PMT18-02344 City of Menifee Permit No.: PMT18-02344
29714 HAUN RD.
�-ACCEClk> MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE Date Issued:
05114/2018
PERMIT
Site Address: 28757 PHOENIX WAY, MENIFEE, CA Parcel Number: 339-352-001
92586 Construction Cost: $6,125.00
Existing Use: Proposed Use:
Description of REPLACE 4 TON CONDESER, COIL&3 DUCTS
Work:
Owner Contractor
SANDRA PALGUTA W C HEATING&AIR CONDITIONING INC
28757 PHOENIX WAY 41085 GOLDEN GATE CIR
MENIFEE, CA 92586 MURRIETA,CA 92562
Applicant Phone:9516000700
STEVEN SCHNIERER License Number:779604
W C HEATING &AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA,CA 92562
Fee Description QQt Amount t$)
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.rpl 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).
Chapter!)(commencing with section 7000)of Division 3 of the Business and D 1 am exempt from Iicensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. the following reason:
License Class Cao Ucense No.-7?9re�- B m signature below I acknowledge that,except
� y y g g p y personal residence
Expires % Signature in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION Improvements covered by this permit.I cannot legallysell a structure that I
have built as an owner-builder if it has'not been constructed in its entirety by
o 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 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 fallowing website:
by Section 3700 of the Labor Code,for the performance of work for which wwvv.Ieginfo.ca.gov/calavv.html.permit is issued.
Policy II Date
have and will maintain worker's compensatlon insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which XBy my signature below I certify to each of the following:1 am the property
this permit is issued.My workers compensation insurance carrier and policy r 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 Cq p"_S with all applicable city and county ordinances and state laws relating to
--Tr building construction.I authorize representatives of this city or county to
PaOcyg LJC.LVC907SrY3 Expires I�, 1r4 enter the above identified property for inspection purposes.
(This section need not to be completed Is the permit is for one-hundred c Date 1 5' l
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 emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE If N—,%,G'Zn2
worker's compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation provisions of Section 3700 of the Labor
Cade,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or
S.' mixture containing a hazardous material equal to or greater that the
Applicant � Date I 5 6' amounts sp fled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS o Yes /L 0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building 6y the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant the in equireended use
the b ildinghe y the applicant
or modification future 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 DYes 130 o
1 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) o Yesc f�o
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
1 hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable material reporting.ble item(s)(Section 7033.5
Business and Professions Code).Any city or county that requires a permit to o __ � '
construct,alter,improve,demolish or repair any structure,prior to its '' �� Date t S le
Issuance,also requires the applicant for the permit to file a signed statement PROPERTY OWNER OR AUTHORIZED AGENT
that he or she is licensed pursuant to the provisions of the Contractor's 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 Iicensure receiving compensation for most work that disturbs paint in apre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving orchildcarefacilitytobe RRP-certified painicomplywith
than
Applicant for a permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500J. managers who do the paint-disturbing work themselves or through their
D 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.eoa.eov/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 Contractor's State License Law does not apply to an owner of a D 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:
a I,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 ARP
r Acknowledgement.
Sk eu 1FAI-L C Y_-h it dN I G
�r
Menifee
DATE 05/14/2018 PERMIT/PLAN CHECK NUMBER 6�
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILE HOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION []ALTERATION [—]DEMOLITION []ELECTRICAL ❑✓ MECHANICAL
❑NEW ❑PLUMBING FIRE-ROOF-NUMBEROFSCIUARES
DESCRIPTION OF WORK Replace 4 ton condenser,coil,&3 ducts
PROJECTADDRESS 28757 Phoenixx Waay 2�
ASSESSOR'S PARCEL NUMBER LOT TRACT aa440-1
OWNER NAME Sandra Palguta
ADDRESS 28757 Phoenix Way Sun City,CA 92586
PHONE (858)405-0329 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village,CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME We Care OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta,CA 92586
PHONE (951)600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATION$ $6,125.00 SO FT L SO,FT
APPLICANT'S SIGNATURE DATE 05/14/2018
CITYSTAFFUSEONLY
• y�r�6
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGWEERING FIRE I GREEN ' SMIP
INVOICE PAID AMOUNT
AMOUNT OCASH OCHECK# OCREDITCARD VISA/MC
PLAN CHECK FEES 7 PAIDAMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED OYES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
City of Menifee
STATE OF CALIFORNIA Building Dept
ALTERATIONS -HVAC
CEC-CFIR-ALT-04-E Revised OVlfi CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE 1 CFSR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address: •e A Da Pr pared: r
E ui mentT e Equipment Efflcienc NewD cling or Lineset: Canditi tied
q p ypy Required R-value FloorArea(ftt) Thermostat
❑Packaged JQEvapomtor Coil R-6 QI-10,11&13 Ducts Served b tha
System _AFUE _COP ( ) by Se ck
'j�Condensing Unit ❑R-8' (CZ 11,14-16)Ducts l -7y) ft2 (If not already
❑Split System El Compressor t� SEER _H5PF ❑2 R-2.8 Linesee I present,must
❑Mini Split ❑Lineset EER be installed)
❑Furnace El TXV -
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this
form is allowed to be filled out by hand. Far final inspection all forms are to he registered(no hand filled forms allowed)and a copy left on site.
W1.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)'-H,MCH-25-HI
Compressor,TXV,Uneset, CF3R-MCH-20-H,MCH-(23 or 24)-H',MCH-25-1,12
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage L75%,ors10%to outside,or seal all accessible leaks),Air Flow 2300 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(fist manufacture date of building_
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts2 CFIR-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 241-H',MCH-25-H2
CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H',MCH-25-1-12
Mini Splits require CF113-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H
Installer Requirement:Duct leakage 15%,Fan Efficacy(O.SSW/CFM),Air Flow 350 CFM/ton for alternative),Refrigerant Charge
❑3.All New Ducts with Replacement IRequired 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-25.1-1
Compressor,TXV,Lineset,Furnace' CF3R-MCH-20-H,MCH-(23 or 241-H,MCH-25-H
Installer Requirement:Duct leakage c S%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge -
Exempted from duct leakage testing if.01. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet Required Compliance Documents to be left an site for Final:
New ducting but less than All New Ducts' CF111-ALT-02-E,CF211-MCH-20-H,CF3R-MCH-20-H
Installer Required to:Dud leakage L15%or,110%to outside or,or seal all accessible leaks)
Cl EXCEPTION:Existing dud 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
2 All New Duds is when at least 75%of the duct system is new dud 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 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 mrrecL
2. 1 am eligible under Division 3 of the California Business and Professions Cade 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 manufactureddevices 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.
iifffsibliioesi me: _ pon�k Design r5lgnazure: t Dne ign Ilceke:
s 1'L 8 77960
m any: Miftesr. O /Sntt%dp: Phone: -
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300