PMT18-02499 City of Menifee Permit No.: PMT18-02499
29714 HAUN RD.
<ACCEL/_> MENIFEE,CA 92586 Type: Commercial Mechanical
MENIFEE Date Issued: 0 512 212 01 8
PERMIT
Site Address: 26850 SUN CITY BLVD, MENIFEE,CA Parcel Number: 337-230-004
92586 Construction Cost: $9,000.00
Existing Use: Proposed Use:
Description of REPLACEMENT OF ROOFTOP PACKAGE UNIT- 16 SEER
Work: SAME SIZE, SAME LOCATION
Owner Contractor
SUN CITY HOA AIR CARE HEATING AND AIR CONDITIONING
MENIFEE, CA 92586 30818 YOUNG DOVE STREET
MENIFEE, CA 92584
Applicant Phone:9516096638
AIR CARE HEATING AND AIR CONDITIONING License Number.894701
30818 YOUNG DOVE STREET
MENIFEE, CA 92584
Phone:9516096638
Fee Description O_yt Amount!$)
Forced-Air or Gravity-Type Furnace or Burner 1 149.00
Air Handling/Condensing Units Non-SFR 1 183.00
GREEN FEE 1 1.00
SMIP COMMERCIAL 1 3.00
General Plan Maintenance Fee-Mechanical 1 16.60
$352.60
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_BIdg Pennit_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 perjurythat 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 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 C.ZJ License No. q 1ct Lt7O I By my signature below I acknowledge that,except for my personal residence
Expires (7 C Signature I Jd 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
D 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 following websile:
by Section 3700 of the Labor Code,for the performance of work for which www.leginfo,ca.gov/calaw.html.permit is issued.
Policy g Date
PROPERTY OWNER OR AUTHORIZED AGENT
o I have and will maintain worker's compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below 1 certifyto 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
xI certify that in the performance of the work for which this permit is issued,
1 shall not emolov any persons in any manner so as to become subject to the ��`III���CITY BUSINESS LICENSE g
worker's compensation laws of California,and agree that if I should become �E-HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the labor j�
Code,I shall fo hwith com with those provisions. (' Will the applicant or future building occupant handle hazardous material or a
Applicant Date Z c s mixture containing a hazardous material equal to or greater that the
amounts specified an the Hazardous Materials Information Guide?
WARNING:FAIUUREJ40 SECU14 WORKER'S COMPENSATION COVERAGE IS ❑yes (ct No
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(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes �_No
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 boundary of a school?
(Section 3097 Civil Code) ❑Yes �No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the 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 tYes ❑No
Business and Professions Code).Any city or county that requires a permit to ,l, r - Date 7 Zz
construct,alter,improve,demolish or repair any structure,prior to its OPERTY WNER ORIALITHORIZED 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 70001 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 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.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-80D-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. D No EPA Lead-Safe Certified Firm is required for this project because:
D 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 RRP
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: Ala Alav 2 201 b PERMIT/PLAN CHECK NUMBER P"T 119 - 0240101
PLANNING CASE NUMBER
TYPE: *COMMERCIAL O RESIDENTIAL O MULTI-FAMILY ^. MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL * MECHANICAL
O NEW I O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK t,G,Ge i^"e N - / ✓OU - e-,C C vYi I�
PROJECT ADDRESS ZG c6c6 �_O SLR,.. C,L, ZIP !Z 2S�
ASSESSOR'S PARCEL NUMBER 23D LOT TRACT
OWNER NAME C - OLI.h GVS T/ISSOC 0-1//
ADDRESS
PHONE EMAIL
APPLICANTNAME ryLr- avd //' r G d t 16S-'?l
ADDRESS D\,f ' . g2S CS i�'fvL
PHONE ( � ��— EMAIL -2iS p l lVC :CQ1•�i(
CONTRACTOR'S NAME (2>e--Lk24 OWNER BUILDER? O YESV NO
BUSINESSNAMEG
ADDRESS
PHONE EMAIL
/a
CONTRACTOR'S STATE LIC NUMBER _`q�70 r/ LICENSE CLASSIFICATION C z
VALUATION$ (� 000 oG SQ FT 2406 L SO FT /
APPLICANT'S SIGNATURE
,i JOB DATE
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRf
OY—
INVOICE TOTAL Cja.�� GREEN .171D SMIP �j.Qfl
OWNER BUILDER VERIFIED O YES 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.cityofinenifee.us City of Menifee
Building Dept.
NIF
MAY 2 2 2018
Received
STATE OF CALIFORNIA
CONSTRUCTION DOCUMENTS
CEC-NRCC-CXR-03-E(Revised 01116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-CXR-03-E
Construction Documents (Page 2 of 2)
PmJect Name: V t Date Prepared: C •p Ll 1!i
-J 6
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation Is accurate and complete.
Documentation Author Name: Documentation Author 5Aa
a
Company: n tr C6z V{, 1 a-�( Signature Date:
Address: Sog)s vOWL CEA/HERS Certification Identification(if applicable):
City/State/Zip• C Phone:
tM.e✓I'L Ct . Z J
RESPONSIBLE PERSON'S DE LARATION 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 Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance(responsible designer).
3. 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 California Code of
Regulations.
4. 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.
5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s)issued for the
building,and made available to the enforcement agency for all applicable inspections.I understand that a completed signed copy of this
Certificate of Compliance is re uired to be included with the documentation the builder provi s to the 6u' ing owner at occupancy.
Responsible Person Name: Responsible Person Signatur
cz 2'.v S
Company: Date Signed: /•�
f Co12 eq vd At S ZZ fX
Address:��y Gov V"✓✓ License:City/State/Zip;
//iO6,t,( _ �Mr
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City of Menifee
Building Dept.
MAY 2 2 2018
Received
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
CONSTRUCTION DOCUMENTS
GEC-NRCC-CXR-03-E(Revised 01116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-CXR-03-E
Construction Documents (Page
Project Name:( ` Cc w�L C2M / Date Prepared: TfLzl1g
A.General Information
( 0
Climate Zone: /0 Building Type: Lj w f (orn wie 7 r"e( Conditioned Area(ftz): 2,4 oc)
Reviewer's Name: Reviewer's Agency:
Note:Design Review for each system/subsystem must be submitted
Enforcement Agency: Permit Number:
Enforcement Agency Use: Checked by Enforcement Agency Use: Date
B.Design Review Checklist
Design Reviewer Designer Response
N N C C
Code a o
Measure F 'Q p` M.Section m o E: c ti c Cc
to G V '^ 6 V — ++ m
f0 ` Z Z N
} 5
SIMPLE HVAC SYSTEMS
f ESIGN-FAN SYSTEMS
0.1(e) Measured outdoor air rates of constant volume mechanical ventilation
3 and space-conditioning systems shall be within SO%of required ® 0 0 0 0 0
outside air rate.
�+ Fan power index at design conditions meets the following:0.8 W/cfm
40.4(c)1 supply air for constant volume fan systems with total horsepower ® 0 0 0 0 0
over 25 hp.
Best Fans appear to be correctly sized for application,accounting for a
3Practices factor of safety,diversity and redundancy issues.
CONTROLS
0 2(c) Controls for unitary single zone, air conditioners,heat pumps and (10 0 0 0 0 0
furnaces must have a setback thermostat.
Cooling systems identified in Table 140.4-D have fan controls to vary
the indoor fan airflow as a function of load:
1. DX and chilled water cooling systems that control capacity based on
4. occupied space temperature have a minimum of 2 stages of control
with no more than 66%speed operating at stage 1 and draw no more 1140.4(m) than 40%of fan power at full fan speed when operating at 66%speed. (b 0 0 0 0 0
2.Systems that control space temperature by modulating airflow to
the space have proportional fan control such that at 50%air flow the
power draw is no more than 30%of fan power at full fan speed.
3.Systems with air side economizer have a minimum of 2 speeds of
fan control during economizer operation.
NOTES
Building Dept.
MAY 2 2 2018
CA Building Energy Efficiency Standards-2016 Nonresidential Compliance January 2016
STATE OF CALIFORNIA
ALTERATIONS - HVAC
GEC-CFiR-ALT-04E Revised 01116 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address: sw, �L d3lw�( Enforcement Agency: Date Prepared: Permit#:
New Ducting or Lineset Conditioned
Equipment Type Equipment Efficiency Required R-value Floor Area(ft) Thermostat
O(Fackaged ❑Evaporator Coil AFUE COP El R-6 (CZ 1-10,12&13)Ducts Served by system NTSetback
System ❑Condensing Unit ❑R-8' (CZ 11,14-16)Ducts -)406 ft2 (If not already
❑Split System ❑Compressor SEER H5PF ❑>R-2.8 Lineset" present must
❑Mini Split ❑Lineset EER be installed)
❑Furnace ❑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
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-H,MCH-25-1-12
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-12
Air Handler/Furnace2(Can include new ducting)
Installer Requirement:Duct leakage(<15%,or<10%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 112.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 CFZR-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-1-12
CF3R-MCH-20-H,MCH-22-1-1,MCH-(23 or 24)-H2,MCH-25-H2
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 Ducts3 and one or more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-1-11,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:O 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' CFiR-ALT-02-E,CF2R-MCH-20-H,CF3R-MCH-20-H
Installer Required to:Duct leakage(515%or,110%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. Thatthe 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. Thatthe 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.
Responsible Designer Name: Responsible Designer Signature: Date Signed: 0i ape "se:
1tV
Company: Address: Ory/stare/zip: guild
JtVkeJUyL-
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1- 0
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