The URL can be used to link to this page

PMT16-03631 City of Menifee Permit No.: PMT16-03631 29714 HAUN RD- Type: Residential Mechanical <A—CCr=LA> MENIFEE, CA 92586 MENIFEE Date Issued: 1110812016 P E R M I T Site Address: 28512 E WORCESTER RD, MENIFEE, CA Parcel Number: 337-113-002 92586 Construction Cost: $11,000.00 Existing Use: Proposed Use: Description of HVAC COMPLETE SYSTEM CHANGE OUT Work: Owner Contractor RACHEL REILY A&G HEATING AND AIR 28512 E WORCESTER ROAD CONDITIONING—SYSTEMS MENIFEE,CA 92586 4526 BERKLEY AVENUE Applicant Phone:9099366466 RYAN MAHLE License Number: 984906 A&G HEATING AND AIR CONDITIONING—SYSTEMS 4526 BERKLEY AVENUE HEMET, CA 92544 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 effors 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. AkB]dg-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 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 ci I am exempt from Hcensure under the Contractor's State License Law for Professions Code and my license Is in full force and effect. the following reason: License Class 2,0 License No. qg�-70,( By my signature below I acknowledge that,exceptformy personal residence Expires_ Signature -A,--4�� 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 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 worker's 7W of the Business and Professions Code,is available upo n request when compensation,Issued by the Director of Industrial Relations as provided for this application is submitted or at the following website.- bySection 3700 of the Labor Code,for the performance of work for which www.leginfo.ca.gov/calaw.html. this permit is issued. Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT o I have and vdill maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which ci 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 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-hundred Date dollars($100)or less PROPERTY OWN ER OR AUTHORIZED AG ENT Kicertify that in the performance of the work for which this permit Is Issued, 'I she 11 not employ 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 shall fo ith comply wito t isions. Will the applicant or future building occupant handle hazardous material or a Applicant Date 11-8-14 mixture containing a hazardous material equal to or greater that the — amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes u No UNLAWFUL,AND SHALL SUBJECr 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 District(SCAQMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY a Yes a No I hereby affirm that under the penalty of perjury them 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) a Yes a No OWNER BUILDER DECLARATIONS I have read 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 25505 and 25534 concerning Contractor's License Law for the reason(s)Indicated below by the hazardous material reporting. checkma rk(s)I have placed next to the applicable item(s)(Section 7031.5 ciYes o No Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWN ER 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(RRP) 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 RRIP-cerfified 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 a nd 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 their sale employees.For more information about EPXs Renovation Program visit: compensation,will do( I all of or( )portion of the work,and the structure is www.epa.govIlead 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 c;An EPA Lead-Safe Certified Renovatorwill be responsible for this project property who,through employe&or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sa le.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 because: 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. F-Al LIEN NMI X4 rMAWN I[VAJ I "."Menifee DATE U-9 - 16 PERMITIPLAIN CHECK NUMBER TYPE: O— COMMERCIAL V,RESIDENTIAL 0MULTI-FAMILY OMOBILEHOME OPOOL/SPA OSIGN SUBTYPE: OADDITION OALTERATION ODEMOUTION CELECTRICAL KMECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK a/�S4M 04,1+ VD Sj)6CkkU PA904WM PROJECTADDRESS 111V � �Ly 0 Pt. ASSESSOWS PARCEL NUMBER -5- MQ LOT TRACTJ NOV 08 2 PROPERTY OWNER'S NAME PIC,at L F F J N ADDRESS 99SI WOjeQ4WAe rD %�n W-Q OA %9Wve PHONE (OKI) &11FILI-1�1 EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CA Dud. Com COF4TRACTOWS NAME _Ar)C�d Iftp,I Kn 0 OWNER BU LLDER? 0 YES/00 BUSINESSNAME fi(+ &I R�jftTAO()l WA Nv- SISYEN� ADDRESS 9S__� O f6/f 121e- LC\1 k� �EMFj Cffi 1/�� '1 � PHONE EMAIL ftN L)l CAF ON 0' n V 0 CAM) (hM CONTRACTOR'S STATE LIC NUMBER M11W LICENSE CLASSIFICATION C VALLIATION$ SQ FT L SO FT APPLICANT'S SIGNATURE z4z DATE DEPARTMENT DISTRIBUTION C OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE I GREEN SMIP X I INVOIC PAID AMOUNT CASH 0 CHECK# OCREorrCARD VISA/MC �E 13PL4- AMOU�T PLAN CHECK FEES PAID AMOUNT I CASH 0—CHECK# O—CREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 No DLNUMBER NOTARIZED LE17ER 0 YES 0 NO City of Wnifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityolmenifee.us Inspection Request Line.951-246-6213 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CF1R-ALT-D4-E(Revised 05/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-1R-ALT-HVAC) (Page 1 of 1) Site Address: - Enforcement D P d Permit#: 2 e 5 1� ig iA/or-c -5+ex- �P V\fix) Z; T29-77 : IL r)SW31 EquipmentType Equipment Efficiency New Ducting,Plenums,Lineset., Conditioned Thermostat I Required R-value Flo 0 Packaged System El Evaporator coil AFUE COP [3 R-6 (CZ2,8-13)Ducting Served by system 0 Setback 'Ksplit system onclensing Unit E3 R-S' XZ 11,14,15)Ducting sqft [If not already •Mini Split E3 Compressor 11--SEER HSPF 0 R-6(all CZs)Plenums present,must •Furnace 13 Uneset be installed) li TXV EER [I R-S or R7-5)Linpsee I HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit applic:ation 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 3 copy left on size. O'l.HVAC Changeout/Repa-ir Required Compliance Documents to be left on site for Final: - Cil Menifen All Equipment, CFIR-ALT-02-E Bullang,Wbalety Dep . Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or24)2-HERS,MECH-25-HER9 Compressor,TXV,Lineset, CF3P- MECH-2D-HERS,MECH-(23or24)-HERS2,MECH-25-HER9 NOV 0 8 2016 Air Handier/Fumace2(Can include ne ducting) Installer Requirement:Duct leakage or<10%to outside,or seal all accessible leaks),Air Flow 2t 300 CF1'A/tan,R tCh Exempted from duct leakage testing lf� f�An VP 0 1-DUct SWeM registered with HERS provider as previously sealed,or 0 2-T here is less than 40 linear feet of duct in uncon,R.Y.W'd 0 3-Existing CIUCt Systems am constructed,Insulated or sealed with asbestos(Fist manufacture date of building------- 0 2-New HVACSYstern Required Compliance Domments to be left on site for Final: All new equipment and All New Ducts;3 CM-ALT-02-E including Mini Split CF2R: MEDi-03.,MEoi-10-HERS,MECK-22-HERS,MECH-(23or24)-HEFW-,MECH-25-HERS2 CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERSI�MECH-25-HERS2 Mini 1;pIh require CIFIR-ALT-02-E,CFZR-MECK-01,and (CF2R-CF3RI MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan cacy(.SSW/CFM),Air Flow?,350 CFM/tcm(or alternative),Refrigerant Charge 13 3.All New Ducts with Replacement Required Complianc:e 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-0:1,MECH-2[).HERSIMECH-(23or24)-HERS,MECH-25-HERS Compressor,TXV,Uneset,Furnace CF3R: MECH-2jD-HERSMECH-(23or24�HERS,MECH-25-HERS Installer Requiremerit:Duct leakage<6%,Air Flow at 350 CFM/ton(or alternative),Refrigemnt Charge Exempted from duct leakage testing:. m.13 1. Existing duct systems am constructed,insulated or sealed With asbestos 0 4.New Ducting over 40 feet Required Compliance Documents to be left art site for Final: New clucting but less than All New Ducts' CFjR-ALT-02-ECF2R: MECH-20-HERS,CBR: MECH-20-HERS Installer Recaued to:Duct leakage(Sj5%or,5_10%to outside or,or seal all accessible leaks) E3 EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. I All new ducting R-8 required when more than 40 it Installed and R-6 when less than 40 it installed. This includes in walls,between floors etc. 2 Heating only systems a nd Air HandlerlFurnace 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,boats,air handler,coil,plenums,duct material) 'R-5(r thick insulation)for linesets 3!'and less. R-7.5(13'thick insulaticni)for lineset5 over 1 inch. Most mfg will require Suction line Diameter with insulation as the following I.S-2T-21W,2-5-37-2%", S to 4T.23V,5 T-430 Contractor(Documentation-4uthor's/Responsible Designees Declaration Statement) I cert"e following under perialty of pedury,under the laws of the State of California: 3- 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 specifimtkins for the design identified on this Cerdflicate of Compliance confamn to The requirem ants 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 Part 6 of the CCR. 5. The building design features or system design features identified on this Certificate of Compliance are consistent with the lnfor�nation provided on other applicable compliance documents,wooheets,calcul ns,plans an d specifications submitted to the enforcement agencv for approval with this building permit applicati6W. R sponsibleD g erName: RwporizibleD!dgMerslg"im: Z� IJ mOcAle;kyl 0 (0 afty/stneMP: I PWw h W- 441-Yn r4w I a2 md, I&Mejt�ej�-4ff ot ave. For assistance or questions reording the Energy Standards,contact the Energy Hotline At. I