The URL can be used to link to this page

PMT17-04031 City of Menifee Permit No.: PMT17-04031 29714 HAUN RD. `ACCEL/k� MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 11109/2017 PERMIT Site Address: 32545 BRIGGS RD,MENIFEE, CA 92584 Parcel Number: 372-200-003 Construction Cost: $16,250.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT 4 TON Work: Owner Contractor JAMES&SUSAN BRADLEY J D F CONSTRUCTION INC 32545 BRIGGS RD 201 GEMINI AVE MENIFEE, CA 92584 BREA, CA 92821 Applicant Phone:7145261120 PAUL MACCHIO License Number:956749 J D F CONSTRUCTION INC 201 GEMINI AVE BREA, CA 92821 Fee Description tilt r Amount ISl 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_&dg_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 Contractors State License taw for Professions Code and my license is in full force and effect. ��r the following reason: License Class 5 Uce J6 No. `y� By my signature below I acknowledge that,except for my personal residence Expires _046_7_�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 WORKS S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by ereby 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.leeinfp.ca.eov/calaw.html. ! [� Po" # oAK R� CLcI. (oG 1 I� I Date 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: �� ,h application and the information 1 have provided is correct.I agree to comply Carrier (ICI I,' (LLC..$.,L L�U.J� (u with all applicable city and county ordinances and state laws relating to building 5pniftruction.I authorize representatives of this city or county to Policy# Expires )©(® '( � entert ab ei enti property for inspection purposes. (This section need not to be completed is the permit is for one-hundred Date - dollars($100)orless PROOYRTY OWNER OR AUTHORIZED AGENT ❑I certify that in the performance of the work for which this permit is issued, J7�� _ ✓W 1 shall not employ 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 workers comp cation provisions of Section 3700 of the Labor Code-1 shall for, it co /'th thos visions. Will the applicant or future building occupant handle hazardous material or a Applicant ( 8� Date I"�� mixture containing a hazardous material equal to or greater that the amounts sppecified on the Hazardous Materials Information Guide? WARNING AILURE 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 Qua' Management District(SCAQMD)7 See permitting checklist INSECrION 3706 OF THE LABOR CODE,INTEREST,AND.ATTORNEYS FEES for guldel- — — --- — --- CONSTRUCTION LENDING AGENCY ❑Yes ❑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 No 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 California Contractors License Law for the reasons)indicated below by the H th&Safety Code,Section 25505 and 25534 concerning hazardouvrnaterial reporting. „ checkmark(s)I have placed next to the applicable Items)(Section 7031.5 oyes ❑N +�fi(.//�/ Business and Professions Code).Any city or county that requires a permit to Date col construct,alter,Improve,demolish or repair any structure,prior to its PROPS 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(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 theirsole 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 1-80D-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 Menifee DATE: PERMIT/PLAN CHECK NUMBER IWIM—O f TYPE: O COMMERCIAL *RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL �_ MECHANICAL O NE+W OPLUUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK i-1uJ&<,- -e N PROJECTADDRESS 1j2( ^� N-Loo 40 ZIP Q�(9 ASSESSOR'S PARCEL NUMBER J d.— LOT ' TRACT OWNER NAME Tw Qom. ADDRESS 33 54ib U S ACV• IYv-wifza� PHONE EMAIL APPLICANT NAME (� ADDRESS PHONE EMAIL CONTRACTOR'S NAME -L� �"�..TS (�� -• OWNER BUILDER? R YES ONO BUSINESS NAME l(,)NS C�.+ (/v� _ ADDRESS 7O, V \r<..IL tax PHONE EMAIL CONTRACTOR'S STATE LIC NUMBER R '56P Z LICENSE CLASSIFICATION t3 VALUATION $ ((o 1 3-50• �' SQFT L SQ FT APPLICANT'S SIGNATURE DATE / CITY STAFF USE ONLY DEPARTMENT DISTRIBUTION CITYOF MENIFEE USINES LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE SMIP GREEN PLAN CHECK FEE INVOICE TOTAL , OWNER BUILDER VERIFIED O YES O• NO DRIVERS LICENSE# NOTARIZED LETTER 0 YES O NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.Cityofineni/ee.us STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFiR-ALT4)4-E (Revised 01116 CALIFORNIA ENERGY COMMISSION As CERTIFICATE OF COMPLIANCE rny of Meri fee CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 Building Dept. (Page 1 of 1) Site Addr ss: D n EnforceN&A r@y:20t1 Date Prepared: J rytjyf 2645 Equipment Type Equipment Efficiency New Ducting or Lineset: Conditioned ReM - Floor Area(ft) Thermostat ❑Packaged ❑Evaporator Coil gFUE COP 1 1 t Served by system 0 Setback System ❑Condensing Unit ❑R-8' ((711,14-16)Ducts 0 ff2 flf not already ❑Split System ❑Compressor _SEER HSPF 0 2 R-2.8 Lineset' present,must ❑Mini Split ❑Lineset EER be installed) ❑Furnace El TXV HE VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this foe 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. 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-1`1,MCH-25-1-12 Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-12 Air Handler/Furnace2(Can Include new ducting) Installer Requirement:Duct leakage(=15%,or 510%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if. ❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linearfeet 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 Ducts3 CF1R-ALT-02-E including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-1-1,MCH-(23 or 24)-H2,MCH-25-Hz CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-12 Mini Splits require CFSR-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 Required 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,Furnace2 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:111. 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 Ducts3 CF1R-ALT-02-E,CF211-MCH-20-1-1,CF3R-MCH-20-H Installer Required to:Duct leakage(515%or,510%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 11&14-16 and R-6 in CZs 1-10,12&13,and R-6Insulation 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 MCH-(23 or 24),or Refrigerant Charge verification MCH-25 3 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 Presets 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 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. Repo le Designer V^ Rerw DaIesig�n ComPnYCD AddreZa GOjM- f( k�L /State/Zip: ((za For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300