PMT17-01754 City of Menifee Permit No.: PMT17-01754
29714 HAUN RD. Type: Residential Mechanical
't7�CCELA7. MENIFEE,CA 92686
MENIFEE Date Issued:
0610512017
PERMIT
Site Address: 26175 SUNNYWOOD ST, MENIFEE, CA Parcel Number: 335412-010
92586 Construction Cost: $4,500.00
Existing Use: Proposed Use:
Description of REPLACE FURNACE, COIL AND CONDENSER-SAME SIZE,SAME LOCATION
Work:
Owner Contractor
TROY&DAWN DELACRUS BEAR CREEK HEATING AND AIR CONDITIONING
26175 SUNNYWOOD ST INC
MENIFEE,CA 92586 24069 CHATENAY LANE
Applicant Phone: 9516002882
BARRY DUNGAN License Number:779461
BEAR CREEK HEATING AND AIR CONDITIONING INC
24069 CHATENAY LANE
MURRIETA, CA 92562
Fee Description Dot Amount($)
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_aldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
i with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure 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 e No. By my signature below I acknowledge that,except for 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 I
WORKER'S COMPENSATION DECLARATION 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
www.leainfo.ca.eov/calaw.h[ml.
this permit is issued. ,
Policy 0 Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑I have and will maintain workers compensation insurance,as required by
section 3700 of the tabor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit is issued.My workers compensation Insurance carder 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
with all applicable city and county ordinances and state laws relating to
Carder building construction.I authorize representatives of this city or county to
Policy k 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 s II not emolov 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 workers compensation provisions of Section 3700 of the Labor
Code,I sh I a with compl ith th mior — 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
amountspecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE Is D Yes to
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)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideliVs
CONSTRUCTION LENDING AGENCY o Yes
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) o Yes W.
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 j permitting checklist.I understand my requirements under the State of
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous mat e)ra parting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 �'}/e`s ❑No ��—�
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 OWNER OR AUTHORIZEb 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(RRP)
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($500). managers who do the paint-disturbing work themselves or through their
o I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 70",Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible forthis project
property who,through employees'or personal effort,builds or improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or Improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING & SAFETY • APPLICATION
Menifee
DATE PERMIT/PLAN CHECK NUMBERP T1--►- ---l ✓5Lv
TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK ♦ C,rA_
PROJECTADDRESS 2
ASSESSOR'S PARCEL NUMBER C; Z: 1 C) LOT TRACT
OWNER NAME .Z
ADDRESS 'L6 ^` h 'Z��
PHONE AA ��l}� EMAIL
APPLICANT NAME
ADDRESS
PHONE ^Z,Q��L EMAIL X, LN�I
CONTRACTOR'S NAME `r OWNER BUILDER? 0 YES kNO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NU,,IlMBER -I�� LICENSE CLASSIFICATION O
VALUATION$ � �U SO L SQ FT
APPLICANT'S SIGNATURE �— DATE ` 1
a
DEPARTMENT DISTRIBUTION CITY
YOOFF M_ENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP � I�i
INVOICE PAID AMOUNT
AMOUNT '-{ 0CASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES 0 NO DLNUMBER NOTARIZED LETTER 0 YES O NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee, CA 92586 951-672-6777
www.cityo finenifee.us Inspection Request Line 951-246-6213
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: Delacruz Date Prepared: 2017-06-04
A.General Information
CF1R-ALT-02 Is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented,use one
CF1R-ALT-02 document for each dwelling unit.
01 Project Name Delacruz 02 Date Prepared 2017-06-04
03 Project Location 26175 Sunnywood St 04 Building Type Single family
05 CA City Menifee 06 Dwelling Unit Name Delacruz
Dwelling Unit Conditioned
07 Zip Code 92586 OB Floor Area(ft2) 1008
1
Number of Space
09 Climate Zone 10 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
E.Space Conditioning(SC)System Information
01 02 03 04 05 06 07 08 09 10
Is the SC Installing
SC System SC System CIA served system refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System(ft1) system? component? components? feetofducts? ductsystem? SC system? Alteration Type
System 1 entire home 1008 Yes Yes Yes No No No Altered space
conditioning system
C.Extension of Existing Duct System,Greater Than 40 Feet(Section150.2(b)1Diib)
This section does not apply to this project.
Registration Number:217-A020187040A-00D000-0000000-0000 Registration Date/Time: 2017-06-0418:38:31 HERS Provider:CaICERTS I
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.005 Report Generated:2017-06-04 18:38:40
Schema Version:rev 10/16
City of Menifee
Building & Safety Dept.
JUN 0 5 2017 PIT
Received
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System(Sections 150.2(b)1E and F)
DI 02 03 04 as 06 07 08 09 30 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct length R-Value
System Central gas
All new All new This field or This field or
AC heating AFUE 81 Central split cooling SEER 14 Setback section is not section is not
furnace components components applicable applicable
Required Documentation:
CF2R-MCH-01-E-Space Conditioning Systems
-Dud insulation requirement for the new portions of supplyalr and return-air ducts or plenums:R6(a 1-10,12 and 13)and Rg(CZ 11 and 14.16)
CF2R and CnR-MCH-ZD-H-Dud Leakage Test required when heating or cooling components are installed in ducted systems,or when more than aD it of dud length is replaced
-leakage rate compliance:<=15%or c 10%leakage to outside,or seal all accessible leaks.
CF2R and CRR-MCH-26-1-1 Refi erint Chargeveriflcation required when refrigerant containing components are Installed or altered(applicable in CZ 2,B-15).
CF2R and CF3R.MCH-23 Aidiow Rate>=300 CFM per ton required when MCH25 is required.
E,u cations:
-Dud systems reghtered with HERS provider as previously sealed are exempt from MCH-20 Duct Leakage Testing requirements.
-Heating-only systems and Air Handier Furnace Changes do not require verification of Air Flow MCH-23,or Refrigerant Charge MCH-25.
.Existing dud syrtens constructed,Insulated or sealed with asbestos are exempt fmm MCH-20 Dud leakage Testing requirements.
E.Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)1Diia and 150.2(b)SE,F)
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)SC)
This section does not apply to this project.
Registration Number:217.A020187040A-000-000-0000000-0000 Registration Date/Time: 2017-06-04 18:38:31 HERS Provider:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.005 Report Genemted:2017-06-04 18:38:40
Schema Version:rev 30/16
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-SR-ALT-HVACI (Page 3 of 31
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation Is accurate and complete.
Documentation Author Name: Documentation Author Signature:
Dungan,Barry "yZ6Vww-
Company: signature Date:
Bear Creek Heating and Air Conditioning Inc 2017-06-04 18:38:31
Address: CEA/HEM Certification Identification(if applicable):
24069 Chatenay lane
Gty/6tale/➢p: Phone:
Murdeta CA 92552 951-600-2882
Responsible Person'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 Dlvblon 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compllanm(neapmulble desiper).
3. That the energy features and performance specifications,materials,components,and manulactured devices for the building design or system design Identified on this Certmcste of Compliance mnfmm m the
requlremen6 ofTNe 24,Part 1 and Past of the California code of Regulations.
A The building design features or system design Natures identified on this certificate of compliance are consistent with the Information provided on other applicable compliance domments,worksheets,
calculations,plan and spedfirations submitted tothe enforcement agenry for approval with this building permit application.
6. I will ensure that registered copy of this Certificate of compliance shall be mademllable with the building permits)Issued for the building,and made available to the enforcement agency for all applbble
Impections.I understand that a registered copy of this Certificate of compliance is required to be Included with the documentation the builder provides to the building owner at o¢upancy.
Designer Name: Pespansible Designer Sigmture:Dungy 15"Y�
Dungan,,Barry
company: Data Signed:
Bear Creek Heating and Air Conditioning Inc 2017-06-04 18:38:31
Address: Uceme:
24069 Chatemsy Lane 779461
Qry/state/ap: Phone:
Munleta CA 92562 951-600-2882
Easy to Verify O 0
at CIACERTS.corn
Di0alfysigrsedbyealCER7S This docesignatureis rovidedln order to secure the content c is regantrad document and is on way IOhm Regbbatka Provider
I
reeponaArAry lartheattureryo/fheinformeGm. O
Registration Number:217.A020187040A-000-000-0000000-0000 Registration Date/Time: 2017-06-0418:38:31 HERS Provider.CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.005 Report Generated:2017-06-04 18:38AO
Schema Version:rev 10/26