PMT17-02309 City of Menifee Permit No.: PMT17-02309
29714 HAUN RD. T Residential Mechanical
'XCCEL/� MENIFEE, CA 92586 Type:
MENIFEE Date Issued:
07/03/2017
PERMIT
Site Address: 29525 OAKBRIDGE DR, MENIFEE, CA Parcel Number: 338-213-007
92586 Construction Cost: $7,600.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT 16 SEER/3 TON,60-90,000 VARIABLE BTU FURNACE,W/ALL NEW DUCTS
Work: W/REPLACEMENT
**MUST PROVIDE HERS RATING PAPERWORK AT TIME OF INSPECTION"
Owner Contractor
MARK SCHALLER RIGHTEOUS HEATING AND COOLING
29525 OAKBRIDGE DR 34948 THORNE COURT
MENIFEE, CA 92586 MURRIETA, CA 92563
Applicant Phone:7605211609
CHRIS BALTIERRA License Number: 1020132
RIGHTEOUS HEATING AND COOLING
34948 THORNE COURT
MURRIETA,CA 92563
Fee Description OQt Amount I51
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 staled,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 ❑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-Zo License No. /fJ za/ By my signature below I acknowledge that,except for my personal residence
Expires 7n1 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
-)& ,Mby 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 forworker'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 at the following website:
by Section 3700 of the Labor Code,forthe performance of work for which www lezinfo.ca.¢ov/calaw.html.
this permit is issued.
Policy# Date
PROPERTY OWNER OR AUTHORIZED AGENT
❑I have and will maintain worker's compensa don insurance,as required by
section 3700 of the Labor 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 worker's compensation insurance carrier and policy owner or authorized to act an the property owner's 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
)j&ertlfy that in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
worker's compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Cade,I shall forthwith comply wttith,,those provisions. WIII the applicant or future building occupant handle hazardous material or a
Applicant nN.V lS l' �lIECJw Date ��3—� 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 IS ❑Yes 0-wo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES WIII 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 for guidelines — "-
-
CONSTRUCTIONLENDINGAGENCY 0Yes 15i,.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) ❑Yes goo
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
Contractor's 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
Business and Professions Code).Any city or county that requires a permit to n> _Date />`�- /7
construct,alter,improve,demolish or repair any structure,prior to itsC-PIFICIPERfYOWNER 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 Contractor's 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
❑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.gov/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 bull[or improved for the purpose of sale. a 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 Contractor's 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.
APPLICATIONBUILDING & SAFETY PERMIT/PLAN CHECK
-Menifee
DATE --7— 3- ] PERMIT/PLAN CHECK NUMBER
TYPE: O COMMERCIAL C42SIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION dALTERATION O DEMOLITION O ELECFRICAL O MECHANICAL
O NEW '/O PLUMBING O RE-ROOF-NUMBER OF SQUARES 1
DESCRIPTION OF WORK V 6o ele 0 LA-SQT C
io AQ J C "Oro lit VN
PROJECiADDRESS Z 25- & ice. n ,rI -k(CH' �5
ASSESSOR'S PARCEL NUMBER ?j 8'a4310 LOT _ TRACT
OWNER NAME �A kr /-C{Z.
ADDRESS 2-el rj Z I !CI \F C Z // --
PHONE ff^_ -Q�O EMAIL 4 /We �C'Lg�
APPLICANT NAME YVrI:-D-Y& vii c ,\
ADDRESS �� �(�'e / orKL ( e;.Q 41' / tAY Y l e 4
PHONE 5-z/ Ike EMAIL //Z _e_
CONTRACTOR'S NAME OWNER BUILDER? OYES C�`NQ
BUSINESS NAME rr '' - r\ CL(\8 `ec>(l ✓L q"'
ADDRESS "I O�i4 Q. ✓t [. /I (AZ� / ZS
rb
PHONE � � ZI���[/ I EMAIL 1 �t7pO�t5h.¢Cc�r�^ �oo� y
CONTRACTOR'S STATE LIC NUMBER ff 2p 13 Z LICENSE CLASSIFICATION -Z�
// o a SO FT L SO VALUATION$ �rp/JQ FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION u I CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN (. SMIP
INVOICE PAID AMOUNT
AMOUNT 0CASH 0CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECKB OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O 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-04E Revised 01116 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Safe
Alterations-HVAC CZ 2,and 8-15 8, ty Dept. (Page 1 of 1)
Site Address: -7fw SZ'S oe k,06A t� Enforcement Agjf& Q Date Prepared: a ,.,,,�„yl/y
r .
New Ducting or Lineset: onditioned
Equipment Type Qro Equipment Efficiency �� Required R-va car Area(ft3) Thermostat
❑Packaged 14'Evaporator Coil t� ElR-6 (CZ1-10,12&13)Ducts Served by system Setback
System @'Condensing Unit �vAFUE COP St (CZ11,14-16)Ducts ff2 (If not already
I%Split System B Compressor SEER HSPF 11 z R-2.8 Lineset' present must
❑Mini Split ❑Lineset be Installed)
H,Furnace ER TXV EER
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.
I?U.HVAC Changeout/Repair Required Compliance Documents to be left on sitefor Final:
All Equlpment, CFSR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-25-1-12
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-H'
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(=15%,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,oN®2.There is less than 40 linear feet 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 Ducts" CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-11,MCH-22-H,MCH-(23 or 24)-H',MCH-25-1-1'
CF3R-MCH-20-H,.MCH-22-H,MCH-(23 or 24)-H',MCH-25-Hz
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
.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ducts"and one or more of the following CFIR-ALT-02-E
replaced:Condenser Unit,Evaporator Call, CF2R-MCH-OI-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>_350 CFM/Yon(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,CF3R-MCH-20-H
Installer Required to:Dud leakage(<15%or,510%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing dud systems constructed,insulated or sealed with asbestos.
'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 R-6 insulation when less
than 40 ft installed.This includes in walls,between floors etc.
'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 dud 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 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 application.
Res
e 4el Date Signed:IV 5 \ ,k E,\ Des Dcense;
-/ /7770(
mpan , Addres: Gty/State/np: Phone:
A a IYl 3�C r6 7(tt)r lGi.r t rr 12 91SL3 76o
For a4sistance or q stions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300