PMT18-03707 City of Menifee Permit No.: PMT18-03707
q 29714 HAUN RD.
MENIFEE, CA 92586 Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 0712 7/2 01 8
PERMIT
Site Address: 29668 MELITTA RD, MENIFEE, CA 92584 Parcel Number: 339-231-004
Construction Cost: $12,800.00
Existing Use: Proposed Use:
Description of HVAC CHANGE OUT, REPLACE 3 TON A/C 80,000 BTU FURNACE COMPLETE HVAC SYSTEM
Work:
Owner Contractor
MARIA CAZARES KEN STARR INC
29668 MELITTA ROAD 1120 N TUSTIN AVE
MENIFEE,CA 92584 SUITE B
Applicant Phone:8887693009
STEVEN SCHNIERER License Number: 974908
KEN STARR INC
1120 N TUSTIN AVE
ANAHEIM, CA 92807
Phone:8887693009
Fee Description ,Qtv Amount t51
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 carded 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 propertywho builds orimproves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that l 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 1 am exempt from licensure under the Contractor's State License Law for
Professions Code and my license is in full force and effect the following reason:
License Class C:zc) License No. 01T-F90`4'
By my signature below I acknowledge that,except farmy personal residence
Expires 7 31 18 Signature �� b �" in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION 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 is entirety by
a 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 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 website:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is Issued, smvsv.lecinfo.ca.gov/calaw.html.
Policy R Date
I have and will maintain worker's compensation insurance,as required by �PRROPERTY OWNER OR AUTHORIZED AGENT
se 'an 3700 of the Labor Code,for the performance of the work for which LIXBy my signature below l certify to each of the follawing:I am the property
this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owner's behalf.I have read this
number are. application and the Information 1 have provided is correct I agree to comply
Carrier Arc �.r with all applicable city and county ordinances and state laws relating to
building construction.I authorize representatives of this city or county to
Policy ll ZALJC1:2S24I Expires V s 17 enter the above identified property for inspection purposes.
(This section need not to be completed is the permit is for cane-hundred �
dollars($10D)or less GENT `d I I
PROPERTY OWNER OR AUTHORIZED AGENT
o I certify that in the performance of the work for which this permit is issued, y D�[�
shallnotemolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE It 1-! f p
worker's compensation laws of California,and agree that if l should become HAZARDOUS MATERIAL DECLARATION
subject to the worker's compensation provisions of Section 3700 of the Labor
Code,I shall forthwith comply with those provisions. Will the applicant or future building occupant handle hazardous material or a
Applicant S— S-e— Date 4 -7 t1 mixture containing a hazardous material equal to or greater that the
amounts sPrecified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE 15 oyes 0
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant aruuture 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 forguideli as
CONSTRUCTION LENDING AGENCY o Yes Va
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 Noun ary of a school?
(Section 3097 Civil Code) D Yes ok,40
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 25505 and 25534 concerning
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 ha ardous material reporting.
es allo
construct,
onneBusiness and Professions Code).Any or rep r county uct re,priorres toitspermit to t ��r—mate 9 -2 1-1
issuance,also requires
applicant for hepermiair any t to
a signed statement
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 fRRP1
License Law(Chapter9(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 ins pre-1978
and the basis fort he alleged exemption.
th applicant
civil Section of not o residence or childcare facility to be RRP-certlfied firms and comply with
thann($5 ant for a permit subjects the applicant to a civil penalty of not more required practices.This Includes rental property owners and property
than($500). p P rtY
managers who do the paint-disturbing work themselves or through their
❑I,as owner of the property,or my employee with wages as their sale 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 Contractor's State License Law does not apply to an owner of a aAn EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or improves the p p j
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 bemuse:
D I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractor's 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 RAP
Acknowledgement.
S4ee-vew-% SGh ru ere r _ {GPI► 5[wrr
-77
& SAFETY • IT/PLANAPPLICATION
Menifee
DATE 0 712 7/2 01 8 PERMIT/PLAN CHECK NUMBER
emz-
TYPE: ❑COMMERCIAL ❑✓ RESIDENTIAL ❑MULTI-FAMILY ❑MOBILEHOME ❑POOL/SPA ❑SIGN
SUBTYPE: ❑ADDITION ❑ALTERATION ❑DEMOLITION ❑ELECTRICAL ❑✓ MECHANICAL
❑NEW ❑PLUMBING El RE-ROOF-NUMBER OF SQUARES City Of Menifee
Building Dept.
DESCRIPTION OF WORK Replace 3 ton/80,000 BTU complete HVAC system
JUL
PROJECTADDRESS 29668 Melitta Road �'
ASSESSOR'S PARCEL NUMBER - p1'1j1-(�y LOT TRACT
OWNER NAME Marla Cazares
ADDRESS 29688 Melitta Drive Menifee, CA 92584
PHONE (310)486-6167 EMAIL
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE (818)735-7876 EMAIL swschnierer@roadrunner.com
CONTRACTOR'S NAME Home Comfort USA OWNER BUILDER? ❑YES❑✓NO
BUSINESS NAME Home Comfort USA
ADDRESS 1120 N Tustin Ave Anaheim,CA 92807
PHONE (888)769-3009 EMAIL
CONTRACTOR'S STATE LIC NUMBER 974908 LICENSE CLASSIFICATION C20
VALUATION$ $ 12,800.00 SQ FT L SQ FT
APPLICANT'S SIGNATURE DATE 07/27/2018
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN SMIP a(
INVOICE PAID AMOUNT
AMOUNT 0 OCASH CHECK# OCREDIT CARD VISA/MC
PLAN CHECK FEES PAIDAMOUNT 0CASH O CHECK# 0CREDIT CARD VISA/MC
OWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER O YES O NO
City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777
www.cityofinenifee.us Inspection Request Line 951-246-6213
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04E Revised 01116 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address: Enforcement Agen D to Prepared: Permit#:
2q(.61a 6V;fta be- G OF GY„ CG -rz-?11.% -QZ5
Equipment T e E ui Efficient New Ducting or Lineset Conditioned
Type Equipment ment y Required R-value Floor Area(ftz) Thermostat
❑Packaged ](Evaporator Coil $bZAFUE COP 0 R-6 (CZ1-10,1203)Ducts Served by system XSetback
System >(Condensing Unit 0 2 (If not already
.K Split System ❑Compressor SEER _ ❑HSPF a R t (CZ11,14-16J Ducts ft-2.8 Lineset` Present must
❑Mini Split ❑Lineset EER be Installed)
IS(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.
1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CFSR-ALT-02-E City of Menifee
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or24)'-H,MCH-25-H2 Building Dept,
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24j-H2,MCH-25-Ha
Air Handler/Furnace'(Can include new ducting)
Installer Requirement:Duct leakage(515%,or s10%to outside,or seal all accessible leaks),Air Flow Z 300 CFM/Yon,Refri -2018
g C g
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linearfeet of duct c nc itioned� ace,or
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building
re
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ductsa CF1R-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-1-1,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H2
CF3R-MCH-20-14,MCH-22-1-1,MCH-(23 or 24)-H2,MCH-25-H2
Mini Splits require CF1R-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H
Installer Requirement:Duct leakages 5%,Fan Efficacy(0.58W/CFM),Air Flow a 350 CFM/ton(or alternative),Refrigerant Charge
El 3.All New Ducts with Replacement Required Compliance Documents to be left an site for Final:
All New Ducts'and one or more of the following CF1R-ALT-02-E
replaced:Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-1-1,MCH-(23 or 24)-H,MCH-25-H
Compressor,TXV,Lineset,Fumace' CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakages 5%,Air Flow a 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-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 ft installed in CZs 11&14-16 and R-6 in Cgs 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
a 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)
♦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 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 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"lication.
es nsible De nertame: I Qmpons.W nature: t DaleSip d: ncense: p
eve: r�lr\% 7 ��{q�p
[ mpany: Address: ty/State/Ap: Phone:
US t\ZO N I Vs}w+ A. - Y,�,rx $8&--Wi 3OC19
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-900-772-3300