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PMT16-03741 City of Menifee Permit No.: PMT16-03741 29714 HAUN RD. '(�kCCFELA> MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 11/2112016 P E R M I T Site Address: 27123 MONK ST, MENIFEE, CA 92586 Parcel Number: 335-304-008 Construction Cost: $4,500.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT Work: Owner Contractor JO DEE LOPEZ PRO FLO A/C AND HEATING INC 27123 MONK ST 41447 JOHNSTON AVE MENIFEE,CA 92586 HEMET, CA 92544 Applicant Phone:9516941300 BRYAN TODD License Number.78G602 PRO FLO A/C AND HEATING INC 41447 JOHNSTON AVE 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 errors in the plans and specifications or from preventing building 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.Bidg_Permit Ternpiate.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 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: License Class — ,2-2 By my signature below I acknowledge that,except for my personal residence License No. Expires Signature inwhichl 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 DECLARATI'OON have built as an owner-builder if it has not been constructed In its entirety by o I hereby affirm under penalty of p;;��llowing 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.leginfo.ca.gov/calaw.htin]. Policy Date PROPERTY OWNER OR AUTHORIZED AGENT u 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 prop"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 less PROPERTY OWNER OR AUTHORIZED AGENT certify that in the Performance of the work for which this permit is issued, I shall n ot em Ploy a ny persons In any ma n ner so as to become subject to the CITY BUSINESS LICENSE# worker's compensation laws of C-aliforn ia AcL"gree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wo1rke!r' ;;rs_a_ti­on=oN;iis'ions of Section 3700 of the Labor '5-comp !�_pn pro Code,I shal rthwn. llpwv�kh th,ci��pvisions. Will the applicant or future building occupant handle hazardous material or a Date t mixture containing a hazardous material equal to argreater thatthe :c:.:n: amounts specified on the Hazardous Materials Information Guide? ECUR�WBIR�NSATION COVERAGE Is 0 Yes 0 UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA e LTIES 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 o Yes I hereby affirm that under the penalty of perjury there is a construction Will the rprposed 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) o Yes OWNER BUILDER DECLARATIONS I have rrd 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&5afe�Y�BrSectlon 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to Date construct,alter,improve,demolish or repair any structure,priarto Its —PROPE R OR AUTHOR6D­A6rENf Issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuaritto the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING 1RRPJ 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 pa int 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 nut more required practic�.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 Program visit: compensation,will do I I 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 ci 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. o No EPA Lead-Safe Certified Firm is required forthis 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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION " Menifee Ad�mi kh-b0, DATE PERMIT/PLAN CHECK NUMBER TYPE: 0 COMMERCIAL 5"ESIDENTIAL 0 MULTI-FAMILY 0_ MOBILE HOME 0 POOL/SPA 0 SIGN SUBTYPE: 0 ADDITION 0 ALTERATION 0 DEMOLITION 0 ELECTRICAL WAECHANICAL ONEW OPLUMBING 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK 4 Or PROJECTADDRESS a 7 e2 3 1_V_6&Z- �r� J�i2� 2,&9Z ASSESSOR'S PARCEL N UMBER LOT TRACT OWNER.NAME ADDRESS 02 -7/'13 1Y&,,Je �zz L< PHONE EMAIL APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME OWNERBUILDER? OYESONO BUSINESS NAME 14/L 0/C v ADDRESS v*e�v f,0 PHONE el�Z :?66 EMAIL �� (�� CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION$ Z/ SO FT LSQFT APPLICANT'S DATE--—,,I/;P/ _0TY STAFF USE ONLY DEPARTMENT DISTRIBUTION LIIY UI­mtNIFEE BUSIN tFLICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE � GREEN I JOQ SMIP INVOICE j5E,,Uj. I0 I PAIDAMOUNT AMOUNT _,",-1 � 0 CASH 0 CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED 0 YES 0 NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Deportment 29714 Haun Rd. Menifee, CA 92586 951-572-6777 www.cityofmenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CF1R-ALT-04-E(Revised 06114) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE City nf Mopiton CF111-ALT-04-E -HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) Building & Safety Dept. (Page I of 1) Alterations Site Address: EnforcementW:2 I LUIb Date Prepared: Du I 4&peset: Conditioned Equipment Type Equip New ctmp onu Thermostat ment Efficiency Required R_ aMe IF I Ve Floor Area(sq ft) g%ackaged stem 0.Evaporator I COP (011-1 (CZ 2,8-13)Ducting Sewed by system Wetback 'Pr. Y CoiIm (If not already t Systam Condensing Unit &LAFUE L3 R-8' (CZ 11,14,15)Ducting qft •Mini Split U Compressor 44—/S E E R _HSPF 0 R-6(all CZs)Plenums present,must •Furnace 0 Uneset 13 R-5 or R7.5)LIneset4 be installed) 0 TXV E HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the option,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 a copy left an Site. Cl 1.HVAC epair Required Compliance Documents to be left on site for Final: ,,Chafigeou�o All Equipment, CFIR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERSMECH-(23or24)'-HERSMECH-25-HERS2 Compressor,TXV,Uneset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS2 Air Handier/Furnace 2(Can include new clucting) Installer Requirement:Duct leakage(:5_15%,or<10%to outside,or seal all accessible leaks),Air Flow�300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: 111.Duct system registered with HERS provider as previously seailed,or There is less than 40 linear feet of duct in unconditioned space,or 0 3.Existing duct systems are constructed,insulated or sealed with asbet's(list manufacture date of building 0 2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New DUCtS3 CFIR-ALT-02-E Including Mini Split CF2R: MECH-01,MECH-20-HERSMECH-22-HERS,MECH-(23or24)-HERS2,MECH-25-HERS2 CF3R: MECH-2D-HERS,MECH-22-HERS,MECH-(23or24)-HERS2,MECH-25-HERS, 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�:350 CFM/ton(or alternative),Refrigerant Charge 0 3.All New Ducts with Replacement mpliance Documents to be left on site for Final: All New Ducts'and one or more of the following CFIR-ALT-02-E replaced!Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERSMECH-(23or24)-HERS,MECH-25-HERS Compressor,TXV,Unese CF3R: MECH-20-HERSMECH-(23or24YHERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flowa 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing ii 0 1. Existing duct systems are constructed,insulated or sealed with asbestos 0 4.New Ducting over 40 feet R qu"red Compliance Documents to be left on site for Final: New clucting but less than All New DUCtS3 FlR-ALT_02-ECF2R: MECH-20­HERS,CF3R; MECH-211-HERS Installer Required to:Duct leakage(�_15%or,<10%to outside or,or seal all accessible leaks) 0 EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. I All new clucting 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 Handler/Fumace 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,boarts,air handier,coil,plenums,duct material) 4 R-5(r 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 1.5-2T-25/s",2.5-3T-2%",3.5 to 4T-2w,ST-4y." 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 forthe design identified on this Certificate of Compliance conform to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations(CCR). 4. Thatthe 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. S. 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 pgfflut�jko I R We D.igner N..e- Datesi ed:/ ponsi eslgnnFS�waz� VZ, C. P I;Add,e��. I hone- city/stite/zip; For assistance or questions regarding the -contact the Energy Hotline at:1-800-772-3300