PMT17-02567 City of Menifee Permit No.: PMT17-02567
29714 HAUN RD. Type: Residential Mechanical
<A-CCELA> MENIFEE, CA 92586
MENIFEE Date Issued: 07/24/2017
PERMIT
Site Address: 28836 RAINTREE DR, MENIFEE, CA Parcel Number: 340-200-002
92584 Construction Cost: $4,000.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT,4 TON 90K BTU
Work:
Owner Contractor
ALLEN HUIE QUALITY MECHANICAL PROFESSIONALS INC
28836 RAINTREE DR 1536 FAYETTE STREET
MENIFEE,CA 92584 EL CAJON, CA 92020
Applicant Phone:6194492735
VADIM BYKOV License Number:794199
QUALITY MECHANICAL PROFESSIONALS INC
1536FAYETTE STREET
EL CAJON, CA 92020
Fee Description O_yt Amount 1E1
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_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 Lic se No. -7q L4IQ 9
By my signature below I acknowledge that,except for my personal residence
Expires -kQ Signatu in which I must have resided for at least one year prior to completion of
WORKER'SCOMPENSATnIONDECIAR IJ 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 ofthe 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
this permit is issued. www.leginfo.ca.gov/calaw,htmi.
Policy g Date
Wave 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 ❑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 I have provided is correct.I agree to comply
1 with all applicable city and county ordinances and state laws relating to
Carrier N�, Gll"�� 9_ �1 �1 building construction.I authorize representatives of this city or county to
Policy# WtAAAc9qV!K& Expires J O 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 emolov any persons in any manner so as to become subject to the CITY BU51NESS LICENSE q
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the w k rs compensation provisions of Section 3700 of the Labor
Code,I shall fort) th comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant —T �� mixture containing a hazardous materialequal to or greater that the
Date amounts�sp 'fled on the Hazardous Materials Information Guide?
WARNI :FAILU ETO SECU E WO ER'S COMPENSATION COVERAGE 15 ❑Yes G O
UNIAWF , SHALL SUBJ MPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Will the intended use of the building by the applicant or future building
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR occupant require a permit for the construction or modification from South
IN SECFION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES Coast Air=Quality Management.District(SCAQMD)?See permitting checklist
for guideline
CONSTRUCTION LENDING AGENCY 0 Yes �No
1 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 o
OWNER BUILDER DECLARATIONS 1 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
Contractors License Law for the reason(s)indicated below by the California HJI & afety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable items)(Section 7031.5 hazardouseporting.
Business and Professions Code).Any city or county that requires a permit to OYes
Date
construct,alter,improve,demolish or repair any structure,prior to its pROPE N R AUT ORIZ AGENT
issuance,also requires the applicant for the permitto file a signed statement
that he or she Is licensed pursuant to the provisions of the Contractors State EPA REN N.REPAIR AND PAINTING LRRPI
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 oor childcare facilitytobe work
and comply with
thanApplicant 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
❑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(5323).
Code;The Contractors State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the 0 An EPA Lead-Safe Certified Renovator will be responsible far this project
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:
❑I,as owner of the property a m 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.
C APPLICATION
r:
MeniTee
DATE rI Zz I TI PERMIT LAN CHECK NUMBER T -Q65-t01
TYPE: O COMMERCIAL &/RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL : ECHANICAL
O NEW O PLUMBING O RE-ROOF-NUMBER OF SQUARES
DESCRIPTION OF WORK IA,VA c f2-rf�^C4: rv--AEh'% -
PROJECTADDRESS Z$3'�j36 K�+L�1N1C��E� VR l.A - 1 Z�O��g
ASSESSOR'S PARCEL NUMBER � - a00 • O0�LOT TRACT J a
OWNER NAME
ADDRESS `Z. O �>G nAvc— Vde/v1 �,{� S(SH
PHONE EMAIL () a Q\J
APPLICANT NAME ,,ILA�
ADDRESS //��3Fi�%x CITE �1 EL ' 301 C'A �TZa�
PHONE b�a1-�1��'\-Z�J J� EMAIL /
CONTRACfOR'SNAME Q%A^LjT McGt+Al-I�Cc.�.-�RoF Vr- OWNER BUILDER? O YES k0
BUSINESS NAME 't M ECI+Ai-+\
ADDRESS
PHONE CoI'q yLFQ-�L1�j� EMAIL
CONTRACTOR'S STATE LIC NUMBER _'PL4 S.Qq LICENSE CLASSIFICATION
VALUATION$ SO FT �gg 00 L SQ FT
APPLICANT'S SIGNATURE —T DATE Z
MWCITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I- SMIP
INVOICE .IQ PAID AMOUNT O O,
AMOUNT CASH OCHECKII CREDITCARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT OCASH OCHECK# 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 - HVAC
CEC-CFIR-ALT-09-E Revised 01l16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Enforce Date Preparet /� a it#.SS3G h'\ Bud"MI'lifee l
ur
Equipment T e Equipment Efficient New Ducting or Lineset: Conditioned
YVy Required lu _ Floor Area(ft
Thermostat
❑Packaged vaporator Coil SO AFUE COP -6 (CZ 1-10, 2 1 cts Served by system etback
System -Condensing Unit ❑R-81,-(CZ11,14-16)Ducts (e'knofta (lf not already
r2Tplit System ❑Compressor tq-SEER HSPF 0 2 Rt`'2 ,.� present,must
❑Mini Split ❑Lineset 0 Ve d 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
allowe for1. Is d 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.
HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)"-H,MCH-25-H2
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H",MCH-25-HI
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(515%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge.
Exempted from duct leakage testing if:
111.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_
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts" CFSR-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H",MCH-25-1-12
CF3R-MCH-20-H,MCH-22-H,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 IRequired Compliance Documents to be left on site for Final:
All New Ducts"and one or more of the following CF1R-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 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 Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ducts" CF1R-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H
Installer Required to:Duct leakage(515%or,<10%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
'All new ducting requires R-8 insulation when more than 40 ft installed in CZs it&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.
3 Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or Refrigerant Charge verification MCH-25
"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 Ilnesets 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 on this Certificate of Compliance conform to the
requirements of Title 24,Parts I 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�ocmnfioiTri to the requirements of Title 24,Part I and Part 6 of the CCR.
5. The building design features or system design features' entifie on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents orkshe ,calculations,plans and specifications submitted to the enforcement
agency for approval with this building permit appli ion.
a o,Oyhl NDeser T,% w/ Responsible D }der Sig ure: Date Signed;,.,( ..qp(� 13rei /���1 ^�
mpat�.�WQ t5r q '� �Ity/State i d'
C _LNCt� JS�
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