PMT18-00869 City of Menifee Permit No.: PMT18-00869
29714 HAUN RD.
�CCEL/1r1 MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued:
02/28I2018
PERMIT
Site Address: 29699 SQUAW VALLEY DR, MENIFEE, Parcel Number: 338-262-004
CA 92584 Construction Cost: $7,580.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF HVAC SYSTEM, INSTALLED 5 TON 14 SEER, 80,000 BTU
Work:
Owner Contractor
JOSHUA ROMANO JB3 HVAC
29699 SQUAW VALLEY DR 30246 NAPA STREET
MENIFEE, CA 92584 MENIFEE, CA 92584
Applicant Phone: 9517230811
JOSEPH BRIANA License Number: 993821
JB3 HVAC
30246 NAPA STREET
MENIFEE,CA 92584
Fee Description ON Amount I51
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 Contractors State License Law for
Professions Cade and my license is in full force and effecct..� the following reason:
License Class �— -0 �' ens e._ �3 8 By my signature below I acknowledge that,except for my personal residence
Expires (d( v 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 DECLARA�014 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 70"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. WW W.leginfo.ea.eov/calaw.html.
Policy q 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 ❑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 polity 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
Carrier with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
PolicyIf Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($10(3)or less PROPERTY OWNER OR AUTHORIZED AGENT
certify that in the performance of the work for which this permit is issued,
I shall not emolov y per s-in-any-maInner so as to become subject to the CITY BUSINESS LICENSE#
worker's compens on laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to hewn sc mpensation provisions of Section 3700 of the Labor
Code, shall 'It. ith those provisions. Will the applicant or future building occupant handle hazardous material or a
Applic;at Date mixture containing a hazardous material equal to or greater that the
amounts spec on the Hazardous Materials Information Guide?
WARNING:F L R WORKER'S COMPENSATION COVERAGE IS ❑Yes
UNLAWFUL,AM SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TOONE 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)?Seepermittingchecklist _
-----IN"SEC170N370S-OF THE-LABOR"CODE,-INTEREST,AND`ATTORNEYS FEES forguideli/_``s
CONSTRUCTION LENDING AGENCY ❑Yes of o
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 nrTlo
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 checklis //erstand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the Californi e I Safest'Code,Section 25505 and 25534 concerning
ha a, u Ireporti
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 S o
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to Its p OPE W UTHORIZED AGENT
issuance,also requires the applicant forthe permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State E MOVATION.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 exemptfrom licensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis forthe alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to.be RRP-certified firms and comply with
an Applicantfor 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.epa.gov/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.
ARM Hu
ilr
Nlenifee
DATE: 2/Z�' 201� PERMIT/PLAN CHECK NUMBER &oom
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL &161ECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Axea cj 4-p C-y c!lmao
PROJECTADDRESS agLoaq ej,� Dr• YY\Un;(-ee, ZIP ct2Sm
ASSESSOR'S PARCEL NUMBER ��� � '�.� LOT Iq TRACT �( �
OWNER NAME Jcf-�b Y112Y10
ADDRESS ?_cl(c0Lcl oat,,-) Ua16 1�r. mcni�eG
PHONE EMAIL
APPLICANT NAME J $
ADDRESS 302U6 a SE 2l
PHONE EMAIL JbbAA\jpc a %CD
CONTRACTOR'S NAME OWNER BUILDER? O YESVf10
BUSINESS NAME 5'5
ADDRESS 362 (, a s• mav%�cG
PHONE (0,Gj1>-42�),crmt EMAIL 3B' Nft <Cowsctm
CONTRACTOR' STATEEL'IICCNUMBER gg3gal 1 7 LICENSE CLASSIFICATION Cr3U
VALUATION$ �`av Q FT `� L L L SO FT
APPLICANT'S SIGNATURE DATE Ze �pLa , Z"
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS ACCEPTEDB LIC SE NUMBER
bTJ$a '
BUILDING PLANNING ENGINEERING FIRE V OOOVVV
PERMIT FEE SMIP GREEN
PLAN CHECK FEE INVOICE TOTAL
OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE# NOTARIZED LETTER YES O NO
STATE OF CALIFORNIA
ALTERATIONS - HVAC ,
CEC-CFIR-ALT-04E Revised 01116 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 V1 (Page 1 of 1)
Site Address: Enforc Date Prepared:
2q� S au1 a11e ��' TCN18 LO
Equipment T e Equipment Efficien New Ducting or Lineset: Conditioned
Type Efficiency R -v ' Floor Area(ft2) Thermostat
❑Packaged vaporator Coil _AFUE COP 11 - 5ery d If system Setback
Syst 0C ndensing Unit t '?iyo x (if not already
plit System ❑Co '1 112:R .8 Line et' Ducts ft
pressor �"[ SEER HSPF ❑2 R-2.8 Lineset" present must
❑Mini Split ineset EER be Installed)
❑Furnace ❑TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form i 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.
.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)a-H,MCH-25-H'
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-1'
Air Handler/Furnacez(Can include new ducting)
Installer Requirement:Duct leakage(515%,or 510%to outside,or seal all accessible leaks),Air Flow>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 linear feet of duct in unconditioned space,or
❑3.Existing duct systems are constructed,insulated orsealed 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 Ductsa CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-1'
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 2 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Ductsa and one or more of the following CFIR-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-11,MCH-(23 or 24)-H,MCH-25-H
Compressor,TXV,Lineset,Furnace" I CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakage<5%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:111. Existing duct systems are constructed,insulated or sealed with asbestos
114.New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ductsa I 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 11&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.
a Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or Refrigerant Charge verification MCH-25
a 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)
'R-2.8(1"thick insulation)for Iinesets 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.
Responsible Designer Name: Responsible Designer signature: Date Signed: Line �A
Company: Address: Cfty/snteffi Phone:
JP�31tUAC 30�-4(,V) A- evot•-)23rObl(
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300