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PMT17-01168 City of Menifee Permit No: PMT17-01168 29714 HAUN RD. 'mil-�CCELA—> MENIFEE,CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 0411912017 PERMIT Site Address: 28145 SUN CITY BLVD, MENIFEE, CA Parcel Number: 335-284-009 92586 Construction Cost: $12,080.00 Existing Use: Proposed Use: Description of REPLACE EXISTING HVAC WITH HVAC PACKAGE UNIT 4 TON HEAT PUMP Work: Owner Contractor STAN DECOITE OMNI HEATING AND AIR LLC 28145 SUN CITY BLVD 500 W GRAHAM UNIT 567 MENIFEE,CA 92586 LAKE ELSINORE,CA 92531 Applicant Phone:9512990151 RICHARD RIZK License Number. 1021615 OMNI HEATING AND AIR LLC 500 W GRAHAM UNIT 567 LAKE ELSINORE, CA 92531 Fee Description Oft Amount ISI 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 carded 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)pursuantto the Contractors State License Law). Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C Zd License No. /d Z/` I S By my signature below I acknowledge that,except for my personal residence Expires42 1y/r r5ignature 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 DECLA 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 a certificate of consent of self-insure for workers 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 w,ww.leeinfo.ca.xov/calaw.html. this permit is issued. Policy# 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 ❑Ely 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 property owners behalf.I have read this number are: application and the information I have provided is correct.I agree to comply Carrier with all applicable city and county ordinances and state laws relating to 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT ❑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# workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION subject to the workers compensation 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 Date mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 o Yes P 0 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 ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guideli s CONSTRUCTION LENDING AGENCY ❑Yes o 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 boun ry of a school? (Section 3097 Civil Code) ❑Yes X. 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 California Health&Safety Code,Section 2 Contractors License Law for the reason(s)indicated below by the 5105 and 534 concer ng ni haz dous material repo . checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 es ❑No y Business and Professions Code).Any city or county that requires a permit to Date / construct,alter,improve,demolish or repair any structure,prior to its PROPERTY NER OR AUTHOIS D AGENT issuance,also requires the applicant for the permitto file a signed statement ? that he or she is licensed pursuantto the provisions of the Contractors State EPA NOVATION,REPAIR AND PAINTING(FIRM 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 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($500). managers who do the paint-disturbing work themselves or through their ❑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 www.epa.aov/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. 14.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 Contractors 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 i SAFETY PERMIT/PLAN APPLICATION ® Menifee DATE 7 S I j PERMIT/PLAN CHECK NUMBER PM-r �� - -D I TYPE: O COMMERCIAL RESIDENTIAL 7 MULTI-FAMILY O MOBILE HOME O POOL/SPA C SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION CI ELECTRICAL ,'<MECHANICAL C NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK O� e r Q PROJECTADDRESS ASSESSOR'S PARCEL NUMBER :J3'1 ZO �' I7� LOT �LI TRACTJ OWNER NAME S �ji4� p ADDRESS G 1/ //Q/�J // /� .rill✓ C/// Cl? PHONE 2jz �� J U EMAIL APPLICANT NAME ADDRESS 97 'l PHONE EMAIL CONTRACTOR'S NAME /�7/V/ /v��jt/ ER BUILDER? O YES'IyNO BUSINESS NAME ADDRESS /�p PHONE /�� —G��/l EMAIL CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION VALUATION $ O uOSQFT LSQFT APPLICANT'S SIGNATURE DATE r� i//i / 7 DEPARTMENT DISTRIBUTION W CITY OF��ME1NIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP +1 INVOICE 2 ID PAIDAMOUNT 0 AMOUNT - 0CASH 0CHECK# CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT --CASH CCHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED OYES C NO DL NUMBER NOTARIZED LETTER 0 YES 0 NO \ DOPE C\T'1 &Sale ga\\ City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92585 951-672-677Z www.cityofinenifee.us Inspection Request Line 951-246-6213 PN`` I Re°e%'y S I ATE OF CALIFORNIA ALTERATIONS - HVAC 3 CEC-CF1R-ALT-04-E Revised 01116 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit#: Scow i L PI-2 Equipment Type /,� Equipment Efficiency, New Ducting or Lineset: Conditioned /y A L cY Required R-value Floor Area(ft2) Thermostat ackaged ❑Evaporator Coil AFUE COP 0 R-6 (CZ 1-10,12&13)Ducts Served y system ❑Setback System ❑Condensing Urn _ t ❑R-81 (CZ11,14-16)Ducts ,6Oft' (if not already ❑Split System ❑Compressor �EER HSPF ❑2 R-2.8 Uneset` present must ❑Mini Split ❑Lineset be installed) ❑Furnace ❑TXV EER HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this fis allowed-to-be fBle ou bid.-For HnaI ihspecuon aIITorms are to be registered(no hand-fiIIeH forms allowed)and a copy left on site. HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-H,MCH-25-1-12 Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-12 Air Handler/Furnace'(Can include new ducting) - -- - Installer Requirement:Duct leakage(515%,or 510%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or 112.There is less than 4011nearfeet of duct in unconditioned space,or 113.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 CF111-ALT-02-E Including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-1-1,MCH-(23 or 24)-H',MCH-25-1-12 CF3R-MCH-20-H,MCH-22-1-1,MCH-(23 or 24)-H2,MCH-25-1-12 Mini Splits require CF1R-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H Installer Requirement:Duct leakage<5%,Fan Efficacy(0.58W/CFM),Air Flow_350 CFM/ton(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement I Required Compliance Documents to be left on site for Final: All New Ducts3 and one or more of the following CF1R-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-1-1,MCH-(23 or 24)-H,MCH-25-H Compressor,TXV,Lineset,Furnace' CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H Installer Requirement:Duct leakage<5%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:0 1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet 1 Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts3 CF1R-ALT-02-E,CF2R-MCH-20-H,CF311-MCH-20-H Installer Required to:Duct leakage(5 15%or,<_10%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 1 All new ducting requires R-8 insulation when more than 40 ft installed in CZs 11&14-16 and R-6 in CZs 1-10,12&13,and F` hsu Ian when less than 40 ft installed.This includes in walls,between floors etc. Ot t�0y1g Qe�' 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or RefrigeranFi rI&Q cation CH-25 3 All New Ducts is when at least 75%of the duct system is new duct material,and up to 25%may consist of rs W s from thgi ling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) QO L 4 R-2.8(1"thick insulation)for linesets 1"and less. 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: p,`~�, 1. The information provided on this Certificate of Compliance is true and correct. la 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 on other applicable compliance documents,worksheets,calculations,plans and specifications submitted to the enforcement agency for approval with this building permit applicati Responsihle rNalrle: / Responsible gnerS m: V Date Signed liceme�/�� Company: .•VV Ad ms: City/State/zip: Phone: For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300