PMT18-02651 City of Menifee Permit No.: PMT18-02651
29714 HAUN RD.
I/ MENIFEE,CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 05/3012018
PERMIT
Site Address: 25546 DORADO DR, MENIFEE, CA 92586 Parcel Number: 339-164-027
Construction Cost: $5,000.00
Existing Use: Proposed Use:
Description of REPLACE HVAC UNIT 3.5 TON SAME LOCATION
Work:
Owner Contractor
KENNETH LAYMON COOL AIR SOLUTIONS INC
25546 DORADO DR 41638 EASTMAN DR#B
MENIFEE, CA 92586 MURRIETA, CA 92562
Applicant Phone: 9516762665
VIC LUNA License Number:874502
COOL AIR SOLUTIONS INC
41638 EASTMAN DR#B
MURRIETA, CA 92562
Fee Description Qty Amount f51
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_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 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 o i am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effecL the following reason:
License Class L' rise No. S Z By my signature below I acknowledge that,except for my personal residence
Expires_ _Signature inwhich l must have resided for at least one year prior to completion of
improvements covered bythis permit.I cannot legallysell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑1 hereby affirm under penalty of perjury one of the fallowing 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 workers 70"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.IeRinfo.ca.Rov/caIaw.htmI.
Policy# Date
o I have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Cade,for the performance of the work for which ❑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: �/� �r application and the information I have provided is correct.I agree to comply
CV'�S� �IfCA/ f L with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy —M eJr;9o13/51 Expires y 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
o I certify that in the performance of the work for which this permit is issued, g� 22
I shall not emolav any persons in any manner so as to become subject to the CITY BUSINESS LICENSE it `.JJ
workers compensation laws of California,and agree that if I should became HAZARDOUS MATERIAL DECLARATION
subject to the woodes compensation provisions of Section 3700 of the Labor
Code,I shall foi r it r comply with those 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 specified on the Hazardous Materials Information Guide?
WARNING:F UR O SECURE WORKER'S COMPENSATION COVERAGE IS ❑Yes 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 ion occupant require a permit for the construct or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Duality Management District(SCionor See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY o Yes A—No
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within LOGO 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 Yes A-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 reasons)indicated below by the California Health&Safety Code,Section 255DS and 25534 concerning
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 azardous material reporting.
Business and Professions Code).Any city or county that requires a permit to es o No
construct,alter,improve,demolish or repair any structure,prior to its Date
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 MRPI
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-1979
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
o 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.ei3a.gov/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).
Cade;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. o No EPA Lead-Safe Certified Firm is required for this project because:
o 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 with EPA RRP rule please fill out the RRP
V1C4 Vy) _ Cool Ay aA Acknowledgement. I
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER j 9
PLANNING CASE NUMBER
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION " ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK E4�j LfiC Ale, _�3 ^S TEA C�/G*,7'T
PROJECTADDRESS Z`=s"! 6 400"00 P ` ZIP 1 j5b (G
ASSESSOR'S PARCEL NUMBER �,�O��pG� LOT TRACT I'1/, 3 p G
OWNER NAME
ADDRESS L�
PHONE qSl 672 27-76 EMAIL
APPLICANT NAME /c-
ADDRESS C1 00-0 C/ram OLC A7 ( l
PHONE e�S( EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES NO
BUSINESS NAME AdL
ADDRESS 5 TlnfbU
PHONE 2/��-7�� EMAIL
CONTRACTOR'S STATE LIC NUMBER g7y29v- Z_ LICENSE CLASSIFICATION CZ�.
VALUATION$ S L-� SO FT L SO,FT
APPLICANT'S SIGNATURE Gam— DATE 6z1r—
jrY
DEPARTMENT DISTRIBUTION ACCEPTED BY.. � CITY OF MENIFEE BWSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE �l//) - 4./
INVOICE TOTAL GREEN l SMIP
OWNER BUILDER VERIFIED OYES 0 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.cityofmenifee.us
ENIFE
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: Kenneth Layman Date Prepared: 201"5.25
A.General Information
CFIR-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented,use one
MR-ALT-02 document for each dwelling unit.
01 Project Name Kenneth layman 02 Date Prepared 2018-05-25
03 Project Location 25546 Dorado Drive 04 Building Type Single family
05 CA City Menifee 06 Dwelling Unit Name Kenneth layman
07 Zip Code 92586 08 Dwelling Unit Conditioned 1496
Floor Area(ft2)
Number of Space
09 Climate Zone 10 10 Conditioning(SC)Systems in 1
this Dwelling Unit:
B.Space Conditioning(SC)System Information
01 02 03 04 05 06 07 08 09 10
Is the SC Installinga
SC System SC system CFA served system refrigerant Installingnew SC Installing Installing Installing
Idemificationor locationor Area bythis SC ducted containing system moethan40 enthelyrim entlretynew
Name Served System(R2) system? component? components? feetafducts? ductsystem? SCsystem? Alteration Type
System 1 Location 1 1496 Yes Yes Yes No No No Altered space
conditioning system
C.Extension of Existing Duct System,Greater Than 40 Feet(Sectk:m250.2(b)1DIib)
This section does not apply to this project.
Registration Number.218-A020152279A-ODO-000-OOO OOO-0000 Registration Date/Time: 2018-05-2511:35:43 HERS Provider:CaKERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-0S2r 'J.5
Schema Version:rev 10/16
City of Menifee
Building Dept.
OFFICE COPY MAY 302018 00
Received
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 2 of 3)
0.Altered Space Conditioning System(Sections 150.2(b)1E and F)
01 02 03 04 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Idemfication System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct
or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value
No heating This field or This field or All new This field or This field or
System Central component section is not section is not Central split
furnacee AC cooling SEER 14 Setback section is not section is not
altered applicable applicable components applicable applicable
Reoulmd Dodamummon:
MR-RAM-01-E-spas Conditioning Systems
-putt Insulation requirement for the new,partbm of supply-alr and return-air ducts or plenums:R6(CZ 140,12 and 13)and R8(Q 11 and 1416)
CUR and CURWCH-30Ht-Dud Leakage Test required when heating or cooling components are Installed In ducmd systems,or when more than a0 ft of duff length Is replaced
-Iealage rate tamplli nds:m 15%0,c 10%leakage to auaide,or seal all aseadble leala.
CUR it MR-MCH-) HReMgsumn Charge veriRadanrequlred when refdgerint containing components are installed or altered(applicable In CZ 2,8-15).
CUR and MR-MCH-23 Airflow Rate ae 300 CFM per ton required when MCH-25 is requited.
Extensions-
-Duct systems reghteed with HERS pmukler as previously sealed are eaempt from MCH-2D Dud Leakage Testing requlremerns.
-Heatingont,systems and Alr Handler Fumes changes do not require vedfioelen of Air Flaw MCH-23,ar Refrigerant Me,.MCH-25.
-Existing dud systems constructed,insulated or sealed with asbestos are eaemyt from MCH-20 Dud Leakage Testing requirements.
E.Eglttrely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)1Dita and 150.2(b)1E,F)
This section does not apply to this project.
F.Entirely New or Complete Replacement Space Conditioning System(Section 150.2(b)1C)
This section does not apply to this project.
Registration Number:218-A020152279A-000-000-OD00000-0000 Registration Date/Time: 20184)5.251125.43 HERS Provider.CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Repot Generated:2018-05-25 1135:25
Schema Version:rev 20/16
CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-SR-ALT-HVAC) (Page 3 of 3)
Documentation Author's Declaration Statement
1.1 certify that this Certificate of Compliance documentation is accurate and complete.
Holmquist,
mqui tl,J Author Name: ooevmematlan Author SiP•Nn: /J /L
Holmquist,Justin �/(Q�(Ni �/9
Conn": signature Down,,.
COOL AIR SOLUTIONS INC 201"5-25 11:357.43
Md.: CEA/HEM CertHloHan Id•ntin®flon flf applicable):
41162 Sandalwood Cir
aN/state/llp: phone:
Murdeta CA 92592 951-676-2665
Responsible Person's Declaration statement
I cenay Mefollowing under penalty of perjury,under the laws of the state of California:
1. The Information pmaidedon this CeMflote of Compliance istmeandcc.ed.
2. 1 am eligible under Division 3 ofthe Business and Professions Codetc.crept respmrslbifity forth.building design.,a stem deign Idemi6ed..this Centiliote of[omplu.(responsible designer).
3. Thatthe energyfertures and performance spenficatlmrs,metanab,mmponenK,and manufadured dl voesferthe building design orsystem design identified an this certificate of Compliance conform to the
requirements ofTltle 24,Pad 1 and Pan 6uf the California Code of Regulations.
4. The building tlesignfeaNresorsystem design features Identified on this Cemfimte of Comphanreare consistent whh the hdormail provided on other applicahle wmplianee documents,workloets,
calculetlans,platy and spedflntion submitted tocue eMarcemem agenry for approval wRbthls building permit appReacce.
5. 1 will ensure Meta registered cameo(Mis CertificeteoFCompliance shall be made avallabl.w the buildingpermfl(s)Issued forthebuilding,arM made awftbl.w efwanfarcemant ageto for all applicable
Impecu..I undernand that a registered copy of this CddficaN of Compliance is requimdto be ixluded with Ibe dmumentationtfe builder preNdes to no building owner atoccupanry.
Responsible Deslgner Name: Responsible Desfinar-Sgnature: �2
Holmquist,Justin ®aY![G.�LNi
Contra ey: Date51gned:
COOL AIR SOLUTIONS INC 2018-05-2511:35:43
Address: Ikeme:
41162 Sandalwood Or 874502
Chy/3tautmp: Phone:
Murrieta CA 92592 951-676-2665
Easy to Verify
at CeICERTS.mm
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DgirellysgredbyLdCERIS iAia dgdelagnerure isproaidM in ordwro uxurefhe confenro/this DgiarereddouonmCeMinfrowayimpfies O
RepiabafionpsovnWrespansibgiylor rheaccmeryo{rheinlvsmatf.n
Registration Number..21"020152279A-000.000-0000000-0WO Registration Date/Tlme: 2018-054511:35:43 HERS Provider:CalCERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.2.006 Report Geneated:2018-05-25 11:3525
Schema Version:re,10116