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PMT18-04377 City of Menifee Permit No.: PMT18-04377 29714 HAUN RD. Type: Residential Mechanical MENIFEE,CA 92586 MENIFEE MENIFEE Date Issued: 09/0512018 PERMIT Site Address: 28901 CROSBY DR, MENIFEE, CA 92586 Parcel Number: 337-383-004 Construction Cost: $7,000.00 Existing Use: Proposed Use: Description of INSTALL 2 NEW MINI SPLIT HVAC SYSTEMS Work: 9.8 AFUE/15.5 SEER 10.5 AFUE/2M SEER Owner Contractor VAIL REAL ESTATE. JOEL'S AIR CONDITIONING 29610 PAINTED DESERT DRIVE 4641 KENNY WAY MENIFEE,CA 92584 HEMET, CA 92544 Applicant Phone:9512017226 JOEL'S AIR CONDITIONING License Number. 920888 4641 KENNY WAY HEMET,CA 92544 Phone:9512017226 Fee Description Qtv Amount l5l 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_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 contractor(s)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 Cade and my license is in full force and effect. the fallowing reason: License Class Z U Lice ns No. cZ r9 90"rs By my signature below I acknowledge that,except for my personal residence Expires $-3)-28'ZV Signature r in which I must have resided for at least one year priarto completion of improvements covered by this permit.I cannot legally sell a structure that I WORKER'S COMPENSATION DECLARA ION 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 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. www.leginfo.ca.gov/calaw.html. Policy# Date °I have and will maintain workers compensation OWNER OR AUTHORIZED AGENTn insurance,as required by sp section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to ea p-ree following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on th er's behalf.I have read this number are: application and the informatj'��'@@Q@@Q((((((��I0 v c i orrect.l agree to comply Carrier with all appli inanceste laws relating to lPilr ��vrrrrrr��__ building construction.I autho repres.0iv s of this cit r county to Policy# Expires enterthe above identified propertry in ection purp (This section need not to be completed is the permit is for one-hundred 73V 6, dollars($100)or less ,4 PROPERTY OWNER OR AUTHORIZED AGENY�_ 1 certify that in the performance of the work for which this permit is issued, shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE# �1fA worker's compensation laws of California,and agree that If I 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 �rJr.I, 1'�O�n/j.lil�A-� Date -1 r� mixture containing a hazardous material equal to or greater that the Applicant 9-) amounts specified on the Hazardous Materials Information Guide? WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes )u 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 TOONE 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(SCcton or See permitting checklist IN SECTION 3706 OFTHE LABOR CODE,INTEREST,AND ATTORNEYS FEES fo Coast Airlines Qua CONSTRUCTION LENDING AGENCY ❑Yes 9: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 boundary of a school? (Section 3097 Civil Code) ❑Yes �wNo 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 Contractor's License.Law.for the reason(s)indicated below by{the hazardous material reporting. -'- checkmark(s)I have placed next to the applicable item(s)_(Segtftin7031.5 - Yes - oNo a _ Business and Professions Code).Any city or county that requires a permit to n ,N „m ,I6S, Date ra- construct,alter,improve,demolish or repair any structure,priorto its PROPERTY OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that hear she is licensed pursuant to the provisions of the Contractor's State EPA RENOVATION,REPAIR AND PAINTING(RRPI 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($S00). managers who do the paint-disturbing work themselves or through their ❑1,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 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractor's State License Law does not apply to an owner of a property who,through employees'or personal effort,builds or improves the °An EPA Lead-Safe Certified Renovator will be responsible for this project 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. D No EPA Lead-Safe Certified Firm is required forthis project because: ❑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 outthe RRP Acknowledgement. MENIFEE DATE: PERMIT/PLAN CHECK NUMBER U GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES TYPE: O COMMERCIAL '®RESIDENTIAL O MULTI-FAMILY O MOBILE HOME O POOL/SPA 0 SIGN SUBTYPE: OADDITION O ALTERATION O DEMOLITION ()ELECTRICAL O' MECHANICAL ONEW OPLUM13ING ORE-ROOF NUMBER OF SQUARES - Install a mini-split sys ems. DESCRIPTION OF WORK OCCUPANCYGROUP CONSTRUCTION TYPE SPRINKLERS YES ONO PROTECT ADDRESS ZIP 28901 Crosby Dr, Sun City, CA 92586 L-- ASSESSOR'S PARCEL NUMBER 337383004-9 LOT 352 TRAOT2364 City of Menifee OWNER NAME Vail Real Estate, Inc (Clifford E. Vail) ADDRESS 29610 Painted Desert Dr, Men'Ifee, CA 92584 PHONE '35I 0103-13t10 EMAIL Received APPLICANT NAME 14)^ ADDRESS pp PHONE "IS1 SDI 7 b2L EMAIL SUE �� CO'�PiT.1/ni .If Anna . ec.� CONTRACTOR'S NAME Joel E Chamberlain, Jr OWNER BUILDER? OYES(j)NO BUSINESS NAME Joel's Air Conditioning ADDRESS 4641 Kenny Way, Hemet, CA 92544 PHONE (951)201-7226 EMAIL joelsairconditioning@hotmail.com CONTRACTOR'S STATE LIC NUMBER 920885 LICENSE CLASSIFICATION C-20 VALUATION$ to QFT 1191 LSoFT 6534 APPLICANT'S SIGNATURE DEPARTMENT DISTRIBUTION ACCEPTED BY: CFFY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE INVOICE TOTAL I GREEN SMIP OWNER BUILDER VERIFIED O YES C' NO DRIVERS LICENSE# NOTARIZED LETTER O YES O NO City of Menifee Building &Safety Department 129714 Haun Rd.,Menifee,CA 92586(951)672-6777 _-- �fYC� www.cityofinenifee.usIL _ A061 PIMN-1PNIN w STATE OF CALIFORNIA ALTERATIONS - HVAC CEC-CFIR-ALT44E(Revised 03l1 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Page 1 of 1) Site Address: Enforcement Agency: Date Prepared: Permit#: Equipment Type Equipment Efficiency New Ducting,Plenums,Lfneset: Conditioned Thermostat Required R-value Floor Area(sq ft) 0 Packaged ❑Evaporator Coil Qr�1FUE COP 13 R-6 (CZ 2,&13)Ducting Served by system Setback System ❑Condensing Unit OR-8' (CZ 11,14,15)Ducting sgft (If not already ❑Split System ❑Compressor ZZ r GSEEFt HSPF present must jd Mini Split ❑Uneset 0 R-5(all 7.5) Plenums he installed) EER ❑R-5 or R7.5)Uneset ❑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. Forfinal inspection all forms are to be registered no hand filled forms allowed)and a copy left on site. 01.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final: All Equipment, CFSR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS' Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Air Handler/Fumace'(Can include new ducting) Installer Requirement:Duct leakage(<15%,or<10%to outside,or seal all accessible leaks),Air Flow i 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing IF: 0 1.Duct system registered with HERS provider as previously sealed,or 0 2.There is less than 40 linearfeet of duct in unconditioned space,or 0 3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of buiidin ❑2.New HVAC System I Required Compliance Documents to be left on site for Final: All new equipment and All New Ducts' CFIR-ALT-02-E Including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' CF3R: MECH-20-HERS,MECH-22-HERS,MECH{23 or 24}HERS',MECH-25-HERS' O Mini Splits require CF1R-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow>_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 CF1R-ALT-02-E replaced:Condenser Unit,Evaporator Coil, CF2R: MECH-OS,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-2SHERS _ y Compressor,TXV,Lineset,Furnace' CF3R: MECH-2D-HERS,MECH423 or 24-HERS,MECH-2SHERS ) Installer Requirement:Duct leakage<6%,Air Flow 350 CFM/ton(or alternative),Refrigerant Charge O �v Exempted from duct leakage testing if,01. Ezatin duct terns are constructed,insulated or sealed with asbestos �� N ❑4.New Ductfng over 40 feet Required Compliance Documents to be left on site for Final: §D xo h New ducting but less than All New Ducts' CF1R-ALT-02-E,CF2R: MECH-2D-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(<15%or,<10%to outside or,or seal all accessible leaks) V m ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. t/) 'All new ducting R-8 required when more than 40 It installed and R-6 when less than 40 It installed. This includes in walk,between floors etc. 'Heating only systems and Air Handler/Furnace changes do not require Air Flow MECH-(23 or 24),or Refrigerant Charge verification MECH-25 'All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent may consist of reused parts from the dwelling unit's existing duct system(e.g.,registers,grilles,boots,air handler,coil,plenums,duct material) i R-5(1"thick insulation)for linesets 1"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%",2.5-3T-2%",3.5 to 4T-23/.",5T-4%" Contractor(Documentation Author's/Responsible Designer's Declaration Statement) I certifythe 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 COL 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,calallations,plans and specifications submitted to the enforcement agency for approval with this building permits plimtion. Responsible Designer Name: Respn a gner SlgnaW Date Signed: License: Corn ny: A clry/Siatem!". Phone:Us�,r/ilsn cf.si7l�7•r.j+ 11 of �'-nit ui9 n+v it Z) ''1 r/ -7@f 747 1, For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1.800-772-3300 STATE OF CALFORNIA .t /.. ALTERATIONS - HVAC CEC-CFIR-ALT4°4-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-AM04-E Alterations-HVAC CZ 2,and 8-15(formerly CF-IR-ALT-HVAC) (Pag Site Address: Enforcement Agency: Date Prepared: Permit#: New Ducting,Plenums,Lineset. Conditioned Equipment Type Equipment Efficiency Required R-value Floor Area(sq ft) Thermostat ❑Packaged System ❑Evaporator CoilAFUE COP R-6 (CZ2,8-13)Ducting Served by system ❑Setback ❑Split System ❑Condensing Unit ❑R-8' (CZ 11,14,15)Ducting sgft (If not already ,QMini Split ❑Compressor )SEER _HSPF ❑R-6(all CZ's)Plenums present must ❑Furnace ❑Lineset EER ❑R-5 or R7.5)Lineset' be installed) ❑TXV HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit application this N 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 an site for Final: All Equipment, CFIR-ALT-02-E Condenser Unit,Evaporator Coil, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)'-HERS,MECH-25-HERS' O Compressor,TXV,Lineset, CF3R: MECH-20-HERS,MECH-(23 or24)-HERS',MECH-25-HERS' Air Handler/Furnace'(Can include new ducting) Installer Requirement:Duct leakage L15%,or<10%to outside,or seal all accessible leaks),Air Flow 2 300 CFM/ton,Refrigerant Charge. Exempted from duct leakage testing if: ❑1.Duct system registered with HERS provider as previously sealed,or❑2.There is less than 40 linear feet of duct in unconditioned space,or CA ❑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' CFIR-ALT-02-E including Mini Split CF2R: MECH-01,MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' CF3R: MECH-20-HERS,MECH-22-HERS,MECH-(23 or 24)-HERS',MECH-25-HERS' Mini Splits require CFIR-ALT-02-E,CF2R-MECH-01,and (CF2R-CF3R)MECH-25-HERS Installer Requirement:Duct leakage<6%,Fan Efficacy(.58W/CFM),Air Flow 2 350 CFM/ton'(or alternative),Refrigerant Charge ❑3.All New Ducts with Replacement Required Compliance Documents to be left on site for Final: �.• All New Ducts3 and one or more of the following CF1R-ALT-02-E O replaced:Condenser Unit,Evaporator Coll, CF2R: MECH-01,MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25- Compressor,TXV,Lineset,Furnace' CF3R: MECH-20-HERS,MECH-(23 or 24)-HERS,MECH-25-HERS V 4 Installer Requirement:Duct leakage<6%,Air Flow z 350 CFM/ton(or alternative),Refrigerant Charge 4Q Exempted from duct leakage testing if:❑1. Existing duct systems are constructed,insulated or sealed with asbestos �j o 114.New Ducting over 40 feet I Required Compliance Documents to be left on site for Final: New ducting but less than All New Ducts' I CFIR-ALT-02-E,CF2R: MECH-20-HERS,CF3R: MECH-20-HERS Installer Required to:Duct leakage(: 15%or,<10%to outside or,or seal all accessible leaks) ❑ EXCEPTION:Existing duct systems constructed,insulated or sealed with asbestos. 'All new ducting R-8 required when more than 40 ft installed and R-6 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 MECH-(23 or 24),or Refrigerant Charge verification MECH-25 'All New Ducts is when at least 75 percent of the duct system is new duct material,and up to 25 percent 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-5(1"thick insulation)for linesets I"and less. R-7.5(1.5"thick insulation)for linesets over 1 inch. Most mfg will require Suction line Diameter with insulation as the following 1.5-2T-2%",2.5-3T-2%",3.5 to 4T-N/.",5T-4y" 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 forthe 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. Thatthe 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 Part6 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 applicatio Responsible Designer Name: Responsible Des er Si d'atur j Date Signed: License: aO Ct1Am JAIWn ,1 ,��/- 9- s I ,4 SSif Company: Address: City/State/Zip- Phone: SD><( S r}•i`co. D�'}v.�n ` b`1 Iccnn L� /jr..,-�f; LA °/r�.f"1 off •�ul 7z�G For assistance or uestions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300