PMT17-03794 City of Menifee Permit No.: PMT17-03794
29714 HAUN RD. Type: Residential Mechanical
<ACCEL/k? MENIFEE, CA 92586
MENIFEE Date Issued:
10/2412017
PERMIT
Site Address: 26923 AUGUSTA DR, MENIFEE, CA Parcel Number: 337-332-011
92586 Construction Cost: $5,800.00
Existing Use: Proposed Use:
Description of REPLACE 2-TON PACKAGE UNIT GAS-ELECTRIC CONDENSER ON ROOF
Work:
Owner Contractor
HOUSEHOLDER HERBERT CHARLES CAL-KOOL AIR CONDITIONING AND HEATING
26923 AUGUSTA DRIVE 31600 RAILROAD CANYON ROAD-M
MENIFEE,CA 92586 CANYON LAKE, CA 92587
Applicant Phone:9512444412
DEBBIE MINER License Number.443727
CAL-KOOL AIR CONDITIONING AND HEATING
31600 RAILROAD CANYON ROAD-M
CANYON LAKE,CA 92587
Fee Description Oft Amount(SI
Forced-Air or Gravity-Type Furnace or Bumer 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 perjurythat 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 Contractors State License Law for
Professions Code and my license is In full force and eff[e/yyt� ✓I the following reason:
License Class Lic n e No. T� , /Z By my signature below I 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 COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in Its entirety by
❑1 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
this permit is issued. www.leRmfo.ca.eov/calaw.html.
Policy# Date
o 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 I have provided is correct.I agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier V building construction.I authorize representatives of this city or county to
// ^ ))
�i
Policy# 1 (�,, J Expires f/-1 L—r 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
o 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 BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the keys compensation provisions of Section 3700 of the Labor
Code,I shall h vit comply with ose provisions. Will the applicant or future building occupant handle hazardous material or a
/D_Zt.1/ mixture containing a hazardous material equal to or greater that the
Appliant - Date amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes ,<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 forguldelines
CONSTRUCTION LENDING AGENCY DYes "la
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 DggT
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
Contractors License Law for the reason(s)Indicated below by the California Health al Safety Code,Section 25505 and 25534 concerning
h ous material reporting.
chsiness and
I have placed nextde).to the applicable item(s)(Section 7031.5
permit es
Business and Professions Code).Any city or county that requires a permit to °y�l,�,v-.- Date �
construct,alter,improve,demolish or repair any structure,prior to its pit PER1Y 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(RRPI
License Law(Chapter9(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 he 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
o 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 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. ❑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
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.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION
DATE: -Z - I'1 PERMIT/PLAN CHECK NUMBER �qL
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA OSIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL * MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER/OF SQUARES
DESCRIPTION OF WORK O C
City of Men iee
IOU 0,�qq q. 5
� pt.
PROJECTADDRESS o`IU�s`- 5 ZIP q. 7S�,
ASSESSOR'S PARCEL NUMBER I'V
,� • 33a ' D1� LOT TRACT
OWNER NAME 0 c Received
ADDRESS ioeyeG
PHONE EMAIL ,y/
APPLICANT NAME!! ' J) fl✓I �I 11 !'y�1�Y� I• �j /� G
ADDRESS L l�(U/' ( [L�I/rOa "'1' / n` 0 ✓j (j
PHONE qSl- �l q- �T L EMAIL Cal , �I (,(.. U„QI�IZO✓1,
CONTRACTOR'S NAME 5a*- p1 OWNERBUILDER? OYESPNO
BUSINESS NAME
ADDRESS
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER �� � 2� LICENSE CLASSIFICATION CoZO
VALUATION$ �9 SCI FT
� L SQ It —
l/
APPLICANT'S SIGNATURE ALi- / ' �" DATE I t '-
CITYSTAFF USE ONLY -
DEPARTMENT DISTRIBUTION ACCEPTED BY: I CITY OF MENIFEE BUSINESS LICENSE NUMBER
M
BUILDING PLANNING ENGINEERING FIRE
PERMIT FEE SMIP X GREEN ,-
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO
----
City of Mwifee
Building Dept.
OCT 2 4 2017
02—wn,02 LA
CERTIFICATE OF COMPLIANCE C R- -02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-H VAC) (Page 1 of 3)
Project Name: Householder Date Prepared: 2017-10-19
A.General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented,use One
CFIR-ALT-02 document for each dwelling unit.
01 Project Name Householder 02 Date Prepared 2017-10-19
03 Project Location 26923 Augusta Dr 04 Building Type Single family
05 CA City Sun City 06 Dwelling Unit Name Rental
07 Zip Code 92S86 OB Dwelling Unit Conditioned 1066
Floor Area(ft2)
Number of Space
09 Climate Zone SO 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
S.Space Conditioning(SC)System Information
01 02 03 04 05 06 07 08 09 10
Is the SC Installing
SC System SC System CFA served system 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(ft2) system? component? components? feet of ducts? duct system? SC system? Attention Type
2 ton package unit Rooftop 1066 Yes Yes Yes No No No Altered space
conditioning system
C.Extension of Existing Duct System,Greater Than 40 Feet(Sect1on150.2(b)1Diib)
This section does not apply to this project.
Registration Number:417-AO20123338A.000-MOO 000000-0000 Registration Date/rime:2017-10-19 14:28:35 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2017-10-19 14:28:36
Schema Version:rev 30/16
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-SR-ALT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System(Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 09 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
2 ton package Central furna gas Central All new All new Less than or
unit furnace heating AFUE 0.81 packaged AC cooling SEER 14 Setback equal 40 R-6
feet
components components feet
Recurred Documentation:
CF2R41CH41.E.Space conditioning Systems
-Dud Insulation requirement For the new portions of suppfyair and retum-air ducts or plenums:R6(CZ 1.10,12 and 13)and R8(CZ SS and 1416)
CFZA and MR-MCH-20-0-Duct Leakage Test required when heating or cooling components are installed in ducted systems,or when more than 40ft of duff length Is replaced
-Leakage rate compliance:m 15%or<=IM Wakage to out,ld.,or seal all accessible leaks.
CFZR and CHR-MCH-M5 RaMgararnCharge venrcatianrequlred when refrigerant containing components are installed or altered(applicable in CZ 2,8-15).
CF2R and CHR-MCH-23 Alrnow Rate s=300 CFM per ton required when MCH-25 is required.
-Dud systems registered with HERS provider as previously sealed are exempt from MCH-20 Dud tankage Testing requirements.
-Heating-only systems and Air Handler Furnace changes do not requite au ication of Air Flow MCH-13,or Refrigerant Charge MCH-25.
-Existing duct systems constructed,Insulated or sealed with asbestos are exempt from MCH-20 Dud Leakage Testing requirements.
E.Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)iDiia and 150.2(b)1E,F)
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)1C)
This section does not apply to this project.
Registration Number:417-A020123338A-000-000-0000000-0000 Registration Date/nme:2017-10-19 14:28:35 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Geneated:2017-10-19 14:28:36
Schema Version:rev 10116
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-AU-HVAC) (Page 3 of 31
Documentation Author's Declaration Statement
1.1 Certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: Documentation Author eurture:
David Johnston Vou"Johna(mu
Company Signature Date:
Cal-Kool Air Conditioning&Heating 2017-10-19
Address: CEA/HERS Certification Identification iNappllmblel:
31600 Railroad Canyon Road,Suite M
C1ty/State/2Ip: Phone:
Canyon Lake CA 92587 951-244-4412
Responsible Person's Declaration statement
I certify the following under penalty of perfur,,under the laws of the State of Calaamla:
L The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility far the building design or system design identified on this Certificate of Compliance(responsible designer).
3. That the energy features and performancespedficatlam,materials,components,and manufactured devicos for the building design or system design identified on this Certificate of Compliance conform to the
requlmments afIItle 24,Part 1 and Part 6 of the California Code of Regulations,
4. The building design features or system design features Identified on this Certificate of Compliance are consistent with the information provided an other applicable compliance documents,warhsheeta,
calculations,plans and spedfica[iont submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made avallable with the building pennitir)Issued far he building,and made available to the enforcement agency for all applicable
Inspections.)understand that a registered copy ofthls Certificate of Compliance is required m be Included with the documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Responsible Designer Signature:
David Johnston D.V ilioh.AD.
Company: Dateilgned:
Cal-Kool Air Conditioning&Heating 2017-10-19
Address: License:
31600 Railroad Canyon Road,Suite M 443727
city/state/Lip: Phone:
Canyon Lake CA 92587 951-2444412
Digitally signed by CHEERS". This digital signature is provided in order to secure the Content of this registered
document,and In noway implies Registration Provider responsiblilty for the accuracy of the Information.
Registration Number:417-AD20123338A-000-000-0000000-0000 Registration Date/nme:2017-30-19 14:28:35 HERS Provider:CHEERS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2017-10-19 14:28:36
Schema Version:rev 10116