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PMT18-02498 City of Menifee Permit No.: PMT18-02498 29714 HAUN RD. <XCCF_CA> MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 0 5/22/201 8 PERMIT Site Address: 26517 SUN CITY BLVD, MENIFEE, CA Parcel Number: 337-222-002 92586 Construction Cost: $11,721.00 Existing Use: Proposed Use: Description of INSTALL NEW TANKLESS WATER HEATER, INSTALL 70 L FT GAS LINE FOR TANKLESS WATER Work: HEATER,STOVE AND DRYER, HVAC CHANGE OUT SPLIT SYSTEM CONDENSER& FURNACE,3 TON, 14 SEER,66,000 BTU Owner Contractor TAMMY BOLON W C HEATING&AIR CONDITIONING INC 26517 SUN CITY BLVD 41085 GOLDEN GATE CIR MENIFEE, CA 92586 MURRIETA,CA 92562 Applicant Phone:9516000700 MATTHEW NGUYEN License Number.779604 W C HEATING&AIR CONDITIONING INC 41085 GOLDEN GATE CIR MURRIETA, CA 92562 Fee Description Qtv Amount($) Plumbing Fixtures and Vents,fixtures 1 116.00 Residential Water Heater 1 83.00 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 Administrative Fee 365 365.00 GREEN FEE 1 1.00 General Plan Maintenance Fee-Mechanical 1 14.10 General Plan Maintenance Fee-Plumbing 1 9.95 $898.06 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_Pennit_Templatesiat 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 Code and my license is in full force and effect. the fallowing reason: License Class C 2-,/36 License No. 7 7%G O N By my signature below I acknowledge that,except for my personal residence Expires 61'W VZo 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 legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by n I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the appllcable law,Section have and will maintain a certificate of consent of self-insure for workers 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 Cade,for the performance of work for which this permit is issued. www.leginfo.ca.gov/calaw.htmi. Policy R 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 O 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 policy 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 eY/�CSS �C`+z�c e Lo with all applicable city and county ordinances and state laws relating to building construction.I authorize representatives of this city or county to Policy 9 vK wC0t1'7 5"CJ Expires I/)/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 ❑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 R workers 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 Code,I shall forthwith comply with these provisions. Will the applicant or future building occupant handle hazardous material or a Applicant l// �L//Date 4T/2 7_I S� mixture containing a hazardous material equal to or greater that the cam— amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes �Na UNLAWFUL,AND SHALL SUBJECT AN 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(SCAOMD)?See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines CONSTRUCTION LENDING AGENCY ❑Yes KNo 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 outerbadary of a school? (Section 3097 Civil Code) O Yes No OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAOMD I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of Contractors License Law for the reason(s)indicated below by the California Health&Safety Code,Section 2550S and Z5534 concerning checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 hazardous material reporting. Business and Professions Code).Any city or county that requires a permit to ciYes o No Date 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 Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPJ 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 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($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.ega.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 property who,through employees'or personal effort,builds or Improves the o An EPA Lead-Safe Certified Renovator will be responsible for this project 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: 01,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Cade: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. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE: 5 ZZi PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: 0 COMMERCIAL - DENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITI O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL 01 EW MBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK jU tkkL,�'*- C� -t W fVIQ�C-55 ✓L,�kU PJ I C RAC C-) W CrI YvesL )Z� S; "6 Awl' gry er - PROJECTADDRESS ZIP q'2_59 S sov- C iiy Bit vl^ wKJ t b ` CiTN (u1 ASSESSOR'S PARCEL NUMBER !!5L-1_ LOT TRACT OWNER NAME /4 h' " E to rL2 ADDRESS �v, �u weCity of(VI0TI1 t, PHONE EMAIL i APPLICANT NAME ADDRESS RpceiVet PHONE EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YES ONO BUSINESS NAME -€ Cj4 G .:M V d ADDRESS 41 ©$s t Lv4 - PHONE !. 51 - (i v0 - 0-?- u0 EMAIL S UC- 766¢Wt. CONTRACTOR'S STATE LIC NUMBER _77 LICENSE CLASSIFICATION VALUATION$ III, SO FT ItLio LSQFT i PPLICANT'S SIGNATURE s� DATE Z_Z EPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MEN IFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIFE INVOICETOTAL ,�G' GREEN , SMIP X OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE# NOTARIZEDLETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777 www.cityofmenifee.us NIF ti. i z M Z = Hsi m O 3 e< v Z " <. om -0 0 3 (34 gdcw 0 n mz o � „ °�° z o m T Y p m m CD � � 3 STaL 0 a o CD N 7 a CD N �� N CD 3 O_ 0 N EO co + N imma, M Acy77L/& • CK7ku 00 _ 1 1 STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR.ALT-04-E Revised 01116 CALIFORNIA ENERGY COMMISSION V y c CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address: Enforcement Agency: to Pre are Permit#: 26517 S ti C, f3 tr� $ 1$ Equipment Type HVA( Equipment Efficiency New firedDnu R-g or Lineset: Conditioned : Thermostat Required R-value Floor Area(ft)) ❑Packaged ❑Evaporator Coil AFUE COP 4'R-6 (CZ1-10,12&13)Ducts Served by system Setback System -Condensing Unit ❑R-8' (¢II,14-16)Ducts LI I,,V ft' Iff not already ❑Split System ❑Compressor A J_SEER _HSPF ❑2 R-2.8 Lineset° present,must ❑Mini Split ❑Lineset EER be installed) ^rnace ❑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. For final inspection all forms are to be registered(no hand filled forms allowed)and a copy left on site. 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CF1R-ALT-02-E City of Menifee Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)'-H,MCH-25-H' Building Dept. Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-11' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage L15%,or 510%to outside,or seal all accessible leaks),Air Flow a 300 CFM/ton,Ref n r Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or O 2.There is less than 40 linear feet of duct conditioned f ac , ❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building 112.New HVACSystem Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFIR-ALT-02-E including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-11,MCH-(23 or 24)-H',MCH-25-1-1' CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-1' 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 a 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-20-1-1,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 orsealed with asbestos ❑4.New Ducting over 40 feet I Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts3 CF1R-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H Installer Required to:Duct leakage I<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 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 units existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) °R-2.8(1"thick insulation)for Ilnesets 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 buildingdesign 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. Respa9pAbleAesigner ame: Responsible Des7gnerslgnature: �y/]A,. Datesigned: S/.Z�(f license: Company: Address: Oty/uielhp: Phone: (1/c (' r'< H W 41d G-./r✓�M �}z C,I-l /"I.vr z+e C 4 /'12 it ( -cev-07c G For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-S00-772-3300