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PMT18-02045 City of Menifee Permit No.: PMT18-02045 29714 HAUN RD. Type: Residential Mechanical �ACCEL/4? MENIFEE, CA 92586 MENIFEE Date Issued: 04/27/2018 PERMIT Site Address: 28661 SAND ISLAND WAY, MENIFEE, CA Parcel Number: 364-131-023 92584 Construction Cost: $12,500.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, COIL, CONDENSER, 16 SEER, NO DUCT WORK Work: Owner Contractor DAVID BRATTY CHARLES ERMOLENKO 28661 SAND ISLAND WAY 4291 MYRA AVENUE MENIFEE, CA 92584 CYPRESS, CA 90630 Applicant phone:7142322567 NICK WAYNER License Number. 922529 CHARLES ERMOLENKO 4291 MYRA AVENUE CYPRESS, CA 90630 Fee Description QtV Amount 1$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 carded 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_Pennit_Template.rpt Page 1 of 1 CITY OF MENIFEE -24'UCENSED 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 70D0)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, C the following reason: License Class Ucense No. T'ZZ S Z f By my signature below I acknowledge that,except for my personal residence Expires Z" Z.c`. -/c/ Signature r 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 ❑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 worker's 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 websile: by Section 3700 of the Labor Code,for the performance of work for which www.Ieninfo.ca.gov/caIaw.htmI.permit is issued. Policy R 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 ❑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 Carrier with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy p 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($100)or less PROPERTY OWNER OR AUTHORIZED AGENT I rttfy that in the performance of the work for which this permit is issued, s II not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE K worker's compensation laws of California,and agree that if I should become - MA?ARDDUS MATERIAL DECLARATION subject to the worker's compensation provisions of Section 3700 of the Labor _����TT Code,I shall forthwith co ply with those provisions. Will the applicant or future building occupant handle hazardous material or a Applicant Dam y- Z -/ mixture containing a hazardous material equal to or greater that the amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes R,-No UNLAWFUL,AND SHALL SUBIECTAN 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 forguidelines CONSTRUCTION LENDING AGENCY oYes VNo I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 10DO 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 duo OWNER BUILDER DECLARATIONS I 1 have read the Hazardous Material Information Guide and the SCAQMD I hereby affirm under penalty of perjury that I am exempt from the I permitting checklist.I understand my requirements under the State of California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the hazardous material reporting. checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 Business and Professions Code).Any city or county that requires a permit to DYes o /. Date ✓�' 7 /�✓ construct,alter,improve,demolish or repair any structure,prior to its PROPERTY O ER On_UTHORIZED 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[RRPL 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($SOD). 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( I all of or( I 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 1-8DD-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. o No EPA Lead-Safe Certified Firm is required for this project because: D 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 {.. MENIFEE DATE: �' `�7 PERMIT/PLAN CHECK NUMBER ' Oa 01JI5 PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENT i O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION 41ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEWI,, O PLUMBING O RE-ROOF NUMBER OF SQUARES- DESCRIPTION A DESCRIPTION OF WORK V l�'�L e e964 �7i 7/up� ¢'6° 147 PROJECTADDRESS 2egw Sa-vt-d '7 ZIP O ASSESSOR'S PARCEL NUMBER O;YJu- 131 ` _ LOT TRACT OWNERNAME GUI " . rL'q ADDRESS S({rJYLE e /� ?? ,,n I o Menifee PHONE [rj�GJ-XJ7 �09 EMAIL Buildina De t. APPLICANT NAME ADDRESS PHONE EMAIL CONTRACTOR'S NAME (_ 'Ih/2S /4W ER BUILDER? U'YES O NO BUSINESS NAME ADDRESS �y .I/ /9 "/C�folJ PHONE 7Iy'�; -),S-b 37 EMAIL 11 CONTRACTOR'S STATE LIC NUMBER ������ LICENSE CLASSIFICATION VALUATION$ 1;�5 SQ FT L SO.FT APPLICANT'S SIGNATURE/ DATE `? DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICETOTAL .10 GREEN - SMIP OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building & Safety Department 129714 Haun Rd., Menifee, CA 92586 (951)672-6777 www.cityofmenifee.us NIF 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: Enforcem nt Agency: D e Pr pared: Permit#: a lal act Z -CDOAt5 Equipment Type Equipmen fficiency New Ducting or Lineset: Conditioned 2 Thermostat Required R-value Floor Area(ft) Packaged E _ vaporator Coil AFUE COP 0 R-6 (CZ 1-10,12&13)Ducts Served by system M Setback System [�Condensing Unit ❑R-8' (CZ 11,14-16)Ducts ft2 (if not already ❑Split System compressor ,SEER HSPF ❑>R-2.8 Oneset4 present,must ❑Mini Split El Lineset EER be Installed) ❑Furnace 11 TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At per ' p 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 awlt"ro Dept. .HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFIR-ALT-02-E APR 2 7 2018 Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-H,MCH-25-H2 Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-H2 Air Handler/Furnace'(Can include new ducting) mmpahlek Installer Requirement:Duct leakage(515%,or 510%to outside,or seal all accessible leaks),Air Flow_300 CFM/ton,Refrig a 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----- ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts3 CFIR-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-22-11,MCH-(23 or 24)-H2,MCH-25-1-12 Mini Splits require CFIR-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H Installer Requirement:Duct leakage<591,Fan Efficacy(O.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 Ducts3 and one or more of the following CFIR-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,Fumace2 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:0 1. 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 Duct53 CFIR-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. 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 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. 5. 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 5ignature: Date Signed: license: Company: Address: City/Slate/Zip: phone: For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-BOG-772-3300 When do I need to hire a HERS Rater? Residential Prescriptive HERS Measures A homeowner or installing contractor will need to hire a HERS Rater If your project is using the prescriptive method and involves one of whenever the CF1 R or NRCC requires HERS measures.Typically a the following features,you will likely trigger HERS verifications. HERS Rater should be selected at the beginning of construction so New HVAC systems with AC or altered AC systems in Climate they can inform the contractor about when they need to perform Zone 2,8.15(find Climate Zone by zip code or area here) inspections and testing. + Triggers refrigerant charge testing to verify correct For new construction and additions, it is important to coordinate with refrigerant charge. This will assure proper refrigerant charge the energy consultant or documentation author when assigning a of our AC unit. Rater to the pro act. This allows the Rater to have access to the Y registered compliance documentation associated with the project New ducts in conditioned space This is also the case with alterations, but typically the installing + Triggers visual inspection of duct location and duct testing to contractor will assign the Rater to the project. The cost of HERS verify low leakage to the outside. Ducts that are in Raters varies depending on the HERS measure. conditioned space do not require insulation. Whole-House Home Energy Rating Using a central forced air unit (FAU) for mechanical A whole-house home energy rating is a way for homeowners to ventilation(central fan integrated ventilation) compare the energy usage of their home to other similar homes and + Triggers fan watt draw and airflow testing similar to the identify additional ways to reduce energy. This rating is performed mandatory measure process. through a series of energy audits or evaluations. The initial audit Using a zonally controlled forced air unit (FAU), bypass assesses the building and identifies potential energy efficiency cannot be used improvements. It identifies a path for the owner to improve the + Triggers visual inspection to confirm that the bypass ducts efficiency of their property. are not used. Bypass ducts can send heated or cooled air Once the improvements have been completed, a Whole-House back into the space conditioning equipment, which can Home Energy Rating is done on the home. This rating lets cause problems and reduce efficiency. homeowners know how their home compares to others and provides Residential Performance HERS Measures an official certificate that shows their energy score on a specific If your project is utilizing the Performance approach to statewide scale. demonstrate compliance,you will likely need an energy consultant It is of particular interest if you are considering the sale of your home or Certified Energy Analyst (CEA) to analyze the project and since the rating will convey the home's relative energy efficiency. A complete the compliance documentation.See the CABEC website trained and certified HERS Rater can perform the audit and provide for more information on where to find a CEA. Common the report for a Whole-House Home Energy Rating. For more performance measures that require HERS verification include: information, see approved HERS Providers websites or download the CEC's Home Energy Rating System Booklet. + Qualice Insulation Installation QII d Building Air Leakage )+ Reduced Residential Mandatory HERS Measures + Refrigerant charge testing If your project involves one of the following features, you will likely + Ducts in conditioned space trigger mandatory HERS verification measures. + High SEERIEER + Verified hot water pipe insulation and parallel piping Newhomessthei or ndiorairquns ter (IAQ)han 00o$F Nonresidential HERS Measures + Triggers the indoor air quality(IAQ)ventilation measure,which requires the installation of a mechanical ventilation system that Nonresidential HERS measures are summarized on the Energy complies with the airflow rate required by ASHRAE Standard Code Ace Quick Reference Sheet for Nonresidential HERS 62.2. A HERS Rater would use airflow measurement tools to Measures. This resource can be found on the Fact Sheet page on www.EnergyCodeAce.com. verify compliance. New or altered central HVAC systems or alteredlextended HVAC Definitions ductwork more than 40ft Entirely New System: All system heafinglcooling equipment is + Triggers duct leakage testing to verify minimal duct leakage replaced and?75%of the duct material is new. (<6% for new systems and <15% for altered). This measure Altered or Replaced Ducts: When ?75% of the duct system is ensures your cooling and heating systems are efficiently new or replaced. Existing duct system components (up to 25%) transferring air to conditioned spaces. This is the most can be reused if they are accessible and can be sealed. common HERS measure. Replacement or extension of ductwork over 40 feet is also within New HVAC system or replacing existing HVAC systems with all this category. new equipment and all new ductwork Altered Systems: A system altered by installing or replacing a + Triggers air flow and fan watt draw measures, to verify an cooling coil, condenser unit, compressor, refrigerant piping, Improved airflow rate of 350 cfmlton in forced air systems and refrigerant metering device, air handler, or heat exchanger. power draw to 0.58 WatYcfm.These tests verify Replacing other components is considered a repair and not a reduced fan P ty subject to code compliance. motor efficacy and that the duct system has low air flow resistance. JEDISON° r�inacasana m..,..,-..— � Electric Comyany @2013,2014 Pacific Gas and Electric Company,San Diego Gas and Electric,Southern California Gas Company and southern California Edison.All rights reserved,except that this document may be used,copied,and distributed without modification.Neither PG&E,Sempra,nor SCE—nor any of their employees makes any warranty,express of implied;or assumes any legal liability or responsibility for the accuracy,completeness or usefulness of any data,information,method,product,policy or process disclosed In this document:or represents that its use will not infringe any privately-owned rights including,but not limited to patents,trademarks or copyrights.