PMT18-02516 City of Menifee Permit No.: PMT18-02516
29714 HAUN RD.
'I -UGC€L:A MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE Date Issued: 05/23/2018
PERMIT
Site Address: 26180 BRANDYWINE DR, MENIFEE, CA Parcel Number: 335-142-012
92586 Construction Cost: $13,495.00
Existing Use: Proposed Use:
Description of REPLACE 5 TON(14 SEER) PACKAGE HVAC UNIT
Work:
Owner Contractor
GARY GOUKER PEACH HOME SERVICES INC
26180 BRANDYWINE DR 532 MALLOY COURT
MENIFEE, CA 92586 CORONA, CA 92880
Applicant Phone:7144628174
JANE RECKTENWALD License Number: 1023790
PEACH HOME SERVICES INC
532 MALLOY COURT
CORONA, CA 92880
Fee Description Qty Amount f8l
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 1 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 in I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. --fir the following reason:
License Class C'JLO License No. By By my signature below l acknowledge that,except for my personal residence
Expires 2?; 77 Signature_ J in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION OECIARATION 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
o I hereby affirm under penalty of perjury one of the following declaration:) licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for workers 7044 of the Business and Professions Cade,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 37GO of the Labor Code,for the performance of work for which tvsysv.le info. av cola .tl I.
this permit is issued.
Policy N Date
o I have and will maintain workers compensation insurance,as required by PROPERTY OWN R Oft q ORIZED AGENT
section 370D of the Labor Cade,for the performance of the work for which o By my signature below 1 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 an the property owners behalf.I have read this
number artte�::..''-- p� application and the information l have provided is correct.I agree to comply
Carrier Iv�'.Q NW 2st with all applicable city and county ordinances and state laws relating to
�}L�_,,..,,_� ll II building construction.I authorize representatives of this city or county to
Polity N vX�Y6�kfIG? Expires enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for one-hundred , Date 7 46
dollars($100)or less PROPERTY OWNERO A ORIZED AGENT
❑I certify that in the performance of the work for which this permit is issued, 1 , j�j
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE N_ 0 '�L�,'LO
worker's compensation laws of California,and agree that If I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers compensation rovisions of Section 3700 of the Labor
Cade,I shall forthwith comply wi os provisions. Will the applicant or future building occupant handle hazardous material or
Applicant Date mixture containing a hazardous material equal to or greater that the
amounts,sp$$cified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SE[ RNER'S COMPENSATION COVERAGE IS o Yes o?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
IN SECION306OFTDITION TO THE TOABOR CODE,INTEREST,
ADATTOGES AS ROVIDEO FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 37060FTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES for gui lines
CONSTRUCTION LENDING AGENCY ❑Yes �y
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 3000 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 N"0_0
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that l 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 5ods,,55dtion 25505 and 25534 concerning
hazard us material reportin
chsiness and
I have placed next to the applicable that r(Section permit oyes ZN� j�
Business and Professions Code).Any city or county that requires a permit to Date 11..
construct,after,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR A HO RED 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(FIRM
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-1976
and the basis for the alleged exemption.Any violation of Section 70335 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($500). managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at
not Intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a o An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or Improves the
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
a 1,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
��kN'� ��.�C���"�N w►�-O _ � Acknowledgement.
DATE 5-23-18 PERMIT/PLAN CHECK NUMBER I$� D �5 f
TYPE: COMMERCIAL VRESIDENTIAL MULTI-FAMILY MOBILE HOME POOL/SPA SIGN
SUBTYPE: ADDITION ALTERATION - DEMOLITION : ELECTRICAL VMECHANICAL
NEW PLUMBING • RE-ROOF-NUMBEROF SQUARES
DESCRIPTION OF WORK Replace 5 ton (14 seer) Package HVAC unit.
PROJECT ADDRESS 2661g0 Brandvwine Dr Sun Cite CA 92586 i
ASSESSOR'S PARCEL NUMBER35-142-012 LOT 12�— TRACT -3$38�
OWNER NAME _G
ADDRESS 0 Brandywine Dr Sun City, CA 92586 —Olk 4q5
PHONE -757-2362 EMAIL v
APPLICANT NAME ne Recktenwald �Q' ��
j ADDRESS _532 M_all.Qy Crt Corona, CA 92880
PHONE 714-336-6159 EMAIL n reek att.net
I
6 CONTRACTOR'S NAME OWNER BUILDER? YES ✓NO
BUSINESS NAME Peach Home Servics DBA Goettl Air Conditioning
i
1 ADDRESS ` lio Crt Corona CA 92880
PHONE 951-737-4141 EMAIL
CONTRACTOR'S STATE LIC NUMBER 1 023790 LICENSE CLASSIFICATION _ 2O C36
! VALUATION 5 1 AR 00 _ SQ FT _ 2,011 L SO FT 10,454
I APPLICANT'S SIGNATURE DATE 5-23-18
DEPARTMENT DISTRIBUTION p-1 OF MENGEE BUS'V 255 LICENSE?VJbiBER
BUILDING PLANNING ENGINEERING FIRE GREEN ' SMIP �41148
INVOICE '^
AMOUNT �pj �l Ol PAID AMOUNT CASH CHECK CREDITCARD VISA/MC
PLAN CHECK FEES PAID AMOUNT
CASH '- CHECK a CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED YES NO DL NUMBER NOTARIZED LETTER YES NO
STATE OF CAUFORNIA y
ALTERATIONS - HVAC CALIFORNIA ENERGY COMMISSION
CEC-CFIR-ALT-04-E Revised 03115
CERTIFICATE OF COMPLIANCE CF1R-AL 1 of
1 1
Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 f )
Site Address: Enforcement Agency: Date Prepared: Permit#:
2 1 r7Unit
enife - -1
New Ducting,Plenums,Llneset: Conditioned Thermostat
Equipment Type fficiency Required R-value Floor Area(sq ft)
Packaged ❑EvapoCOP 0 R-6 (CZ Z,8-13)Ducting Served by system Setback
System ❑Conde ❑R-8' (Q 11,14,15)Ducting sgft (I/not already
❑Split System ❑Comp _HSPF 0 R-6(ail CZs)Plenums Present must
❑Mini Split ❑Linese ❑R-5 or R7.5)Lineset° 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 coSk&ft on site.
1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: OttSeOOQ
All Equipment, CFIR-ALT-02-E UV,^,``,��
Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)"-HERS,MECH-25�IERS3
Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23or24)-HERS3,MECH-25-HERS'
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(<,15%,or<10%to outside,or seal all accessible leaks),Air Flow z 300 CFM/ton,Refrigerant Ch�rg9
Exempted from duct leakage testing if: ,,, .��� e
❑1.Duct system registered with HERS provider as previously sealed,or 112.There is less than 40 linear feet of duct in uncut _ tl 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" CFSR-ALT-02-E
Including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS"
CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS",MECH-25-HERS'
Mini Splits require CF1R-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS
Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow Z 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 CF111-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Compressor,TXV,Llneset,Furnace' CFSR: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS
Installer Requirement:Duct leakage<6%,Air Flow 2 350 CFM/ton(or alternative),Refrigerant Charge ,
Exempted from duct leakage testing if:0 1. Existing duct systems are constructed,insulated or sealed with asbestos
❑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: MECH-20-HERS,CF3R: MECH-20-HERS
Installer Required to:Duct leakage(515%or,<10%to outside or,or seal all accessible leaks)
❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos.
"All new ducting R-8 required when more than 40 ft installed and R-6 when less than 40 it installed. This includes in walls,between floors etc.
"Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25
3 All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent 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-5(1"thick Insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter
with insulation as the following 1.5-2T-2°b/a",2.5-3T-2%",3.5 to 4T-234",STAY."
Contractor(Documentation Author's/Responsible Designer's Declaration Statement)
I certify the following under penalty of perjury,underthe 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 forthe 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 Ind specifications submitted to the enforcement
agency for approval with this building permit application.
Responsible Designer Name: Responsible Designer Signature. Date Signed: lkense:
Jane Reddenwald -
Company: Address: City/State/Zip: Phpne:
10237910
ett Air Con itio in -
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-B00.772-3300