PMT17-00022 City of Menifee Permit No.: PMT17-00022
29714 HAUN RD. Type: Residential Mechanical
�A-CCELA— MENIFEE, CA 92586
MENIFEE Date Issued:
02/01/2017
PERMIT
Site Address: - 26895 AUGUSTA DR, MENIFEE, CA Parcel Number: 337-332-008
92586 Construction Cost: $4,300.00
Existing Use: Proposed Use:
Description of REPLACE EXISTING PACKAGE HVAC UNIT ON ROOF
Work:
Owner Contractor
ALIYA VORONINA JUST ONE CALL INC
26895 AUGUSTA DRIVE 1614 VICTORY BLVD STE 103
MENIFEE, CA 92586 GLENDALE, CA 91201
Applicant Phone: 8556418323
ARMEN SOGHOMONYAN License Number: 1004274
JUST ONE CALL INC
1614 VICTORY BLVD STE 103
GLENDALE, CA 91201
Fee Description Oft Amount 1$1
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
forlefted.
AA_8ldg_Permit_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 perjurythat I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License taw).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractor's State License taw for
Professions Code and my license Is in full force and effect. / the following reason:
License Class License No. 6 �� By my signature below I acknowledge that,except for my personal residence
Expires 24) Signature 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 DECLARA have built as an owner-builder If it has not been constructed in its entirety by
dl 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 y.�ww.leginfo.ca.eov/calaw.html.
this permit its issued. // 7
Policy# �a0 Cy(v, — G--)/fz/
Date
❑I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below 1 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
Carrier /li 7�. (0/»�P/1 Sa l/�� /K.L(TG C1lB ndd with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# 9DK)0 6 S--Zo/� 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 OWNER OR AUTHORIZED AGENT
la<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 subjectto 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 forthwith co ply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant o. �n Date �/ ZJ mixture containing a hazardous material equal to or greaterthatthe
amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No
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
ADDITIONTO THE OF COST
L COMPENSATION,DAM AGESASPROVIDED 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 ❑Yes ❑No
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) ❑Yes ❑No
OWNER BUILDER DECLARATIONS 1 have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that 1 am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,priorto 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(RRPI
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 forthe 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 more required practices.This includes rental property owners and property
than($500). managers who do the paint-disturbing work themselves or through their
❑I,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( )all of or( )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 Contractor's State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible forthis 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. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑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 outthe RRP
Acknowledgement.
w
r
DATE 'DI D?i 1 PERMIT/PLAN CHECK NUMBER
TYPE: COMMERCIAL RESIDENTIAL MULTI-FAMILY MOBILE HOME POOUSPA SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL MECHANICAL
NEW PLUMBING RE-ROOF
APPLICATION NAME - " �"� nifee
/n�
DESCRIPTION OF WORK A'D+ (w WLctA 4 -L m t e-v, u ng Dept
MItg7
PROJECTADDRESS C2 1M_ bligfik pr• Tat, 9-� rwL,
ASSESSOR'S PARCEL NUMBER 33—r. 3 •�� LOT TRACTRece, ve d
OWNER NAME 7� 1r EV jL� /J /D�Y�/ooli o-
ADDRESS �- d 9 '1 r 1 br- skry GF' 4
PHONE 15 / 9'Z3 - .Zv)(' EMAIL ir ;nG. / dL /gP2@ ��• �'""`
APPLICANT NAME - rwvn /�
ADDRESS %/) AAA F?�lln Pr. •e*�P�c.L�'c Cyl -([ .d
PHONE / 2[ '3Z- EMAIL /!A -J / ow CAP' 4s•
CONTRACTOR'S NAME 4vW1 �1 � Rl'` OWNER BUILDER? YES"AND
BUSINESS NAME d NG CiR'LL N
ADDRESS !! ,! pC-70x S��/1•EL l0 (L)C1TAf/, � I GF 7!o41
PHONE z� — 6 7 / -O 3 Z-3 r`•7 EMAIL /qj% ,tj, Ow_(_q,r�• Cl S
CONTRACTOR'S STATE LIC NUMBER /O D 7 jc.�T LICENSE CLASSIFICATION
VALUATION$ gg3f)o �0&& Sg•'rt-T ' LSQFT
APPLICANT'S SIGNATURE Q DATE 611olZaar7
CITY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE SMIP GREEN k
INVOICE PAID AMOUNT
AMOUNT . O • 1a CASH CHECK K "CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT " CASH CHECK If -'CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED YES NO LICENSE NUMBER NOTARIZED LETTER . YES NO
City of Menefee 6uildina& Safety Department 29714 Houn Rd. Menefee, C.4 92586 9S1 C72 6777
www cavof llenifee.us
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR.ALT-04-E Revised 06114 CALIFORNIA ENERGY COPAWSSION _CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E-1
Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAppC-�),, (Page 1 of 1)
Site Address: f sl(n Y/. 'Ili ��
Ent ment ency: Dat Pre 'red: Permitq:
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditi ned Thermostat
Required R-value Floor AreaAsqfo
Packaged System ❑Evaporator Coil Split System O Condensing Unit pFUE COP O R•6 Iez 1,8-13J putting Served by s ttoc c
i� fiIRSrdy
❑R-81 OF(CZ 17,14,15)Ducting sgft
❑Mini Split ❑Compressor _SEER _HSPF ❑R-6(Dll C Z's)Plenums present,must
❑Furnace ❑Uneset EER ❑R-S or R7.5)Lineset' JQN r f1ld)
❑TXV 1_
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 final inspection all forms are to be registered(no hand filled forms allow n c y left an site.
1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFIR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20•HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS'
Compressor,TW,Uneset, CF3R: MECH-20•HERS,MECH-(23 or 24)-HERS',MECH-25-HERS'
Air Handler/Furnace'(Can Include new ducting)
Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 3DO CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
Cl 1.Duct system registered with HERS provider as previously sealed,or 0 2,There is less than 40 linear feet of duct in unconditioned space,or
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_ I
112.New HVAC System Required Compliance Documents to he left on site for Final:
All new equipment and All New Ducts' CF1R-ALT-02-E
including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS'
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',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 2 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement Required Compliance Documents to he 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-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Compressor,TXV,Uneset,Furnace CF3R: MECH-20-HERS,MECH•(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow a 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:01. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts' I CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(<15%or,<30%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
'All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 ft installed. This includes in wails,between Boors etc.
'Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH•25
'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 unies existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material)
'R-5(1"thick insulation)for linesets 1"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-2eY.",2.5-3T-2%",3.5 to 4T-2%',ST-414"
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 1 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 1 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 another applicable compliance documents,worksh ets Iculations,plans and specifications submitted to the enforcement
agency for approval with this li!j n permit application. , Ze
Hewonsibk Dev er Name: acspansible Oesl r ! r Date Sig - license:
MA Ar V �V4 oI a ,�17 /Do a7
Comwny: s�� Add,ess:
Cka, B + ID3 G,itale v/*t"e 9/Czq p��-�y/-83a,3
For assistance or questions regarding the Energy Standards,contact the Energy Hotline t:1-800-772-3300