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PMT17-00162 City of Menifee Permit No.: PMT17-00162 29714 HAUN RD. <A-CCEL/-> MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 01/24/2017 PERMIT Site Address: 25703 KURE CT, MENIFEE, CA 92584 Parcel Number: 339301-010 Construction Cost: $6,200.00 Existing Use: Proposed Use: Description of HVAC REPLACEMENT,36,000 BTU FURNACE, 3 TON A/C Work: Owner Contractor JEAN ZEIDLER WELLS PLUMBING HEATING&AIR INC 25703 KURE COURT 30951 SAWGRASS COURT MENIFEE, CA 92584 TEMECULA, CA 92592 Applicant Phone:9516767971 ROBERT WELLS License Number:950590 WELLS PLUMBING HEATING&AIR INC 30951 SAWGRASS COURT TEMECULA, CA 92592 Fee Description 01t r Amount I51 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_Bidg_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 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 ❑I am exempt from Iicensure under the Contractor's State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C-0 (_'-_56 License o. S0 �S- By my signature below I acknowledge that,exceptfor my personal residence Expires 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 1 WORKER'S COMPENSATION DECLARA ON have built as an owner-builder if it has not been constructed in its entirety by ❑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 acertificate 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.leginfp.ca.epv/calaw.html. C� ^ Policy# 6737 �Q / f—zY-7 '� 7 Date ❑I have and will maintain workers 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 workers compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: ,,,, �-.r application and the information I have provided is correct.I agree to comply �L C�£.S YO L�l /`1 � �� PT' 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 p 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 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 N workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the wor s mpensation provisions of Section 3700 of the Labor Code,I shall fo it omply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applican Date& a1 , -7 mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WAR .FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ❑No UNLAWFUL,AND SHALL SUBIELTAN 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($500,000),IN occupant require a permit forthe 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 forguidelines CONSTRUCTION LENDING AGENCY ❑Yes o 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 o No OWNER BUILDER DECLARATIONS I 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 California Health al Safety Code,Section 25505 and 25534 concerning Contractors License Law for the reason(s)indicated below by the hazardous material reporting. 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 Dyes ❑No 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 Contractors State EPA RENOVATION.REPAIR AND PAINTING IRRPI 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[!censure 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 more required practices.This includes rental property owners and property than($S00). 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 Contractors State License Law does not apply to an owner of a ❑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. ❑No EPA Lead-Safe Certified Firm is required for this project because: ❑I,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 DATE L I — 17 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL '44ESIDENTIAL 0 MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIC Ity of enifee SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL �gCOaECHANICAL fety Depi O NEW O PLUMBING O RE-ROOF-NUMBER /O'F SQUARES JAN 2 2017 DESCRIPTION OF WORK Like I b /'F V (L f✓k AL 36 � 3 c _ Tv I� a ved PROJECTADDRESS 2, 5703 u_I?r, e-/, A CI of Menifee pt. ASSESSOR'S PARCEL NUMBER 3t'!R• ` N-Q1D LOT TRACT im Ulf OWNER NAME Z I bW k r/ ADDRESS -70 /�itLi2 1 . eceiyNd PHONE EMAIL APPLICANT NAME v E j t l7 Q ADDRESS -j C) S Lo (L Z 51 Z PHONE 5 C) EMAIL :1M q A O8 Q 9PTM A-, L CONTRACTOR'S NAME LL1 E.l_LS %Zr/ WO O OWNER BUILDER? OYES 0 1 BUSINESS NAME Lf2,4_l >41 ADDRESS ' — 4 ZT F Z PHONE �} �/ 3 ]S�� 37� EMAIL Jv1f ® TZtP f,L , of CONTRACTOR'S STATE LIC NUMBER 9 47-O 470 LICENSE CLASSIFICATION C 3 6 VALUATION$ 6 C96 SO FT / 75'Or) L SO FT APPLICANT'S SIGNATURE DATE y /� DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN , SMIP INVOICE PAID AMOUNT AMOUNT • J • IO O CASH 0CHECK# OCREDITCARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building& Safety Department 29714 Noun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIA , ALTERATIONS - HVAC CEC-CFI R-ALT4o4-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-A%04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-iR-ALT-HVAC) (Pag Site Address- Enfor ement A enry: Date Prepared: Perm' q: Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned Thermostat Required R-value Floor Area(5q ft) ❑Packaged System ❑Evaporator Coil ❑R-6 (CZ 2,8-13)Ducting Served by system E3 Setback 5 Split System ❑Condensing Unit AFUE COP R-8' (CZ 11,14,15)Ducting L4TQQ sgft (If not already ❑Mini Split ❑Compressor /U. SEER HSPF ❑R-6(all CZ's)Plenums Present,must ❑Furnace ❑Lineset EER ❑R-5 or R7.5)Lineset" be installed) ❑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 final inspection all forms are to be registered(no hand filled forms allowed)and 'E.1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: BUllding & Safety Dep . All Equipment, CF111-ALT-02-E , JAN 2 4 2017 Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or24)z HERS,MECH-25-HERS Compressor,TXV,tweet, CF3R: MECH-20-HERS,MECH-(23or24)-HERS',MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage L15%,or<10%to outside,or seal all accessible leaks),Air Flow z 300 CFM/ton,Refrig a Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or❑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-------- ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 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-(23or24)-HERS2,MECH-25-HERS' Mini Splits require CF1R-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow 2350 CFM/ton(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement IRequired Compliance Documents to be left on site for Final: All New DUCtS3 and one or more of the following MR-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Compressor,TXV,Lineset,Furnace' CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Requ'red Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CF1R-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage L15%or,<10%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 walls,between floors etc. 'Heating only systems and Air Handler/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 handler,coil,plenums,duct material) 4 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-2a/e",2.5-3T-2%",3.5 to 4T-2W,ST-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 tothe requirements of Title 24,Parts 1 and 6 of the California Cade of Regulations(CCR). 4. That the energyfeatures 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. 5. 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 permit applica Responsible Designer Name: ResponsibleD r5i nature: Date Signed: License: ;USAoT Wcz (-t J-rt/ -/ 7 95� 5�/a Company: Address: Ciry/Sbte/Zip: Phone: Vf-US, RIALk&aka- }id-'d Z 2s ill vq,7 sAt',�—kci-ss 3*42- 9sl %� g q/ -060 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300