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.
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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.
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