PMT18-01566 City of Menifee Permit No.: PMT18-01566
29714 HAUN RD. Type: Residential Mechanical
'ACCELA> MENIFEE, CA 92586
r.,..,..-.ASA.r MENIFEE Date Issued: 04/03/2018
PERMIT
Site Address: 26225 LANCASTER DR, MENIFEE, CA Parcel Number: 335-132-018
92586 Construction Cost: $5,500.00
Existing Use: Proposed Use:
Description of HVAC SYSTEM REPLACEMENT, ROOF MOUNTED SPLIT SYSTEM PACKAGE, 3 TONS, 16 SEER
Work:
Owner Contractor
LAJUANA MALONE PINEDA GENERAL CONSTRUCTION INC
26225 LANCASTER DRIVE 15323 AGUILA PASS
MENIFEE,CA 92586 NUEVO, CA 92567
Applicant Phone: 9513859149
ARTURO PINEDA License Number: 889740
PINEDA GENERAL CONSTRUCTION INC
15323 AGUILA PASS
NUEVO, CA 92567
Fee Description G,]yt Amount($1
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
property who builds or improves thereon,and who contracts for the projects
LICENSED DECORATION with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty'of perjury that I am under provisions of ❑I am exempt from licensure under the Contractors State License Law for
Chapter9(commencing with section 7000)of Division 3 of the Business and the following reason:
Professions Code and my license is in full force and effect. '\ personal residence
License Class License No• 16��u v By my signature below I acknowledge that,except for my p
\`\ in which I must have resided for at least one year prior to completion of
Expires 'SI ) Signature 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
rstand
❑I hereby affirm under penaltyat perjury one of the following declarations:I licensed
the Business and Professions Code,is available upon request when
t a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers
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 www.Ieglnfo.ca.gcy1caI1w.htmI-
this permit is issued. Date
Policy# 0'3 PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain workers compensation insurance,as required by D By my signature below I certify to each of the following:I am the property
section 3700 of the Labor Code,for the performance of the work for which owner or authorized to act on the property owners behalf-I have read this
this permit is issued.My workers compensation insurance carrier and policy application and the information I have provided is correct.I agree to comply
number are: with all applicable city and county ordinances and state laws relating to
Carrier � CGNXp �(LS �� building construction.I authorize representatives of this city or county to
Paliry#
n )3'a31'5 Expires 's )r� I�.tJ( � enter the above identified property for inspection purposes.
Date
(This section need not to be completed is the permit is for one-hundred PROPERTY OWNER OR AUTHORIZED AGENT
dollars($100)or less
❑1 certify that in the performance of the work for which this permit Is issued, CITY BUSINESS LICENSE#
I shall not emolov any persons in any manner so as to become subject to the HAZARDOUS MATERIAL DECLARATION
workers compensation laws of California,and agree that if I should become
subject to the worke compensation provisions of Section 3700 of the Labor Will the applicant or future building occupant handle hazardous material or a
Code,I sh orthwit co ly with those provisions. ``OQ' — mixture containing a hazardous material equal to or greater that the
Applicant Date `� amounts specified on the Hazardous Materials Information Guide?
Dyes ONO
WARNING:FAILUWf.Z0_S_Et&RE WORKER'S COMPENSATION COVERAGE IS Will the intended use of the building by the applicant or future building
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will th intendedquire uspermit ofhe billingr the by
or or
frillingom South
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN Coast Air Quality Management District(SCcton or See permitting checklist
ADDITION TO THE COST OF COMPENSATION,DAMAGES ATTORNEYS FEES R
IN SECTION 3706 OF THE LABOR CODE,INTEREST, for guidelines
Dyes ONO
CONSTRUCTION LENDING AGENCY
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
outer boundary of a school?
lending agency for the performance of the work which this permit is Issued oyes ❑No
(Section 3097 Civil Code)
I have read the Hazardous Material Information Guide and the SCAOMD
OWNER BUILDER DECLARATIONS permitting checklist.I understand my requirements under the State of
I hereby affirm under penalty of perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reasons)indicated below by the hazardous material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 oyes ❑No
Date
Business and Professions Code).Any city county that requires a permit to PROPERTY OWNER OR AUTHORIZED AGENT
construct,alter,improve,demolish or repair any structure,prior to its
issuance,also requires the applicant for the permit to file a signed statement EPA RENOVATION REPAIR AND PAINTING IRRP)
that he or she is licensed pursuant to the provisions of the Contractors State
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
($500). managers who do the paint-disturbing work themselves or through their
thanloyal with wages as their sole employees.For more information about EPA's Renovation Program visit:
❑ as owner of the property,or my emp f portion of the work,and the structure is www eoa eov/lead or contact the National Lead Information Center at
all o or
compensation,will do( ) ( )P 1-800-424-LEAD(5323).
not intended or offered for sale.(Section 7044,Business an an Professions
of a
Code;The Contractors State License Law does not apply o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the Certified Firm Name:
property provided that the improvements are not intended or offered for
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 ❑No EPA Lead-Safe Certified Firm-is required for this project because:
not built or improved for the purpose of sale.
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
If Code:The Contractors State License Law does not apply to an owner of a AYour 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
PLANNING CASE NUMBER
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 NEW O PLUMBING C) RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK v \a J-
A wh1E
c Jt&\S bL# sn eC - 1
PROJECTADDRESS 'f,(p�L'L� "cwsa Dr. San Ui,13 � CA ZIP c-1v50010
ASSESSOR'S PARCEL NUMBER 2 IZ9-0\% LOT TRACT
OWNER NAMELm�o
City of AWAfte
ADDRESS ,, c: A- ✓e� (, S ilding Dept.
PHONE (2LS)7WIh—IS 101 EMAIL APR U3 2018
I�—
APPLICANT NAME
ADDRESS 2 0 050� `1'tJ'� a�i0 'L
PHONE (cIcWMbs-Gi L k4 a1 EMAIL Qj!ZyjNo.,'k\,
CONTRACTOR'S NAME .a,,c, -I;%C• OWNER BUILDER? O YES)�`NO
BUSINESS NAME QS,t\� c% On 'j:A C,.
ADDRESS U-ftAa 2
PHONE `3S I, S°O.S—q ft j O) EMAIL
CONTRACTOR'S STATE LIC NUMBER (6e0-A-+ 1 C) LICENSE CLASSIFICATION
VALUATION$ 5 1 S[5Q.� SQ FT i , l"01 L SQ FT ,3
APPLICANT'S SIGNATURE DATE HI'SI JY,
CITYSTAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIREVjP
INVOICETOTAL , 'O GREEN 1 SMIP X
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER C YES O NO
City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-677
www.cityofinenifee.us t
Y.'
ENIFE
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFI R-ALT-04-E Revised 01116Itz ORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address: Enforcement Agency: Date Prepared: Permittt:
1. cor 9'456b
Equipment Type Equipment Efficiency New Ducting or Lineset: Conditioned 2 Thermostat
Required R-value Floor Area(k)
Packaged 11 Evaporator Coil -18&AFUE LJ_Q COP R-6 (CZ 1-10,12&13)Ducts. Served by system kSetback
System Condensing Unit 0R-81 (CZ 11,14-16)Ducts ).)U?I ftZ (ffnotafready
❑Split System 11 compressor i(O SEER 3S,9111 HSPF present must
❑t R-2.8 Lineset`
❑Mini Split ❑Lineset t�^- EER - be installed)
❑Furnace ❑TXV ��"OS `�"
A� s+a city f Menifee
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At peri IAJd)Iggi4a*,
form 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.
.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-03-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-25-1-12
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-H2 °
Air Handler/Furnace'(Can include new ducting) ce i Y ei
ci
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 or sealed with asbestos(list manufacture date of building I
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H2
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 z 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement I 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,Furnace CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakage 55%,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' CFiVALT-02-E,CF2R-MCH-20-H,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.
t 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 it 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
'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 linesets 1"and less.
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certifythe 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.
sponsihle !Ter Name: Res n oe rSlgnature: Date t; :l en�s� 0
Company: Address: IC�ev/State/Zip: Phone:
Aa eA X,r Cc,44v 1"0N� 1'60109 t�l e A CA CW -4- `l Z, -mi l
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300
T"M -
6"yo TECHNICAL DATA SHEET
STOCK NO. 4225XXX June, 2016
CAMBRIDGE COOL COLORS
This heavyweight, laminated shingle is composed of a dimensionally stable non-woven glass fiber mat, which is
thoroughly impregnated with stabilized waterproofing bitumen. Cambridge Cool Color is distinguished by its
random shake-look design, uniform or dual band shadow coloration, and superior thermally activated shingle
sealant. Colored, reflective ceramic granules surface the top of both layers of this shingle to protect the asphalt
from ultraviolet radiation and reduce the amount of heat conducted to the building below. Each shingle has
release tape and mineral powder applied to the underside,thus preventing any sticking in the bundle. Suitable for
application on roof slopes greater than 4:12. Underlayment is strongly recommended for slopes below 6:12. They
may also be applied on low slope roofs(2:12 to 4:12)providing the deck is covered with two plies of felt or one ply
of any IKO Ice & Water Protector. This shingle conforms to requirements of CSA A123.5, ASTM D3018, ASTM
E108 Class A, ASTM D3462, ASTM D3161 Class F, ASTM D7158 Class H and is California Title 24 compliant.
IKO's asphalt shingles are produced and designed with consideration for environmental responsibility and
sustainability, incorporating quality recycled components whenever possible, manufactured in facilities that
comply with the most stringent government environmental regulations, and can therefore be a part of any "green"
construction project.
CtZ(2C =0 : t21u-I- OGo�
C NOMINAL TEST STANDARD
CHARACTERISTIC UNITS
VALUE METHOD LIMITS
QUANTITY PER PALLET: 56 - N/A
PALLET SIZE: cm (in) 101 x 135 -
(40 x 53)
LENGTH: mm (in) 1038 (40 7/8) - ±6(± 1/4)
WIDTH: mm (in) 349 (13 3/4) - ±3 (± 1/8)
HEADLAP: mm (in) 50 (2) - MIN: 50 (2)
BUNDLE QUANTITY: 20 - -
COVERAGE PER BUNDLE: ftZ(m) 33.3 (3.1) -
EXPOSURE: mm (in) 149 (5 7/8) -
TEAR STRENGTH: g PASS ASTM D1922 MIN: 1700
HEAT RESISTANCE: - PASS 90°C (192°F)
STABILIZED BITUMEN WEIGHT: g/m2 (lbs/100 ftZ) PASS ASTM D228 MIN: 2000 (41)
GRANULE RETENTION: % PASS ASTM D4977 MIN: 86
FIRE RATING: CLASS A ASTM E108 MIN: CLASS A
'Sample shows no sliding or dripping of the bitumen coating when suspended vertically in an oven at 90°C(192'F)for 2 hours.
See also Material Information Sheet— MIS# 1713
The information on this Technical Data sheet is based upon data considered to be true and accurate,based on laboratory tests and production
measurements,and is offered solely for the user's consideration,investigation and verification.Nothing contained herein is representative of a
warranty or guarantee for which the manufacturer can be held legally responsible. The manufacturer does not assume any responsibility for
any misrepresentation or assumptions the reader may formulate.