PMT18-04041 City of Menifee Permit No.: PMT18-04041
29714 HAUN RD. Type: Residential Mechanical
MENIFEE, CA 92586
MENIFEE MENIFEE Date Issued: 0 811 5/2 01 8
PERMIT
Site Address: 31822 FEATHER CREEK DR, MENIFEE, Parcel Number: 372-212-010
CA 92584 Construction Cost: $4,500.00
Existing Use: Proposed Use:
Description of REPLACE A/C ONLY 3.5 TON
Work:
Owner Contractor
JAMES ROACH FEATHER CREEK DR EXPRESS PLUMBING HEATING AND AIR INC
31822 FEATHER CREEK DR 9245 DOWDY DRIVE SUITE 202
MENIFEE, CA 92584 SAN DIEGO,CA 92126
Applicant Phone:8586934079
VIC LUNA License Number:954579
EXPRESS.PLUMBING HEATING AND AIR INC
9245 DOWDY DRIVE SUITE 202
SAN DIEGO, CA 92126
Fee Description O_yt Amount I$1
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
$167.66
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 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 ❑I am exempt from licensure under the Contractors State License Law for
Professions Cade and my license is in full force and effect. g the following reason:
License Class e36.G20 Ll se No.95V 5- / By my signature below I acknowledge that,except for my personal residence
Expires r/ D � Signatu96 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-builder if it has not been constructed in its entirety by
❑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.fitml-
this permit is Issued.
Policy# Date
❑I have and will maintain worker's 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 following:I am the property
this permit is issued.My workers 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 I have provided is correct.I agree to comply
A] O / vR'/ with all applicable city and county ordinances and state laws relating to
Carrier (T of building construction.I authorize representatives of this city or county to
Policy# lof__,Y ye 7- /!'/ZEkq pires V Zd 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, OV
I shall not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# J
worker's compensation I ws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the worke mpensation provisions of Section 3700 of the Labor
Code,I shall fort It omply wi those provisions. Will the applicant or future building occupant handle hazardous material or a
/ mixture containing a hazardous material equal to or greater that the
Applicant Date Y amounts spec ied on the Hazardous Materials Information Guide?
WARNING:FAILURETOSE REWORKER'5 COMPENSATION COVE GE IS ❑yes V
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 for guidelii
CONSTRUCTION LENDING AGENCY ❑Yes ❑No
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 boundaa X-of a school?
(Section 3097 Civil Code) ❑Yes o'No
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 Heal &Safety Code,Section 25505 and 25534 concerning
Contractors License Lawfor the reason(s)indicated below by the hazar t is reporting.
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ❑ s No
Business and Professions Code).Any city or county that requires a permit to ..�, Date
construct,alter,improve,demolish or repair any structure,prior to its pR E OWNER.O AUTHORIZED AGENT
Issuance,also requires the applicant forthe permitto file a signed statement i
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION-REPAIR AND PAINTING(FIRM
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.S by residence or childcare facility to be RRP-certified firms and comply with
an Applicantfor 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
❑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 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 forthis project because:
❑I,as ownerof 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 own of�,aa� If your project does not comply with EPA RRP rule please fill out the RRP
"`� Acknowledgement.
4+Vhc�l
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: PERMIT/PLAN CHECK NUMBER S DWil
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 O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK R45R&ld " 41c - 0/u
oC, ON
PROJECTADDRESS 7eAi j/ " 6t511- ZIP ^�
ASSESSOR'S PARCEL NUMBER 31 a{ �a'a�D IO LOT l.. S TRACT
OWNER NAME
ADDRESS
PHONE �SZ117 EMAIL
� y/
APPLICANT NAME C e_-
ADDRESS b (j/�" / S�N7� zo
PHONE EMAIL
CONTRACTOR'S NAME OWNER BUILDER? O YES O NO
BUSINESS NAME
ADDRESS %Z 5 20 L >AAU V/ZG
PHONE 105S 67a 27 LID-7-7 EMAIL
CONTRACTOR'S STATE LIC NUMBER q J59 S?y LICENSE CLASSIFICATION
VALUATION$ 5 b 0 S FT L SO FT
APPLICANT'S SIGNATURE /1_� DATE
rDEPART
d iMENTDISTRIBUTION ACCEPTED BY- CITY OF MENIFEE BUSINESS LICENSE NUMBER
G PLANNING ENGINEERING FIRE
INVOICE TOTAL I W W GREEN r SMIP
OWNER BUILDER VERIFIED "YES O NO DRIVERS LICENSE# NOTARIZED LETTER O YES O ND
City of Menifee Building &Safety Department 129714 Haun Rd., Menifee,CA 92566 (951)672-6777
www.cityofinenifee.us
NIF
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 01116 n• CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCEfec
CF1R-ALT-04E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address: Enforcemen Agency: Date Prepared: 'rtt
31822 Feather Creek Drive
Equipment T e E ui Equipment Efficient Conditioned
Type q p y I Floor Area(its) Thermostat
❑Packaged ❑J Evaporator Coil ❑R-6 (CZ 1-10,11&13)Ducts Served by system ❑Setback
N(Condensin Unit -AFUE COP
13 5®Split System ❑Compressor 14 SEER HSPF R-8' (Q 11,14-16)Ducts 3453 ft2 (If not already
❑t R-2.8 Uneset4 present must
11 Mini Split ❑Uneset 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.
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-H2
Compressor,TXV,Uneset, CF3R-MCH-20-H,MCH-(23 or 24}H2,MCH-25-H2 _
Air Handler/Furnaces(Can include new ducting)
Installer Requirement:Duct leakage(515%,or 510%to outside,or seal all accessible leaks),Air Flow a 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 -I
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ducts' CF111-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-11,MCH-(23 or 24)-H2,MCH-25-1-12
CF311-MCH-20-H,MCH-22-H,MCH-(23 or 24)-Hs,MCH-25-1-12
Mini Splits require CFiR-ALT-02-E,CF2R-MCH-01-E,and(CF2R-CF3R)MCH-25-H
Installer Requirement:Duct leakage<5%,Fan Efficac (0.58W/CFM),Air Flow z 350 CFM/ton(or alternative),Refrigerant Charge
❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final:
All New Duets'and one or more of the following CF1R-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,Uneset,Furnaces CF3R-MCH-20-H,MCH-(23 or 24)-H,MCH-25-H
Installer Requirement:Duct leakage<5%,Air Flow 2350 CFM/ton(or alternative),Refrigerant Charge
Exempted from duct leakage testing if:O 1. Existing duct systems are constructed,insulated or sealed with asbestos
❑4.New Ducting over 40 feet I 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(<_,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&24-16 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.
s Heating only systems and Air Handler/Furnace changes do not require Air Flow MCH-(23 or 24),or Refrigerant Charge verification MCH-25
'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 11-2.8(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. 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.
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 a Il tion.
Responsible Designer Name: Resp0 ibi ¢sign nature: Date signed: tic se:
Sf /s / s s7
C.M. Address. wstate Zip: Phone:
658
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For assistance or uestions regardingthe Energy Standards,contact the En rgy Hotline at:1-800-772-3300