PMT18-04508 City of Menifee Permit No.: PMT18-04508
29714 HAUN RD.
�� MENIFEE,CA 9258fi Type: Residential Mechanical
MENIFEE MENIFEE Date Issued: 09/17/2018
PERMIT
Site Address: 28727 MAPLEWOOD DR, MENIFEE, CA Parcel Number: 372-073-040
92584 Construction Cost: $9,910.00
Existing Use: Proposed Use:
Description of REPLACE 5 TON/90,000 BTU FURNACE COMPLETE HVAC SYSTEM
Work:
Owner Contractor
DONALD&TERI DUGAS W C HEATING&AIR CONDITIONING INC
28727 MAPLEWOOD DR 41085 GOLDEN GATE CIR
MENIFEE, CA 92584 MURRIETA,CA 92562
Applicant Phone:9516000700
STEVEN SCHNIERER License Number: 779604
W C HEATING&AIR CONDITIONING INC
41085 GOLDEN GATE CIR
MURRIETA, CA 92562
Fee Description QQt r Amount f8)
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_Perrnit_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 700D)of Division 3 of the Business and ❑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_Zp license No.-J ?q C�Oc+
((I 1 By my signature below lacknowledge that,except formy personal residence
Expires fo130I -0 Signature Sw�+z. s in which l must have resided for at least one year prior to completion of
WORKER'S COMPENSATION DECLARATION improvements covered by this permit.)cannot legally sell a structure that I
have built as an owner-builder if it has not been constructed in Its entirety by
o l hereby affirm under penalty of perjury one of the following declarations:I licensed contactors.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 websile:
by Section 3700 of the Labor Code,for the performance of work for which
this permit is issued. %vww.leeinfo.ca.eov/calaw.html.
Policy 0 Date
61�1 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
ymysignature below l certify to each of the follotving:lam the property
this permit is issued.My worker's compensation insurance carrier and policy r 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
Carrier CV nrP« with all applicable city and county ordinances and statelaws relating to
�r building construction.I authorize representatives of this city or county to
Policyll L0C.tJn90r7S013 Expires II1419 enter the above identified property for inspection purposes.
(This section need not to be completed Is the permit is for one-hundred 7 Date I S I
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,
I shall not emolov any persons In any manner so as to become subject to the CITY BUSINESS LICENSE N h-3czn-v
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
Cade,I shall forthwith comply with those provisions. Will the applicant or future building acmpent handle hazardous material or a
_ mixture containing a hazardous material equal loorgreater that the
Applicant �'ls� Date I 5 ff amounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS oYes la 71
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($1a0,000),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 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidell es
CONSTRUCTION LENDING AGENCY o Yes/`
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 3(197 Civil Code) o Yes
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
permitting checklist.I understand my requirements underthe State of
I hereby affirm under penalty for a perjury that I am exempt from the California Health&Safety Code,Section 25505 and 25534 concerning
checkmark(s)I have placed next Contractor's License taw d next reason(s)Indicated below by the hapardous material reporting.
to the applicable Item(s)(Section 7031.5
Business and Professions Code)-Any city or county that requires a permit to
construct,after,Improve,demolish or repair any structure,prior to its Date T S 18
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 IRRPI
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 inapre-1978
andthe basis for the alleged exemption.Any violation of Section 7031.5 by receivineompensati compensation
facili most
to RRPthat disturbifted paining pr -1978
y With
thn($5an an[fora permit subjects the applicant toacivil penalty af not more required practices.This Includes rental property owners and property
than($SOD). managers who do the paint-disturbing work themselves or through their
or',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.eaa.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 oAn 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:
sate.If,however,the building or improvement is sold within one year of Frm 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 for this project because:
01,as owner of the property am exclusively contracting with licensed
contactors to construct the project(Section 7044,Business and Professions
Code:The Contractor's Sate License Law does not apply to an owner of If your project does not comply with EPA RAP rule please fill out the REP
Acknowledgement.
&Al
BUILDING & SAFETY PERMIT/PLAN CHECK APPLICATION MENIFEE
DATE: September 17, 2018 PERMIT/PLAN CHECK NUMBER Z! O
GRADING/PLANNING CASE NUMBER/OTHER RELATED CASES
TYPE: ® COMMERCIAL 0 RESIDENTIAL 0MULTI-FAMILY 0 MOBILE HOME 0 POOL/SPA O SIGN
SUBTYPE: ADDITION ®ALTERATION C)DEMOLITION ()ELECTRICAL (j)MECHANICAL
C)NEW ()PLUMBING 11)RE-ROOF NUMBER OF SQUARES
DESCRIPTION OF WORK Replace 5 ton /90,000 BTU complete HVAC system
OCCUPANCY GROUP CONSTRUCTION TYPE SPRINKLERS(:)YES C)NO
PROJECTADDRESS 28727 Maplewood Drive 21P92584
ASSESSOR'S PARCEL NUMBER �pZ -Q 'py� LOT � TRACT I Y of Menife
OWNERNAME Donald and Teri Dugas ep
ADDRESS 28727 Maplewood Drive Menifee, CA 92584
PHONE 951-309-3415 EMAIL swschnierer@roadrunner.com Receive
APPLICANT NAME Steven Schnierer
ADDRESS 31225 La Baya Drive Suite 213 Westlake Village, CA 91362
PHONE 818-735-7876 EMAILswschnierer@roadrunner.com
CONTRACTOR'S NAME We Care OWNER BUILDER? C)YESIF)NO
BUSINESS NAME We Care
ADDRESS 41085 Golden Gate Circle Murrieta, CA 92562
PHONE 951-600-0700 EMAIL
CONTRACTOR'S STATE LIC NUMBER 779604 LICENSE CLASSIFICATION C20
VALUATIONS 9,910.00 SQ FT L SQ FT
StevenSChrll@rer Digitally signed by Steven Schnierer
APPLICANT'S SIGNATURE Date:2018.09.17 05:07:53-07'00' DATE September 17, 2018
1111� hit
DEPARTMENT DISTRIBUTION ACCEPTED BY: CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE
INVOICETOTAL1,�- I'� I GREEN I 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
www.cityofmenifee.us
NLFe
STATE OF CALIFORNIA
ALTERATIONS - HVAC
CEC-CFIR-ALT-04-E Revised 01/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-04-E
Alterations-HVAC CZ 2,and 8-15 (Page 1 of 1)
Site Address: Enforcement AgenLyhh Date Prepared: Permit#:
287Z� C; OF mpn�t 9 ti I`� 1 .
E ui mentT e Equipment Efficient New Ducting or Lineset: Conditioned
q p ypy Required R-value Floor Area(ft2) Thermostat
❑Packaged $f Evaporator Coil 2D/.AFUE COP R-6 (C71-10,12&13)Ducts Served by system IffSetback
System 0 Condensing Unit t 2 (If not already
❑2-R (CZine et4 Ducts ft
Split System ❑Compressor j`4 SEER HSPF ❑>R-2.8 Lineset' present must
❑Mini Split ❑Lineset EER be installed)
XFurnace ❑TXV
HERS VERIFICATION SUMMARY Installer determines work to be completed and matches to one of the options below. At permit'p0ca PVMhlfe
form is allowed to be filled out by hand. Forfinal inspection all forms are to be registered(no hand filled forms allowed)and a co 't
;Rf 1.HVAC Changeout/Repair Required Compliance Documents to be left on site for Final:
All Equipment, CF1R-ALT-02-E SEP 1 7 2018
Condenser Unit,Evaporator Coil, CF2R-MCH-01-E,MCH-20-H,MCH-(23 or 24)2-H,MCH-25-H2
Compressor,TXV,Lineset, CF3R-MCH-20-H,MCH-(23 or 24)-H2,MCH-25-1-12
Air Handler/Fumace2(Can include new ducting) -�
Installer Requirement:Duct leakage(515%,or 510%to outside,or seal all accessible leaks),Air Flow 2 300 CFMAon,Ref ge
Exempted from duct leakage testing if:
❑1.Duct system registered with HERS provider as previously sealed,or O 2.There is less than 40 linearfeet of duct in unconditioned space,or
❑3.Existing duct systems are constructed,insulated or sealed with asbestos(list manufacture date of building_
❑2.New HVAC System Required Compliance Documents to be left on site for Final:
All new equipment and All New Ductsa CFIR-ALT-02-E
including Mini Split CF2R-MCH-01-E,MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,MCH-25-H2
CF3R-MCH-20-H,MCH-22-H,MCH-(23 or 24)-H2,.MCH-25-H2
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 a 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
❑4.New Ducting over 40 feet Required Compliance Documents to be left on site for Final:
New ducting but less than All New Ductsa CFIR-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&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.
2 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,Coll,plenums,duct material)
°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. That the energyfeatures 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 application.
Rpwnsible Deer Name: ponsible Design nature: Date ign License:
h _ G i 7 779
co pang• Address: city/state/zip: Phone:
9ID85 C-,,
For assistance or questions regarding the Energy Standards,contact the Energy Hotline at:1-800-772-3300