PMT18-02786 City of Menifee Permit No.: PMT18-02786
29714 HAUN RD.
Type: Residential Mechanical
'/ MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 06/07/2018
PERMIT
Site Address: 29850 MORNING BREEZE DR, MENIFEE, Parcel Number: 339-401-002
CA 92584 Construction Cost: $6,000.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, REPLACE A/C 3.5 TON, SAME LOCATION
Work:
Owner Contractor
COLLEEN OCHS COOL AIR SOLUTIONS INC
29850 MORNING BREEZE DRIVE 41638 EASTMAN DR#B
MENIFEE, CA 92584 MURRIETA, CA 92562
Applicant Phone:9516762665
VIC LUNA License Number:874502
COOL AIR SOLUTIONS INC
41638 EASTMAN DR#B
MURRIETA, CA 92562
Fee Description ,Qtv Amount I51
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 6.65
$167.65
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 carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee. Except as othenvise 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.
fi _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 contractors)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 following reason:
License Class z_ Lice No. �2 By my signature below I acknowledge that,except for my personal residence
Expires t7 Signature in which I must have resided for at least one year priorto 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
o 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 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 www-leginfo.ca.gov/calaw.htmi.permit is issued.
Policy,# Date
o 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 D 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 C-'�/6,2 with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy# Expires S / l 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 fort i corn ly with those provisions. Will the applicantor future building occupant handle hazardous material or a
Applicant .r Date S/ mixture containing a hazardous material equal to or greaterthat the
amounts sp!;ified on the Hazardous Materials Information Guide.
WARNING:FAILU440 SECURE WORKER'S COMPENSATION COVERAGE IS o Yes 2140
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 forguidelins s
CONSTRUCTION LENDING AGENCY oYes 20
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 bound of a school?
(Section 3097 Civil Code) o 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
California Health&Safety Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the hazardous in ria eporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ekes a
Business and Professions Code).Any city or county that requires a permit to Date 7
construct,alter,improve,demolish or repair any structure,prior to its OPERTY N 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 IRRPL
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-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($5D0). 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.eoa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 70",Business and Professions 1.800-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a D 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:
o I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7D44,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
Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: ! 7 G E3 PERMIT/PLAN CHECK NUMBER Q �Q
PLANNING CASE NUMBER City of Men
Building Dept
TYPE: O COMMERCIAL O RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA ''IIO SIGN 1
SUBTYPE: O ADDITION O ALTERATION <.DEMOLITION O ELECTRICAL O MECHANIGIJN 7 ZOt
O NEW{�O PLUMBING O RE-ROOF NUMBER OF SQUARES papa® `, /''�
DESCRIPTION OF WORK �C�' G�'G�-7 L '� TU`/LJ '�,rcei !! d.�
PROJECTADDRESS 2% Mz)1e1v/1v6- g/e z e_ ZIP ZS23 y
ASSESSOR'S PARCEL NUMBER 9J 'LAQN"CCZ;L LOT TRACT
OWNER NAME
ADDRESS ppj�Z
PHONE �Z� [!//Z ;5ZS5EMAIL
APPLICANT NAME .�J�2 G G UU�/,sUg�A' �/�LfJ/I
ADDRESS �O�JZJ��/ `/iv/wG/� 5 TLF0- G� �^
PHONE %Sr/ Z s / SFJJ 6 EMAIL /67Z)2
CONTRACTOR'S NAME OG ' Alt OWNER BUILDER? O YES O NO
BUSINESS NAME
ADDRESS 4 ��3 H �gN /<�
PHONE �7 �7� 7J6GJ� EMAIL
CONTRACTOR'S STATE LIE
NUMBER 07 y 5�Z— LICENSE CLASSIFICATION C J
VALUATION$ b SO FT L SO FT }�
APPLICANT'S SIGNATUR DATE /v
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL I 1U .V'J GREEN i SMIP x
OWNER BUILDER VERIFIED O YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES 0 NO
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92586 (951)672-6777
www.cityofmenifee.us
NIF
City of Menifee
Building Dept.
JUN 0 7 2018
Received
RyT M " 0;rl ?10
CERTIFICATE OF COMPUANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 1 of 3)
Project Name: Colleen Ochs Date Prepared: 2018406-06
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
CFIR-ALT-02 document for each dwelling unit.
01 Project Name Colleen Ochs 02 Date Prepared 2018-06-06
03 Project Location 29850 Morning Breeze 04 Building Type Single family
05 CA City Menifee 06 Dwelling Unit Name Colleen Ochs
Dwelling Unit Conditioned
07 Zip Code 92584 OB Floor Area(ft2) 2359
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 Installing
SC System SC System CFA served system refrigerant Installing new SC Installing Installing Installing
Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new
Name Served System(ft1) system? component? components? feet of ducts? duct system? SC system? Alteration Type
System 1 Location 1 2359 Yes Yes Yes No No No Altered space
conditioning system
C.Extension of Existing Duct System,Greater Than 40 Feet(Secthzn150.2(b)1DIib)
This section does not apply to this project.
Regisuation Number:218.A020162635A-000-000-0000000-OD00 Regist20on Date/Time: 2018-06-0614:09:59 HERS PmOder:CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-06-06 14:07:38
Schema Version:rev 10116
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-SR-ALT-HVAC) (Page 2 of 3)
D.Altered Space Conditioning System(Sections 150.2(b)IE and F)
01 02 03 Da 05 06 07 08 09 10 11 12
Heating Cooling
System Heating Altered Heating Minimum Altered Cooling Minimum Required New or
Identification 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 1 Central gas component section is not section is not Central split cooling SEER 14 Setback section is not section is not
furnace altered applicable applicable AC components applicable applicable
Reouimd Documentation:
MR-MCI-01{-Space Conditioning Systems
-Duct Insulation requirement forthe new pardons of supply-alr and mtum-airducts or plenums:R6(C2 1-10,12 and 13)and Be(CZ 11 and 14-16)
MR and MR.MCH.20,H-Dud Leakage Test required when heating orcmling components are installed in ducted systems,orwhen moretiaan Oft of duct length is replaced
-Leakage rape compliance:<=15%or a 10%leakage to outside,or seal all acrosslble leaks.
MR and MR-MCH,2 H Refrigerant Charge vedfoti.re wred when refrigerant containing wmpomm,are Installed w altered(applicable In Q 2,8-35).
MR and CF3R-MCH-23 Airflow Rate a=300 CFM per tan required when MCH-25 H required.
amoth .
-Duct systems registered with HERS provider as preriousky sealed are exempt from MW-20 DUR Leakage Testing requirements.
-Heatingonly systems and Air Handier Fumam changes do not mquim vedfiradon of Air Flow MCH-23,or Refrigerant Charge MCH-25.
fsdsting duct systems o nstruded,insulated or sealed with asbestos are exempt from MC1-20 DUU Leakage Testing requirements.
E.Entirely New or Complete Replacement Duct System,with or without Equipment Changeout(Sections 150.2(b)iDiia and 150.2(b)3E,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-A02016263SA-000-OM00000OO-OG00 Registration Date/nme: 20184)6.0614:0959 HERS Provider:CaICERIS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-06-06 14:07:38
Schema Version:rev,10116
CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E
Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 3 of 3)
Documentation Authors Declaration Statement
1.1 certify that this Certificate of Compliance documentation Is accurate and complete.
DocumeMatlon Author Name: Doeumentation Author Signature: i/
Holmquist,Justin y/ 46f
Company: SlgnatureDate:
COOL AIR SOLUTIONS INC 2018-06-0614:09:59
Address: CFA/HERSCertifiation ldentif tion(if applicable):
41162 Sandalwood Cir
CtY/StateMp: Phone:
Murrleta CA 92592 951-676-2665
Responsible Person's Declaration statement
I artlfy the following under penalty of pedurr underthe laws ofthe State of ralifomia:
1. Thelnformatian pravidedan this Carlificateaf Compliance istrueandconect.
2. lam eligible under Division 3 of she Business and Professions Cade to ampt responsibllayforthe buildingdesign ersynem design identified on this Certificate of C mplianca(mspomlbledesigner).
3. Thatthe energy features and performance speslficatlans,materials,camponents,and manufactured devlom for the building design or system design identified on this CerRfiote of compliance contents to the
remuirements of Mle 24.Part 1 and Part 6 of the Olifamia Cade of Regulations.
4. The building design features or system design features identified onthhComflateof CortPllana are consistent wish the information provided another applicable compliance document¢,worksheets,
alculations,plans and specifications submitted to the enforcement agency far approval with this building permit appliation.
S. I will ensure that a registered cant,of this Certifiaa of Compliance shall be made evaliable with the build[,permits)issued far the building,and made available to the enforcement agency for all applicable
Inspections.I understand that a registered cop,of this Certificate of compliance Is required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Desigper Name: Responsible Designer Signature:
Holmquist,Justin Os/
Compare: Date Signed:
COOL AIR SOLUTIONS INC 2018-06-0614:09:59
Address: license:
42162 Sandalwood Or 874502
aty/stare/tto: Phone:
Murrieta CA 92592 951-676-2665
Easy to Verify ❑� O
at CluCERTS.com .jstpr
0' v b Ce/CENTS Iaia d' talsi nemreis 'dedin order rosearerheconlmtal shirr isfwMdocumen aM in mwa """ s yiWty '9rsed Y 9; 9, pron eg C Yin�pliea
Regiseabon RorrderresPansibiliry/tar theaccumcya/dreinyormafion. OL.
Registration Number:218-A020162635A-000-000-0000000-0000 Registration Date/rme: 2018-080814:09:59 HERS Provider.CaICERTS
CA Building Energy Efficiency Standards-2016 Residential Compliance Report Version:2016.1.006 Report Generated:2018-06-06 14:07:38
Schema Version:rev 10/16