PMT18-01910 City of Menifee Permit No.: PMT18-01910
29714 HAUN RD.
<,A,GCrn,,/'> MENIFEE,CA 92586 Type: Residential Mechanical
fo.xn-ert S�'l+r•:r MENIFEE Date Issued: 04/24/2018
PERMIT
Site Address: 29950 CALLE SAN MARTINE, MENIFEE, Parcel Number: 340-081-010
CA 92584 Construction Cost: $11,917.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, REPLACE 3 TON/75,000 BTU COMPLETE HVAC SYSTEM AND 7 DUCTS
Work:
Owner Contractor
MARTIN MACHADO W C HEATING&AIR CONDITIONING INC
29950 CALLE SAN MARTINE 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9516000700
STEVEN SCHIERER License Number:779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description Oft Amount f5)
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 Contractor's State License Law for
Professions Code and my license is in full force and effect. )) the following reason:
License Class GZ 0 License No, 7�yt'aC�`i By my signature below I acknowledge that,except for my personal residence
Expires G _ Signature ._._�z �? in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION 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 fallowing 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 www.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
r>tI have and will maintain worker's 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 worker's 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
with all applicable city and county ordinances and state laws relating to
Carrier CI Ra-,S building construction.I authorize representatives of this city or county to
Policy# Expires I r I:_ 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 employ any persons in any manner so as to became subject to the CITY BUSINESS LICENSE# n:5S 2.0_--
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
�— mixture containing a hazardous material equal to or greater that the
Applicant •� ate » —7 1�? amounts sp9cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 ❑Yes �diVo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intendeduse of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($300,000),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 guideli es
CONSTRUCTION LENDING AGENCY ❑Yes
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 bound"ry of a school?
(Section 3097 Civil Code) ❑Yes
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
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 25S05 and 25534 concerning
Contractor's License Law for the reason(s)indicated below by the ardour material reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Ye ❑No `
Business and Professions Code).Any city or county that requires a permit to
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY 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 Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRP)
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 Cade)or that he or she is exempt from licensure
78
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensation for most work that disturbs paint in a
residence or childcare facility to be RRP-certified firms and complyply 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
❑I,as owner of the property,or my employee with wages as their sale 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.Rov/lead or contact the National Lead Information Center at i
not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractor's 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:
❑1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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 1_",
MENIFEE
DATE: } 'Z!-b 12 PERMIT/PLAN CHECK NUMBER to
PLANNING CASE NUMBER
TYPE: COMMERCIAL 0 RESIDENTIAL MULTI-FAMILY <: MOBILE HOME <% POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION DEMOLITION ELECTRICAL MECHANICAL
NEW % PLUMBING RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK 3tov\ -751-,- 1�TV C�� �-1� VAC_ .stem 1Jvc+
PROJECTADDRESS z�GjSL� C1ti��e ��Y.(��c- rn� ZIP Q
ASSESSOR'S PARCEL NUMBER S1140 -c1 -0ko LOT TRACT
City of MenIM.
OWNERNAME Buildinq Dept.
ADDRESS CA 92- $4
7
PHONE EMAIL ` �
APPLICANT NAME z SU !�
ADDRESS 3\ZZS (_c. CA °lt3te2
PHONE S12-733-7g7Q, EMAIL
CONTRACTOR'S NAME l)G C- OWNER BUILDER? YES , NO
BUSINESS NAME
ADDRESS 41p'65 nov-vi ciZ6Ic2_
PHONE EMAIL
CONTRACTOR'S STATE LIC NUMBER 77 4(oG'� LICENSE CLASSIFICATION GZi�
VALUATION SQ FT L SQ FT
APPLICANT'S SIGNATURE - DATE
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICE TOTAL GREEN SMIP
OWNER BUILDER VERIFIED YES NO DRIVERS LICENSE# NOTARIZED LETTER YES NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 -.-
G7Y Op'
www.cityofinenifee.us
JENIFE�
I
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2, and 8-15 (Page 1 of 1)
Site Address: Enforcement Agen : Dte P epared: Permit#:
2cics0 C_c�1lE Sar ar�i C; e(' (�1cr,, �� zit la -d\
Equipment Type Equipment Efficiency New Ducting or Lineset: Conditioned 2 Thermostat
Required R-value Floor Area(ft)
❑Packaged Evaporator Coil �f-LAFUE COP �%R-6 (CZ 1-10,12&13)Ducts Served by system J4 Setback
System XCondensing Unit
❑R-8, z(CZ 11,14-16)Ducts ft (If not already
Split System ❑Compressor t't SEER HSPF 4 present,must
❑>_R-2.8 Lineset
❑Mini Split ❑Lineset EER be installed)
A'Furnace ❑TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permli b IQ t
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 c ll DOp
❑1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E APR 2 4 20
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-25-H'
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H',MCH-25-H'
Air Handler/Furnace'(Can include new ducting) j�r
Installer Requirement:Duct leakage(515%,or<_10%to outside,or seal all accessible leaks),Air Flow>_300 CFM/ton,Refrigei`anfi e?
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or❑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
❑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)-H',MCH-25-H'
CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H'
Mini Splits require CFIR-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
9 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,Furnace' 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:❑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' CF1R-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H
Installer Required to:Duct leakage(5 15%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-6 insulation when less
than 40 ft installed.This includes in walls,between floors etc.
'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)
°R-2.8 W'thick insulation)for linesets 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.
tensible D "er Name: onsible Des n eture: Da a Si ed: License:
�ompan : Address: City/State/Zip: Phone:
[t`C-�-rc- 41o'2IS _C %r C 1 ctZS(, Z 1 C'r31-0t30"Ohm
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300
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