Loading...
PMT18-02644 City of Menifee Permit No.: PMT18-02644 29714 HAUN RD. �/-�CCECA— MENIFEE, CA 92586 Type: Residential Mechanical MENIFEE Date Issued: 0 613 012 01 8 PERMIT Site Address: 28660 AMBORELLA WAY, MENIFEE,CA Parcel Number: 364-213-012 92594 Construction Cost: $15,533.00 Existing Use: Proposed Use: Description of HVAC CHANGE OUT, REPLACE 5 TON,90,000 BTU COMPLETE HVAC SYSTEM, NO DUCT WORK Work: Owner Contractor JOANNA YOUNG W C HEATING&AIR CONDITIONING INC 28660 AMBORELLA WAY 41085 GOLDEN GATE CIR MENIFEE,CA 92584 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 O.t 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 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 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 D I am exempt from licensure under the Contractors State License Law for Professions Code and my license is in full force and effect. the following reason: License Class C7.Q License No. 7-2 9 ic04 By my signature below I acknowledge that,except for my personal residence Expires S Signature 5....,sz- in which l must have resided for at least one year pdor 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 appl icable 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 Code,for the performance of work for which thisappli application is submitted ora this permit is issued. Policy if Date 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 follmving: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.1 agree to comply Carrier C with all applicable city and county ordinances and state laws relating to �-r �r�rP�S 1 building construction.I authorize representatives of this city or county to iPaliry# LJCJWG90'7Sy3 Expires_ I . Ir Q1 enter the above identified property for inspection purposes. (This section need not to be completed is the permit is for one-hundred �� 1 Date 1 S ! dollars($300)or less PROPERTY OWNER OR AUTHORIZED AGENT D 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 UCENSE# h"�,cznz 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,1 shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a S' i� mixture containing a hazardous material equal to or greater that the Applicant y �� Date i 5 6' amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS Dyes UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applimnlorfuture building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction li modification from South ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District construction modification South IN SECTION 3706 OF THE LABOR C0DE,INTEREST,AND ATTORNEYS FEES st fo Coast Air ens CONSTRUCTION LENDING AGENCY 0 Yes V 0 I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility he within 1000 feet of the lending agency for the performance of the work which this permit is issued outer boundary of a school? ISection 3097 Civil Code) D Yes�o 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 Contractors 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 item(s)(Section 7031.5 h5wdous material reporting. Business and Professions Code).Any city or county that requires a permit to a/OYe- D� 5;:� s Date t - 12r construct,alter,Improve, applicantsh for hepermiany t toile a pritortsigned toIts PROPERTY OWNER 0R 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(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 licensure receiving compensation for most work that disturbs paint in apre-197R and the basis for the alleged exemption.Any violation of Section 7031.5 by residence compenor sation facility to be work that distuified rbs and comply with than Applicant fora permit subjects the applicant toa civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their D I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-BOD-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a ❑An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because: D I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State License Law does not apply to an owner of a If your project does not comply wfth EPA RRP rule please fill out the RRP c j II Acknowledgement. BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE DATE:S 30 18 PERMIT/PLAN CHECK NUMBER PLANNING CASE NUMBER TYPE: O COMMERCIAL RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES DESCRIPTION OF WORK _P qce S+Vv% cl0 000 13"SV Co,. I I4 u,/p C S s errs PROJECTADDRESS 22(,(,C) AMQr(:II14L ZIP C1ZS814 ASSESSOR'S PARCEL NUMBER`,2j(p(.`- \77 -©�� LOT TRACT OWNER NAME 30c. fours �I p EIUI)dln D Ifee pt ADDRESS 28(c(o� Arnor-e,�1a (,�a I ler�t� CA G258`t MAY PHONE Q$I- $33- g9ra3 EMAIL APPLICANTNAME Jtevcv, �a�,r.,erer ��+(�'� ADDRESS 31zzs LAa 1�. Z13 IJ V k . CA 9136Z PHONE $1$-735-7�-7C,. EMAIL CONTRACTOR'S NAME OWNER BUILDER? O YE$�NO BUSINESS NAME L)c CArE. ADDRESS Z{(p$j Col,,A , e Ci %,� Rze-2- PHONE d51-&CC7-0,7CD EMAIL CONTRACTOR'S STATE LIC NUMBER `77�1t�0�} LICENSE CLASSIFICATION G20 VALUATION$ IS 5 33. co SQ FT L SO FT APPLICANT'S SIGNATURE DATE 5130�10 CITY STAFF USE ONLY ONO 11M nmkp�_ DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL I 10 GREEN 1 — SMIP k OWNER BUILDER VERIFIED OYES O NO DRIVERS LICENSE If 1 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 0111e CALIFORNIA ENERGY COMMISSION 16 CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1) Site Address: Enforcement Agency: Da a Pr pared: Permit#: zab,o A (�SG C; � - 30 1$ E ui mentT a Equipment Efficient New Ducting or Lineset: Conditioned q P yp y Required R-value Floor Area(ft2) Thermostat ❑Packaged 9 Evaporator Coil $p�,AFUE COP R-6 (CZ1-10,12&13)Ducts Served by system W(Setback System W(Condensing Unit ❑R-8' (CZ 11,14-I6)Ducts ft2 (If not already Ur Split System ❑Compressor 12i SEER HSPF ❑z R-2.8 Lineset' present must ❑Mini Split ❑Lineset EER be installed) 0 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. X 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 Building Dept. Compressor,TXV,Uneset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-H2 Air Handler/Furnace2(Can include new ducting) Installer Requirement:Duct leakage L15%,or s10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: e�,/Q ❑1.Duct system registered with HERS provider as previously sealed,or El 2.There is less than 40 linear feet of duct ❑ i rjeo�l � 3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building V 7 ❑2.New HVAC System Required Compliance Documents to be left on site for Final: All new equipment and All New Du[ts3 CF1R-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-H,MCH-(23 or 24)-H2,MCH-25-H3 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 z 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( CF2R-MCH-01-E,MCH-20-H,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 2:350 CFM/ton(or alternative),Refrigerant Charge Exempted from duct leakage testing if:111. 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-MCH-20-H,CF3R-MCH-20-H Installer Required to:Duct leakage(s 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 W'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 t0 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. 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. ponsible De" er Na PeslMsihle Designer Signature: Dat Sign License: C _� 5' 30 8 -Ti 0)b 0-4 [ompan Address: cWsta_te Zip: Phone: y C DSS�bc. C e. C-r ,e CA 12 it 2 1 9-21-Cpm-C77CX) For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300