Loading...
PMT17-02039 City of Menifee Permit No.: PMT17-02039 29714 HAUN RD. Type: Residential Mechanical �CCet-A? MENIFEE,CA 92586 MENIFEE Date Issued: 0 612 012 01 7 PERMIT Site Address: 29216 ELDORADO WAY, MENIFEE, CA Parcel Number: 351-232-014 92587 Construction Cost: $14,170.00 Existing Use: Proposed Use: Description of HVAC REPLACEMENT,SPLIT SYSTEM, 14.5 SEER, NO DUCT WORK Work: Owner Contractor MICHELLE AYALA RAIN OR SHINE HEATING AND AIR 29216 ELDORADO WAY 30141 ANTELOPE RD#D-654 MENIFEE,CA 92587 MENIFEE,CA 92584 Applicant Phone:9518130737 ZORIADA CORONA License Number:949936 RAIN OR SHINE HEATING AND AIR 30141 ANTELOPE RD#D-654 MENIFEE,CA 92584 Fee Description DQt Amount IE) 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_Bldg_Pernit 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 1 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 o 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 (L20 C.'G License Nq., 9 By my signature below I acknowledge that,except for my personal residence Expires 0?-31-2o(k Signature in which l 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.)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.IegInfo.ca.gov/calaw.htmI.permit is issued. Policy N Date a 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 o By my signature below I 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: application and the information 1 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 0 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 Id.<e'r fy that In the performance of the work for which this permit is issued, I shall not emoiov 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,1 shalyFgrth �h comply those provisions. / /p�'� Will the applicant or future building occupant handle hazardous material or a Applicant/ Date r//�r ,6-9- mixture containing a hazardous material equal to or greater that the �'T'(-'-T� amounts specified on the Hazardous Materials Information Guide. WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes a No 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 forguidelines - CONSTRUCTION LENDING AGENCY ❑Yes a 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) o Yes O No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist I understand my requirements under the State of 1 hereby affirm under penalty of perjurythat I am exempt from the Contractors License Law for the reason(s)indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes to 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 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(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 Rcensure 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-certifled 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.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD 15323). Code,The Contractors State License Law does not apply to an owner of a o 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. o No EPA Lead-Safe Certified Firm 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 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. & SAFETY PERMIT/PLAN CHECK APPLICATION v r: Menifee DATE 4P1 ZD' ( --7 PERMIT/PLAN CHECK NUMBER TYPE: O COMMERCIAL SIDENTIAL 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 0 RE-ROOF-NUMBER OF SQUARES DESCRIPTION OF WORK �)✓ I lav�"11 Y� r`v PROJECTADDRESS DualJO - V"i nI 6ee C.4cIi ASSESSOR'S PARCEL NUMBER LOT TRACT OWNER NAME lA ADDRESS a qa, W F, ) T)C OC6 U)(A= ✓ 1-(?'v�l �-e'{� C R PHONE �IJJ (031 --Q c: EMAIL BUildi 9&f>rJf6tje8e�', APPLICANT NAME ADDRESS PHONE //�� EMAIL Receive CONTRACTOR'S NAME Yj0 / ' 00r0n OWNERBUILDER? OYESONO BUSINESS NAME RQ/ n oy- hirw- heGTi r)1 CA nj ln� ADDRESS +2 cZ 5 u (osy L PHONE EMAIL 06 in I- Iyi )hQ @(lU -(OM CONTRACTOR'S STATELICNUMBER9g9 9 3(p LICENSE CLASSIFICATION Cze �c3 VALUATION$ I'4 . SO FT q to j L SQ FT APPLICANT'S SIGNATURE I�/J�0?,�� DATE �o J eob DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE GREEN SMIP X INVOICE JJ�� PAIDAMOUNT , AMOUNT I V „JQ`�' ) O CASH O CHECK 0 O CREDIT CARD VISA/MC PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC OWNER BUILDER VERIFIED O YESO NO DL NUMBER NOTARIZED LETTER O YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofinenifee.us Inspection Request Line 951-246-6213 STATE OF CALIFORNIA ALTERATIONS a HVAC CEC-CFIR-ALT-04-E Revised 01116 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address:9,9 Z((rj S( boyo 89lr.Y.,_ E or ement A ry: Date Prepared: Permit#: vv l Equipment Types -(- Equipment Efficiency New Ducting or Lineset: Conditioned a Thermostat Pl Required R-value Floor Area(ft) ❑Packaged ¢]-Evaporator Coll AFUE COP 11 R-6 (CZ I-10,12&13)Ducts Served by system 11 Setback System W.Eondensing Unit ❑R-8' (CZ 11,14-16)Ducts ftz (if not already qks'plit System Peompressor N-5SEER HSPF ❑2 R-2.8 Lineset` present must ❑Mini Split 9WIneset la.'� EER be installed) ❑Furnace O-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 a copy left on site. Pill.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E E3u(Id(ng & Safety Dept. Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)a-H,MCH-25-H' Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-H2 JUN 2 0 2017 Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage(515%,or s10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigerant Charge. Ex5D*ted from duct leakage testing if: (�c�®' GCS 1.Duct system registered with HERS provider as previously sealed,or 132.There is less than 40 linear feet of duct i�hc6nurQjaJ*(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 CFIR-ALT-02-E including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H',MCH-25-HI CF3R-MCH-20-H,MCH-22-1-1,MCH-(23 or 24)-H2,MCH-25-HI Mini Splits require CFIR-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 2350 CFM/ton(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: All New Ducts3 and one or more of the following CFIR-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,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:❑1. Existing duct systems are constructed,insulated or sealed with asbestos ❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts3 CFIR-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H Installer Required to:Duct leakage(515%or,510%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ducting requires R-S insulation when more than 40 ft installed in CZs 11&14-16 and R-61n CZs 1-10,12 03,and R-6 insulation when less than 40 ft installed.This includes in walls,between floors etc. 2 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or Refrigerant Charge verification MCH-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 reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) 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: 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 an this Certificate of Compliance conform tothe 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 I 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 perm! pplication. g - Responsible Designer Name: Resp s' Igne n Date Signed: Licens: ��gqmpany: Address: City/State/Zip: Phone: yI pr�i/1Q eoTin£S 301y)An7pls� Rd n ee Cf1 p`lbn�Inc.- FFoor as5istdocer r questions regard!n�the En rgy Standards,contact the Energy Hotline at:1-800-772-3300 C�c�itSDn" 6 C-ri,feeCf) 92S-9,U