PMT18-03637 City of Menifee Permit No.. PMT18-03637
29714 HAUN RD. Type: Residential Mechanical
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 0712312018
PERMIT
Site Address: 27687 VIA REAL, MENIFEE, CA 92585 Parcel Number: 333-275-018
Construction Cost: $10,200.00
Existing Use: Proposed Use:
Description of REPLACE HVAC SYSTEM W/NEW 2.5 TON 60K BTU
Work:
Owner Contractor
FRANCISCO IBARRA MANZANITA EQUITY INC
27687 VIA REAL 1064 LA MIRADA COURT
MENIFEE,CA 92585 VISTA, CA 92081
Applicant Phone:8002698963
LORI WOODWARD License Number: 1004700
MANZANITA EQUITY INC dba 1-800-ANYTIME
1064 LA MIRADA COURT
VISTA, CA 92081
Fee Description ON Amount
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 building operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise staled,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_Pemft Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
with a licensed contractor(s)pursuant to the Contractors State License Law).
I hereby affirm under penalty of perjury that I am under provisions of
Chapter9(commencing with section 7000)of Division 3 of the Business and a I am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect. �j the following reason:
License Class` a'U i ense,,NIo^..—!12 1 O al By my signature below I acknowledge that,except for my personal residence
Expires 0�t— SIgnatur Mi W )sdu 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-bullder if it has not been constructed in its entirety by
p reby 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 webske:
by Section 3700 of the Labor Code,for the performance of work for which ww .leeinfo.ca eavlcalaw.html.
this permit is issued. w
Policy 0 Date
—
a I have and will maintain worker's compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 37DU of the Labor Code,for the performance of the work for which o By my signature below I certify to each of the following:I am the property
this permit is Issued.My worker's compensation insurance carder and policy owner or authorized to act on the property owner's behalf.I have read this
number at : 2"� application and the information I have provided is correct.I agree to comply
Carrier �..Q/v with all applicable city and county ordinances and state laws relating to
� G ,�I building construction.I authorize representatives of this city or county to
Policy If WsD 6W xpires �U��CL /. 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, ��7']�
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE 0 O OoSS I
worker's compensation laws of California,and agree that if 1 should become HAZARDOUS MATERIAL DECLARATION
subject to thew ker's compensation provisions of Section 3700 of the Labor
Code,I sha f h ith mply with those provisions. �1 Will the applicant or future building occupant handle hazardous material or a
Applican Date mixture containing a hazardous material equal to or greater that the
amounts s IRed on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS a 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($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)7 See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES forguideli es
CONSTRUCTION LENDING AGENCY aYes 7o
I hereby affirm that under the penalty of perjury there Is a construction WIII the proposed building or modified facility be within SODO feet of the
lending agency for the performance of the work which this permit is Issued outer baun ary of a school?
(Section 3097 Civil Code) D Yes 16No
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractor's License Law for the reason(s)indicated below by the California Health&Safety Code,Section 25SOS and 25534 concerning
checkmark(s)I have placed next to the applicable Item hazarous aterial reporting.$)(Section 7031.5 ye Na t
Business and Professions Code).Any city or county that requires a permit to Date '7-1L)
construct,alter,improve,demolish or repair any structure,prior to its 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 Contractor's State EPA RENOVATION.REPAIR AND PAINTING[RRPI
Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt from licensure The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
and the basis for the alleged exemption.Any violation of Section 7031.5 by receiving compensationformostwork[hatdisturbspaint in wi78
an Applicant fora permit subjects the applicant to a civil penalty of not more required practices.
cites.This
s includes
es be RRP-certified firms and comply property
with
than($500). required practices.ThIs includes rental property owners and property
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.epa.gov/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 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. 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
L.On a kXVr _fj7_ Acknowledgement.
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
� Ak., .
DATE: PERMIT/PLAN CHECK NUMBER
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: O COMMERCIAL XRESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA O SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBINGr 0- RE-ROOF NUMBER OF SQUARES /, �j''
DESCRIPTION OF WORK q .p ^ P4 &0k 1
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS O YES A NO
PROJECTADDRESS /J)J e l/WYu` & ZIP Z
ASSESSOR'S PARCEEL�NUMBER 333�a�5�y� � LOT 13A TRACT p C
1
OWNER NAME ltYall1 J al/ OL�1
ADDRESS n
PHONE "/`J��- R �(�� �� /0 EMAIL Z _�J � r -
APPLICANT NAME n L — , 9 L LUoc e("A� vr4
ADDRESS -rI ( (,:,-I (//6/1`ar LA
PHONE jlI()� L4 / /-'a'aO"a- EMAIL C,L°1j d
CONTRACTOR'S NAME OWNER BUILDER? O YES ONO
BUSINESS NAME UGt I
ADDRESS / ' r
PHONE �(,cp- C� - �"� l�� EMAIL
CONTRACTOR'S STATE LIC NUMBER LICENSE CLASSIFICATION C 6?0
VALUATION$ ) a 11 SO FT BB L SQ FT
APPLICANT'S SIGNATUR l n k DATE
DEPARTMENT DISTRIBUTION ACCEPTEDB CITY OF MEE-NIIFEE'�BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FE
�FIRE O '`�
INVOICETOTAL Z;9 , 'O GREEN SMIP
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
G,n
www.cityofinenifee.us
MENIFEE
STATE OF CALIFORNIA
ALTERATIONS - HVAC CIRft
City of Nier���
CEC-CFIR-ALT-04-E Revised 01116 ' RNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE f3ullulng Uept. CF1R-ALT-04E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address:�/ /, 1 Enforcement Agency: Date Prepared: P +ij(1• 7
�C (/ v l b�
Equipment Type Equipment Efficiency New Ducti o d Toned i Thermostat
Required R-value Floor Area(ft)
ckaged ❑Evaporator Coil WAFUE COP 11 R-6 (CZI-10,12&13)Ducts Served by system 13 Setback
ystem ❑Condensing Unit ❑R-8' (CZI7,14-16)Ducts ftz. (If not already
❑Split System ❑Compressor LSEER HSPF ❑2 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.
RCL HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFIR-ALT-02-E
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-2D-H,MCH-(23 or 24)'-H,MCH-25-HI
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-H'
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(515%,or 530%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 O 2.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
112.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts3 CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H'
CF3R-MCH-2o-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H'
Mini Splits require CFIR-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 2 350 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 CFIR-ALT-02-E
replaced:Condenser Unit,Evaporator Coil; 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 z 350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos
114.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,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 fit 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.
'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. 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.
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 and specifications submitted to the enforcement
agency for approval with this building permit application.
Responsible Designer Name:sm Respomible Designer Signa Date Signed:-')-, 1 '�nse:q7ot)
Company: / Address; Ista Lp: ,r yt- !] �I Phonef' � '•�
For assists a or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300 t[
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