PMT17-03090 City of Menifee Permit No.: PMT17-03090
29714 HAUN RD.
lrnCCELA-'> MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued:
08/31/2017
PERMIT
Site Address: 31214 DURHAM DR, MENIFEE,CA 92584 Parcel Number: 372-481-015
Construction Cost: $3,600.00
Existing Use: Proposed Use:
Description of HVAC REPLACEMENT,A/C CONDENSER ONLY,3-TON
Work:
Owner Contractor
ANTHONY&SUZETTE MAZZA BEAR CREEK HEATING AND AIR CONDITIONING
31214 DURHAM DRIVE INC
MENIFEE, CA 92584 24069 CHATENAY LANE
Applicant Phone: 9516002882
VALERIE DUNGAN License Number: 779461
BEAR CREEK HEATING AND AIR CONDITIONING INC
24069 CHATENAY LANE
MURRIETA, CA 92562
Fee Description gty Amount fEl
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 6.65
$167.65
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 ❑1 am exempt from licensure under the Contractor's State License Law for
Professions Co�a my license is in full force and effect the following reason:
License Class Lfc o. By my signature below 1 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 ONIPENSATION DECLARATIO 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 worker'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,for the performance of work for which tyw,w.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy If Date
Yhave and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
ection 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 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
^ r building construction.I authorize representatives of this city or county to
Policy ff Q 3 1"/ 7S o / Expires 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 OR AUTHORIZED AGENT
❑I certify that in the performance of the work forwhich this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker compensation provisions of Section 37 of th bon
Code,I shall f rt W' o ply v�y'th those provisions. ` Will the applicant or future building occupant handle hazardous material or a
Appiicant ✓ \ Date 1 mixture containing a hazardous material equal to or greater that the
amounts spepified on the Hazardous Materials information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION C ERAGE IS ❑Yes
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 for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes o�Jot
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 bo OF
of a school?
(Section 3097 Civil Code) ❑Yes OF
OWNER BUILDER DECLARATIONS I have rea//added t......he 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 Sta of
Contractors License Law for the reason(s)indicated exempt
by the California Health&Safety Code,Section 25505 and 25534 conce ing
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 h ardou m 4g' I reporting.
Business and Professions Code).Any city or county that requires a permit toes N
construct,alter,improve,demolish or repair any structure,prior to its Date
issuance,also requires the applicant for the permit to file a signed statement PROPER OW ER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING IRRPI
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.eoa.eov/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 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. ❑No 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
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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE PERMIT/PLAN CHECK NUMBER fAT n-D30g0
TYPE: 0 COM iMERCIAL ESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME 0��P����O""""OUSPA "SIGN
SUBTYPE: 6.ADDITION 0 ALTERATION O DEMOLITION 0 ELECTRICAL XECHANICAL
O NEW O PLUMBING 0 RE-ROOF-NUMBERn OF SQUARES
DESCRIPTION OF WORK W`VLl(.V,1Pj �✓, n
1 i r S � ^
PROJECTADDRESS 3�0_ a�
ASSESSOR'S PARCEL NUMBER '.�' -C�sl-OV5 LOT TRACT
OWNERNAME P(1 "E)A no
ADDRESS 1 d( -� r v n I r t of Menifee
PHONE 9,sf ���a 2-7 ��p EMAIL BUlldiog B
APPLICANT NAME 61[Q f' t, Al�
`,, AU6
ADDRESS SCL-VV4 CAS ,10 L'I y/
PHONE /, EMAIL
CONTRACTOR'S NAME �C.� re lY� i I DOWNER BUILDER? OYES 6 NO
BUSINESS NAME �1
ADDRESS l//1 C`//^V�ly�-Hi=/
PHONE 0/5 6eO a'�6 O � EMAIL � !� � `-'�`�� IA�(�• ��
CONTRACTOR'S STATE LIC NUMBER � / ! �/6 / LICENSE CLASSIFICATION
VALUATION $ 50 SO FT I VC-) O L SO FT
APPLICANT'S SIGNATURE DATE
I
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP )C
INVOICE , A , /^� PAID AMOUNT
AMOUNT IL9 ' W •Lf1S i CASH Ci CHECK# 0CREDIT CARD VISA/MC
PLAN CHECK FEES PAID AMOUNT CiCASH 0CHECK# 0 CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED C YES 0 NO DL NUMBER NOTARIZED LETTER Ci YES 0 NO
City Of Menifee Building & safety Department29714NounRd. Me;iy3?, -1'777
www.cityofinenifee.us Inspection Request Liar,
City of Menifee
Building &Safety Dept.
AUG 31 201?
OIL Received
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-SR-ALT-HVAC) (Page 2 of 3)
Project Name: Maus Date Prepared: 20174)8-31
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 Mazza 02 Date Prepared 2017-08-31
03 Project Location 31214 Durham Dr 04 Building Type Single family
05 CA City Menifee 06 Dwelling Unit Name Mazza
07 Zip Code 92584 08 Dwelling Unit Conditioned 3141
Floor Area(ft2)
Number of Space
09 Climate Zone 10 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
B.Space Conditioning(SC)System Information
01 02 03 04 05 06 07 08 09 10
Is the SC Installing a
SC System SC System CFA served system a 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(ftz) system? component? components? feet of ducts? duct system? SC system? Alteration Type
System 1 Upstairs 1400 yes yes yes No No No Altered space
conditioning system
C.Extension of Existing Duct System,Greater Than 40 Feet(SectionlSD.2(b)1Dlib)
This section does not apply to this project.
Registration Number:217-A020300313A-000-000-0000000-0000 Registration Date/Time: 2017-08-31 09:13:53 HERS Provider.CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2017-08-31 09:13:58
Schema Version:rev 10/16
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Spam Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System(Sections 1SO.2(b)1E and F)
01 02 03 04 05 06 07 08 09 30 11 12
Hewing Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Coding Efficiency Efficiency Thermo" Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
No heating This field or This field or Outdoor This Reid or This field or
fur al furnace AC
System 1 Central gas component section is not section is not Central split condensing SEER 14 Setback section is not section is not
ur altered applicable applicable unit applicable applicable
Remained Documentation:
MWIYICH-0I-E-Space conditioning Systems
-Dud Insulation mquirementfor the new,portions of suppk/air and return-air ducts or plenums:R6(CZ 1-10,12 and 13)and Its(CZ it and 14-I6)
MR and CF3R-MCH-20gi-Dud Leakage Tert required when heating or coaling components are installed In ducted systems,or when more than 40 it of dud length is replaced
-Leakage ate complianu:m 15%ca1<=10%leakage to oeUld.,or seal all aaxmible leaks.
MR and CF IR-MCH-25-H Refrigerant Onsa,verification required when refrigerant containing components are installed or altered(applicable in¢2,8-15).
MR and CF21R-MCR-23 Airflow Rate a--sold CFM per run required when MCH-251s required.
Eacentions,
-Duff systems registered with HERS provider as previously sealed are exempt from MCH-20 Dud Lealoge Testing requirements.
-Heeling-only systems and Air Handier Furnace changes do not require verlfiratlon of Air Flow MOH-23,or ReMgeant Charge MCH-25.
-Existing dud systems constructad,insulated or sealed with ashes tas are exempt from MCH-20 Dud Leakage Telling requirements.
E.Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)SDifa and 150.2(b)1E,F)
This section does not apply to this project.
F.Entirely New or Complete Replacement Spam Conditioning System(Section 1SO.2(b)1C)
This section does not apply to this project.
Registration Number:217-A020300313A-000-000-0000000-0000 Registration Date/Time: 2017-08-3109:13:53 HERS Provider.raICERTS
CA Building Energy Effidenq Standards-2016 Residential Compliance Report Version:2016.1.0D6 Repof Generwed:2017-M31 09:1358
Schema Version:rev 10/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Dosvmentatfon Author Name: Doamemauan Author signature: �jj
Dungan,Barry R4r
Company: Signature Data:
Bear Creek Heating and Air Conditioning Inc 2017-08-31 09:13:53
Address: CEA(HERS Certification Idendfiadon(B applimblei:
24069 Chatenay Lane
city/state/Zip: Phone:
Murrieta CA 92562 951-600-2882
Responsible person's Declaration statement
I certify the following under penalty of perjury,under the laws of the State a California:
L The lnformatlon prodded on this Certificate a Compliance is true and coned.
2 I am eligible under Dhislon 3 of the Business and Professions Code t,scant responotilluy for the bulking design or system design identified an this Certificate of Compilance(mossi slble designer).
3. That the mergy features and performance spedfiations,materials,components,and manufactured devices for the building design or system design Identified on this Certificate of Compliance ardptm to the
moulremems of This 24,Pert 1 and Part 6 of the California Code of Regulations.
4. The building design Natures or system design features idemiflel on this Certificate of compliance are antlMm wish the irdonnatbn prodded on other applicable compliance dieumems,worksheets,
calculations,Plans and specifications submitted to the enforcement agency for approval wish this building permit appliranon.
5. 1 will ensure that a registered copy of this certificate of Compliance small be made available wdh the baking pennids)Issued for the bulldmg,and made available to the enforcement ages,for all applicable
Inspection.)understand that a registered oapy,of this Certificate of Compliance Is required to be Included with the documentation the builder provides to the building owner at or tounry.
Responsible Designer Name: Responsible Designer Simature: �j T
Dungan,Barry �J �g�jg�1(arj
Company: Date Signed:
Bear Creek Heating and Air Conditioning Inc 2017-08-31 09:13:53
Address: license:
24069 Chatenay Lane 779461
City/State/a, Phone:
Murrieta CA 92562 951-600-2882
Easy to Verify Or O
at CeICERT$.mrr
DigihUy signed by talc ERf6.This digital agamium mpsom ed in under to secure the cement afthis registensd document ark in no way impolite 1
Registration Provider responsibility for the aco uro y of the fnfomoaon.
Registration Number:217-A020300313A-000-000.0000000.0000 Registration Date/Tlime: 2017-08-3109:13:53 HERS Provider.CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Vernon:2016.1.006 Report Generated:2017-08-31 09:13:59
Schema Version:rev 10/16