PMT17-02560 City of Menifee Permit No.: PMT17-02560
29714 HAUN RD.
<ACCEL A? MENIFEE,CA 92586 Type: Residential Mechanical
""'--tslft— MENIFEE Date Issued:
07/24/2017
PERMIT
Site Address: 28610 PEBBLE BEACH DR, MENIFEE, Parcel Number: 337-222-027
CA 92586 Construction Cost: $4,500.00
Existing Use: Proposed Use:
Description of REPLACE 24,000 BTU FURNACE IN HALL CLOSET
Work:
Owner Contractor
ISSAC REYNOSA PEACH HOME SERVICES INC
28610 PEBBLE BEACH DRIVE 532 MALLOY COURT
MENIFEE,CA 92586 CORONA,CA 92880
Applicant Phone:7144628174
JANE RECKTENWALD License Number: 1018348
PEACH HOME SERVICES INC
532 MALLOY COURT
CORONA,CA 92880
Fee Description ,QQ(t Amount I$)
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Mechanical 1 7.45
$184.45
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_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 hereby affirm under penalty of perjurythat I am under provisions of with a licensed contnactor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and D I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. ' p the following reason:
License Class Caddr 7c .License No. v)�S�A O By mysignature below I acknowledge that,except formy personal residence
Expires q— Q—L2 Signature In which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.I 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 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.leglnfo.ca.Roy/caIaw.htmL permit is issued.
Policy If Date
in I have and will maintain workers compensaton insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 ofthe Labor Code,for the performance ofthe work for which o By my signature below I certify to each ofthe folloyring: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
numberaree: t application and the information I have provided is correct l agree to comply
Carrier A'�0.0Y\av M\C�W2C-{- with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy#�L,= Sp'(�S� FExpires G.L, 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 0 AUTH AGENT
01 certify 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# CH o?70S
workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the workers compensatio ovisions of Section 3700 of the Labor
Code,I shall forthwith comply - case provisfo Will the applicant or future building occupant handle hazardous material or
Applicant Date �'�—� 1 mixture containing a hazardous material equal to or greater that the
amounts s ecified on the Hazardous Materials Information Guide?
WARNING:FAILURETO SE LIRE WO KER'S COMPENSATION COVERAGE IS o Yes No
UNLAWFUL,ANDSHALLSUBJ N 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 Coas[Afr Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguidelines
CONSTRUCTION LENDING AGENCY oYes >No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he 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) oyes 1, 0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjurythat I am exempt from the
Contractors License Law for the reason(s)indicated below by the California Health Cade,Section 25505 and 25534 concerning
hazardous materiaall repo ' g.
checkmark(s)I have placed next to the applicable items)(Section 7031.5 Oyes \(1No
Business and Professions Cade).Any city or county that requires a permit to Date _
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER ORA T,H RIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement �J
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter9(commencing with Section 7000)of Division 3 ofthe 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 chfldcare facility to be RRP-certified firms and comply with
an Applicant fora 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
o1,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.e0v/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. o No EPA Lead-Safe Certified Firm is required for this project because:
O I,as owner ofthe property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Cade: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.
i1 - _ — r 1/_ _
- m:'Ar-u, �1M •�'ti ��-'G�r.Ir lsbrrza�` .:
DATE 7.24_17 PERMIT/PLAN CHECK NUMBER
TYPE: - COMMERCIAL VRESIDENTIAL MULTI-FAMILY . MOBILE HOME POOL/SPA - SIGN l
SUBTYPE: ADDITION ALTERATION ` DEMOLITION ELECTRICAL VMECHANICAL
1 NEW •' PLUMBING , . RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 24,000 btu furnace in the hall closet. i
l
PROJECT ADDRESS 7-24-17
ASSESSOR'S PARCEL NUMBER 337-222-027 LOT TRACT City of Menife
OWNER NAME Issac Reynosa
ADDRESS 28610 Pebble Beach Blvd JUL 1 4 201
PHONE 760-985-4108 EMAIL e
APPLICANTNAME ,lane RecktenWald
4 ADDRESS
PHONE 714-336-6159 EMAIL Tanereck att net
1
CONTRACTOR'S NAME on's Heatingg & Air OWNER BUILDER? I YES ✓NO
BUSINESSNAME Bus j3ess License # 040305 Expires 12-31-17
ADDRESS r32 Malloy Qrt Corona, CA 92880
PHONE 951_737.4141 EMAIL
CONTRACTOR'S STATE LICNUMBER 1018348 LICENSE CLASSIFICATION C20,C36
VALUATION 5 4.500.00 SQ F L SQ FT
APPLICANT'S SIGNATURE DATE 7-24-17
DEPARTMENT DISTP.IBUTIOW City OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I SMIP X f
INVOICE PAID AMOUNT
AMOUNT ' l "CASH D CHECK N CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT -. CASN CHECK x ! CREDIT can0 VISA/Mc
OWNER BUILDER VERIFIED - YES NO DL NUMBER f-_ T,TF�` NOTARIZED LETTER YES NO
ALTERATIONS - HVAC t '``U
CEC-CFI R-ALT-04-E Revised 03115 CAUFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15(formerly CF-iR-ALT-HVAC) (Page 1 of 1)
Site Address: Enforcement Agency: Date Prepared: Permit#:
28610 Pebble Beach Blvd Menifee - - -D g(A
Equipment Type Equipment Efficiency New Ducting,Plenums,Lineset: Conditioned Thermostat
Required R-value Floor Area(sq ft)
❑Packaged ❑Evaporator Coil 80%AFUE COP 0 R-6 (CZ2,8-13)Ducting Served by system 9Setback
System ❑Condensing Unit , (if not already
❑R-8 (C211,14,15)Ducting sgft
❑Split System ❑Compressor _SEER _HSPF ❑R-6(all CZ's)Plenums present must
❑Mini Split ❑Lineset EER ❑R-5 or R7.5)Lineset' be installed)
)
m Furnace ❑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 m I"site,
❑1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: Building DIept
All Equipment, CF1R-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R: MECH-OS,MECH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS'JUL 2 4 2017
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS2,MECH-25-HERS2
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage L 15%,or c 10%to outside,or seal all accessible leaks),Air Flow_300 CFM/ton,Re r�((%W%.r a/
Exempted from duct leakage testing if: v V V e
❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There Is less than 40 linear feet of duct in unconditioned space,or
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building------I
❑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: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS2
Mini Splits require CF1R-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow a 350 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 fallowing CF1111-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Compressor,TXV,Lineset,Furnace CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,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 Re wired Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts3 CFSR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(<15%or,<10%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
'All new ducting R-8 required when more than 40 it installed and R-6 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 MECH-(23 or 24),or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent 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-5 W'thick insulation)for Iinesets 1"and less. R-7.5(1.5"thick insulation)for Iinesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the fallowing 1.5-2T-2%',2.5-3T-2%",3.5 to 4T.274",5T-4%"
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 energyfeatures and performance specifications forthe 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 forthe 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.
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 permit application. /
Responsible Designer Name: Responsible Designer Signature: Date signed: License:
JaneRecktenwald 7-24-1
Company: Address: City/5tate2ip: Phone:
ton's Heating & Air da - -
For assistance or questions regarding the Energy Stanrds,contact the Energy Hotline at:1-80D-772-3300