Systems:Duct leakage<6 percent;RC,CCA�:350 CFNVtou,FWD,TNAH,STWIS,and either HSPP or PSPP.
For Packaged Units:Duct leakage<6 percent
D 3.New Ducts with Replacement I Required Forms:
a Includes replacing or installing all new dueling CF-6R forms: MECH-04,MECH-20-IIERS,and(for split systems)MECH-25-FIERS
andfor outdoor condensing unit and/or indoor CF-4R forms:MECH-20 and(for split systems)MECH-25
coil andtor flumace. Not all equipment changed.
For Split Systems:Duct leakage<6 percent,RC�CCA>300 CFWton,TMAH
For Packaged Units:Duct leakage<6 2ercent
El 4.New Ducting over 40 feet EMuired Forms:
9 Includes adding or replacing more than 40 CF-6R forms: MECH-04,MECH-21-IIERS CF-4R forms: MIECH-21
linear feet of duct in unconditioned spac:e.
For spi nits: Duct leakage<15 percent
Contractor(Documentation Autbor's/Responsible Designees Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and professions Code to accept responsibility for the design identified on this Certificate
of Compliance-
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conflum to the
requirements of Title 24,Parts I and 6 of the California Code of Regulations-
• The design features identified on this Certificate of Compliance=consistent with the information documented on other applicable compliance
ftirras,workshects,calculations,plans and specifications submitted to the enforcement agency for gK?vid with the permth 9glication.
Name: Signature:
.. I Date:
Company:
Address: 6; License:
Phone:
City/state/zip: ef r rt
2008 Residential Compliance Fornis Marc[, .2010