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PMT17-00767 City of Menifee Permit No. PMT17-00767 29714 HAUN RD. Type: Residential Plumbing 'C;kCCELA—> M ENIFEE, CA 92586 -11-p1'""" MENIFEE Date Issued: 0311612017 PERMIT Site Address: 29980 MORNING BREEZE DR, MENIFEE, Parcel Number: 339401-015 CA 92584 Construction Cost: $1,250.00 Existing Use: Proposed Use: Description of REPLACE EXISTING 40 GALLON WATER HEATER IN GARAGE Work: Owner Contractor TINA JACKSON W C HEATING&AIR CONDITIONING INC 29980 MORNING BREEZE DRIVE 41085 GOLDEN GATE CIR MENIFEE,CA 92584 MURRIETA, CA 92562 Applicant Phone: 9516000700 JILL WESTON License Number.779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description QQt( Amount I$) Residential Water Heater 1 83.00 Building Permit Issuance 1 27.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Plumbing 1 4.15 $115.16 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_Bldg_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 D 1 am exempt from licensure under the contractor's State License Law for Professions Code 71 det and my license is in full force and effect. ,� the following reason: L License Class_ o License No. ��0 ;;A By my signature below I acknowledge that,except t, @ p y personal residence Expires I,1'LSignature �.Lb"t tiv�-� in which I must have resided for at least one year prior to completion of WORKER'S COMPENSATION DECLARATION improvements covered by this permit.)cannot legally sell a structure that I 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 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 a[thefollowing website: by Section 3700 of the tabor Code,for the performance of work for which this permit is issued. www.leginfo.ra.Rov/calaw.html. Policy# Date yrinave and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT s coon 3700 of the Labor Code,for the performance of the work for which O By my signature below l 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 numberare: application and the Information I have provided Is conect.I agree to comply Cartier 6'orkLsn- vc' "aM-No-w ±3 with all applicable city and county ordinances and state laws relating to tE building construction.l 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 dollars($100)or less Date PROPERTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work far which this permit is Issued, /1 !1 /� I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE C63SQ0a workers compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION subject to the workers comperuatfon provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant .L Kl Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FA RE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes "0 UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN by the applicant or future building ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air Quality Management District(SCAQMD)?See permitting checklist forguidelines CONSTRUCTION LENDING AGENCY ❑Yes YNo 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) Dyes p,No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist I understand my requirements under the State of Contractors License Law for the reason(s)Indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to oYes tfli fa, construct,alter,improve,demolish or repair any structure,prior to its Date issuance,also requires the applicant for the permit to Me a signed statement PROPE 1' WNER OR AUTHORIZED AGENT that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING MRP) License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exemptfrom licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint In a pre-1978 an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with than($500). required practices.This includes rental property owners and property 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( )all of or( )portion of the work,and the structure is WAW-eoa.Rov/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 0An 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 rim 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 ro our project does not Y P 1 comply with EPA RRP rule please fill out the RRP Acknowledgement. BUILDINGAPPLICATION -Menifee DATE 1( PERMIT/PLAN CHECK NUMBER 9w v1-0001 TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN SUBTYPE: [—]ADDITION []ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑MECHANICAL ❑NEW ❑✓ PLUMBING ❑RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK REPLACE 40 GALLON WATER HEATER ONLY.(GARAGE) City of Menifee PROJECT ADDRESS 29980 MORNING BREEZE DR /� OQ Lidding Dept ASSESSOR'S PARCEL NUMBER 2jn—4D1- 0105 LOT TRACT MAR 14 2017 PROPERTY OWNER'S NAME TINAJACKSON ADDRESS 29980 MORNING BREEZE DR PHONE (310)422-9617 EMAIL APPLICANTNAME JILL WESTON ADDRESS 3645 RUFFIN RD 330-335 SAN DIEGO,CA 92123 PHONE (619)384-6622 EMAIL CONTRACTOR'S NAME ' RUSSELL COCHRAN OWNER BUILDER? ❑YES❑✓NO BUSINESS NAME WC PLUMBING, HEATING&AIR ADDRESS 41085 GOLDEN GATE CIR MURRIETA,CA 92562 PHONE (951)600-0700 EMAIL CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20 VALUATION $ $ 1,250.00 SQ FT 1961 L SO FT APPLICANT'S SIGNATURE DATE 7771 CITYSTAFFUSEONL DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN — SMIP I X INVOICE O� G PAIDAMOUNT AMOUNT �J•1J .� OCASH OCHECKk GCREDIT CARD VISA/MC PLAN CHECK FEES PAIDAMOUNT 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 Haun Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 City Of Menifee Building Dept MAR 14 2017 Received STATEWCALIFORNA ` • ��_ O� RESIDENTIAL ALTERATIONS—WATER HEATER • CECCFIRALT41-Epurmed(w14) GDFIXiMA EIEnGY LON.NI6610N CERTIFICATE OF COMPLIANCE Ulft-ALT-51-E WATERHEATER Prescriptive Residential Alterations for Water Heater Pagel of 2) A.GENERAL INFORMATION Site address: RuHoling Type: urSingle Family Dwelling A780 ftoxw"ALK agerzc D Multi Family Dwellings Cry, Zlp Code: MENIFEE, CA IFAflgiij Climate 2nne: 10 G.WATER HEATING SYSTEMS Section 150.2(b)1G 01 02 03 04 05 06 07 08 W 10 71 12 1 13 16 15 Water Water Water dof Water Fuel Rated Rated Heating Heating standby Feeder Back-Up Cenral Dwelling Healing Heating Healer Water Heater Type Input Input ENklenry Efficiency, loss lis) Imul. 5oiar DHWsyttem unitom System System Type Heaters Storage Type Value Type Value R-VaWe Savings Distribution, System Identification Type in Volume town Type Dislributum or system (gag Typ, Name E F I o E L5oLT Tt( —.-TA Zf,4 WATER HEATING 105 Water heating compliance for an alteration is described in Section 150.2(b)1G.Forsingle dwelling a gas or propane water heater,with a storage tank of 60 gallons maximum or instantaneous(tankiess)can be used.Dwelling Unit distribution systems are limited to Standard trunk and branch or demand recirculation for gas or propane water heater.Demand recirculation is not allowed for electric water heater.if there Is no natural gas connected to the building,an electric water heater may be replaced with another electric water heater.However,changing From gas to electric Is not allowed.Muiti4inally central systems must use certified equipment as defined undersection 110.1 and 2103. NOTE:If the proposed installation does not meet the requirements allowed specifically for alterations,use farm CFIR-NCB-01 to document the water heater alteration. Instructions for sections with column numbers are eiven below: 1. Water Heating System identification or Name:enter a unique name for the Water Heating System. 2. Water heating system type:Domestic Hal Water(DHW),Hydronic,Combined Hydronic,or Central.DHW is for domestic hot water,hydmnic is a water heating system used for space heating only,combined hydronk are when the water heater will provide both space conditioning and domestic hot water. 3. Water heater type:For non-central systems only Small Storage or Small Instantaneous are allowed.For central systems pick from large Storage,Small Storage, Heat Pump,Boiler,large Instantaneous,Small Instantaneous or Indirect. Scanned by CamScanner CERTIFICATE OF COMPLIANCE CFSR-ALT-01-E WATER HEATER Prescriptive Residential Alterations for Water Heater Page 2 of 2) a. Number of water heaters in system:In single-family and multifamily with water heaters in each dwelling units the value is 1.For mulli-family central systems serving multiple dwelling units enter the total number of water healers. S. Water heater volume(gal):tank capacity in gallons.For individual water heaters for a dwelling unit this will be 60 gallons or less.if instantaneous,enter n/a.For multi-family central systems enter the total storage volume. 6. Fuel Type:Gas.Propane,Electric tonly if natural gas is not available) 7. Rated Input Type:Enter the equipment input rating type,for gas or propane fired units are Stub,for electric Fired system the units are kW. S. Rated Input Value:Enter the numeric value of rated input. 9. Heating Efficiency Type:Energy Factor,AFUE,or Thermal Efficiency.From product literature or a California Energy Commission directory. 20, Heating Efficiency Value:Enter the value from product literature or aCalifornia Energy Commission directory 11. Standby Less 1percent):Applies only to large storage water healers,Enter n/a for small storage or instantaneous water heaters. 12. Exterior Insulation R-Value:Enter the R-value if exterior insulation an the storage tank is installed 13. Rack-up solar savings fraction:if compliance requires a back-up solar system,indicate the solar contribution(e.g.,0.30).External calculations are required. 14. Central DHW Distribution System:For multi-(amity buildings with using a central distribution system a demand recirculation system with at least two distribution loops must be installed.This requirement applies to arty building with eight or more units.If the system is noncentral or project is individual units enter o/a. 15. Dwelling Unit DHW Distribution Type:For a Central DHW this field shall be Standard.if non< ntral then pick from Standard,Demand Recirculation—Manual Central,Demand Recirculation—Sensor Control.If non-central electric water heater this must be Standard,no recirculation system shall be installed. DOCUMENTATION AUTHOR'S DECLAMATION STATEMENT •I certify that this Certificate of Compliance documentation Is accurate and complete. Name: 5LL WJSTOa.l OOwner WITuthoroaclaCent OCuntmctor Signature: Company WE ChCE "WC " Contractor license A: 7716C)Lf Address: L11Ogs 6-LDEIJ e7AQ2A7r CIO, phone: ,,ry (00— 0-100 city/State/zip: /4yd'vLLL7..6 ICA I .2 Date: 311Y117 For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300. Scanned by CamScanner